Onset of vacuum-related complaints in neonates
| Autor: | Wim Brussel, Hans Zondervan, Frank Brus, Manon J. N. L. Benders, Désiree M. W. G. Moonen-Delarue, Mei-Nga Smit-Wu |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Pediatrics
medicine.medical_specialty Vacuum Extraction Obstetrical Birth weight Pregnancy Risk Factors Epidemiology medicine Birth Weight Humans Prospective Studies Prospective cohort study Vaginal delivery business.industry Infant Newborn Pregnancy Outcome technology industry and agriculture medicine.disease body regions Multivariate Analysis Pediatrics Perinatology and Child Health Apgar Score Female Apgar score Complication business Cohort study |
| Zdroj: | European Journal of Pediatrics. 165:374-379 |
| ISSN: | 1432-1076 0340-6199 |
| DOI: | 10.1007/s00431-005-0054-3 |
| Popis: | Since vacuum-related neonatal morbidity has been described in many studies clinical observation of neonates is common practice after vacuum-assisted vaginal delivery. However, no guidelines are available regarding the required length of hospital stay of these infants, because little is known about the first onset of complaints due to vacuum extraction-related morbidity. In a prospective observational cohort study we found that vacuum extraction-related complaints occurred in term neonates within 10 h following birth. Mild to moderate morbidity was frequently seen, whereas severe morbidity was infrequently seen. Previous artificial delivery, Apgar score lower than 7 at 1 min, and birth weight >4.0 kg were risk factors for morbidity after vacuum extraction. We suggest that it is justified to discharge neonates at least 10 h after vacuum delivery when no vacuum extraction-related complaints have occurred. |
| Databáze: | OpenAIRE |
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