Mortality Perinatal Subset, 2013
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Outcomes of Labour of Nuchal Cord
wjpmr, 2020,6(8), 07-15 SJIF Impact Factor: 5.922 Research Article Ansam et al. WORLD JOURNAL OF PHARMACEUTICAL World Journal of Pharmaceutical and Medical Research AND MEDICAL RESEARCH ISSN 2455-3301 www.wjpmr.com WJPMR OUTCOMES OF LABOUR OF NUCHAL CORD Dr. Ansam Layth Abdulhameed*1 and Dr. Rozhan Yassin Khalil2 1Specialist Obstetrics & Gynaecology, Mosul, Iraq. 2Consultant Obstetrics & Gynaecology, Sulaymania, Iraq. *Corresponding Author: Dr. Ansam Layth Abdulhameed Specialist Obstetrics & Gynaecology, Mosul, Iraq. Article Received on 26/05/2020 Article Revised on 16/06/2020 Article Accepted on 06/07/2020 ABSTRACT Background: The nuchal cord is described as the umbilical cord around the fetal neck. It is classified as simple or multiple, loose or tight with the compression of the fetal neck. The term nuchal cord represents an umbilical cord that passes 360 degrees around the fetal neck. Objective: To find out perinatal outcomes in cases of labour of babies with nuchal cord and compared with other cases without nuchal cord. Patient and Methods: The prospective case-control study was conducted in maternity teaching hospital centre in Sulaimani / Kurdistan Region of Iraq, from June 2018 to April 2019. Cases of study divided into two groups. First group comprised of women in whom nuchal cord was present at the time of delivery they were labelled as cases. Second group was a control group composed of women in whom nuchal cord was absent at the time of delivery. Results: This study included (200) patients, (100) women with nuchal cord in labour. (59%) of the cases of nuchal cord in age group (20-29) years, (40%) of them were primigravida, delivery modes for women with nuchal cord were mainly normal vaginal delivery (76%) and cesarean section (24%). -
Neonatal Orthopaedics
NEONATAL ORTHOPAEDICS NEONATAL ORTHOPAEDICS Second Edition N De Mazumder MBBS MS Ex-Professor and Head Department of Orthopaedics Ramakrishna Mission Seva Pratishthan Vivekananda Institute of Medical Sciences Kolkata, West Bengal, India Visiting Surgeon Department of Orthopaedics Chittaranjan Sishu Sadan Kolkata, West Bengal, India Ex-President West Bengal Orthopaedic Association (A Chapter of Indian Orthopaedic Association) Kolkata, West Bengal, India Consultant Orthopaedic Surgeon Park Children’s Centre Kolkata, West Bengal, India Foreword AK Das ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD. New Delhi • London • Philadelphia • Panama (021)66485438 66485457 www.ketabpezeshki.com ® Jaypee Brothers Medical Publishers (P) Ltd. Headquarters Jaypee Brothers Medical Publishers (P) Ltd. 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] Overseas Offices J.P. Medical Ltd. Jaypee-Highlights Medical Publishers Inc. Jaypee Brothers Medical Publishers Ltd. 83, Victoria Street, London City of Knowledge, Bld. 237, Clayton The Bourse SW1H 0HW (UK) Panama City, Panama 111, South Independence Mall East Phone: +44-2031708910 Phone: +507-301-0496 Suite 835, Philadelphia, PA 19106, USA Fax: +02-03-0086180 Fax: +507-301-0499 Phone: +267-519-9789 Email: [email protected] Email: [email protected] Email: [email protected] Jaypee Brothers Medical Publishers (P) Ltd. Jaypee Brothers Medical Publishers (P) Ltd. 17/1-B, Babar Road, Block-B, Shaymali Shorakhute, Kathmandu Mohammadpur, Dhaka-1207 Nepal Bangladesh Phone: +00977-9841528578 Mobile: +08801912003485 Email: [email protected] Email: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © 2013, Jaypee Brothers Medical Publishers All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher. -
Necrotizing Enterocolitis in a Newborn Following Intravenous Immunoglobulin Treatment for Haemolytic Disease
