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Biomedical subjects

M Eskes

Publications and source records attributed to M Eskes.

7 recordsLinked to original sources
PubMed1989

[Duration of the second stage and the condition of the neonate in midwife-managed deliveries].

The correlation between the duration of the second stage on the one hand, and arterial cord blood pH/neurological score on the other hand was calculated for 71 primi- and 77 multiparae. The pregnant women were selected during pregnancy as low risk cases and under care of midwives at the beginning of labour. The deliveries were attended by a midwife or, after referral during labour/delivery, by an obstetrician. It could not be established that a relatively long second stage substantially deteriorated the condition of the neonate. From the findings obtained it does not appear necessary to change the rules regarding maximal duration of second stage (currently two hours for primi- and one hour for multiparae).

Apgar Score↗
PubMed1989

Midwifery in The Netherlands. The Wormerveer study; selection, mode of delivery, perinatal mortality and infant morbidity.

Between 1969 and 1983 a group of 7980 pregnant women, booked consecutively at a practice of freestanding midwives in Wormerveer, the Netherlands, was studied. They gave birth to 8055 children. Perinatal mortality in the total group was low (11.1 per 1000) compared with national figures of 14.5 per 1000 between 1969 and 1983. The highest mortality (51.7 per 1000) was found in the group of 1430 infants born after maternal referral during pregnancy to a specialist obstetrician. The perinatal mortality in the group selected during pregnancy as low-risk cases was very low (2.3 per 1000). The caesarean section rate in the total group was 1.4% and 0.4% in the selected low-risk group. Of the 5985 infants born alive under sole care of a midwife, 3.8% were admitted to hospital. Emergency admission because of birth asphyxia occurred in 0.4%. Convulsions within 48 h of birth at term occurred in seven (0.9 per 1000) in the total group and in five infants born in the selected group (0.8 per 1000). Selection of pregnant women into groups with high and with low risk is possible with the relatively modest means available to the midwife.

Cesarean Section↗