| Changing patterns of birth asphyxia and trauma over 20 years. | |
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MedLine Citation:
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PMID: 6702907 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Comparison of birth asphyxia and trauma in the same obstetric service during periods 18 years apart shows some reassuring and some disquieting findings. Liberalized cesarean sections, electronic monitoring of fetal heart in labor, and replacement of opiate sedation by epidural anesthesia have had their effect. There has been dramatic reduction in perinatal death and neonatal encephalopathy due to birth asphyxia and trauma and only rarely do affected infants now develop permanent cerebral injury. Severe birth asphyxia, defined by need for prolonged ventilation, has, however, remained unchanged in frequency. Unexpectedly, fractures and paralyses have dramatically increased. The major hazard today for the term infant is the use of midforceps, which has become much more common in parallel with the increased use of pain relief by continuous epidural anesthesia. |
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Authors:
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R M Cyr; R H Usher; F H McLean |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 148 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1984 Mar |
Date Detail:
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Created Date: 1984-03-30 Completed Date: 1984-03-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 490-8 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Obstetrical Asphyxia Neonatorum / complications, epidemiology*, mortality Birth Injuries / complications, epidemiology*, mortality Birth Weight Brain Diseases / diagnosis, etiology Canada Delivery, Obstetric / methods Female Humans Infant, Newborn Pregnancy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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