registers, while the files of most women delivered vaginally were difficult to find or were incomplete. A 36.2% perinatal mortality after two days was reported in our series. Most authors do recognize the fact that fetal outcome is intimately
related to the time lapse between diagnosis and effective 692.
management [4,12]. The diagnosis to delivery interval 10 to 20 minutes for 50% of patients in Saudi Arabia and no fetal death was observed [4]. Similar mean time from diagnosis to treatment at 20 minutes was reported in USA [12] and only 5 severe asphyxias were observed among the 48 cases. But time lapsed in our series was very long (180 minutes) and can explain the poor fetal outcome observed. A positive fetal heart tone of 61.8% seen in our series is certainly higher than real, because fetal demise at birth and at five minutes was 68.2%. Supportive treatment measures such as maintaining the examining hand on the presenting part or filling the bladder with 500 mL of normal saline practiced in the service might have contributed in improving fetal outcome [1,13]. Fetal death was, more common with preterm babies or babies with fetal weight less than 2500 gms. This increased fetal loss rate was certainly not a consequence of cord prolapse alone, prematurity in itself is associated with an increased perinatal morbidity and mortality. Live births may occur following cord prolapse, but this will be influenced by the level of obstetric care, the experience of the team and the availability of basic material and infrastructure.
registers, while the files of most women delivered vaginally were difficult to find or were incomplete. A 36.2% perinatal mortality after two days was reported in our series. Most authors do recognize the fact that fetal outcome is intimatelyrelated to the time lapse between diagnosis and effective 692.management [4,12]. The diagnosis to delivery interval 10 to 20 minutes for 50% of patients in Saudi Arabia and no fetal death was observed [4]. Similar mean time from diagnosis to treatment at 20 minutes was reported in USA [12] and only 5 severe asphyxias were observed among the 48 cases. But time lapsed in our series was very long (180 minutes) and can explain the poor fetal outcome observed. A positive fetal heart tone of 61.8% seen in our series is certainly higher than real, because fetal demise at birth and at five minutes was 68.2%. Supportive treatment measures such as maintaining the examining hand on the presenting part or filling the bladder with 500 mL of normal saline practiced in the service might have contributed in improving fetal outcome [1,13]. Fetal death was, more common with preterm babies or babies with fetal weight less than 2500 gms. This increased fetal loss rate was certainly not a consequence of cord prolapse alone, prematurity in itself is associated with an increased perinatal morbidity and mortality. Live births may occur following cord prolapse, but this will be influenced by the level of obstetric care, the experience of the team and the availability of basic material and infrastructure.
การแปล กรุณารอสักครู่..