Document Detail

Changing patterns of birth asphyxia and trauma over 20 years.
MedLine Citation:
PMID:  6702907     Owner:  NLM     Status:  MEDLINE    
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.
R M Cyr; R H Usher; F H McLean
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  148     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1984 Mar 
Date Detail:
Created Date:  1984-03-30     Completed Date:  1984-03-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  490-8     Citation Subset:  AIM; IM    
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MeSH Terms
Anesthesia, Obstetrical
Asphyxia Neonatorum / complications,  epidemiology*,  mortality
Birth Injuries / complications,  epidemiology*,  mortality
Birth Weight
Brain Diseases / diagnosis,  etiology
Delivery, Obstetric / methods
Infant, Newborn

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

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