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AN ANALYSIS OF MASSIVE PULMONARY HAEMORRHAGE IN THE NEWBORN INFANT IN OXFORD, 1948–68
Author(s) -
DeSa D. J.,
MacLean B. S.
Publication year - 1970
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1970.tb03497.x
Subject(s) - incidence (geometry) , medicine , etiology , pediatrics , pathological , congenital malformations , pregnancy , physics , biology , optics , genetics
Summary On reviewing the cases of massive pulmonary haemorrhage in newborn infants in Oxford over the years 1948 to 1968, inclusive, 49 cases not associated with major congenital malformations were traced. These cases were not uniformly distributed over these years; there was a progressive decline in incidence which parallelled the decline in stillbirth and neonatal mortality rates. Massive pulmonary haemorrhage was found to be associated with a wide range of aetiological factors, and analysis of these factors by the Aberdeen Clinico‐pathological Classification showed that the decrease in incidence was due to improvements in obstetrical care and organization. Some differences from the findings of the Perinatal Mortality Survey are presented, and the seasonal distribution of cases born outside the hospital is shown. Lt is concluded that many cases of massive pulmonary haemorrhage may be prevented.