[Course of pregnancies and labors in a department of general surgery. A prospective study of pregnancies during a 1-year period at Hørsholms hospital]
| Autor: | S, Klintorp, C C, Hauge, E B, Obel |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Patient Transfer
Labor Obstetric Vacuum Extraction Obstetrical Cesarean Section Denmark Infant Newborn Pregnancy Outcome Delivery Obstetric Obstetric Labor Complications Pregnancy Complications Pregnancy Apgar Score Humans Female Labor Induced Prospective Studies Referral and Consultation Surgery Department Hospital |
| Zdroj: | Ugeskrift for laeger. 155(2) |
| ISSN: | 0041-5782 |
| Popis: | The complications of pregnancy and delivery in a material consisting of 841 women without obstetric risk factors were investigated. The deliveries were planned to take place in a department of general surgery with a specialist obstetrician. Seventy-five women (8.9%) were transferred to a specialized obstetric department before delivery, 14 women (1.7%) because of imminent premature delivery. In addition, 69 women were transferred because of removal or their own wish for transfer. A total of 631 patients (90.5%) were delivered vaginally and 66 (9.5%) were delivered abdominally. In thirty-five of these, caesarean sections were performed during the course of delivery. In 34 deliveries (5.1%) vacuo extraction was used. Among 181 women (27.1%), unexpected complications occurred, 80 of these women (12.0%) requiring emergency treatment. A total of 697 infants were delivered. One infant died before delivery because of placental separation. Twenty-two infants (3.2%) were transferred to a paediatric department during the neonatal period, three because of asphyxia. Three of the liveborn infants (0.4%) had Apgar scores at 1 minute between 0 and 3, 40 infants (5.7%) had scores between 4 and 6. After 5 minutes, no infants had Apgar scores between 0 and 3, but three infants had scores between 4 and 6. It is concluded, that the low perinatal mortality and morbidity might indicate, that deliveries in a department of general surgery are safe, provided a specialist obstetrician is available and the rules of referral strictly observed. |
| Databáze: | OpenAIRE |
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