Comparison of intrapartum electronic fetal heart rate monitoring versus intermittent auscultation in detecting fetal acidemia at birth

Article Abstract:

Continuous electronic monitoring of fetal heart rates during labor may more accurately detect acidemia of the fetus's blood than counting the fetal heart rate with the use of ultrasound on an intermittent basis. Fetal acidemia at birth, an unusually high hydrogen-ion concentration in the blood, is associated with breathing and heart problems in the short and long term. The American College of Obstetricians and Gynecologists has stated that intermittent counting detects fetal acidemia as well as electronic monitoring. Researchers electronically monitored 739 patients and used intermittent counting with 680 others during labor. Electronic monitoring detected the three types of fetal acidemia in almost all acidemic fetuses. Intermittent counting was much less accurate in detecting acidemia, with detection rates of 26% to 41%.

Diagnosis, Fetal heart rate monitoring, Electronic fetal monitoring, Acid-base imbalances, Acid-base imbalance, Auscultation

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Short course of antibiotic therapy in treatment of postpartum endomyometritis

Article Abstract:

Postpartum endomyometritis is an inflammation and swelling of the muscle wall inside the uterus caused by a bacterial infection following vaginal delivery of a pregnancy. As the infection may be due to more than one organism, combination antibiotic therapy has been recommended. To determine the effectiveness of antibiotic combination treatment, 109 patients with endomyometritis were given a short course of clindamycin and tobramycin antibiotics. The patients were given the medication until the fever and signs of the disease were gone. Three groups were given the combination for either 24 hours, 48 hours or 48 hours followed by another 7 days of treatment with augmentin, another antibiotic, until the symptoms were gone. The short term treatment group offered the most effective results, both in terms of outcome and cost.

Health aspects, Care and treatment, Complications and side effects, Inflammation, Myometrium, Puerperium, Puerperal disorders, Clindamycin, Tobramycin

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Change in antibiotic resistance of group B Streptococcus: impact on intrapartum management

Article Abstract:

Many strains of group B Streptococcus are becoming resistant to erythromycin. This antibiotic is used to treat these kinds of infections during childbirth so the baby is not infected. Eighteen of 100 strains tested were resistant to erythromycin in 1998 compared to only 1 or 85 strains in the 1980s.

Statistical Data Included, Statistics, Drug resistance in microorganisms, Microbial drug resistance, Streptococcus agalactiae

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