CASE REPORT Necrotizing Enterocolitis in a Newborn Following Intravenous Immunoglobulin Treatment for Haemolytic Disease Semra Kara1, Hulya Ulu-ozkan2, Yavuz Yilmaz2, Fatma Inci Arikan3, Ugur Dilmen4 and Yildiz Dallar Bilge3 ABSTRACT ABO iso-immunization is the most frequent haemolytic disease of the newborn. Treatment depends on the total serum bilirubin level, which may increase very rapidly in the first 48 hours of life in cases of haemolytic disease of the newborn. Phototherapy and, in severe cases, exchange transfusion are used to prevent hyperbilirubinaemic encephalopathy. Intravenous immunoglobulins (IVIG) are used to reduce exchange transfusion. Herein, we present a female newborn who was admitted to the NICU because of ABO immune haemolytic disease. After two courses of 1 g/kg of IVIG infusion, she developed necrotizing enterocolitis (NEC). Administration of IVIG to newborns with significant hyperbilirubinaemia due to ABO haemolytic disease should be cautiously administered and followed for complications. Key Words: Necrotizing enterocolitis. Hyperbilirubinaemia. Newborn. Intravenous immunoglobulins. Iso-immunization. INTRODUCTION important adverse reactions,6 one of which is described Blood group incompatibilities are most frequent and hereby. severe conditions causing hyperbilirubinaemia in the neonatal period.1 Phototherapy and in severe cases CASE REPORT exchange transfusion are used to prevent kernicterus A female newborn was admitted to our neonatal unit and reduce perinatal mortality. Exchange transfusion because of jaundice on the tenth hours after being born. is not free of severe complications such as thrombo- The baby was born by uncomplicated vaginal delivery to cytopenia, apnoea, pulmonary haemorrhage, haemodyna- a healthy 31-year-old mother who was fourth gravida mic instability, septicaemia and necrotizing enterocolitis and second para. -
ABCDE Acronym Blood Transfusion 231 Major Trauma 234 Maternal
Cambridge University Press 978-0-521-26827-1 - Obstetric and Intrapartum Emergencies: A Practical Guide to Management Edwin Chandraharan and Sir Sabaratnam Arulkumaran Index More information Index ABCDE acronym albumin, blood plasma levels 7 arterial blood gas (ABG) 188 blood transfusion 231 allergic anaphylaxis 229 arterio-venous occlusions 166–167 major trauma 234 maternal collapse 12, 130–131 amiadarone, overdose 178 aspiration 10, 246 newborn infant 241 amniocentesis 234 aspirin 26, 180–181 resuscitation 127–131 amniotic fluid embolism 48–51 assisted reproduction 93 abdomen caesarean section 257 asthma 4, 150, 151, 152, 185 examination after trauma 234 massive haemorrhage 33 pain in pregnancy 154–160, 161 maternal collapse 10, 13, 128 atracurium, drug reactions 231 accreta, placenta 250, 252, 255 anaemia, physiological 1, 7 atrial fibrillation 205 ACE inhibitors, overdose 178 anaerobic metabolism 242 automated external defibrillator (AED) 12 acid–base analysis 104 anaesthesia. See general anaesthesia awareness under anaesthesia 215, 217 acidosis 94, 180–181, 186, 242 anal incontinence 138–139 ACTH levels 210 analgesia 11, 100, 218 barbiturates, overdose 178 activated charcoal 177, 180–181 anaphylaxis 11, 227–228, 229–231 behaviour/beliefs, psychiatric activated partial thromboplastin time antacid prophylaxis 217 emergencies 172 (APTT) 19, 21 antenatal screening, DVT 16 benign intracranial hypertension 166 activated protein C 46 antepartum haemorrhage 33, 93–94. benzodiazepines, overdose 178 Addison’s disease 208–209 See also massive -
Blood Volume in Newborn Piglets: Effects of Time of Natural Cord Rupture, Intra-Uterine Growth Retardation, Asphyxia, and Prostaglandin-Induced Prematurity
Pediatr. Res. 15: 53-57 (1981) asphyxia natural cord rupture blood volume prostaglandin F 2 intra-uterine growth retardation Blood Volume in Newborn Piglets: Effects of Time of Natural Cord Rupture, Intra-Uterine Growth Retardation, Asphyxia, and Prostaglandin-Induced Prematurity 137 OTWIN LINDERKAMP, , KLAUS BETKE, MONIKA GUNTNER, GIOK H. JAP, KLAUS P. RIEGEL, AND KURT WALSER Department of Pediatrics and Department of Veterinary Gynecology, University of Munich, Munich, Federal Republic of Germany Summary (27, 29, 32). Placental transfusion is accelerated by keeping the infant below the placenta (19, 27), by uterine contractions (32), Blood volume (BV), red cell mass (RCM; Cr-51) and plasma 125 and by respiration of the newborn (19). Placental transfusion is volume ( 1-labeled albumin) were measured in lOS piglets from prevented by holding the infant above the placenta (19, 27), by 28 Utters shortly after birth. Spontaneous cord rupture in healthy maternal hypotension ( 17), by tight nuchal cord ( 13), and by acute piglets occurred during delivery (n • 25) or within 190 sec of birth intrapartum asphyxia (5, 12, 13). Intra-uterine asphyxia results in (n • 82). Spontaneous and induced delay of cord rupture resulted prenatal transfusion to the fetus (12, 13, 33). In a time-dependent Increase in BV and RCM. BV (x ± S.D.) at It is to be assumed that blood volume in newborn mammals is birth was 72.5 ± 10.5 ml/kg (RCM, 23.6 ± 4.6 ml/kg) In the 25 similarly influenced by placental transfusion as in the human piglets with prenatal cord rupture and 110.5 ± 12.9 ml/kg (RCM, neonate. -
