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Related Concept Videos

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Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Fetal trauma in term pregnancy.

Thomas F Baskett1, Victoria M Allen, Colleen M O'Connell

  • 1Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS, Canada.

American Journal of Obstetrics and Gynecology
|November 6, 2007
PubMed
Summary

Fetal trauma in term pregnancies is rare, with a low overall risk. Labor and assisted vaginal delivery are associated with increased fetal trauma risk compared to Cesarean delivery.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Fetal Health

Background:

  • Fetal trauma during childbirth is a concern.
  • Understanding risk factors is crucial for improving perinatal outcomes.

Purpose of the Study:

  • To determine the incidence and types of fetal trauma in term pregnancies.
  • To analyze the relationship between fetal trauma and delivery method, maternal age, parity, and birthweight.

Main Methods:

  • Retrospective analysis of the Nova Scotia Atlee Perinatal Database (1988-2001).
  • Inclusion of singleton fetuses without major anomalies in vertex presentation at term (≥37 weeks).
  • Evaluation of fetal trauma incidence and associated factors.

Main Results:

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  • Overall fetal trauma risk was low (2.0%), with major trauma at 0.16%.
  • Labor significantly increased the risk of both major and minor fetal trauma.
  • Cesarean delivery demonstrated a protective effect against fetal trauma compared to vaginal delivery.

Conclusions:

  • Significant fetal trauma in term pregnancies is uncommon.
  • Labor and assisted vaginal delivery are key risk factors for fetal trauma.
  • Cesarean delivery appears to reduce the risk of fetal trauma.