Document Detail

Minimizing perinatal neurologic injury at term: is cesarean section the answer?
MedLine Citation:
PMID:  18952021     Owner:  NLM     Status:  MEDLINE    
Despite advances in obstetric and neonatal care, the last several decades have not witnessed an improvement in the prediction or prevention of term cerebral palsy. Obstetric interventions such as electronic fetal heart rate monitoring and cesarean delivery, although biologically plausible as intervention strategies, do not improve perinatal outcomes in clinical practice. In reaction to mounting medicolegal pressure, obstetricians continue to increase the number of cesarean deliveries they perform as a form of defensive medicine, despite evidence that this practice is not associated with improved perinatal outcomes. The current standard for expeditious delivery in a case of potential fetal compromise is described by the "30-minute rule." However, obstetricians' determinations of the need for expedited delivery may be a preferable guide for appropriate delivery timing.
Russell Miller; Richard Depp
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in perinatology     Volume:  35     ISSN:  0095-5108     ISO Abbreviation:  Clin Perinatol     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-27     Completed Date:  2008-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  549-59, xi     Citation Subset:  IM    
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 West 168th Street, PH 16-66, New York, NY 10032, USA.
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MeSH Terms
Birth Injuries / prevention & control*
Brain Injuries / prevention & control*
Cerebral Palsy / prevention & control*
Cesarean Section*
Fetal Distress / diagnosis
Fetal Hypoxia / diagnosis
Fetal Monitoring / methods
Heart Rate, Fetal / physiology
Pregnancy Outcome

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