Changing patterns of birth asphyxia and trauma over 20 years
Comparison of birth asphyxia and trauma in the same obstetric service during periods 18 years apart shows some reassuring and some disquieting findings. Liberalized cesarean sections, electronic monitoring of fetal heart in labor, and replacement of opiate sedation by epidural anesthesia have had th...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1984-03, Vol.148 (5), p.490-498 |
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| container_end_page | 498 |
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| container_issue | 5 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 148 |
| creator | Cyr, Ronald M. Usher, Robert H. McLean, Frances H. |
| description | Comparison of birth asphyxia and trauma in the same obstetric service during periods 18 years apart shows some reassuring and some disquieting findings. Liberalized cesarean sections, electronic monitoring of fetal heart in labor, and replacement of opiate sedation by epidural anesthesia have had their effect. There has been dramatic reduction in perinatal death and neonatal encephalopathy due to birth asphyxia and trauma and only rarely do affected infants now develop permanent cerebral injury. Severe birth asphyxia, defined by need for prolonged ventilation, has, however, remained unchanged in frequency. Unexpectedly, fractures and paralyses have dramatically increased. The major hazard today for the term infant is the use of midforceps, which has become much more common in parallel with the increased use of pain relief by continuous epidural anesthesia. |
| doi_str_mv | 10.1016/0002-9378(84)90733-6 |
| format | Article |
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Liberalized cesarean sections, electronic monitoring of fetal heart in labor, and replacement of opiate sedation by epidural anesthesia have had their effect. There has been dramatic reduction in perinatal death and neonatal encephalopathy due to birth asphyxia and trauma and only rarely do affected infants now develop permanent cerebral injury. Severe birth asphyxia, defined by need for prolonged ventilation, has, however, remained unchanged in frequency. Unexpectedly, fractures and paralyses have dramatically increased. 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Liberalized cesarean sections, electronic monitoring of fetal heart in labor, and replacement of opiate sedation by epidural anesthesia have had their effect. There has been dramatic reduction in perinatal death and neonatal encephalopathy due to birth asphyxia and trauma and only rarely do affected infants now develop permanent cerebral injury. Severe birth asphyxia, defined by need for prolonged ventilation, has, however, remained unchanged in frequency. Unexpectedly, fractures and paralyses have dramatically increased. The major hazard today for the term infant is the use of midforceps, which has become much more common in parallel with the increased use of pain relief by continuous epidural anesthesia.</description><subject>Anesthesia, Obstetrical</subject><subject>Asphyxia Neonatorum - complications</subject><subject>Asphyxia Neonatorum - epidemiology</subject><subject>Asphyxia Neonatorum - mortality</subject><subject>Biological and medical sciences</subject><subject>Birth Injuries - complications</subject><subject>Birth Injuries - epidemiology</subject><subject>Birth Injuries - mortality</subject><subject>Birth Weight</subject><subject>Brain Diseases - diagnosis</subject><subject>Brain Diseases - etiology</subject><subject>Canada</subject><subject>Delivery, Obstetric - methods</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Female</subject><subject>Gynecology. Andrology. 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Postpartum. Lactation</topic><topic>Disorders</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cyr, Ronald M.</creatorcontrib><creatorcontrib>Usher, Robert H.</creatorcontrib><creatorcontrib>McLean, Frances H.</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>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cyr, Ronald M.</au><au>Usher, Robert H.</au><au>McLean, Frances H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changing patterns of birth asphyxia and trauma over 20 years</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1984-03-01</date><risdate>1984</risdate><volume>148</volume><issue>5</issue><spage>490</spage><epage>498</epage><pages>490-498</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Comparison of birth asphyxia and trauma in the same obstetric service during periods 18 years apart shows some reassuring and some disquieting findings. Liberalized cesarean sections, electronic monitoring of fetal heart in labor, and replacement of opiate sedation by epidural anesthesia have had their effect. There has been dramatic reduction in perinatal death and neonatal encephalopathy due to birth asphyxia and trauma and only rarely do affected infants now develop permanent cerebral injury. Severe birth asphyxia, defined by need for prolonged ventilation, has, however, remained unchanged in frequency. Unexpectedly, fractures and paralyses have dramatically increased. The major hazard today for the term infant is the use of midforceps, which has become much more common in parallel with the increased use of pain relief by continuous epidural anesthesia.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>6702907</pmid><doi>10.1016/0002-9378(84)90733-6</doi><tpages>9</tpages></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 1984-03, Vol.148 (5), p.490-498 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Anesthesia, Obstetrical Asphyxia Neonatorum - complications Asphyxia Neonatorum - epidemiology Asphyxia Neonatorum - mortality Biological and medical sciences Birth Injuries - complications Birth Injuries - epidemiology Birth Injuries - mortality Birth Weight Brain Diseases - diagnosis Brain Diseases - etiology Canada Delivery, Obstetric - methods Delivery. Postpartum. Lactation Disorders Female Gynecology. Andrology. Obstetrics Humans Infant, Newborn Medical sciences Pregnancy |
| title | Changing patterns of birth asphyxia and trauma over 20 years |
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