Re: OB: FRI: A Time To Be Born?

From: Eberhard W Lisse (el@ac.lisse.na)
Fri Jul 28 10:08:12 2000


In message <76.19144aa.26b2ee5a@aol.com>, RModugno@aol.com writes: > In a message dated 7/28/00 9:15:40 AM Eastern Daylight Time,
> evsono@pipeline.com writes:
>
> << Studies from Wales and Scotland in 1998 showed a positive correlation
> between intrapartum asphyxia and night time births. Gunther et al
> investigated this relation through a retrospective cohort study of 380
> 980 births in Hesse, Germany, in 1990-8 (p 274). Their results confirm
> the previous studies, with babies born at night having a higher relative
> risk of early neonatal death (1.86) and asphyxia related death (3.89)
> than those born in the day. The authors speculate that the higher
> mortality might be caused by tired staff working at night after a full
> day's work. >>
>
> Solution: Routine elective induction @7.0am - active management - if not
> delivered by 7pm - Cesarean section

Well, my FRCOG in WIndhoek always said something like this:

Prostaglandins at 0800 Oxytocin at 1200 Rupture Membranes at 1200 Ceasar at 1700

Now there is some truth here....

el





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