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. · Apr 2011
Noninvasive evaluation of splanchnic tissue oxygenation using near-infrared spectroscopy in preterm neonates.
Diagnosis of necrotizing enterocolitis (NEC) in preterm neonates is challenging. We hypothesized that regional splanchnic oxygen saturation (rsSO₂) measured by near-infrared spectroscopy (NIRS) is a biomarker for mesenteric perfusion. ⋯ We have reported feasibility, safety and ranges for rsSO₂ for a small number of preterm infants in the first 2 weeks of life.
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J. Matern. Fetal. Neonatal. Med. · Apr 2011
Multicenter Study Clinical TrialEfficacy of intrapartum chemoprophylaxis less than 4 hours duration.
Current guidelines for prevention of group B streptococcus (GBS) early-onset infection recommend to administer antibiotic during labor at least 4 h prior to delivery (adequate prophylaxis). We aimed to determine if neonatal GBS colonization may be significantly decreased in case of inadequate (<4 h) duration of ampicillin prophylaxis. ⋯ In this selected group, inadequate prophylaxis significantly interrupted vertical colonization. This effect was evident even if prophylaxis started <2 h before delivery.
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J. Matern. Fetal. Neonatal. Med. · Apr 2011
Case Reports Historical ArticleThe strange destiny of Caterina de' Medici and a case of puerperal fever in the sixteenth century.
The aim of this study is the reconstruction of a case of puerperal fever, which affected the mother of Caterina de' Medici, the future Queen of France, in 1519. Only unpublished data found in the Archives were used, to follow the onset and the development of the disease, offering a glimpse into medical perception of the time. The description of the case provides interesting points of contact with modern medicine.
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J. Matern. Fetal. Neonatal. Med. · Apr 2011
Rates of labor induction and primary cesarean delivery do not correlate with rates of adverse neonatal outcome in level I hospitals.
To determine whether variation in rates of labor induction (IOL) and primary cesarean delivery (PCD) among level I hospitals is associated with differences in neonatal outcomes. ⋯ Crude and adjusted rates of labor induction and PCD vary among level I hospitals, but with no consistent effect on neonatal outcome.
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J. Matern. Fetal. Neonatal. Med. · Mar 2011
Effect of epidural analgesia on labor and delivery: a retrospective study.
Two groups of women have been retrospectively compared: 155 women who received analgesia and 1355 women who delivered without analgesia. The duration of the first stage, second stage, and total duration of labor was longer in epidural group, however epidural analgesia was not demonstrated as an independent risk factor for a prolonged labor. The variable most influencing the total duration of labor and the duration of the first stage was nulliparity; the variables most influencing the duration of the second stage were the older age, a reduced body mass index, a high newborn weight and nulliparity.