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
-
J. Matern. Fetal. Neonatal. Med. · Feb 2007
The influence of maternal epidural analgesia upon intrapartum fetal oxygenation.
The use of maternal epidural analgesia in labor may be associated with non-reassuring fetal heart rate (FHR) patterns. We aimed to assess changes in fetal oxygen saturation (FSpO(2)) during epidural analgesia in labor. ⋯ There were no differences in FSpO(2) values in the first 30 minutes following administration of analgesic drugs and most of the cases with non-reassuring CTG patterns had values of FSpO(2) constantly >or=30%.
-
J. Matern. Fetal. Neonatal. Med. · Jan 2007
Should we continue screening rhesus D positive women for the development of atypical antibodies in late pregnancy?
The purpose of this study was to calculate the incidence of the new development of atypical antibodies (other than anti-rhesus D) in women attending for antenatal care, and to assess the clinical impact and cost-effectiveness of a second test to detect these antibodies. ⋯ Repeat testing in late pregnancy would appear an unnecessary expense in our population.
-
J. Matern. Fetal. Neonatal. Med. · Jan 2007
Maternal and neonatal outcome after cesarean section: the impact of anesthesia.
Among the anesthetic technologies used, regional anesthesia is becoming the most common in cesarean section (CS) deliveries. Aim. This retrospective survey examined the variables taken into account when selecting the anesthetic technique to be used, and how this choice affects the outcome for the mother and the newborn. ⋯ This survey confirms the preference for regional anesthesia during elective cesarean sections and for general anesthesia in emergency situations. Moreover, newborn outcome was found not to be influenced either by the technique used or by the character of the procedure.
-
J. Matern. Fetal. Neonatal. Med. · Jan 2007
Outcome of subsequent delivery after a previous early preterm cesarean section.
To determine the vaginal birth after cesarean section (VBAC) rate and risk of uterine rupture in women with a previous early preterm cesarean section. ⋯ In this small series of women with a previous early preterm cesarean section the VBAC rate was high (61.1%) and the uterine rupture rate was 1.1%.
-
J. Matern. Fetal. Neonatal. Med. · Dec 2006
The 80-hour workweek restriction: How are OB/GYN resident procedure numbers affected?
To evaluate the surgical caseload in a military obstetrics and gynecology residency program, prior to and after implementation of an 80-hour workweek. ⋯ The 80-hour workweek restriction resulted in similar total numbers of obstetrics and gynecology cases, although the total number of obstetric cases per resident declined after implementation.