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At least 469 records · Page 26Linked to original sources
PubMed1996

[Local guidelines for delivery with breech presentation. A nation-wide questionnaire].

All 30 Danish obstetric departments have answered a questionnaire focusing on local guidelines for delivery of singleton foetuses in breech presentation at term. Two departments recommended caesarean section to all parturients and ten departments to all primiparae. The criteria for recommendation of vaginal delivery varied, one department used pelvimetry, one did not attempt external version, ten did not permit induction of labour. All departments except two always had a specialist in obstetrics present at the delivery, 24 (of 28 departments) an anaesthetist and 20 a paediatrician. The complexity in criteria and organisation reported is not surprising considering different recommendations in the literature, which means that the guidelines are primarily based on traditions and personal experience.

Breech Presentation↗
PubMed1998

[Pelvic trauma and pregnancy. Literature review and case report].

The authors are dealing with a case of a pelvic fracture (right superior pubic ramus) after a road traffic accident to a patient who arise a pregnancy with twins at twenty five weeks pregnant. Seven per cent of a road traffic accident affect pregnancy with a maternal death rate from eight to sixteen per cent and a fetal death rate up to fifty seven per cent. Pelvic trauma are more deleterious during the pregnancy because of the gravide uterus, of the abdominal injuries binding more often, and of pregnancy secondary maternal physiology which lead to delay diagnosis and therapeutics. Blunt fetomaternal consequences are ruled by pelvic haematomas, uterine rupture, prematurity, acute fetal distress, fetal injuries and in utero death. At mid and long range arise the problem of child birth way and the risk of mechanical dystocy. Cesarean is store in case of vesical and urethral injuries, or perineal injury, several pelvic fractures or in case of the pelvic belt fracture moved and not reduced, bringing to a surgical unsymmetrical pelvis. In the other cases, the obstetrical prognoses will be done after a dialogue with all medical staff and a full synthesis of the file based on the fetopelvic comparisons (obstetrics previous, clinic, fetal biometry, pelvimetry X ray).

Abdominal Injuries↗