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Tew M - - 1986
Impartial analyses of the evidence from official statistics, national surveys and specific studies consistently find that perinatal mortality is much higher when obstetric intranatal interventions are used, as in consultant hospitals, than when they are little used, as in unattached general practitioner maternity units and at home. The conclusion holds ...
Sell E J - - 1986
This review of the literature and selected unpublished data documents normal early outcome in 50 to 81 per cent of tiny infants. Educational outcome described by a few studies is less encouraging, with only 32 to 36 per cent considered normal. Each study investigated the contribution of different perinatal, environmental, ...
Banagale R C - - 1986
Various biochemical and structural changes affecting the newborn's wellbeing develop as a result of perinatal asphyxia. Central nervous system abnormalities are frequent complications with high mortality and morbidity. Cardiac compromise may lead to dysrhythmias and cardiogenic shock. Coagulopathy in the form of disseminated intravascular coagulation or massive pulmonary hemorrhage are ...
Arias F - - 1986
To address the issues of whether corticosteroid treatment and prolongation of the latent phase improve the outcome of pregnancy in patients with preterm premature rupture of the membranes, we studied 96 patients with premature rupture of the membranes who were delivered of infants of adequate weight for gestational age with ...
Tenovuo A - - 1986
Neonatal mortality (NNM) was investigated in the region of the University Central Hospital of Turku (UCHT), Finland, during a 15-year period from 1968 till 1982. During the study period 81 620 liveborn infants were born. The NNM rate declined from 13.5 in 1968 to 3.0 in 1982 during the study ...
Hein H A - - 1986
Small Iowa community hospitals (fewer than 500 deliveries annually) are currently the site of approximately 37% of hospital births in the state. Many of these facilities face severe financial constraints aggravated by reduced Medicare payments and diagnosis-related group payment mechanisms. The quality and quantity of services provided by small hospitals ...
Sachs B P - - 1986
Obstetric and neonatal data on 18,610 deliveries between 1975 and 1982 were analyzed to determine the risks associated with postdate pregnancy in an era of routine fetal heart rate monitoring. Thirteen percent of the deliveries occurred between 42 and 43 weeks' gestation, and 1% occurred at 44 weeks or later. ...
Powars D R - - 1986
Risks associated with pregnancy for mothers with sickle cell disease and their infants have decreased markedly during the last decade. Among 79 women with sickle cell anemia (156 pregnancies), maternal death decreased from 4.1% before 1972 to 1.7% after 1972; their infants' fetal and perinatal death rates decreased from 52.7 ...
Nielsen T F - - 1986
During the years 1973-81, the cesarean section (CS) birth rate increased from 5.5% to 12.4% in Sweden. During the same time, perinatal mortality declined from 12 to 7.1 per thousand children. The rates of CS and perinatal mortality, however, cannot be presented as reciprocally dependent variables without taking into consideration ...
Eksmyr R - - 1986
In a previous study, a difference in early neonatal mortality was found between two geographically defined populations with different perinatal health services. The mortality was lower in districts served by hospitals with specialized obstetric service but lacking neonatal wards than in districts with both these facilities. This unexpected finding was ...
Eksmyr R - - 1986
The decline in perinatal mortality in a Swedish county during a six year period is examined and analyzed by use of perinatal audit. The decline coincided with an increased rate of in utero transfers of infants, particularly those with low birth weights, to the specialized county hospital. The perinatal audit ...
Crowther C A - - 1986
Perinatal deaths occurring within the City of Harare, Zimbabwe, during 1983 were studied. Data were collected from all known deliveries within the city. This included exact numbers from three central maternity hospitals, and from referring midwife-run maternity clinics. An estimate was made of the number of births and perinatal deaths ...
Weindling A M - - 1985
Ultrasound brain scans were obtained daily for the first 5 days after birth, on day 7 and then weekly until discharge from hospital in 86 babies during a 12-month period. The babies weighed less than 1501 g or were less than 34 weeks gestational age. Fifty-one (59%) had normal scans, ...
Hicks L E - - 1985
Cognitive data were obtained on 19 of the 21 pairs of siblings who had been in the authors' earlier study of behavioral outcomes associated with participation in the Special Supplemental Food Program for Women, Infants, and Children (WIC). The timing of WIC participation differed for the members of the sibling ...
MacLean N - - 1985
A review of Southland's perinatal mortality was undertaken from 1978 to 1983 and included 124 deaths with a postmortem rate of 90%. The perinatal mortality rate has continued to fall during this period, and has more than halved since 1971. Prematurity remains the single most important factor, and there are ...
Bergdahl S - - 1985
The findings in 40 infants with neonatal osteomyelitis were examined to evaluate factors that may predict the development of sequelae. On follow-up at 1-11 years of age, 16 children were found to have moderate (six) and severe (10) sequelae. Thirteen of these 16 children were among the 21 infants who ...
Chellam V G - - 1985
A retrospective histopathological study of the placental and non-placental membranes and umbilical cords of 200 live and stillborn babies weighing less than 2.5 kg is reported. The pathological studies were specifically concerned with the presence of infection as evidenced by a polymorphonuclear leucocytic infiltrate at these sites. Inflammatory lesions were ...
