BACKGROUND This study assessed whether epidural analgesia was an independent risk factor for severe perineal laceration. METHODS A retrospective cohort study analyzed 2,759 patients at St. Francis Regional Medical Center who had vertex, spontaneous or induced, singleton, live, vaginal deliveries of neonates of at least 36 weeks' gestation. Patients with diabetes or severe cardiac disease were...

BACKGROUND The fetal laceration is one of the most commonly identified injuries at the caesarean delivery. The incidence in the literature has been reported to be as high as 3%. The management of such injuries has remained a perplexing problem for both the physician and the parents. MATERIALS AND METHODS We present a case of a newborn who accidentally sustained laceration over the face during...

Age .. .. I to 74 years, usually under 40 Sex . . 75% male Type of injury .. 90% compression (crushing or deceleration injuries) 5% endoscopic Site of injury .. 80% within 2-5 cm. of carina, though all lobar bronchi have been affected; R. and L. sides equally affected Extent of injury .. Trachea-usually linear transverse laceration Bronchi-usually avulsion Either may show longitudinal posterior...