Obstetrical influences on the weight curve of the newborn

Obstetrical influences on the weight curve of the newborn

179 ABSTRACTS delivery, and 40 per cent after birth, whereas, of the babies weighing 2,000 gm., 4 per cent died before labor, 3 per cent died during...

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179

ABSTRACTS

delivery, and 40 per cent after birth, whereas, of the babies weighing 2,000 gm., 4 per cent died before labor, 3 per cent died during labor cent after birth. Thus of babies weighing less than 2,000 gm., only survived, but of those above 2,000 gm., 83 per rent Survived. J. P.

Bruecke, Hans: Miinchen.

med.

The hoblem Wchnschr.

Bruecke enters into a cardioeol during labor His observations were the total of fetal fatalities in 9,263 births, the total of only 0.36 per cent, he parent. of

of Injecting 83:

2096,

Medication

more than and 10 pt’r 31 per cent GREEXHILI,.

Into the Child During

Birth,

1936.

discussion on the merits and demerits concerning the USA for the improvement of fetal cardiac action. as follows: Before the use of cardiozol, in 6,864 births, was 210 (3.60 per cent) ; aft,er employment of cariliozol, fatalities were 301 (3.24 per cent). With this difference does not feel that a value of cnrdiozol has become apC. E. PROSHBIC.

Cole, W. C. C.: Obstetrical Influences Gynee. Obst. 68: 179, 1939.

on the Weight

Curve of the Newborn,

Surg.

The conception that the “normal” newborn infant may be in a state of mild shock is relatively new. If this proves to be correct, such shock should great in modify not only our routine care of newborn babies but many obstetric procedures. A statist,ical analysis of 996 newborn babies is presented with the view of determining whether obstetric and neonatal procedures influence weight loss in the newborn. It is shown that certain factors tend definitely to increase the 10~s in weight and that others tend to decrease the loss. It seems conclusive tha.t the weight loss of the newborn is not entirely physiologic. The evidence presentect seems to confirm the idea that the “normal” newborn is in a state of mild shock as a result of the trauma of labor. In general, factors which tend to retard or ease the second stage of labor appear to be favorable to the child. Wrr.r.ra~r C. HEXSKI,:.

Clifford, Stewart H., and Irving, Frederick C.: Analgesia, Newborn Infant, Surg. Gynee. Obst. 65: 23, 1937.

Anesthesia

and the

Opium derivatives administered during labor have been found to exert itI\ unfavorable influence upon the condition of the newborn infant proportional to the amount given and to the time interval between the administration of the drug and the birth of the child. In this group 57 per cent of the infants required some stimulation before they would breathe and cry normally, and 23 per cent were asphyxiated to the point of requiring artificial resuscitation. Successful maternal amnesia was obtained in but 34 per cent of the cases. The barbiturates have had no harmful effect either upon the life of the fetus or upon the life of the newborn infant. Over 10,000 mothers have received sodium amytal or pentobarbital in the past five years, and during this interval both the stillbirths and the newborn infant death rates have fallen below the level of thP preceding five years. Following analgesia through a combination of barhituratr, scopolamine, rectal ether, nitrous oxide-oxygen and small amounts of ether, 3i 11~1 cent of the infants required some stimulation before normal respirations werp established, while 31 per cent were sufficiently asphyxiated to require artificial Complete amnesia was obtained for 78 per cent of the mothers of resuscitation. this group. Neither pentobarbital, sodium amytal, scopolamine, recital ether, nor paraldehytl~~ c~ould he held responsible for the symptoms of asphyxia that were encountered in sOme of the newborn infants. It is the writers’ belief that, the untoward effects
C. HENS

ICE.