Maternal and Foetal Mortality in Placenta Praevia"
J Obs Gyn Brit Emp 1962 V-69 MATERNAL AND FOETAL MORTALITY IN PLACENTA PRAEVIA" BY C. H. G. MACAFEE,C.B.E., D.Sc., F.R.C.S., F.R.C.O.G. Professor of Obstetrics and Gynaecology, The Queen's Universiiy of Belfast W. GORDONMILLAR, F.R.F.P.S., F.R.C.S., M.R.C.O.G. Consultant Obstetrician and Gynaecologist, Royal Injirmary, Perth; formerly Lecturer in Department qf Obstetrics and Gynaecology, The Queen's University of Belfast AND GRAHAMHARLEY, M.D., M.R.C.O.G. Lecturer, Department of Obstetrics and Gynaecology, The Queen's University of Belfast IN the 95 years between 1844-1939 the foetal During the first eight-year period 206 patients mortality from placenta praevia remained at were dealt with and in the second period the between 54 per cent and 60 per cent, while the number was 219. These two figures correspond maternal mortality fell from 30 per cent to 5 so closely that they permit a good statistical per cent. comparison to be made between the two eight- year periods. TABLE I Maternal Foetal Expectant Treatment Author Date Mortality Mortality In recent years the value of this treatment has been recognized and is becoming more 01,'O % SimDson . .. 1844 30 60 widely accepted even though it entails the Berkeley . 1936 7 59 occupation of antenatal beds sometimes for Browne . 1939 5 54 weeks. It is obvious that the nearer the preg- Belfast series . 1945-52 nil 14.9 nancy can be carried to full term the more 1953-60 0.9 11.1 favourable the outlook for the baby. -
Is Nuchal Cord a Cause of Concern?
ISSN: 2638-1575 Madridge Journal of Women’s Health and Emancipation Research Article Open Access Is Nuchal Cord a cause of concern? Surekha Tayade1*, Jaya Kore1, Atul Tayade2, Neha Gangane1, Ketki Thool1 and Jyoti Borkar1 1Department of Obstetrics and Gynecology, Mahatma Gandhi Institute of Medical Sciences, Sewagram, India 2Department of Radiodiagnosis, Mahatma Gandhi Institute of Medical Sciences, Sewagram, India Article Info Abstract *Corresponding author: Context: The controversy about whether nuchal cord is a cause of concern and its Surekha Tayade adverse effect on perinatal outcome still persists. Authors express varying views and Professor Department of Obstetrics and Gynecology hence managing pregnancy with cord around the neck has its own concerns. Thus study Mahatma Gandhi Institute of Medical was carried out to find out the incidence of nuchal cord and its implications. Sciences Sewagram, 442102 Method: This was a prospective, cross sectional, comparative study carried out in the India Kasturba Hospital of MGIMS, Sewagram a rural medical tertiary care institute. All Tel: +917887519832 deliveries over a period of one year, were enrollled and studied for nuchal cord, tight or E-mail: [email protected] loose cord, number of turns, fetal heart rate irregulaties, pregnancy and perinatal Received: May 15, 2018 outcome. Accepted: June 19, 2018 Results: Total women with nuchal cord in labour room were 1116 (2.56%) of which Published: June 23, 2018 85.21 percent had single turn around the babies neck. Most of the babies ( 77.96 %) had Citation: Tayade S, Kore J, Tayade A, Gangane a loose nuchal cord, however 22.04 percent had a tight cord. -
N35.12 Postinfective Urethral Stricture, NEC, Female N35.811 Other
