Spinal cord injury

Spinal cord injury

Abstracts S133 close follow-up for progression of maternal and fetal risks performed in tertiary centers. level of information the women have with ...

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Abstracts

S133

close follow-up for progression of maternal and fetal risks performed in tertiary centers.

level of information the women have with final aim the better planning of the anti-smoking campaign.

doi:10.1016/j.earlhumdev.2008.09.344

Materials and methods

Abstract UENPS.329 Spinal cord injury

450 anonymous questionnaires were reviewed, with open and closed type questions, that have been given to a same number of smoking women, aged between 21–45, with variating educational and financial status, who have visited the hospitals of our homeland.

Carlos Tutau Gomez⁎, Francisco Jiménez Parrilla, Fernando Ferreira Pérez, Eva Ximenez Verresen, Tristancho María Solo de Zaldivar, Araceli Ferrari Cortés, Antonio Losada Martínez Virgen del Rocío, Seville, Spain

Results

Neonatal spinal cord injury is an infrequent complication in the obstetric current pathology. The incidence is estimated to be 1 in 80,000 live births. It can occur in utero, after birth but it is frequently to be during difficult deliveries with abnormal presentations, the most common being a breech presentation with entrapment of the fetal head and when considerable rotational forces are applied to the head during cephalic presentation. It is exceptional after Caesarean section. We describe a preterm infant with an acute spinal cord injury following Caesarean section.

The vast majority of women, 309 (percentage 68.7%) quit smoking from the beginning of the pregnancy, 83 (percentage 18.4%) reduced the number of cigarettes (less than 6 per day), though 58 (percentage 12.9%) kept smoking a significant amount of cigarettes (more than 10 per day). Out of the first group of 309 women, only 81 (percentage 26.2%) quit smoking permanently, due to pregnancy (the vast majority were the older pregnant women of the sample), while all the rest, about two months after the delivery started smoking again. Nevertheless 91% of the total sample, stated that they need more information and that, proportionally to the age, intend to quit smoking permanently. Moreover, the high majority of the women of the sample (87%), stress the big impact of their emotional state and the attitude of their close environment in their smoking habits during pregnancy.

Materials and methods

Conclusions

Newborn child, preterm delivery (35 week), birthweight 2710 g, emergency Caesarean section because of breech and abnormal cardiotocography, APGAR 3/ 7, he was given oxygen and intubated. After 25 days he arrives at our Hospital and he was admitted in our neonatal intensive care unit. Examine the infant reveal a bell-shaped chest with normal simple radiographs, lower extremity flaccid weakness with areflexia, absent spontaneous limb movements, weak cry, diaphragmatic breathing with paradoxical respiratory movements, paralysed abdominal muscles, atonic anal sphincter and distended bladder that empties usually with gentle suprapubic pressure. Myelograms was realized without myopatic or neuropatic pathology. Cerebral magnetic resonance shows spinal cord section C5-D4 with cystic cavity.

It is therefore proven that even if the majority of the Greek women quits smoking during pregnancy, nevertheless, most of them start smoking again afterwards, while an important percentage states desire to quit. Thus a more systematic campaign is necessary, with seminars and health promotion programs to support the joint effort of the pregnant woman's family environment, which is equally important.

Background and aim

Results Diagnosis of complete spinal cord section (type A) C6 in Asia classification. C6 tetraplegia.

doi:10.1016/j.earlhumdev.2008.09.346

Abstract UENPS.331 Educational multimedia contents of neonatology available at the Internet Igor Prpic⁎, Herman Haller University Hospital Rijeka, Rijeka, Croatia

Conclusions Background and aim 1. Spinal cord injury is exceptional in the obstetric pathology. 2. It occurs mainly after breech presentation or forces cephalic presentation. It is extremely rare after Caesarean section. 3. The neonatal hypotonia and respiratory compromise without another apparent reason that justifies it, must make us suspected a spinal cord injury.

The aim of this project was to present situations- procedures from the every day work of the neonatologist whilst the medical student often does not get a chance to participate in, passively and/or actively. Materials and methods

doi:10.1016/j.earlhumdev.2008.09.345

Abstract UENPS.330 Study of smoking habits of Greek women in the duration of pregnancy and postpartum period Ageliki Triantafilopoulou⁎,a, Stefanos Patiakasa, Konstantina Chatzib, Theofilos Polichronakisc, Aleksis Savvidisa, Evangelia Pavlidoua a General Hospital of Kastoria, Kastoria, Greece b General Hospital of Karpenisi, Karpenisi, Greece c General Hospital of Rethimno, Rethimno, Greece Background and aim To record the smoking habits of women in our homeland, at the duration of pregnancy and the postpartum period, to investigate the causes, and the

Video data within the neonatology field have been announced. A total of 14 educational video records have been divided in two teaching units; neonatal physiology and procedures in neonatology. Data have been filmed at the Division of Neonatology, Department of Gynecology and Obstetrics. Informative consents have been collected from the parents. Initial record has been edited with adequate textual and voice explanation. Such record has been published at the Internet as educational material. Results During the first month more than 500 unique visitors made around 650 visits to our web page. A dozen of Croatian popular parental websites shared our videos with their readers, as well as other national and international medical educational institutions. Educational multimedia material is available at the Internet pages of the University of Rijeka, School of Medicine, Department of Gynecology and Obstetrics: (http://www.medri.hr/katedre/ Ginekologija/enastava/index.htm).