The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
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J. Matern. Fetal. Neonatal. Med. · Dec 2016
Comparative StudyApplication of sepsis calculator in newborns with suspected infection.
To compare actual antibiotic use to the stratification based on the sepsis calculator in newborns with suspected early onset sepsis (EOS). To investigate differences in EOS risk and vital signs between newborns that received early (<12 h) versus late antibiotics (≥12 h of life). ⋯ Antibiotic use could be reduced by more than 50%. Newborns with initial low sepsis risk score clinically deteriorated beyond 12 h of life. Continuous good clinical observation remains very important. Prospective validation is necessary to evaluate the safety of this approach.
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J. Matern. Fetal. Neonatal. Med. · Dec 2016
Comparative StudyMaternal and neonatal outcomes in women with severe pre-eclampsia undergoing cesarean section: a 10-year retrospective study from a single tertiary care center: anesthetic point of view.
This study is aiming to determine an actual incidence and characteristics of complications in cesarean section for severe pre-eclampsia (PE) by analysis of a large cohort from a single tertiary care center according to two choices of anesthesia. ⋯ Spinal anesthesia can be safely administered to severely pre-eclamptic parturients undergoing cesarean section. General anesthesia is associated with more untoward outcomes, as it has been chosen in patients with more severity of the disease.
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J. Matern. Fetal. Neonatal. Med. · Nov 2016
Observational StudyNon-medical factors affecting antenatal preferences for delivery route and actual delivery mode of women in southwestern Iran.
Assessment of the contribution of non-medical factors to mode of delivery and birth preference in Iranian pregnant women in southwestern Iran. ⋯ A woman's preference for delivery by cesarean section influenced their subsequent mode of delivery. Asking women in early pregnancy about their preferred mode of delivery provides the opportunity to extend their supports which might reduce the rate of elective cesarean section. This decision is affected by age, spouse educational level, number of live births, and preconceived maternal attitudes about delivery.
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J. Matern. Fetal. Neonatal. Med. · Nov 2016
Evaluation by obstetric care providers of simulated postpartum blood loss using a collector bag: a French prospective study.
Postpartum hemorrhage (PPH) is one of the most common causes of mortality in obstetrics worldwide. Accuracy in the estimated blood loss is a priority in determining appropriate treatment. The aim of this study was to evaluate the accuracy of estimating blood loss by obstetrics care providers during simulated training sessions. ⋯ The accuracy of the estimated blood loss for the obstetrical medical staff, using the collector bag, is more than 96%.