Introduction Preterm very low birth weight babies are at high risk of brain injury. Despite improvement in mortality rates the morbidity from brain injury in these babies remains high. Whilst some of the brain injury is bound up in the causation of their prematurity and is therefore antenatal in origin there remains a percentage that suffer from postnatally acquired brain injury. These babies a...

Cerebral palsy (CP) is a complex multifactorial disorder, affecting approximately 2.5-3/1000 live term births, and up to 22/1000 prematurely born babies. CP results from injury to the developing brain incurred before, during, or after birth. The most common form of this condition, spastic CP, is primarily associated with injury to the cerebral cortex and subcortical white matter as well as the ...

OBJECTIVE To determine the relation of neonatal cranial ultrasound abnormalities to autism spectrum disorders (ASD) in low birth weight (LBW) adult survivors, a population at increased ASD risk. STUDY DESIGN This is a secondary analysis of a prospectively-followed regional birth cohort of 1105 LBW infants systematically screened for perinatal brain injury with cranial ultrasound in the first ...

Birth injury is defined as the structural destruction or functional deterioration of the neonate’s body due to a traumatic event at birth. Some of these injuries are avoidable when appropriate care is available and others are part of the delivery process that can occur even when clinicians practice extreme caution. Amniocentesis and intrauterine transfusions can cause injuries before birth, and...

To compare the birth weight (BW) of largest prior vaginal delivery versus the index pregnancy with shoulder dystocia (SD). From three centers, births with SD were identified and compared to the largest birth weight of prior delivery at term. Among 304 patients, the mean difference in the BW of those with SD in the index pregnancy and largest prior vaginal delivery was 394 ± 510g (p<.0001). The ...

Abstract Introduction and hypothesis Obstetric anal sphincter injury (OASI) is a severe form of perineal trauma that can occur during vaginal birth. Long-term morbidities include incontinence psychosocial disorders. To reduce these injuries within England, Scotland Wales, the OASI Care Bundle was introduced to 16 maternity units (January 2017–March 2018). The comprises four elements: (1) antena...