Multiple nuchal cord entanglements and intrapartum complications

Article Abstract:

Fetuses with the umbilical cord wrapped around their necks several times may experience more problems during labor than fetuses with the cord wrapped once around the neck, but these problems may not cause permanent damage. Researchers analyzed the records of 326 infants with the umbilical cord wrapped more than once around the neck, and of 2191 infants with the cord wrapped once around the neck. Infants with more than one neck cord were more likely to be white and male. These infants had higher incidences of abnormal fetal heart rate, which caused a higher rate of vaginal delivery using forceps. The rate of cesarean delivery was similar between the two groups. None of the infants was stillborn, and lack of oxygen could be corrected after birth by administering oxygen.

author: Thurnau, Gary R., Rayburn, William F., Larson, Janet D., Crosby, Sarah
Abnormalities, Causes of, Physiological aspects, Fetal heart rate, Umbilical cord, Labor, Complicated, Labor complications

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Pharmacotherapy for pregnant women with addictions

Article Abstract:

A systematic review is done to summarize experience that pertains to pharmacotherapy for pregnant women with specific chemical addictions. The results indicate that antiaddiction medications are important in the treatment of pregnant women with opioid and nicotine dependence and are of growing importance in the treatment of alcohol and stimulant dependence.

author: Rayburn, William F., Bogenschutz, Michael P.
United States, Care and treatment, Drug abuse in pregnancy

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Behavioral changes in developing mice after prenatal exposure to paroxetine (Paxil)

Article Abstract:

A study on mice showed that the antidepressant drug paroxetine (Paxil) taken during pregnancy caused increased separation anxiety in the offspring and an increase in male aggression. Paroxetine belongs to a class of drugs called selective serotonin reuptake inhibitors, or SSRIs.

author: Rayburn, William F., Christensen, H. Dix, Gonzalez, Christina L., Coleman, Fred H.
Complications and side effects, Fetus, Paroxetine, Paxil (Medication)

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