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recent journal infoFrom: Alana A. Millman (midwife2be@lvcm.com)Sun Oct 22 22:53:11 2000
I know this was briefly discussed a little while ago... from http://www.womens-health.co.uk/journ.htm#cp Birth events and cerebral palsy One of the most devastating outcomes with a new child is to discover that he or she is affected with a condition such as cerebral palsy. In times previous, it was believed that this condition was due to events surrounding labor and delivery. In the 1970's continuous fetal monitoring was introduced and over the last 20 years we have seen a vast increase in the rates of caesarean section, from less than 10%, to as high as 20%. Despite this, there has been no change in the rates of cerebral palsy and it is now recognized that very few cases of CP are due to birth events, most occurring before labor even starts. A report in the BMJ (1999; 319: 1054-9) summarizes a world-wide meeting of 49 experts from 7 countries who examined all the publications on cerebral palsy and have drafted a consensus statement. Over 90% of cases of CP are not related to birth events and strict criteria to help identify cases where this might be considered are given. Unfortunately, at present we have no 100% effective way of imaging the baby's brain to tell for sure the timing of the insult that ultimately led to the condition. also on that page: No difference in long-term outcome after forceps or ventouse delivery. A study of women who took part in the forceps vs ventouse trial, based in North Staffordshire, in 1993 has been carried out. 280 women responded to a postal questionnaire five years after their delivery. No difference between the incidence of bowel or urinary difficulties for the mother was found and there was similarly no difference in child development between the groups. (British Journal of Obstetrics & Gynecology, June 1999)
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