External ocular trauma in instrumental and normal deliveries
ABSTRACT 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 instrum...
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Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 1992-02, Vol.99 (2), p.132-134 |
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container_title | BJOG : an international journal of obstetrics and gynaecology |
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creator | HOLDEN, ROGER MORSMAN, DAVID G. DAVIDEK, GERVASE M. B. O'CONNOR, GERARD M. COLES, E. C. DAWSON, ANDREW J. |
description | ABSTRACT
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 |
doi_str_mv | 10.1111/j.1471-0528.1992.tb14471.x |
format | Article |
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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<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.</description><identifier>ISSN: 1470-0328</identifier><identifier>ISSN: 0306-5456</identifier><identifier>EISSN: 1471-0528</identifier><identifier>EISSN: 1365-215X</identifier><identifier>DOI: 10.1111/j.1471-0528.1992.tb14471.x</identifier><identifier>PMID: 1554665</identifier><identifier>CODEN: BJOGAS</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Birth Injuries - etiology ; Corneal Edema - etiology ; Delivery. Postpartum. Lactation ; Disorders ; Eye Injuries - etiology ; Eyelids - injuries ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Medical sciences ; Obstetrical Forceps ; Prospective Studies</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 1992-02, Vol.99 (2), p.132-134</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3982-154e0bd6a2f814d992625eaee3a5ebba6b0fec226a519723c6836959057d28fb3</citedby><cites>FETCH-LOGICAL-c3982-154e0bd6a2f814d992625eaee3a5ebba6b0fec226a519723c6836959057d28fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1471-0528.1992.tb14471.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1471-0528.1992.tb14471.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5247690$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1554665$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HOLDEN, ROGER</creatorcontrib><creatorcontrib>MORSMAN, DAVID G.</creatorcontrib><creatorcontrib>DAVIDEK, GERVASE M. B.</creatorcontrib><creatorcontrib>O'CONNOR, GERARD M.</creatorcontrib><creatorcontrib>COLES, E. C.</creatorcontrib><creatorcontrib>DAWSON, ANDREW J.</creatorcontrib><title>External ocular trauma in instrumental and normal deliveries</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>Br J Obstet Gynaecol</addtitle><description>ABSTRACT
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<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.</description><subject>Biological and medical sciences</subject><subject>Birth Injuries - etiology</subject><subject>Corneal Edema - etiology</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Eye Injuries - etiology</subject><subject>Eyelids - injuries</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Obstetrical Forceps</subject><subject>Prospective Studies</subject><issn>1470-0328</issn><issn>0306-5456</issn><issn>1471-0528</issn><issn>1365-215X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkF1LwzAUhoMoU6c_QSgi3rXmo0lTEUHH_GKwG70OaXsKHWk7k1a3f2_qyrw2BHLI-5zk8CB0SXBE_LpZRSROSIg5lRFJUxp1GYn9TbQ5QCf76PC3xiFmVB6jU-dWGBNBMZugCeE8FoKfoLv5pgPbaBO0eW-0DTqr-1oHVeO362xfQ9P5VDdF0LS29mUBpvoCW4E7Q0elNg7Ox3OKPp7m77OXcLF8fp09LMKcpZKGhMeAs0JoWkoSF35gQTloAKY5ZJkWGS4hp1RoTtKEslxIJlKeYp4UVJYZm6Lr3btr23724DpVVy4HY3QDbe9UQqUgsRQevN2BuW2ds1Cqta1qbbeKYDWoUys1-FGDHzWoU6M6tfHNF-MvfVZD8de6c-XzqzHXLtemtLrJK7fHOI0TkWKP3e-w78rA9h8DqMe3JWGU_QDOC4rF</recordid><startdate>199202</startdate><enddate>199202</enddate><creator>HOLDEN, ROGER</creator><creator>MORSMAN, DAVID G.</creator><creator>DAVIDEK, GERVASE M. B.</creator><creator>O'CONNOR, GERARD M.</creator><creator>COLES, E. C.</creator><creator>DAWSON, ANDREW J.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199202</creationdate><title>External ocular trauma in instrumental and normal deliveries</title><author>HOLDEN, ROGER ; MORSMAN, DAVID G. ; DAVIDEK, GERVASE M. B. ; O'CONNOR, GERARD M. ; COLES, E. C. ; DAWSON, ANDREW J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3982-154e0bd6a2f814d992625eaee3a5ebba6b0fec226a519723c6836959057d28fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Biological and medical sciences</topic><topic>Birth Injuries - etiology</topic><topic>Corneal Edema - etiology</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Disorders</topic><topic>Eye Injuries - etiology</topic><topic>Eyelids - injuries</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Obstetrical Forceps</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HOLDEN, ROGER</creatorcontrib><creatorcontrib>MORSMAN, DAVID G.</creatorcontrib><creatorcontrib>DAVIDEK, GERVASE M. B.</creatorcontrib><creatorcontrib>O'CONNOR, GERARD M.</creatorcontrib><creatorcontrib>COLES, E. C.</creatorcontrib><creatorcontrib>DAWSON, ANDREW J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOLDEN, ROGER</au><au>MORSMAN, DAVID G.</au><au>DAVIDEK, GERVASE M. B.</au><au>O'CONNOR, GERARD M.</au><au>COLES, E. C.</au><au>DAWSON, ANDREW J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>External ocular trauma in instrumental and normal deliveries</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>Br J Obstet Gynaecol</addtitle><date>1992-02</date><risdate>1992</risdate><volume>99</volume><issue>2</issue><spage>132</spage><epage>134</epage><pages>132-134</pages><issn>1470-0328</issn><issn>0306-5456</issn><eissn>1471-0528</eissn><eissn>1365-215X</eissn><coden>BJOGAS</coden><abstract>ABSTRACT
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<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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>1554665</pmid><doi>10.1111/j.1471-0528.1992.tb14471.x</doi><tpages>3</tpages></addata></record> |
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language | eng |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
subjects | Biological and medical sciences Birth Injuries - etiology Corneal Edema - etiology Delivery. Postpartum. Lactation Disorders Eye Injuries - etiology Eyelids - injuries Gynecology. Andrology. Obstetrics Humans Infant, Newborn Medical sciences Obstetrical Forceps Prospective Studies |
title | External ocular trauma in instrumental and normal deliveries |
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