Alteration of endogenous catecholamine metabolism by ethanol ingestion.
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Biomedical subjects
Publications and source records attributed to V E Davis.
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A retrospective study of 156 consecutive cases of singleton breach presentation planned for vaginal delivery is presented. The incidence of caesarean section was not increased when compared with that for all Hospital and Clinic confinements. The perinatal mortality and prematurity rates were high. The incidence of cord prolapse was increased especially with the footling breech. The need for an experienced Obstetrician and Anaesthetist to conduct all deliveries was demonstrated. Factors influencing the assessment of feto-pelvic proportion and the occurrence of trauma and asphyxia in the management of breech labour and delivery are discussed. The continued place of external cephalic version is justified by the perinatal mortality rate.
A retrospective analysis of 2401 consecutive births revealed a lowbirth weight rate of 11.4 percent of all births and 14.2 percent all live borns. Sixty-five percent of late fetal and first week neonatal deaths were low birthweight babies. The cause of low birthweight labour was unknown in 48.2 percent of cases. The major known associations with low birthweight labour and delivery were twin birth, antepartum haemorrhage, premature rupture of the membranes and toxaemia of pregnancy. Nutritional factors were considered to be of significance in the incidence of low birthweight. The earlier attendance of mothers at ante-natal clinics and the availability of experienced medical and nursing personnel with adequate facilities are necessary for perinatal mortality to be significantly reduced in the low birthweight group.