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Re: fetal death in labour or ealierFrom: Jefferson Delfino (dr.jefferson@uol.com.br)Mon Apr 27 16:25:22 2009
<p><br /><br />In this case he tells that the baby was already dead. One plus one.<br /><br />Jefferson<br /><br /><br />Em 27/04/2009 00:02, <strong><span>rd.braun@gmail.com</span></strong> escreveu:</p> <blockquote style="border-left: 2px solid #6868cc; margin: 0pt 0pt 0pt 0.8ex; padding-left: 1ex;"><br />Maceration tells you nothing. I have seen liveborns with maceration.<br /><br />Dan<br /><br />On Fri, Apr 24, 2009 at 7:04 AM, Jefferson Delfino wrote:<br />><br />> When was a death of a fetus?<br />> Antenal (maceration). What was the colour of amniotics liq?<br />><br />> Whether it is possible cardiomonitoring device to listen to a pulsation of<br />> vessels of the woman with 120-140 in minutes in position standing?<br />><br />> It´s possible.<br />><br />><br />> Whether the situation is possible when in horizontal position FHR is not<br />> listened, and in position standing to be registered?<br />><br />> You should do an ultrasound.<br />><br />><br />> Jefferson<br />><br />> Em 24/04/2009 07:35, *?????? ??????? < yars0906@yandex.ru >* escreveu:<br />><br />> Primigravida 20 years was wi th diagnosis: Pregnancy 39-40 week. Rh-negative<br />> blood type.<br />><br />> A large fetus. A "mature" of cervix.<br />><br />> CTG a fetus within norm, functional tests of a fetus in norm,<br />><br />> Doppler - the blood-groove is not broken.<br />><br />> Hb 145g/l, Ht 43%, L - 8,3* 10*9,<br />><br />> While translating in delivery department complaints to birth pangs within 2<br />> hours, discharge of amniotic fluid, light, 100 ml.<br />><br />> Opening cervix 3сm.<br />><br />> Fetal heartbeats by a stethoscope as clear, rhythmical 140 /minutes that<br />> proves to be true cardiomonitor. PS and blood pressure is norm.<br />><br />> Upon 1 hour by a stethoscope in horizontal position of woman fetal<br />> heartbeats is not listened, at position change, standing,<br />> cardiomonitor(sonicaid team ip trend) FHR 136-140.<br />><br />> After 2 hours fetal heartbeats is not listened, at ultras onic it is<br />> diagnosed antenatal death.<br />><br />> In childbirth of 9 hours, nonaqueous period 6 hours. Antenatal<br />> destruction (ultrasound) 3 hours prior to labour.<br />><br />><br />><br />> Pathological anatomy: maceration of cutis I degree, initial signs<br />> autolysis internal bodies, intestines slept, meconium in thick intestines, a<br />> thrombosis of vessels of an umbilical cord.<br />><br />> Questions: .<br />><br />> When was a death of a fetus?<br />><br />> Antenatal or intranatal?<br />><br />> Whether it is possible cardiomonitoring device to listen to a pulsation of<br />> vessels of the woman with 120-140 in minutes in position standing?<br />><br />> Whether the situation is possible when in horizontal position FHR is not<br />> listened, and in position standing to be registered?<br />><br />><br />><br />> Best wishes, Alexey Semykin,<br />><br />> Deliver y department of regional perinatal center, Belgorod, Russia<br />> it out.<br />><br />><br /><br />-- <br />R. Daniel Braun, MD FACOG(L) ABMP CMTh<br />Professor Emeritus<br />Dept. of Obstetrics and Gynecology<br />Indiana U. School of Medicine<br /><br /><br />R. Daniel Braun<br /><br />“Science without Religion is LAME; Religion without Science is BLIND"<br />Einstein 1941<br /><br /></blockquote>
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