Document Detail

External ocular trauma in instrumental and normal deliveries.
MedLine Citation:
PMID:  1554665     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the occurrence of external ocular trauma in instrumental and normal deliveries. DESIGN: Prospective controlled study. SETTING: University Hospital of Wales, Cardiff. SUBJECTS: 133 babies born consecutively with the use of forceps and 133 control babies born without instrumentation to women matched for parity. INTERVENTIONS: External ocular examination. MAIN OUTCOME MEASURES: The presence within 24 h of birth of corneal oedema, corneal abrasion, conjunctival chemosis, subconjunctival haemorrhage and lid oedema. RESULTS: Lid oedema and multiple minor external ocular trauma occurred in 52 and 22 babies, respectively, in the instrumental delivery group and in 13 and 8 babies, respectively in the control group (P less than 0.001). Corneal abrasion occurred in two babies and corneal oedema in one baby after forceps delivery but in none of the control group. No more serious injuries occurred. All injuries resolved without long term sequelae. CONCLUSION: The frequency of sight threatening corneal trauma in instrumental deliveries is low. Specialist ophthalmic screening of these babies is not justified.
R Holden; D G Morsman; G M Davidek; G M O'Connor; E C Coles; A J Dawson
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  British journal of obstetrics and gynaecology     Volume:  99     ISSN:  0306-5456     ISO Abbreviation:  Br J Obstet Gynaecol     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-05-07     Completed Date:  1992-05-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503752     Medline TA:  Br J Obstet Gynaecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  132-4     Citation Subset:  AIM; IM    
Department of Ophthalmology, University Hospital of Wales, Cardiff.
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MeSH Terms
Birth Injuries / etiology*
Corneal Edema / etiology
Eye Injuries / etiology*
Eyelids / injuries
Infant, Newborn
Obstetrical Forceps*
Prospective Studies

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