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. · Jul 2012
Randomized Controlled TrialPreoperative analgesia with local lidocaine infiltration for post cesarean delivery pain management.
To evaluate the impact of local lidocaine incision-site injection in patients undergoing cesarean deliveries (CD), on post operative pain and analgesic requirements. ⋯ Pre-emptive analgesia with local incision-site injection with lidocaine does not seem beneficial in reducing post cesarean pain scores and analgesic requirements.
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J. Matern. Fetal. Neonatal. Med. · Jul 2012
Review Case ReportsPostmortem cesarean: report of our successful neonatal outcomes after severe trauma during pregnancy and review of the literature.
Postmortem cesarean is delivering of a child by cesarean section after the death of the mother. A prompt decision for cesarean delivery is very important in such cases. The survival of both the mother and the baby is dependent on a number of factors, including the time between maternal cardiac arrest and delivery, the underlying reasons for the arrest, the location of the arrest and the skills of the medical staffs. ⋯ The baby survived with neurological sequels and ongoing treatment at our newborn intensive care unit. Second case admitted to the emergency service was a 28-year-old primigravida of 31 weeks gestation with cardiopulmonary arrest due to massive brain and thoracic hemorrhage after a road traffic accident. The baby recovered without neurological sequels.
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Advances in perinatal medicine have dramatically improved neonatal survival. End-of-life decision making for newborns with adverse prognosis is an ethical challenge, the ethical issues are controversial and little evidence exists on attitudes and values in Europe. ⋯ Our study reveals that cultural and religious differences influenced ethical attitudes in NICUs of the European countries.
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J. Matern. Fetal. Neonatal. Med. · Jun 2012
Detailed fetal anatomy assessment in the first trimester at 11, 12 and 13 weeks of gestation.
The aim of the present observational study was to evaluate the feasibility of a morphological scan and determine the detection rate of fetal organs, structures and systems in the first trimester of pregnancy. ⋯ Evaluation of most part of the fetal anatomical structures is feasible with high accuracy in the first trimester. Visualization of the majority of the targeted fetal organs improves from 11 to 13 weeks.
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J. Matern. Fetal. Neonatal. Med. · Jun 2012
Clinical TrialThe force applied to successfully turn a foetus during reattempts of external cephalic version is substantially reduced when performed under spinal analgesia.
To compare the forces exerted during external cephalic version (ECV) on the maternal abdomen between ( 1 ) the primary attempts performed without spinal analgesia (SA), which failed and ( 2 ) the subsequent reattempts performed under SA. ⋯ SA improves the success rate of ECV as well as reduces the force required for successful version.