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"Pseudo"choanal atresiaFrom: Dan Logen (pdl@whidbey.net)Thu May 21 00:08:41 1998
I recently delivered a term infant with no complications of pregnancy, labor or delivery. The baby seemed to have choanal atresia, with low O2 sats unless crying or using an oral airway. Only a tiny bit of air passed through one nostril and none through the other. Neither nostril accepted an NG tube. After about an hour the condition spontaneously resolved, with both nostrils nicely open. No further neonatal problems. During second stage, I "caught" the labor nurse massaging the perineum with mineral oil, which the patient had requested, so that she "wouldn't need an episiotomy". Two questions arise. Is there any possible relation between the mineral oil and the temporary nasal obstruction? Does anyone know of any evidence that perineal massage with mineral oil during second stage enhances stretching of the perineum at delivery? Thanks for opinions (or facts).
-- Dan Logen Private Practice OB-GYN Mt. Vernon, WA
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