N35.12 Postinfective urethral stricture, NEC, female N35.811 Other urethral stricture, male, meatal N35.812 Other urethral bulbous stricture, male N35.813 Other membranous urethral stricture, male N35.814 Other anterior urethral stricture, male, anterior N35.816 Other urethral stricture, male, overlapping sites N35.819 Other urethral stricture, male, unspecified site N35.82 Other urethral stricture, female N35.911 Unspecified urethral stricture, male, meatal N35.912 Unspecified bulbous urethral stricture, male N35.913 Unspecified membranous urethral stricture, male N35.914 Unspecified anterior urethral stricture, male N35.916 Unspecified urethral stricture, male, overlapping sites N35.919 Unspecified urethral stricture, male, unspecified site N35.92 Unspecified urethral stricture, female N36.0 Urethral fistula N36.1 Urethral diverticulum N36.2 Urethral caruncle N36.41 Hypermobility of urethra N36.42 Intrinsic sphincter deficiency (ISD) N36.43 Combined hypermobility of urethra and intrns sphincter defic N36.44 Muscular disorders of urethra N36.5 Urethral false passage N36.8 Other specified disorders of urethra N36.9 Urethral disorder, unspecified N37 Urethral disorders in diseases classified elsewhere N39.0 Urinary tract infection, site not specified N39.3 Stress incontinence (female) (male) N39.41 Urge incontinence N39.42 Incontinence without sensory awareness N39.43 Post-void dribbling N39.44 Nocturnal enuresis N39.45 Continuous leakage N39.46 Mixed incontinence N39.490 Overflow incontinence N39.491 Coital incontinence N39.492 Postural -
Caesarean Section for Placenta Praevia (Consent Advice No
Royal College of Obstetricians and Gynaecologists Consent Advice No. 12 December 2010 CAESAREAN SECTION FOR PLACENTA PRAEVIA This is the first edition of this guidance. This paper provides additional advice for clinicians in obtaining consent of a woman to undergo caesarean section in the specific circumstance of current pregnancy with placenta praevia with or without previous caesarean section. It is designed to be used in conjunction with Consent Advice No. 7: Caesarean section.1 The aim of this paper is to highlight the additional and specific consequences of caesarean section performed in the presence of placenta praevia. The information should, where possible, be provided during the antenatal period in the form of an information sheet to allow the woman to understand the situation and to provide ample opportunities for her to ask any questions she may have and to antenatally meet providers of additional services that may become necessary, such as interventional radiologists. Depending on local clinical governance arrangements, an additional consent form may be used with the addition- al risks highlighted, or the additional risks may be incorporated in a specific consent form for the whole procedure. CONSENT FORM 1. Name of proposed procedure or course of treatment Caesarean section for placenta praevia. 2. The proposed procedure Describe the nature of caesarean section and emphasise how a procedure in the presence of placenta praevia varies in comparison with one performed in the presence of a normally sited placenta. Explain the procedure as described in the patient information. 3. Intended benefits The aim of the procedure is to secure the safest route of delivery to avoid the anticipated risks to the mother and/or baby of the heavy bleeding that would occur during labour and attempted vaginal delivery owing to the position of the placenta. -
Management of Subsequent Pregnancy After an Unexplained Stillbirth
Journal of Perinatology (2010) 30, 305–310 r 2010 Nature Publishing Group All rights reserved. 0743-8346/10 $32 www.nature.com/jp STATE-OF-THE-ART Management of subsequent pregnancy after an unexplained stillbirth SJ Robson1 and LR Leader2 1Department of Obstetrics and Gynaecology, Australian National University, Canberra, Australia and 2School of Women’s and Children’s Health, University of New South Wales, Royal Hospital for Women, Randwick, Australia they face in a subsequent pregnancy, as well as potential Purpose: To review the management of pregnancy after an unexplained management strategies to optimize future pregnancy outcomes.2–4 stillbirth. Unfortunately, as many as one-third of such cases remain Epidemiology: Approximately 1 in 200 pregnancies will end in ‘unexplained’ and unexplained stillbirth is now the commonest stillbirth, of which about one-third will remain unexplained. Unexplained single contributor to perinatal mortality. stillbirth is the largest single contributor to perinatal mortality. There is no evidence that extensive research efforts over the last Subsequent pregnancies do not appear to have an increased risk of two decades have yielded a reduction in the incidence of this 2,5 stillbirth, but are characterized by increased rates of intervention distressing outcome. Virtually all of the published literature is (induction of labor, elective cesarean section) and iatrogenic adverse concerned with population-based strategies for primary prevention outcomes (low birth weight, prematurity, emergency cesarean section and of unexplained stillbirth. However, the commonest situation in post-partum hemorrhage). which clinicians will find themselves is management of women in their next pregnancy after an unexpected unexplained stillbirth. Conclusions: There is no level-one evidence to guide management in Effective care of women in their next pregnancy after an this situation. -
