American journal of obstetrics and gynecology
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Twenty-one patients were seen with puerperal sepsis owing to group B streptococci (GBS), resulting in an attack rate of 2/1,000 deliveries. Most were young primiparous black women from a population with a known high incidence of GBS carriage. The association among abdominal delivery, endometritis, and puerperal sepsis was striking. ⋯ Seven neonates developed serious GBS infections; intrauterine exposure occurred in at least four cases. Fetal exposure to GBS also occurred in three of four cases in which parturients with GBS bacteremia were delivered of their infants by cesarean section. Because of the high incidence of puerperal and perinatal GBS infections in this population, antibiotic prophylaxis regimens may be beneficial.
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Am. J. Obstet. Gynecol. · May 1982
Helicopter transportation of patients with obstetric emergencies in an urban area.
Regionalization of perinatal care has contributed to a decline in perinatal morbidity and mortality in neonates delivered at tertiary centers when compared to neonates delivered and transported to the intensive care nurseries. Transportation of the mother to the perinatal center in an emergency situation must be evaluated critically for neonatal outcome, response time, and cost. ⋯ This experience was examined with respect to response time, cost, obstetric problems, and newborn outcome in our first 100 patients. The results are indicative that when patient and neonates would benefit from delivery at a perinatal center, helicopter transport, even in an urban area, is highly successful and cost effective.