shoulder dystocia/crise epiléptica

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Antenatal and intrapartum factors associated with the occurrence of seizures in term infant.

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To identify antenatal and intrapartum risk factors associated with seizures in term newborns, 40 infants who had seizures within 72 hours of birth were compared with 400 controls using logistic regression analysis. The risk of seizure in the term newborn was approximately one per 1000 in the

Developing protocols for obstetric emergencies.

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There is potential for important steps to be missed in emergency situations, even in the presence of many health care team members. Developing a clear plan of response for common emergencies can ensure that no tasks are redundant or omitted, and can create a more controlled environment that promotes

[Analysis of labour and perinatal complications in case of foetus weight over 4000 g].

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The fetal macrosomia occurs in 3-15% pregnancies. It is recognized when foetus weight exceeds 4000 g in any period of pregnancy. Macrosomia can also be determined in case of foetus weight over 90 percentyl for the appropriate pregnancy period. The most detrimental foetal complications of macrosomia

The Influence of Academic Hospitalists on Labor and Delivery Outcomes

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Background: Our goal was to examine differences in maternal and neonatal outcomes following the transition from a private practice to an academic model at a community hospital. Methods: This is a retrospective cohort study of a

Obstetric outcomes in pregnant women with diabetes versus hypertensive disorders versus both.

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OBJECTIVE To compare obstetrical outcomes in pregnant women with diabetes versus hypertensive disorders versus both. METHODS One million patients in the New Jersey Database were analyzed. Of which 6.91% had hypertension, 4.79% had diabetes, and 0.91% had both. Information was derived from a

Operative vaginal delivery and neonatal and infant adverse outcomes: population based retrospective analysis.

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OBJECTIVE To compare the risk of neonatal and infant adverse outcomes between vacuum and forceps assisted deliveries. METHODS Population based study. METHODS US linked natality and mortality birth cohort file and the New Jersey linked natality, mortality, and hospital discharge summary birth cohort

Morbidity Associated with Fetal Macrosomia among Women with Diabetes Mellitus.

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OBJECTIVE This article aims to compare the composite maternal and neonatal morbidities (CMM and CNM, respectively) between macrosomic (≥4,000 g) and nonmacrosomic (<4,000 g) newborns among women with diabetes mellitus (DM). METHODS Maternal demographic and peripartum outcome data (N = 1,260) were

[Neonatal cervical artery dissection secondary to birth trauma].

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Cervical artery dissection is rare in the neonatal period and is most often caused by birth injury during dystocic labor. The severity of this pathology is due to the possibility of serious neurological complications. We report a case of a male newborn who was born vaginally after shoulder dystocia.

Recurrent obstetric management mistakes identified by simulation.

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OBJECTIVE To develop a simulation-based curricular unit for labor and delivery teams involved in obstetric emergencies to detect and address common mistakes. METHODS A simulation-based curricular unit for hands-on training of four obstetric emergency scenarios was developed using high-tech

Maternal and infant complications in high and normal weight infants by method of delivery.

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OBJECTIVE To estimate the population risks of maternal and infant complications with the birth of macrosomic (at least 4000 g) compared with normal weight infants. METHODS Term, singleton infants were identified from the state of Washington's birth event records database for 1990. Diagnosis codes

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