Tew M - - 1985
Analyses of the published results of national surveys and specific studies, as well as of the official stillbirth statistics, consistently point to the conclusion that perinatal mortality is significantly higher in consultant obstetric hospitals than in general practitioner maternity units or at home, even after allowance has been made for ...
Buehler J W - - 1985
Trends in survival were examined for infants in five birth-weight groups (500 to 999 g, 1,000 to 1,499 g, 1,500 to 1,999 g, 2,000 to 2,499 g, and greater than or equal to 2,500 g). The study population consisted of infants born in Georgia from 1974 through 1981. Survival to ...
Okolo A A - - 1985
A total of 18,334 live births and 376 neonatal deaths at the University of Benin Teaching Hospital were analyzed. The neonatal mortality rate has declined significantly from 49.5/1000 in 1974 to 16.4/1000 live births in 1981. The decrease mainly resulted from the reduction of mortality of full size infants (greater ...
Buckell E W - - 1985
A survey of 335 perinatal deaths in the Wessex region revealed a perinatal mortality rate of 10.1 per 1000 total births. Lethal malformations accounted for 82 (24%) deaths. Of the 253 normally formed infants, 124 (49%) died during pregnancy and 33 (13%) in labour. More than 60% of the stillbirths ...
Singer L T - - 1985
In a retrospective study, medical records of a randomly selected sample of all infants less than 13 months old with tracheostomy of at least 1 month's duration were reviewed with respect to medical, demographic, and perinatal variables. Standardized outcome measures were used to document physical, cognitive, linguistic, and emotional development ...
Goldenberg R L - - 1985
Although regionalization of perinatal health care services has received credit for much of the recent improvement in neonatal mortality, until now no measurement of regionalization has been proposed. The measurement presented in this paper--the average of the percentage of infants of very low birthweight and neonatal deaths occurring among residents ...
Davies B R - - 1985
In a referral perinatal center a detailed study was made of all the perinatal deaths that occurred during 1 year; they were analyzed according to primary diagnoses on the basis of a classification by R. L. Naeye which included the placenta. This method points to the areas in which special ...
Evans J R - - 1985
From April to August, 1981, 15 cases of perinatal listeriosis were seen in Halifax, Nova Scotia, Canada. Nine of the 15 mothers presented with 'flu-like' symptoms, 3 had symptoms of an upper respiratory infection and 2 a history of fever alone. During labor 11 mothers had fevers greater than 38 ...
Odendaal H J - - 1985
Uterine contractions were studied in 21 patients with abruptio placentae and intrauterine death. Contractions were examined in four 10-minute windows taken immediately prior to delivery, 30 and 60 minutes before delivery and at the beginning of the recording. Mean resting tone values for the 4 periods fluctuated between 23 and ...
Khoury M J - - 1985
We investigated factors affecting the sex differential in neonatal mortality rate using linked birth and death certificates of more than 300,000 infants born in Georgia between 1974 and 1977. The neonatal mortality rate was higher in male infants than in female infants (relative risk = 1.23, p less than 10(-8)) ...
McCormick M C - - 1985
The success of modern perinatal management techniques has led to the recommendation of the regional organization of perinatal services. This report summarizes the evaluation of a national demonstration program of such regionalization that was funded by the Robert Wood Johnson Foundation (RWJF) in 1975. In both funded regions and comparison ...
Piekkala P - - 1985
Perinatal mortality (PNM) in the catchment area of the University Central Hospital of Turku (UCHT), Finland, was investigated during a 15-year period from 1968 to 1982. During the study period, 82,151 babies were born, there were 531 fetal deaths and 505 cases of early neonatal death. The PNM rate declined ...
Rasmussen F - - 1985
The optimality of prenatal and perinatal conditions, serum levels of radioreceptor-assayable somatomedins and activity of catechol-0-methyltransferase in erythrocytes were examined in 13 dysequilibrium (DES) patients. No differences from normal controls were found. As a group, the DES patients were not more exposed to non-optimal prenatal and perinatal events than healthy ...
Manning F A - - 1985
Fetal biophysical profile scoring was used as a method for antepartum fetal risk assessment in 12,620 high-risk patients referred in a 55-month interval. A total of 26,257 tests were performed on these patients (range, one to 18 tests per patient). Ninety-three perinatal deaths occurred (gross perinatal mortality rate, 7.37 per ...
Shennan A T - - 1985
That death or major developmental handicap is associated with prematurity and low birth weight is well recognized. The importance of other perinatal factors related to presentation and management, however, is far from certain. In an attempt to elucidate the importance of some of these factors, data from 383 live-born infants ...
McIlwaine G M - - 1985
Since 1983 the monitoring of perinatal deaths in Scotland has been incorporated into the established data collection system which monitors maternal and child health in Scotland. This paper describes the transition from a research project to the routine system and the extension of the data collection to include paediatric and ...
Rudolph A J - - 1985
Identification of newborn nutritional inadequacy is one of the major areas in perinatal medicine where intervention can influence outcome. An infant's failure to thrive may be the result of prenatal and/or post-natal causes. Management of failure to thrive in the newborn infant must include identification of the problem, establishment of ...
