Assessment of "fresh" versus "macerated" as accurate markers of time since intrauterine fetal demise in low-income countries.

Assessment of "fresh" versus "macerated" as accurate markers of time since intrauterine fetal demise in low-income countries.
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DOI:
10.1016/j.ijgo.2013.12.006
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发表时间:
2014-06
影响因子:
3.8
通讯作者:
Lieberman, Richard W.
Lieberman, Richard W.
中科院分区:
医学4区
文献类型:
--
作者:
Gold, Katherine J.;Abdul-Mumin, Abdul-Razak S.;Boggs, Martha E.;Opare-Addo, Henry S.;Lieberman, Richard W.

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比较提供者对胎儿浸渍的评估与死亡至分娩间隔,以评价外观作为死亡时间代表的可靠性。在加纳的一家教学医院,对1年期间妊娠28周或以上的所有死产分娩进行队列图表提取。在470名死产婴儿中,337名有足够的数据进行分析。在入院时存活的47例胎儿中,死亡至分娩间隔估计小于8小时(预期报告为新鲜),14例(30%)实际报告为浸软。在94例入院时胎儿死亡,死亡至分娩间隔超过8小时(预计为浸软)的病例中,17例(18%)被描述为新鲜。提供者对胎儿外观的描述可能是自胎儿死亡以来时间的不可靠指标。这些发现对死产的预防和评估具有重要意义。
To compare provider assessment of fetal maceration with death-to-delivery interval to evaluate the reliability of appearance as a proxy for time of death. Cohort chart abstraction was performed for all stillbirth deliveries at or above 28 weeks of gestation during a 1-year period in a teaching hospital in Ghana. Of 470 stillborn infants, 337 had adequate data for analysis. Of 47 fetuses alive on admission with death-to-delivery intervals estimated to be less than 8 hours (expected to be reported as fresh), 14 (30%) were actually reported as macerated. Of 94 cases in which the fetus was deceased on admission with death-to-delivery interval of more than 8 hours (expected to be macerated), 17 (18%) were described as fresh. Provider description of fetal appearance may be an unreliable indicator for time since fetal death. The findings have significant implications for stillbirth prevention and assessment.
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