Jump to ContentJump to Main Navigation
Show Summary Details

Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland


IMPACT FACTOR increased in 2015: 1.798
Rank 46 out of 120 in category Pediatrics in the 2015 Thomson Reuters Journal Citation Report/Science Edition

SCImago Journal Rank (SJR) 2014: 0.731
Source Normalized Impact per Paper (SNIP) 2014: 0.687
Impact per Publication (IPP) 2014: 1.483

99,00 € / $149.00 / £75.00*

Online
ISSN
1619-3997
See all formats and pricing

 


Select Volume and Issue
Loading journal volume and issue information...

30,00 € / $42.00 / £23.00

Get Access to Full Text

Neonatal neurological morbidity associated with uterine rupture

Miriam Martínez-Biarge1 / Alfredo García-Alix2 / Fátima García-Benasach3 / Francisco Gayá4 / Ana Alarcón5 / Antonio González6 / José Quero7

1Department of Pediatrics, Neonatology Division, La Paz University Hospital, Madrid, Spain

2Department of Pediatrics, Neonatology Division, La Paz University Hospital, Madrid, Spain

3Department of Obstetrics and Gynecology, La Paz University Hospital, Madrid, Spain

4Biostatistics Unit, La Paz University Hospital, Madrid, Spain

5Department of Neonatology, Unitat Integrada Hospital Sant Joan de Deu-Hospital Clinic, Barcelona, Spain

6Department of Obstetrics and Gynecology, La Paz University Hospital, Madrid, Spain

7Department of Pediatrics, Neonatology Division, La Paz University Hospital, Madrid, Spain

Corresponding author: Alfredo García-Alix, MD, PhD Department of Pediatrics, Neonatology Division La Paz University Hospital Paseo de la Castellana 261 28046 Madrid Spain Tel.: +34 917277416 Fax: +34 917277480

Citation Information: Journal of Perinatal Medicine. Volume 36, Issue 6, Pages 536–542, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2008.078, August 2008

Publication History

Received:
2008-02-09
Revised:
2008-05-11
Accepted:
2008-06-18
Published Online:
2008-08-04

Abstract

Aims: To compare neonatal neurological morbidity associated with uterine rupture with morbidity associated with a non-reassuring fetal status.

Methods: We conducted a retrospective cohort analysis. Twenty-one cases of term infants delivered after a symptomatic uterine rupture were analyzed and compared with a randomly selected group of 63 infants born after a non-reassuring fetal heart rate pattern.

Results: Prevalence of uterine rupture was 0.058%. Maternal factors and infant general data were similar in both groups. Infants delivered after a uterine rupture had lower Apgar scores at 1 and 5 min, lower umbilical blood pH, and required more advanced resuscitation than infants delivered after a non-reassuring fetal status. Prevalence of hypoxic-ischemic encephalopathy in the uterine rupture group was 33%, compared with 5% in the other group (P<0.01, relative risk 3.7). Four infants in the uterine rupture group (19%) had moderate or severe encephalopathy; all of them had also multisystem dysfunction and an adverse outcome. No infant in the non-reassuring fetal status group showed moderate or severe encephalopathy.

Conclusions: Uterine rupture is a considerable sentinel event that involves a high rate of early and late neurological morbidity in the newborn infant.

Keywords: Neonatal hypoxic-ischemic encephalopathy; neurodevelopmental outcome; non-reassuring fetal status; perinatal brain injury; uterine rupture

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[1]
Dorthe L.A. Thisted, Laust H. Mortensen, and Lone Krebs
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2015, Volume 195, Page 151

Comments (0)

Please log in or register to comment.