Transmission (birth)
In obstetrics, transmission means continued pregnancy beyond the expected “usual” due date .
About four out of ten children are born in the 14 days after the calculated due date. Only when these two weeks are exceeded (42 + 0 week of pregnancy ) is one speaks of a transmission . This affects about one percent of all pregnancies.
Increased mortality was observed when transmitted beyond week 42 .
A newborn that has been transferred is classified as a high-risk newborn .
Transmission character (Runge character)
Objective criteria for diagnosing whether a newborn is transmitted are the so-called Runge signs :
- yellow skin, yellow membranes or umbilical cord ;
- Washerwoman hands with
- Exfoliation / peeling of the epidermis ;
- red scrotum or red labia ;
- no vernix caseosa (fruit smear, cheese smear);
- Dystrophy (relative developmental deficit).
Clifford Syndrome
As a secondary disease of the transmission ( chronic placental insufficiency) in the newborn, the three-degree Clifford syndrome can occur:
- Grade I: no cheese smear, hardly any fat deposits and skin atrophy ;
- Grade II: in addition green color of skin and membranes due to amniotic fluid containing mekonium
- Grade III: skin macerated in light yellow , amniotic fluid yellow-brown.
The prognosis is relatively good if the neonatal period is survived.
Individual evidence
- ↑ Ulla-Britt Wennerholm, Sissel Saltvedt, Anna Wessberg, Mårten Alkmark, Christina Bergh, Sophia Brismar Wendel, Helena Fadl, Maria Jonsson, Lars Ladfors, Verena Sengpiel, Jan Wesström, Göran Wennergren, Anna-Karin Wikström, Helen Elden, Olof Stephansson , Henrik Hagberg: Induction of labor at 41 weeks versus expectant management and induction of labor at 42 weeks. In: British Medical Journal. November 20, 2019, accessed November 21, 2019 .
