RESUMEN
Extreme prematurity is a major cause of perinatal morbidity and mortality. Management of such babies is a big challenge to neonatologists. Here we report the smallest baby ever survived in Oman
Asunto(s)
Humanos , Femenino , Recien Nacido Prematuro , Hemorragias Intracraneales , Retinopatía de la Prematuridad , Displasia BroncopulmonarRESUMEN
Vaginal breech delivery has been associated with higher fetal morbidity and mortality rates compared with elective Caesarean birth. A liberal elective Caesarian policy may reduce the risk of adverse perinatal outcome in term breech deliveries. Hydrocephalus, macrosomia and placenta previa are obvious contraindications. However, other factors may be relative contraindications and should be evaluated on a case by case basis. Protocols based on variables such as pelvic measurements, gestational age and estimated fetal weight are essential. The proportion of successful vaginal breech delivery varies between 21% and 79%. The purpose of our study was to evaluate our institutional experience over three and a half years, measured by the success rate of vaginal delivery in selected candidates, maternal morbidity and mortality, and neonatal outcome in terms of Apgar score, admission to the neonatal intensive care unit, asphyxia and traumatic morbidity
Asunto(s)
Humanos , Femenino , Resultado del Embarazo , Cesárea , Mortalidad Infantil , Parto Obstétrico , Mortalidad Materna , Hospitales UniversitariosRESUMEN
To review the caesarean sections [C/S] performed at Sultan Qaboos University Hospital [SQUH], Muscat, Oman, over a period of three years. The records of 727 patients who underwent C/S at SQUH during the three year period from 1st July 1998 to 30th June 2001 were analysed. The C/S rate during this period was 13%, 42.6% of which were repeat C/S. Most were performed on women in the age group 26-30 years and of parity 2-3. The majority of the caesareans were at term and done under general anaesthesia. The most common indication was fetal distress and the most common complication was fever. The rate, indications, nature and frequency of complications of C/S performed at SQUH are similar to those at obstetric departments in academic hospitals in developed countries