Asunto(s)
Embarazo Ectópico , Cesárea , Femenino , Humanos , Paridad , Embarazo , Factores de TiempoAsunto(s)
Quistes/cirugía , Enfermedades Vaginales/cirugía , Adulto , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana EdadRESUMEN
PIP: The function of the eye was examined in 100 newborns delivered by natural means in the course of natural labor and in 110 newborns delivered by means of vacuum extraction. In the 1st group, 15% showed small retinal hemorrhages while in the 2nd group extravasations were found in 38.1%, of which 9 cases were of a massive nature. It was observed that retinal extravasations occurred more often in primiparas (babies with a lower delivery weight) and in males. All of the massive hemorrhages were in males. No correlation could be found between the presence of retinal hemorrhage and the state of the baby at birth, as evaluated by either the Apgar method or the clinical course in the Delivery Ward. This disruption is thought to be due to the increase of intracranial and intraocular pressure during the course of vaginal delivery. The combination of several coexisting agents, such as obstacles in the delivery canal, the range and duration of intracracranial pressure, and the vascular integrity is considered determinant in the occurrence and degree of hemorrhage. Preventing measures for the mother and the fetus during the course of labor may decrease this occurrence.^ieng