Neonatal cervical spinal cord injury occurring in the perinatal period is rare but has been described after both traumatic and atraumatic birth. Recently, a case of atraumatic, late third trimester, pre- labour presen...Neonatal cervical spinal cord injury occurring in the perinatal period is rare but has been described after both traumatic and atraumatic birth. Recently, a case of atraumatic, late third trimester, pre- labour presentation has been des cribed. We report a second such case, but with important diagnostic differences and outcome. Conclusion: This case showed loss of foetal movements late in the t hird trimester. This was secondary to an extensive cervical lesion with no histo ry of trauma. This emphasizes the need to consider cervical cord lesions when fo etal or postnatal movements are reduced, even in the absence of trauma.展开更多
Objectives:To study modes of delivery and neonatal morbidity of twins as a function of their presentation. Study design:The study related to 614 consecutive patientswho gave birth to twins in the maternity ward of th...Objectives:To study modes of delivery and neonatal morbidity of twins as a function of their presentation. Study design:The study related to 614 consecutive patientswho gave birth to twins in the maternity ward of the Hpital Robert Debréfrom 1992 to 2000. Group A (n = 529) included patients who gave birth after 33 weeks of gestation and group B (n = 85) before 33 weeks. The parameters studied were the mode of delivery,the need for intubation at birth,5-min Apgar score < 9,transfer to intensive care,death in the neonatal period. The chi-square test was used for statistical analysis. Results:In group A,significantly more cesarean sections were performed for breech-breech (22.6%)-and breech-vertex (16%) presentations than for vertex-vertex (10.3%) and vertex-breech (4.6%) presentations. In group B,there was no significant difference in the rate of vaginal delivery. Second vertex twins of group A had significantly higher frequencies of intubation (3%) at birth and transfer to intensive care (3%) than the vertex first twins born by vaginal delivery (p = 0.01). These percentages were not significantly different from those observed for the second twins born by planned Cesarean section before the start of labor (2.8 and 5.6%,respectively). In group B,neonatal parameters did not differ significantly with the type of presentation at delivery. Conclusions:The type of presentation should not influence the choice of mode of delivery of twin pregnancies,whatever the gestational age.展开更多
文摘Neonatal cervical spinal cord injury occurring in the perinatal period is rare but has been described after both traumatic and atraumatic birth. Recently, a case of atraumatic, late third trimester, pre- labour presentation has been des cribed. We report a second such case, but with important diagnostic differences and outcome. Conclusion: This case showed loss of foetal movements late in the t hird trimester. This was secondary to an extensive cervical lesion with no histo ry of trauma. This emphasizes the need to consider cervical cord lesions when fo etal or postnatal movements are reduced, even in the absence of trauma.
文摘Objectives:To study modes of delivery and neonatal morbidity of twins as a function of their presentation. Study design:The study related to 614 consecutive patientswho gave birth to twins in the maternity ward of the Hpital Robert Debréfrom 1992 to 2000. Group A (n = 529) included patients who gave birth after 33 weeks of gestation and group B (n = 85) before 33 weeks. The parameters studied were the mode of delivery,the need for intubation at birth,5-min Apgar score < 9,transfer to intensive care,death in the neonatal period. The chi-square test was used for statistical analysis. Results:In group A,significantly more cesarean sections were performed for breech-breech (22.6%)-and breech-vertex (16%) presentations than for vertex-vertex (10.3%) and vertex-breech (4.6%) presentations. In group B,there was no significant difference in the rate of vaginal delivery. Second vertex twins of group A had significantly higher frequencies of intubation (3%) at birth and transfer to intensive care (3%) than the vertex first twins born by vaginal delivery (p = 0.01). These percentages were not significantly different from those observed for the second twins born by planned Cesarean section before the start of labor (2.8 and 5.6%,respectively). In group B,neonatal parameters did not differ significantly with the type of presentation at delivery. Conclusions:The type of presentation should not influence the choice of mode of delivery of twin pregnancies,whatever the gestational age.
