Document Detail


Fetal trauma in term pregnancy.
MedLine Citation:
PMID:  17980187     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of the study was to determine the incidence and type of fetal trauma in term pregnancy in relation to method of delivery, maternal age, parity, and birthweight. STUDY DESIGN: From the Nova Scotia Atlee Perinatal Database, fetal trauma was evaluated in all term (37 weeks or longer) singleton fetuses without major anomaly in vertex presentation over a 14-year period (1988-2001). RESULTS: The overall risk of fetal trauma was low (2.0%); that of major fetal trauma was 0.16%. Major and minor fetal trauma was significantly increased with labor, compared with no labor (adjusted relative risks [RRs], 9.59; 95% confidence interval [CI], 1.34-68.47, and RR, 11.25; 95% CI, 5.05-25.09, respectively). Cesarean delivery was protective for major and minor fetal trauma, compared with vaginal delivery (adjusted RRs, 0.21; 95% CI, 0.12-0.40, and RR, 0.46; 95% CI, 0.39-0.54, respectively). CONCLUSION: The risk of significant fetal trauma in term pregnancy is very low and most likely to be associated with labor and with assisted vaginal delivery.
Authors:
Thomas F Baskett; Victoria M Allen; Colleen M O'Connell; Alexander C Allen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  197     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-05     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  499.e1-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS, Canada.
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MeSH Terms
Descriptor/Qualifier:
Birth Injuries / epidemiology*
Birth Weight
Brachial Plexus / injuries
Breech Presentation
Cesarean Section
Extraction, Obstetrical / adverse effects
Female
Humans
Logistic Models
Maternal Age
Nova Scotia / epidemiology
Parity
Pregnancy
Risk Factors

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


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