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
Hauptverfasser: HOLDEN, ROGER, MORSMAN, DAVID G., DAVIDEK, GERVASE M. B., O'CONNOR, GERARD M., COLES, E. C., DAWSON, ANDREW J.
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container_end_page 134
container_issue 2
container_start_page 132
container_title BJOG : an international journal of obstetrics and gynaecology
container_volume 99
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
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B. ; O'CONNOR, GERARD M. ; COLES, E. C. ; DAWSON, ANDREW J.</creator><creatorcontrib>HOLDEN, ROGER ; MORSMAN, DAVID G. ; DAVIDEK, GERVASE M. B. ; O'CONNOR, GERARD M. ; COLES, E. C. ; DAWSON, ANDREW J.</creatorcontrib><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&lt;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&amp;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&lt;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&lt;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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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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