Osbourne G K - - 1985
An analysis of all perinatal deaths occurring in twin pregnancies in Dundee women from 1956 to 1983 was performed. The uncorrected perinatal mortality rate fell from 116/1000 births in 1956-60 to 16/1000 births in 1981-83, this fall almost entirely taking place after 1975. Causes of death were identified using the ...
Michaels L - - 1985
The microslicing method was used to study the temporal bones of 49 perinatal deaths in the gross. X ray of the temporal bones was an important part of the investigation. The principle pathological changes were clearly observed. They were: acute otitis media in two cases; an anterior crural deformity of ...
Rüschoff J - - 1985
Between 1978 and 1983 1240 singleton placentas were examined macroscopically and histologically. In 82 cases (6.6%) a "chronic placentitis" was diagnosed. The pathognomonic inflammatory foci were localized within the placental villi. The vast majority showed mixtures of both fibrohistiocytes and lymphoid cells, which were occasionally interspersed with plasma-cells. The clinical ...
Hanngren K - - 1985
Zoster immunoglobulin (ZIG) was given for prophylaxis to 95 neonates born to mothers with perinatal varicella. The treatment had no influence on the clinical attack rate; 48 (50%) of the children developed varicella. However, the ZIG treatment clearly influenced the course of the disease for newborns at particular risk, i.e. ...
Dunn P M - - 1985
Progress made during the last 60 years in reaching international agreement on perinatal terminology is reviewed. Agreed terms currently in use in respect to birthweight, gestational age and the collection of perinatal mortality and morbidity statistics are stated and defined. Arguments are advanced in support of an internationally agreed methodology ...
Gunn T - - 1984
The aim of this study was to find ways to reduce perinatal mortality. At St Helens Hospital there were 9876 births in the four year period 1978-81 and 93 perinatal deaths occurred, a perinatal mortality rate of 9.42 per 1000, stillbirths 6.58 and early neonatal deaths 2.84. Since 1971 the ...
Thiringer K - - 1984
In order to assess the importance of pertinent perinatal risk factors in causing hearing loss (HI), a retrospective evaluation was made of the records of 146 affected children born in the city of Göteborg between 1970 and 1979. The incidence among six-year-olds born between 1970 and 1974 was 3.8 per ...
Chervenak F A - - 1984
Three hundred eighty-five gestations were managed in a perinatal center during a five-year interval. Twins were diagnosed antenatally in 90.4% and before delivery in 95.6% of cases. From this study, the value of hospitalization for bed rest after 28 weeks of gestation seems questionable, for 81% of the perinatal mortality ...
Campbell R - - 1984
A survey was carried out of all 8856 births occurring at home in England and Wales in 1979. Of these births, 67% had been booked for delivery at home, 21% had been booked for delivery in hospital, 3% had not been booked, and for 9% the intended place of delivery ...
Shaw C D - - 1984
The perinatal mortality rate (PNMR) was calculated for each rural parish in Gloucestershire for the years 1968-79. The characteristics of high- and low-rate parishes (each set comprising about 10% of all births) were contrasted according to routinely recorded fetal, maternal and environmental variables. The overall PNMR in the high-rate set ...
Henderson-Smart D J - - 1984
This study evaluates the perinatal outcome of infants born to ninety-five mothers with hypertension in pregnancy whose blood pressure was treated in a double blind trial comparing clonidine hydrochloride (C) and alpha-methyldopa (A). There were no fetal deaths and two neonatal deaths, giving a perinatal mortality of 2%. There was ...
- - 1984
A collaborative survey of perinatal mortality in each district of the Northern region set up in July 1980 was able to obtain information on 99% of all the registered perinatal deaths among babies born in 1981-2 to mothers resident in the region. There were 12.4 perinatal deaths/1000 births over this ...
Casaer P - - 1984
Behavioural states are easy to recognise in healthy neonates with a gestational age of 36 weeks or more. In younger neonates stable behavioural states, as seen at full-term, are not present, but activity cycles exist. In utero stable behavioural states can also be recognised from 36 to 38 weeks onwards. ...
Modrzewska K - - 1984
Trends in infant and perinatal mortality in Sweden over the period 1875 to 1975 are analyzed. The study is based on data from three parish registers in northern Sweden. The data are presented for four 25-year periods for five categories of survival: less than 1 day, 2-7 days, 8-28 days, ...
Kundsin R B - - 1984
We investigated the presence of ureaplasmas, mycoplasmas, chlamydiae, fungi, aerobic and anaerobic bacteria, and cytomegalovirus in fetal membranes and evaluated their association with perinatal morbidity and mortality. We cultured 801 placentas from three groups of subjects (144 who died in the perinatal period, 452 neonates admitted to the intensive-care unit, ...
Barson A J - - 1984
A total of 440 perinatal deaths occurring in a maternity hospital over a 6 year period have been analysed clinically and pathologically. The decline in mortality could be attributed to a reduction in asphyxial deaths, lethal malformations, and macerated stillbirths. The establishment of a neonatal intensive care unit seemed to ...
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