https://scholars.lib.ntu.edu.tw/handle/123456789/460283
標題: | Extremely Preterm Cesarean Delivery "En Caul" | 作者: | Lin C.-H SHIN-YU LIN Yang Y.-H JIN-CHUNG SHIH MING-KWANG SHYU CHIEN-NAN LEE YU-SHIH YANG |
公開日期: | 2010 | 卷: | 49 | 期: | 3 | 起(迄)頁: | 254-259 | 來源出版物: | Taiwanese Journal of Obstetrics and Gynecology | 摘要: | Objective: Intact amniotic membranes may serve to protect the extremely fragile preterm infant from some of the mechanical forces caused by strong uterine contraction. This article introduces the technique of "en caul" cesarean delivery and reviews the experience of the National Taiwan University Hospital. Materials and Methods: This is a prospective study carried out to perform the "en caul" cesarean delivery for early preterm labors between October 2007 and December 2008. Cases were included if the estimated birth weight was below 1,500 g or gestational age was = 32 weeks. Results: Twenty women including four twin pregnancies were included, and 23 neonates were born with intact membranes. Preterm labor was indicated in 16 cases, and nine of the cases were due to severe hypertensive disorders during pregnancy. Except in the case of placenta accreta, all underwent lower transverse uterine incision without wound extension. One fetus died after 3 days due to sepsis and the mortality rate was 4.3%. A total of 15 babies had an Apgar score at 5 minutes of more than seven. The value of first arterial pH was 7.278 ± 0.117 and hemoglobin was 16.1 ± 2.1 g/dL. The corrected post-menstrual age at discharge was 277.75 ± 38.56 days. Conclusion: Cesarean delivery en caul is an effective and easy technique for extremely preterm fetuses to protect them from pressure trauma and also results in less uterine injury. ? 2010 Taiwan Association of Obstetric & Gynecology. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/460283 | ISSN: | 1028-4559 | DOI: | 10.1016/S1028-4559(10)60057-5 | SDG/關鍵字: | adult; Apgar score; arterial pH; article; cesarean section; clinical article; female; hemoglobin blood level; human; maternal hypertension; newborn; placenta accreta; premature labor; prospective study; surgical technique; twin pregnancy; Amnion; Apgar Score; Birth Injuries; Cesarean Section; Female; Gestational Age; Humans; Infant, Newborn; Obstetric Labor, Premature; Pre-Eclampsia; Pregnancy; Pregnancy Outcome; Premature Birth; Prospective Studies |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。