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Outcomes among term infants when two-hour postnatal pH is compared with pH at delivery

Article Abstract:

Newborn babies who have acidemia that persists two hours after birth are six times more likely than other babies to have seizures during the first 24 hours after birth. Acidemia means the baby's blood is too acidic.

Author: Leveno, Kenneth J., McIntire, Donald D., Casey, Brian M., Goldaber, Kenneth G.
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2001
Health aspects, Patient outcomes, Mortality, Risk factors, Infants (Newborn), Newborn infants, Infant mortality, Acidosis, Convulsions in children, Convulsions, Pediatric neurology

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Postpartum perineal morbidity after fourth-degree perineal repair

Article Abstract:

Complications may be uncommon among women who have undergone surgery to repair a fourth-degree laceration or an episiotomy extension after giving birth. An episiotomy is an incision into the perineum, the area between the vulva and the anus, and the vagina to prevent tearing during childbirth. Among 390 women who underwent surgery to repair a fourth-degree perineal laceration or an episiotomy extension, 21 (5.4%) developed postpartum complications affecting the peritoneum. Most involved wound dehiscence, which is characterized by a separation of skin layers in the wound. Three women developed an infection. A rectovaginal fistula, or an opening between the rectum and vagina, was detected in two women. Women who developed complications were more likely to suffer from a fever or inflammation of the uterus than women who did not develop complications.

Author: McIntire, Donald D., Goldaber, Kenneth G., Wendel, George D., Jr., Wendel, Paul J.
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1993
Complications and side effects, Surgery, Perineum, Episiotomy

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A hospital-sponsored quality improvement study of pain management after cesarean delivery

Article Abstract:

A study is conducted to systematically assess prevailing pain management regimes used at Parkland Hospital in women after cesarean delivery. The conclusion states that pain relief is superior with the morphine regimes used and is positively associated with breastfeeding and infant rooming-in.

Author: Leveno, Kenneth J., McIntire, Donald D., Bloom, Steven L., Yost, Nicole P., Sibley, Miriam K., Lo, Julie Y.
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2004
Analysis, Pain management, Breast feeding, Cesarean section

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