ABSTRACT Despite the increasing accuracy of prenatal detection of birth defects and genetic disorders, necropsy still provides the
final diagnosis in many cases and serves as an “ultimate audit.” In Berg-er's (1978) view, “any single autopsy may not have
dramatic import for progress in medicine, but it may have profound and lifelong implications for helping the dead child's
family.” Necropsy results are of great importance to the parents of stillborn infants.
In recent years, a fall in intrapartum deaths has been observed as part of the decline in overall perinatal mortality rates
in developed countries [Georgsdottir et al. 1989; Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI) 1997].
Thus a larger proportion of perinatal deaths is now attributable to antepartum causes. Ante-partum stillbirths may comprise
more than one third of perinatal deaths (Keeling 1987). To achieve even lower perinatal mortality rates, efforts should be
focused primarily on the investigation of antepartum deaths.
Article: Umbilical cord knots.[show abstract] [hide abstract]
ABSTRACT: Umbilical cord knots may represent a hazard to the fetus, particularly as regards intrauterine death and fetal distress or asphyxia in labor. The object of this study was to analyze the impact of associated umbilical cord encirclements and cord length on fetal outcome and fetal weight deviation. Among 22,012 births occurring in Akershus Central Hospital, there were 216 instances of umbilical cord knots. Fetal outcome, fetal weight deviation, associated umbilical cord encirclements and cord length were assessed. Neonates with a knotted cord are more often large-for-gestational age compared to other babies, and have longer umbilical cords. There is a 10 times higher chance of intrauterine fetal death with a knotted cord, but if this does not occur then there is no increased risk of obstetrical intervention and Apgar scores are the same as in other babies and other fetuses. There is an association between umbilical cord knots and umbilical cord encirclements. Knotting of the cord is not by itself lethal. Pregnancies with knotted cords have characteristics different from those with ordinary umbilical cord encirclements.Acta Obstetricia Et Gynecologica Scandinavica 04/2000; 79(3):157-9. · 1.85 Impact Factor
- [show abstract] [hide abstract]
ABSTRACT: In order to lower the perinatal mortality rate, it is necessary to acquire a specific fetal diagnosis in all late abortions and stillbirths. A uniform classification for the maternal/fetal diagnosis is needed for comparison of progress in maternity care program between the different countries. We have studied 86 consecutive cases of late abortion and stillbirth at Viborg Hospital, Denmark, and made a comparison with the modified Aberdeen classification of fetal death.Acta Obstetricia Et Gynecologica Scandinavica 02/1990; 69(1):7-10. · 1.85 Impact Factor
- Fetal and Pediatric Pathology - FETAL PEDIATR PATHOL. 01/1990; 10(3):363-374.