Neonatal neurological morbidity associated with uterine rupture
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Miriam Martínez-Biarge
Abstract
Aims: To compare neonatal neurological morbidity associated with uterine rupture with morbidity associated with a non-reassuring fetal status.
Methods: We conducted a retrospective cohort analysis. Twenty-one cases of term infants delivered after a symptomatic uterine rupture were analyzed and compared with a randomly selected group of 63 infants born after a non-reassuring fetal heart rate pattern.
Results: Prevalence of uterine rupture was 0.058%. Maternal factors and infant general data were similar in both groups. Infants delivered after a uterine rupture had lower Apgar scores at 1 and 5 min, lower umbilical blood pH, and required more advanced resuscitation than infants delivered after a non-reassuring fetal status. Prevalence of hypoxic-ischemic encephalopathy in the uterine rupture group was 33%, compared with 5% in the other group (P<0.01, relative risk 3.7). Four infants in the uterine rupture group (19%) had moderate or severe encephalopathy; all of them had also multisystem dysfunction and an adverse outcome. No infant in the non-reassuring fetal status group showed moderate or severe encephalopathy.
Conclusions: Uterine rupture is a considerable sentinel event that involves a high rate of early and late neurological morbidity in the newborn infant.
©2008 by Walter de Gruyter Berlin New York
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- Original article – Newborn
- Neonatal neurological morbidity associated with uterine rupture
- Short communication
- Long-term epidural block treatment in patients with early threatening preterm delivery and vaginal fetal engagement
- Letters to the editor
- Milk of women with lifetime consumption of the recommended daily intake of fish fatty acids should constitute the basis for the DHA contents of infant formula
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- Optimal timing of elective cesarean delivery for twins
- Congress Calendar
- Congress Calendar
- Index Volume 36 (2008)
- Index Volume 36 (2008) - Contents
- Index - Subjects
- Index - Subjects
- Index - Authors
- Index - Authors
- Acknowledgement
- Acknowledgement
Articles in the same Issue
- Expert panel recommendation
- Diagnosis and treatment of peripartum bleeding
- Original articles – Obstetrics
- Transvaginal ultrasonographic measurement of cervical length in predicting intra-amniotic infection and impending preterm delivery in preterm labor: a comparison with amniotic fluid white blood cell count
- Visfatin/Pre-B cell colony-enhancing factor in amniotic fluid in normal pregnancy, spontaneous labor at term, preterm labor and prelabor rupture of membranes: an association with subclinical intrauterine infection in preterm parturition
- The antenatal identification of funisitis with a rapid MMP-8 bedside test
- Can neonatal myasthenia gravis be predicted?
- Blood loss in low-lying placenta: placental edge to cervical internal os distance of less vs. more than 2 cm
- History-indicated cerclage: practice patterns of maternal-fetal medicine specialists in the USA
- Original article – Fetus
- Jugular lymphatic sacs in the first trimester of pregnancy: the prevalence and the potential value in screening for chromosomal abnormalities
- Umbilical cord thickness in the first and early second trimesters and perinatal outcome
- Sex-specific charts for abdominal circumference in term and near-term Caucasian newborns
- Prediction of adverse perinatal outcome at term in small-for-gestational age fetuses: comparison of growth velocity vs. customized assessment
- Original article – Newborn
- Neonatal neurological morbidity associated with uterine rupture
- Short communication
- Long-term epidural block treatment in patients with early threatening preterm delivery and vaginal fetal engagement
- Letters to the editor
- Milk of women with lifetime consumption of the recommended daily intake of fish fatty acids should constitute the basis for the DHA contents of infant formula
- Reversible facial nerve palsy secondary to nasal continuous positive airway pressure
- Optimal timing of elective cesarean delivery for twins
- Congress Calendar
- Congress Calendar
- Index Volume 36 (2008)
- Index Volume 36 (2008) - Contents
- Index - Subjects
- Index - Subjects
- Index - Authors
- Index - Authors
- Acknowledgement
- Acknowledgement
