| Meningomyelocele: management in utero and post natum. | |
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MedLine Citation:
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PMID: 8005029 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a four year follow-up of 39 of 47 infants born after pre-labour Caesarean section and 68 of 79 born vaginally. Loss of motor function due to late complications was more frequent in the Caesarean section group (Fisher's Exact; P = 0.004). However, the means of the differences between the X-ray levels (measured as the last intact vertebral arch seen on standard anteroposterior roentgenograms of the spinal column) subtracted from the motor levels still favour Caesarean section (mean = 3.24; SD = 2.7) over vaginal delivery (mean = 1.2; SD = 2.7) (Student's t-test; P = 0.0003). The frequencies of other complications, death and neonatal meningitis, were not significantly different. Another 38 infants born by Caesarean section after labour were more paralysed (mean of X-ray and motor difference = 1.8, SD = 2.2) following rupture of amniotic membranes than those with intact amniotic membranes with or without labour (mean = 3.4; SD = 2.2) (Student's t-test; P = 0.0067). The differences between X-ray and motor levels for patients born by Caesarean section with intact amniotic membranes and without labour (mean = 3.6; SD = 2.4) were not significantly different from those with labour and intact amniotic membranes (mean = 2.89; SD = 1.5). The number of new cases of meningomyelocele presenting to our clinic has decreased from an average of 30 per year between 1970 and 1987 to 14 between 1988 and 1992. |
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Authors:
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D B Shurtleff; D A Luthy; D A Nyberg; T J Benedetti; L A Mack |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Ciba Foundation symposium Volume: 181 ISSN: 0300-5208 ISO Abbreviation: Ciba Found. Symp. Publication Date: 1994 |
Date Detail:
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Created Date: 1994-07-21 Completed Date: 1994-07-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0356636 Medline TA: Ciba Found Symp Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 270-80; discussion 280-6 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, University of Washington, Seattle 98105. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cesarean Section Delivery, Obstetric / methods Extraembryonic Membranes Female Follow-Up Studies Humans Meningomyelocele / complications, diagnosis, therapy* Paralysis / etiology Pregnancy Prenatal Care* Prenatal Diagnosis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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