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At least 1,207 records · Page 67Linked to original sources
PubMed1988

Vasa previa. A case report.

Vasa previa is a rare cause of antepartum hemorrhage, with a fetal mortality between 33% and 100%. We treated a patient in whom the diagnosis could not be made with certainty antepartum. The pregnancy out-come of seven cases of velamentous insertion, including three of vasa previa, was reviewed. Our results compared with those reported in the literature. Fetal mortality and morbidity from vasa previa can be reduced if there is a high index of suspicion, a reliable method of diagnosis and prompt surgical intervention.

Adult↗
PubMed1987

[Version by internal maneuvers: alternative to cesarean section under precarious conditions. The experience of the University Clinic of Gynecology and Obstetrics].

Obstetrics practised in African University Hospitals is beset with specific constraints. The emergency admission of a woman whose fetus is dead or severely compromised, after an extended labor and an obvious ovular infection, leads to fear an hysterotomy as well as an hysterectomy. The authors specify, under their work conditions, the indications of internal version maneuvers, from 50 cases collected in one year. The fetal prognosis is not taken into account since it concerns dead or very threatened children. As for the maternal prognosis, it is excellent since the average stay is of 48 hours and no severe infection developed, which is not the case for caesarean sections performed under the same circumstances. If a maternal death must be deplored, it concerned a placenta praevia in a distressing conjunction of circumstances since the blood bank was out of blood.

Adolescent↗
PubMed1986

Failed forceps.

Among 53 cases of failed forceps occurring in 6524 uncomplicated primiparous deliveries, depression at birth and encephalopathy occurred with similar frequency as when cesarean section was done for failure to progress in the second stage, and birth trauma was no more common than that with successful midforceps delivery. Factors predisposing to or associated with midforceps deliveries or second stage cesarean sections were short mothers, heavy babies, induced or prolonged labors, and fetal distress or meconium release in labor.

Cesarean Section↗
PubMed1985

Locked twins.

Explore the source record for details and available documents.

Female↗
PubMed1985

[Safety of term birth and cesarean birth rates].

This was a parallel of the rate of caesarean section and neurological morbidity of the term newborn. This study was performed on all infants born at a gestational age of 37 weeks or greater in 1981 and 1982 at the Baudelocque Maternity Hospital. The results show a stable caesarean section rate during these two years: 21% in 1981, 20% in 1982; as for the safety of term birth there was only one case of perinatal insult during a vaginal birth responsible for cerebral dysfunction of moderate degree. There was a 18% operative maternal morbidity and there were no deaths. We concluded that a caesarean section rate of 20% in a University Hospital is justified by the virtual absence of neonatal morbidity with an acceptable maternal risk. This rate should not increase. The possible ways of decreasing this rate, while maintaining neonatal safety, must be studied. The original aspect of this work concerns the monitoring of the caesarean section rate by the incidence of neurological complications of all term births during a fixed period of time.

Cesarean Section↗