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Maternal trauma and cerebral lesions in preterm infants. Case reports
Author(s) -
EATON DEBORAH G. MURDOCH,
AHMED YUSUF,
DUBOWITZ LILY M. S.
Publication year - 1991
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.1471-0528.1991.tb15406.x
Subject(s) - medicine , medical school , pediatrics , family medicine , medical education
Case reports Patient 1 A healthy primigravida had an uneventful early pregnancy with normal booking scan at 18 weeks. At 29 weeks, a car travelling at approximately 25 mph struck her on thc right side resulting in fractures of her right humerus and fibula. She complained of right sided abdominal pain but there was no accompanying vaginal bleeding. A cardiotocograph (CTG) showed decelerations and uterine activity. She was transferred to the regional unit where CTG, uteroplacental Doppler waveforms and ultrasound of the fetus and placental site were normal. She rcmaincd under observation and 2 wceks later, having previously been normotensive, she dcveloped preeclampsia (blood pressure 170/110, proteinura 2+). One dose of intravenous hydralazine and maintenance oral methyldopa gave good blood pressure control. Three days later at 31f wceks she went into preterm labour and had an uncomplicated vaginal delivery of a female infant weighing 1.46 kg with a head circumference of 27.5 cm (both 50th centile) and Apgar scores of 9 and 10 at 1 and 5 min. The placenta was of appropriate weight for gestation with no retroplacental clot. The baby did not require any