Re: OB: Study Finds Brain Bleeding with Vaginal Births
From: ghassan swaid (ghassanswaid@gmail.com)
Tue Jan 30 11:56:16 2007
I BELIEVE THAT OUR GOD WHO CREATED US KNOWS WHAT IS THE RIGHT WAY OF
BIRTH SO HE MADE THE VAGINAL ROUTE FOR MOST OF DELIVERIES , AND IF
THAT POINT OF VIEW IS TRUE SO WE WILL DO C SECTION FOR MOST MOTHERS
AND THIS IS ANTI -REALITY AND TRUTH
2007/1/30, johnprov@sympatico.com <johnprov@sympatico.com>:
> 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.
>
--
Ghassan . R . Swaid , M.D
Arab Board Of Ob & Gyn
PO.BOX - 12761
Aleppo
Syria
Phone : 00963216653036
mobile : 0096394532648
