Zeitschrift für Geburtshilfe und Neonatologie
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Z Geburtshilfe Neonatol · May 1997
Review Case Reports[Clinical aspects and therapy of amniotic fluid embolism. Illustration based on a case report].
A case of amniotic fluid embolism during the delivery of an at term pregnancy is reported. The 34-year old primipara with an unremarkable medical history suddenly suffered from a seizure in the second stage of labor. Shortly prior to this event, a prolonged fetal bradycardia was recorded. ⋯ The substitution of packed red cells and platelets, fresh frozen plasma and other blood derivates was necessary. Mother and child survived without any physical damage or neurological deficit. Because of the clinical pattern we diagnosed an amniotic fluid embolism.
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Z Geburtshilfe Neonatol · Jan 1997
Review[Interpretation of pulse oximetry and near infrared spectroscopy values sub partu].
Pulse oximetry and Near Infrared Spectroscopy (NIRS) are both optical methods which have been made applicable to the fetus during labour in order to improve the assessment of fetal oxygen supply and well being. 317 pulse oximetry measurements showed that postpartum pH, Base Excess, PO2 are significantly negatively resp. pCO2 is positively correlated to the time, during which arterial oxygen saturation (SpO2) is below a critical threshold of 30%. The 1' APGAR-score is also influenced by the duration of SpO2 values below 30%. ⋯ Until the following contraction oxygenized and total hemoglobin remained deeper below their original levels in case of decelerations type 2 than in case of normal CTG or type 1 decelerations. Simultaneous registration of pulse oximetry and NIRS revealed an increase of cerebral blood volume in case of low arterial oxygen saturation (SpO2 < 30%) which may be interpreted as "brain sparing effect".
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Z Geburtshilfe Neonatol · Nov 1996
Review[Whooping cough in pregnant patients and newborn infants].
Pertussis affects not only children but also adults. The disease often takes an atypical course in adults and it is frequently misdiagnosed. Pregnant women with pertussis do not suffer from serious obstetrical complications. ⋯ Neonates are susceptible to pertussis and may become seriously ill with potentially fatal consequences. Neonatal pertussis is frequently misdiagnosed, too. The disease can be prevented by prophylactical administration of erythromycin to the neonate.