RESUMO
During a relaxation bath, a 20-years old I-Para had an accident by submersion. In succession, both, mother and child, experienced irreparable cerebral injuries. While the counsel of prosecution pleads for manslaughter, forensic scientists and gynaecologists advise to discuss the inaccuracies in the law of midwife.
Assuntos
Banhos/legislação & jurisprudência , Dano Encefálico Crônico/patologia , Imperícia/legislação & jurisprudência , Tocologia/legislação & jurisprudência , Monitorização Fisiológica , Afogamento Iminente/patologia , Adulto , Encéfalo/patologia , Evolução Fatal , Feminino , Humanos , Recém-Nascido , Responsabilidade Legal , GravidezRESUMO
Since October 1985 47 ultrasound-guided intrauterine intravascular transfusions were performed in 14 patients at the Department of Obstetrics and Gynecology of the University of Ulm. All newborns were delivered in good condition. The successful diagnostic and therapeutic management of severe erythroblastosis in a twin pregnancy is described. The twin with severe signs of erythroblastosis had an initial hematocrit of 12% at 26 weeks of gestation. Intravascular transfusion of 60 ml packed red cells raised the hematocrit to 41%. The ascites disappeared completely ten days after the first transfusion. Two further transfusions were performed at 29 and 33 weeks of gestation. The intrauterine intravascular relaxation with Norcuron (Vecuroniumbromid) has proved advantageous in preventing interfering fetal movement. Both newborns were delivered in good condition at 36 weeks of gestation.