Intrahepatic cholestasis of pregnancy: perinatal outcome associated with expectant management

Article Abstract:

Periodic tests of fetal well-being may not adequately protect against adverse outcomes in women with intrahepatic cholestasis of pregnancy. Intrahepatic cholestasis is blockage of bile flow within the liver. Researchers compared outcomes between 79 women having periodic tests of fetal well-being for intrahepatic cholestasis and 79 women having testing because of stillbirth in a prior pregnancy. Two fetal deaths of anatomically normal babies occurred in the intrahepatic cholestasis group versus none in the prior stillbirth group. Death appeared to be due to sudden catastrophic deprivation of oxygen.

Causes of, Cholestasis, Fetal death

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Spontaneous vaginal delivery: a risk factor for Erb's palsy?

Article Abstract:

Erb's palsy in infants may not always result from excessive traction during childbirth. Erb's palsy, often associated with difficulty delivering the newborn's shoulders into the birth canal, is a paralytic injuries to nerve roots in the neck. Researchers compared 23 cases associated with difficult delivery and 17 cases where palsy was not related to difficult delivery. Paralysis persisted at one year of age in 41% of cases with a difficult delivery, and only 9% of cases without delivery complications. Isolated Erb's palsy may be a distinct type of birth injury.

Birth injuries

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Shoulder dystocia: The unpreventable obstetric emergency with empiric management guidelines

Article Abstract:

An evidence-based format is used to study the management and the risks involved in shoulder dystocia. There is a significantly increased risk of shoulder dystocia as birth weight linearly increases, however, prepregnancy and antepartum risk factors have exceedingly poor predictive value for the prediction of shoulder dystocia.

Care and treatment, Clinical report

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