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  1. Neonatal neurological outcome after low-risk pregnancies.

    Article - En anglais

    Objectives 

    To study neonatal neurological outcome and obstetrical interventions in a low-risk population.

    Study design 

    A prospective non-randomised study.

    Setting 

    Six midwife practices, nine general practices in and around the city of Nijmegen, The Netherlands, and the obstetrical service at the Nijmegen University Hospital.

    Subjects 

    766 midwife/general practitioner deliveries and 268 deliveries guided by obstetricians using electronic fetal monitoring, all after low risk pregnancy (one out of three selected), 49.2% of the women delivered at home.

    Methods 

    Neurological examination of the fullterm newborn infant according to Prechtl (1977).

    Results 

    The deliveries directed by the obstetricians showed higher complication and intervention rates for primiparae and multiparae.

    Primiparous deliveries involved longer labor and firstborns showed lower neurological outcome.

    There were no differences in neonatal neurological outcome between groups attended by midwives, general practitioners or obstetricians despite the lower social profile of the hospital group.

    Conclusion 

    For the outcome of low-risk pregnancy, the place of birth in the Nijmegen area is irrelevant.

    Further investigations on the physiology of the first pregnancy and on the causes of the higher complication and intervention rates in hospital deliveries are recommended.

    Mots-clés Pascal : Gestation, Gestation pathologie, Nouveau né, Homme, Nouveau né pathologie, Complication, Système nerveux pathologie, Système nerveux central pathologie, Médecin généraliste, Sage femme, Epidémiologie, Pays Bas, Europe, Risque faible

    Mots-clés Pascal anglais : Pregnancy, Pregnancy disorders, Newborn, Human, Newborn diseases, Complication, Nervous system diseases, Central nervous system disease, General practitioner, Midwife, Epidemiology, Netherlands, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0599613

    Code Inist : 002B20F02. Création : 01/03/1996.