Gilbert Ira Martin

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OBJECTIVE Our goal was to update our experience with nucleated red blood cells as a marker for fetal asphyxia and to determine whether a relationship exists between the presence of nucleated red blood cells and long-term neurologic impairment. STUDY DESIGN Nucleated red blood cell data from 153 singleton term neurologically impaired neonates were compared(More)
OBJECTIVE To determine whether neonatal lymphocyte or nucleated red blood cell (RBC) counts can be used to date fetal neurologic injury. METHODS Singleton, term infants with hypoxic-ischemic encephalopathy, permanent neurologic impairment, and sufficient laboratory data were divided into two groups: infants with preadmission injury, manifested by a(More)
In recent years, survival of the extremely low birthweight infant has dramatically improved. Morbidity, both short- and long-term, however, remains very high Costs in the currency of pain and suffering for the newborn, stress and financial burdens for the family, and dollars for society are extensive. The controversial questions that are discussed include:(More)
OBJECTIVE To estimate whether term neonates with acute intrapartum hypoxic ischemic encephalopathy and permanent brain injury satisfied the criteria for causation of cerebral palsy developed by the Task Force on Neonatal Encephalopathy and Cerebral Palsy. METHODS In this descriptive study, patients in the case group were obtained from a registry of(More)
There has been a societal presumption that most, if not all, cases of hypoxic ischemic encephalopathy-induced cerebral palsy occur during the 3 hours that are related to the events of labor and delivery; society has tended to overlook the remaining 7000 hours of the pregnancy. As a result of this societal perspective, often times the obstetrician has been(More)
OBJECTIVE Recent research has suggested that a nucleated red blood cell (NRBC) count >or=26 per 100 white blood cells (%) or the development of a platelet count <or=100,000 per mm(3) within five days of birth is characteristic of neonates who have experienced acute birth asphyxia. STUDY DESIGN Study cases were from the population defined in a prior(More)
OBJECTIVE Our purpose was to determine whether a relationship exists between the presence of nucleated red blood cells, hypoxic ischemic encephalopathy, and long-term neonatal neurologic impairment. STUDY DESIGN Nucleated red blood cell data from 46 singleton term neurologically impaired neonates were compared with cord blood nucleated red blood cells of(More)
Current understanding of the physiologic mechanisms of intrapartum fetal asphyxial brain injury has suggested a strong association with multiorgan system injury. Thus the purpose here is to describe 14 cases of severe fetal brain injury with absent multiorgan system dysfunction (MSD). The study population was drawn from a national registry for brain injured(More)