Document Detail

Cerebral palsy following cutting of the nuchal cord before delivery.
MedLine Citation:
PMID:  7968307     Owner:  NLM     Status:  MEDLINE    
Five cases identified in the course of medicolegal reviews are described where the umbilical cord wrapped around the neck of the foetus once was cut intentionally, or broken, prior to the extraction of the body. Delivery was delayed on account of shoulder dystocia for a period of time varying from three to seven minutes. All of these infants were born with a low APGAR score. Subsequently, they displayed manifestations of cerebral palsy and two of them also had permanent brachial plexus lesion. This series of incidents indicates that an unexpected arrest of the shoulders may inadvertently compound the problem that the severing of the cord prior to the delivery of the body entails. If, as in the cases presented here, hypoxic brain damage ensues, the severing of the cord may become a suspected causative factor. Our literary review has revealed no reference to severing of the cord having been followed by shoulder dystocia. Along with other instances where similar reviews drew attention to as yet unrecognized clinical phenomena, this unusual cluster of a previously unconsidered type of accident at birth underlines the value of carefully conducted medicolegal reviews as a potential clinical research tool in medicine.
L Iffy; V Varadi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicine and law     Volume:  13     ISSN:  0723-1393     ISO Abbreviation:  Med Law     Publication Date:  1994  
Date Detail:
Created Date:  1994-12-07     Completed Date:  1994-12-07     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8218185     Medline TA:  Med Law     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  323-30     Citation Subset:  IM    
Department of Obstetrics and Gynecology, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark.
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MeSH Terms
Cerebral Palsy / etiology*
Extraction, Obstetrical
Fetal Hypoxia / etiology*
Infant, Newborn
Liability, Legal*
Malpractice / legislation & jurisprudence*
Risk Factors
Umbilical Cord*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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