The Effect of Nuchal Cord on Perinatal Mortality and Long-Term Offspring Morbidity
Journal of Perinatology https://doi.org/10.1038/s41372-019-0511-x ARTICLE The effect of nuchal cord on perinatal mortality and long-term offspring morbidity 1 1 2 1 Roee Masad ● Gil Gutvirtz ● Tamar Wainstock ● Eyal Sheiner Received: 28 May 2019 / Revised: 11 August 2019 / Accepted: 16 August 2019 © The Author(s), under exclusive licence to Springer Nature America, Inc. 2019 Abstract Objective To evaluate perinatal and long-term cardiovascular and respiratory morbidities of children born with nuchal cord. Study design A large population-based cohort analysis of singleton deliveries was conducted. Maternal and birth char- acteristics, as well as cardiovascular and respiratory morbidity incidence were evaluated. Kaplan–Meier survival curves were used to compare cumulative hospitalization incidence between groups. Cox regression models were used to control for possible confounders and follow-up length. Results 243,682 deliveries were included. Of them, 34,332 (14.1%) were diagnosed with nuchal cord. Perinatal mortality rate was comparable between groups (0.5 vs. 0.6%, p = 0.16). Kaplan–Meier survival curves demonstrated no significant p = p = 1234567890();,: 1234567890();,: differences in cumulative cardiovascular or respiratory morbidity incidence between groups (log rank 0.69 and 0.10, respectively). Cox regression models reaffirmed a comparable risk for hospitalization between groups (aHR = 0.99 (95% CI 0.85–1.14, p = 0.87) and aHR = 0.97 (95% CI 0.92–1.02, p = 0.28). Conclusions Nuchal cord is not associated with higher rate of perinatal mortality nor long-term cardiorespiratory morbidity. Introduction Controversy exists in the literature regarding the sig- nificance of nuchal cord. -
Determinants, Incidence and Perinatal Outcomes of Multiple Pregnancy Deliveries in a Low-Resource Setting, Mpilo Central Hospital, Bulawayo, Zimbabwe
MOJ Women’s Health Review Article Open Access Determinants, incidence and perinatal outcomes of multiple pregnancy deliveries in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe Abstract Volume 8 Issue 2 - 2019 Background: Multiple pregnancies are high risk pregnancies compared to singletons. Solwayo Ngwenya They may result in poor feto-maternal outcomes. Traditionally, these pregnancies Department of Obstetrics and Gynecology, Mpilo Central are associated with anaemia, preeclampsia, preterm deliveries and postpartum Hospital, Zimbabwe haemorrhage. In low-resource settings, these women and their babies may face increased risks of poor perinatal outcomes. The objective of this study was to Correspondence: Solwayo Ngwenya, Department of document for the first time the determinants, incidence and perinatal outcomes of Obstetrics and Gynecology, Mpilo Central Hospital, P.O. Box multiple pregnancies for Mpilo Central Hospital. 2096, Vera Road, Mzilikazi , Bulawayo, Matabeleland, Zimbabwe, Tel +263 9 214965, Email Methods: This was a retrospective descriptive study covering the period between 1 January 2017 and 31 December 2017 in a tertiary teaching hospital. A paper data Received: December 31, 2018 | Published: March 05, 2019 collection sheet was used to collect the information. All twin/triplet deliveries >24 weeks gestation born at the labour ward were included in the study. The data was then analysed. Results: The incidence of multiple pregnancy at Mpilo Central Hospital was 1.7%. The 20-25 year old age group had the highest percentage at 25.5%. Nulliparous women had the highest percentage at 28.4% of the patients. Booked/referred patients constituted the majority at 45.4%, followed by instutional booked at 39.0%.