Re: fetal death in labour or ealier
From: R. Daniel Braun (rd.braun@gmail.com)
Sun Apr 26 22:01:00 2009
Maceration tells you nothing. I have seen liveborns with maceration.
Dan
On Fri, Apr 24, 2009 at 7:04 AM, Jefferson Delfino wrote:
>
> When was a death of a fetus?
> Antenal (maceration). What was the colour of amniotics liq?
>
> Whether it is possible cardiomonitoring device to listen to a pulsation of
> vessels of the woman with 120-140 in minutes in position standing?
>
> It´s possible.
>
> Whether the situation is possible when in horizontal position FHR is not
> listened, and in position standing to be registered?
>
> You should do an ultrasound.
>
> Jefferson
>
> Em 24/04/2009 07:35, *?????? ??????? < yars0906@yandex.ru >* escreveu:
>
> Primigravida 20 years was with diagnosis: Pregnancy 39-40 week. Rh-negative
> blood type.
>
> A large fetus. A "mature" of cervix.
>
> CTG a fetus within norm, functional tests of a fetus in norm,
>
> Doppler - the blood-groove is not broken.
>
> Hb 145g/l, Ht 43%, L - 8,3* 10*9,
>
> While translating in delivery department complaints to birth pangs within 2
> hours, discharge of amniotic fluid, light, 100 ml.
>
> Opening cervix 3сm.
>
> Fetal heartbeats by a stethoscope as clear, rhythmical 140 /minutes that
> proves to be true cardiomonitor. PS and blood pressure is norm.
>
> Upon 1 hour by a stethoscope in horizontal position of woman fetal
> heartbeats is not listened, at position change, standing,
> cardiomonitor(sonicaid team ip trend) FHR 136-140.
>
> After 2 hours fetal heartbeats is not listened, at ultrasonic it is
> diagnosed antenatal death.
>
> In childbirth of 9 hours, nonaqueous period 6 hours. Antenatal
> destruction (ultrasound) 3 hours prior to labour.
>
> Pathological anatomy: maceration of cutis I degree, initial signs
> autolysis internal bodies, intestines slept, meconium in thick intestines, a
> thrombosis of vessels of an umbilical cord.
>
> Questions: .
>
> When was a death of a fetus?
>
> Antenatal or intranatal?
>
> Whether it is possible cardiomonitoring device to listen to a pulsation of
> vessels of the woman with 120-140 in minutes in position standing?
>
> Whether the situation is possible when in horizontal position FHR is not
> listened, and in position standing to be registered?
>
> Best wishes, Alexey Semykin,
>
> Delivery department of regional perinatal center, Belgorod, Russia
> it out.<http://windowslive.com/online/skydrive?ocid=TXT_TAGLM_WL_skydrive_042009>
>
--
R. Daniel Braun, MD FACOG(L) ABMP CMTh
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
“Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
