Macrosomia is responsible for intrapartum
complications like birth trauma, shoulder dystocia , birth asphyxia, obstructed labour and increased rate of instrumental delivery13.
The baby died 4 hours later in the neonatal unit from complications of severe intrapartum
period has higher risk of mortality for a mother and her baby.
Operating on placental support: the ex utero intrapartum
To overcome the difficulty felt for the diagnosis of Intrapartum
hypoxia, STAN system has been added to CTG so one has to interpret both at the same time.
0 Gestational age 33 38 (wks) Health at birth Congenital Well pneumonia, anaemia Treatment ZDV for 6 weeks ZDV for 6 weeks Mother 1 Mother 2 Age (yrs) 28 37 Mode of delivery Caesarean section Caesarean section Diagnosis of HIV 2-3 years earlier During current pregnancy ART prophylaxis None HAART initiated 5 days before delivery Intrapartum
IV ZDV Yes Yes Viral load at Not recorded 50 000 delivery copies/ml CD4 count at Not recorded 327 cells/[micro]l delivery
This study therefore assessed the efficacy of intrapartum
and neonatal chlorhexidine in reducing early-onset neonatal sepsis and vertical transmission of group B streptococcus.
The delivery unit in which these babies were born has an evidence-based policy for intrapartum
EFM, which includes guidelines for intermittent auscultation (IA) and fetal blood sampling (FBS), based on the Royal College of Obstetricians and Gynaecologists (RCOG) / National Institute of Clinical Excellence (NICE) guidelines (RCOG, 2001).
Previous studies have indicated that intrapartum
events were a factor in only 10% of infants with cerebral palsy.
While observing my students prepare to go to a high risk delivery, they were buzzing about a new device, appropriately termed an intrapartum
fetal oxygen saturation monitor that measured fetal oxygen saturation (or FSpO2).
The new "Cerebral Palsy and Intrapartum
Hypoxia" packet addresses causation issues, as well as nurses' failure to notify doctors of nonreassuring patterns in fetal monitor strips, failure to do a cesarean section, improperly releasing mothers from the hospital, failure to treat high-risk mothers as such, and failure to order proper tests.
Birmingham Coroner Aidan Cotter, recording a verdict of death by natural causes of intrapartum
hypoxia, said there was no evidence of neglect by staff at Solihull Hospital.