Re: OB: Study Finds Brain Bleeding with Vaginal Births
From: art fougner, md (evsono@pipeline.com)
Tue Jan 30 12:13:31 2007
John
I have the article ... email me off list?
Art
At Tue, 30 Jan 2007, johnprov@sympatico.com wrote:
>
>At Tue, 30 Jan 2007, art fougner, md wrote:
>>
>>John
>>
>>whether or not the moms delivered abdominally labored or not is unclear.
>>I have emailed the authors.
>>
>>If you email me, I can send you a copy of the article.
>>
>>Art
>>
>>The abstract doesn't help much, sounds like its a chart review and they patients entered after delievery when they went for thier MRI and signed a cosent.
>
>http://radiology.rsnajnls.org/cgi/content/abstract/242/2/535
>
>Intracranial Hemorrhage in Asymptomatic Neonates: Prevalence on MR
>Images and Relationship to Obstetric and Neonatal Risk Factors1
>Christopher B. Looney, BS, J. Keith Smith, MD, PhD, Lisa H. Merck,
>MD, MPH, Honor M. Wolfe, MD, Nancy C. Chescheir, MD, Robert M. Hamer,
>PhD and John H. Gilmore, MD
>1 From the Department of Psychiatry, CB No. 7160, 7025A Neurosciences
>Hospital, University of North Carolina School of Medicine, Chapel Hill,
>NC 27599-7160. From the 2005 RSNA Annual Meeting. Received January 23,
>2006; revision requested March 23; revision received June 7; accepted
>June 21; final version accepted August 21. J.H.G. supported by
>National Institute of Mental Health grant 1 P50 MH064065. C.B.L.
>supported by a Distinguished Medical Scholarship from UNC School of
>Medicine. Address correspondence to J.H.G. (e-mail:
>jgilmore@med.unc.edu).
>
>Purpose: To retrospectively evaluate the prevalence of neonatal
>intracranial hemorrhage (ICH) and its relationship to obstetric and
>neonatal risk factors.
>
>Materials and Methods: Pregnant women were recruited for a prospective
>study of neonatal brain development; the study was approved by the
>institutional review board and complied with HIPAA regulations. After
>informed consent was obtained from a parent, neonates were imaged with
>3.0-T magnetic resonance (MR) imaging without sedation. The images were
>reviewed by a neuroradiologist with 12 years of experience for the
>presence of ICH. Medical records were prospectively and retrospectively
>reviewed for selected risk factors, which included method of delivery,
>duration of labor, and evidence of maternal or neonatal birth trauma.
>Risk factors were assessed for relationship to ICH by using Fisher exact
>test statistics.
>
>Results: Ninety-seven neonates (mean age at MR imaging, 20.8 days ± 6.9
>[standard deviation]) underwent MR imaging between the ages of 1 and 5
>weeks. Eighty-eight (44 male and 44 female) neonates (65 with vaginal
>delivery and 23 with cesarean delivery) completed the MR imaging
>evaluation. Seventeen neonates with ICHs (16 subdural, two
>subarachnoid, and six parenchymal hemorrhages) were identified. Seven
>infants had two or more types of hemorrhages. All neonates with ICH
>were delivered vaginally, with a prevalence of 26% in vaginal births.
>ICH was significantly associated with vaginal birth (P < .005) but not
>with prolonged duration of labor or with traumatic or assisted vaginal
>birth.
>
>Conclusion: Asymptomatic ICH following vaginal birth in full-term
>neonates appears to be common, with a prevalence of 26% in this study.
>
>The good thing about the study it so no difference with assited vaginal
>birth.
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
