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[Value and limits of autopsy in perinatal medicine. A plea for complete perimortem evaluation].

Authors
  • Bétrémieux, P
  • Pladys, P
  • Poulain, P
  • Jouan, H
  • Odent, S
  • Lefrançois, C
  • Le Marec, B
Type
Published Article
Journal
Pédiatrie
Publication Date
Jan 01, 1993
Volume
48
Issue
3
Pages
205–209
Identifiers
PMID: 8393976
Source
Medline
License
Unknown

Abstract

The dead newborns and stillborns of a French department (Ille et Vilaine, préfecture: Rennes) were studied during a 3 year period by a multidisciplinary physician group. There were 128 newborns and 207 stillborns among whom autopsies were carried out in 90 (72%) and 107 (52%) respectively. The contribution of the autopsies to diagnosis was highly different in the two groups: 92% in newborns and 34% in the stillborns. In the stillborns, autopsy was only contributive when congenital malformations were observed, whereas it was not when the cause of the death was obstetrical. We conclude that an autopsy must be performed in all dead newborns and stillborns; however for stillborns complementary investigations must be added, particularly on the placenta.

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