Is There a Role for Cerebral Ultrasonography in Near-Term/Term Neonates Following Assisted Vaginal Delivery? A Prospective, Single-Center Study
Thieme. All rights reserved..
AIM: To evaluate the role of cerebral ultrasonography studies (CUSS) in detecting intracerebral and cranial pathologies (hemorrhages, ischemia, skull fractures) in near-term and term neonates following assisted vaginal delivery.
PATIENTS AND METHODS: Prospective single-center study (11/2017-11/2018) at the University Children's Hospital of Saarland, Homburg, Germany including newborns with a gestational age ≥ 36 weeks born by assisted vaginal delivery. In all newborns, a standardized CUSS was performed within the first three days of life prior to discharge.
RESULTS: 200 neonates (43.0 % female, 57.0 % male; gestational age 39.6 ± 1.3 weeks) were included in this study (birth weight 3345.6 ± 450.6 g, body length 51.7 ± 2.5 cm, head circumference 35.0 ± 1.5 cm). 67 (33.5 %) neonates had minor external injuries of the scalp. 5 children showed clinical neurologic abnormalities: 4 (2.0 %) seizures and 1 facial palsy (0.5 %). In 34 (17.0 %) patients, minor incidental intracranial abnormalities unrelated to mode of delivery were detected on CUSS. No intracerebral, cranial pathologies or skull fractures were seen on routine CUSS.
CONCLUSION: Routine CUSS in newborns after assisted vaginal delivery did not yield clinically relevant results in our cohort. Clinical observation and selective CUSS in symptomatic newborns might be more efficient than routine CUSS.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
Ultraschall in der Medizin (Stuttgart, Germany : 1980) - 43(2022), 6 vom: 03. Dez., Seite e105-e111 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Welche Rolle spielt die zerebrale Sonografie bei Neugeborenen nach vaginal-operativer Entbindung kurz vor oder am Termin? Eine prospektive Studie an einem Zentrum |
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| Beteiligte Personen: |
Poryo, Martin [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 07.12.2022 Date Revised 07.12.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1055/a-1232-1179 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM314837639 |
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| 245 | 1 | 0 | |a Is There a Role for Cerebral Ultrasonography in Near-Term/Term Neonates Following Assisted Vaginal Delivery? A Prospective, Single-Center Study |
| 246 | 3 | 3 | |a Welche Rolle spielt die zerebrale Sonografie bei Neugeborenen nach vaginal-operativer Entbindung kurz vor oder am Termin? Eine prospektive Studie an einem Zentrum |
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| 500 | |a Date Completed 07.12.2022 | ||
| 500 | |a Date Revised 07.12.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Thieme. All rights reserved. | ||
| 520 | |a AIM: To evaluate the role of cerebral ultrasonography studies (CUSS) in detecting intracerebral and cranial pathologies (hemorrhages, ischemia, skull fractures) in near-term and term neonates following assisted vaginal delivery | ||
| 520 | |a PATIENTS AND METHODS: Prospective single-center study (11/2017-11/2018) at the University Children's Hospital of Saarland, Homburg, Germany including newborns with a gestational age ≥ 36 weeks born by assisted vaginal delivery. In all newborns, a standardized CUSS was performed within the first three days of life prior to discharge | ||
| 520 | |a RESULTS: 200 neonates (43.0 % female, 57.0 % male; gestational age 39.6 ± 1.3 weeks) were included in this study (birth weight 3345.6 ± 450.6 g, body length 51.7 ± 2.5 cm, head circumference 35.0 ± 1.5 cm). 67 (33.5 %) neonates had minor external injuries of the scalp. 5 children showed clinical neurologic abnormalities: 4 (2.0 %) seizures and 1 facial palsy (0.5 %). In 34 (17.0 %) patients, minor incidental intracranial abnormalities unrelated to mode of delivery were detected on CUSS. No intracerebral, cranial pathologies or skull fractures were seen on routine CUSS | ||
| 520 | |a CONCLUSION: Routine CUSS in newborns after assisted vaginal delivery did not yield clinically relevant results in our cohort. Clinical observation and selective CUSS in symptomatic newborns might be more efficient than routine CUSS | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Zimmer, Anika |e verfasserin |4 aut | |
| 700 | 1 | |a Hamza, Amr |e verfasserin |4 aut | |
| 700 | 1 | |a Wagenpfeil, Stefan |e verfasserin |4 aut | |
| 700 | 1 | |a Zemlin, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Geipel, Martina |e verfasserin |4 aut | |
| 700 | 1 | |a Löffler, Günther |e verfasserin |4 aut | |
| 700 | 1 | |a Meyer, Sascha |e verfasserin |4 aut | |
| 700 | 1 | |a Tutdibi, Erol |e verfasserin |4 aut | |
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