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PubMed1994

Common intrapartum denominators of shoulder dystocia related birth injuries.

The intrapartum background of fetal injuries associated with shoulder dystocia was studied retrospectively on the basis of 107 relevant medical records. Intrapartum use of oxytocin and protraction-arrest disorders, the latter particularly during the second stage of labor, were frequent findings. Delivery was effected by forceps or vacuum extraction in almost one-half of the cases. Shoulder dystocia related permanent fetal impairments were closely connected to macrosomia. The fetal weight was > or = 4,000 grams in about 75% and > or = 4,500 grams in approximately 40% of the instances. Permanent hypoxic or traumatic cerebral damage was documented in almost one-third of the cases. The data indicate that in connection with coincidental neonatal afflictions, the birth weights of the fetuses are higher and instrumental extractions are more frequent than in relation to all clinically diagnosed cases of shoulder dystocia.

Adolescent↗
PubMed1978

[Selection of newborns with birth injuries for after care in a special session].

Selection of birth-traumatical injured newborns for follow-up with special care.--Premature newborns most will be in a special care during infancy and childhood. For all the mature infants this way is to expensive. We publish a compilation of abnormal neurological findings suitable for selecting with high risk of birth traumatical induced brain damage. The risk-group contains about 5% of all mature newborns. This number is small enough for a high expense within the bounds of the common care for mother and child.

Aftercare↗