Re: OB: Study Finds Brain Bleeding with Vaginal Births
From: Louana (westsidebirthservice@juno.com)
Tue Jan 30 12:33:00 2007
Thank you for saying that. Really, birth is designed to work as it
is--if it were inherently flawed so as to need surgical
intervention--well then most of the world population wouldn't exist
today.
At Tue, 30 Jan 2007, ghassan swaid wrote:
>
>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
>
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