Nutrition Publication

NNIW26 - Perinatology

Editor(s): E. Saling. vol. 26

Related Articles

Chorionic Villus Sampling Throughout Gestation

Author(s): W. Holzgreve, P. Miny

Up to the spring of 1990 more than 60,000 chorionic villus samplings (CVS) in thefirst trimester (1) and more than 2,000 in the second and third trimesters (2) had beendocumented worldwide.

Modern Methods of DNA Diagnosis

Author(s): K-H. Grzeschik

Progress in molecular biology and biotechnology has created promising possibilitiesfor the analysis at the DNA level of basic defects underlying many geneticdiseases.

Fetal Therapy

Author(s): M.S. Golbus

The ultimate goal for prenatal diagnosis is treatment of the affected fetus to correctthe defect. For many disorders it is unlikely that effective corrective or preventativetherapy will be developed in the foreseeable future.

Embryonic and Fetal Circulation Studied by Transvaginal Color Doppler

Author(s): A. Kurjak, I. Zalud

Ultrasound is already an essential component of obstetric evaluation, but is gainingeven more attention as Doppler techniques open new avenues into the diagnosis ofblood flow disturbances in the fetus.

Antepartum Real-Time Magnetic Resonance Imaging in Obstetrics

Author(s): I.R. Johnson

During the last 10 years magnetic resonance imaging (MRI) has gradually becomeestablished as a useful diagnostic procedure in clinical medicine. In the study ofdisease in the central nervous system, in the skeleton, and in many other organs inthe body, high-resolution pictures have been obtained which are of inestimable useto those concerned with clinical management.

Recent Progress In Prenatal Ultrasonic Diagnosis

Author(s): P. Jouppila

The use of diagnostic ultrasound in obstetrics started in the late 1960s and becameuniversally accepted over the next 10 years.

How Objective is Visual Evaluation of Antepartum and Intrapartum Cardiotocograms?

Author(s): H.P. Van Geijn, D.K. Donker, A. Hasman

Decisions to intervene during pregnancy or labor because of fetal distress can bedetermined by many factors such as maternal hypertension, fetal growth retardation,a decrease in fetal movements, a diminished amount of amniotic fluid, an abnormalblood flow in fetal or umbilical vessels, and an abnormal fetal heart rate pattern.

Computerised Evaluation of The Fetal Heart Rate Trace

Author(s): G.S. Dawes

Dr. Redman and I joined forces to undertake a computerised evaluation of antenatalfetal heart rate (FHR) traces (with tocodynamometer and fetal movementcounts) in 1978.

Transabdominal Laserspectroscopy in Human Fetus During Labor

Author(s): S. Schmidt, S. Gorissen, W. Decleer, H. Eilers, D. Krebs

The routinely used cardiotocography (CTG) has been criticized for the effect ofleading to an unacceptably high number of cesarean sections (1,2). Information onbiochemical variables leads to better identification of fetal distress (3-5).

Clinical Validity of Fetal Ecg Waveform Analysis

Author(s): K.G. Rosen, S. Arulkumaran, K.R. Greene, H. Lilja, K. Lindecrantz, H. Seneviratne, C. Widmark

Our ability to identify the fetuses at risk of intrapartum asphyxia depends on eithermonitoring the actual level of hypoxemia using biochemical means or, by differenttechniques, interpreting the reactions caused by hypoxemia.

Clinical Aspects of Infections As a Cause of Prematurity: "A Continuum of Risk"

Author(s): C.J. Hobel

One of several high priorities in clinical obstetrical research is the determinationof the proportion of preterm deliveries caused by infection. If infection can be shownwith a high degree of certainty to be a significant cause, and if the mechanisms areunderstood, a safe therapeutic scheme can be proposed to reduce the incidence ofpreterm birth.

Laboratory Evidence of Infection Causing Prematurity

Author(s): D.A. Eschenbach

The rate of premature delivery has remained essentially unchanged over the last30 years (1). The magnitude of the problem is illustrated by the fact that only 1% ofinfants are born premature, but these premature infants account for 80% of the perinatalmortality (2).

Current Measures to Prevent Late Abortion or Prematurity

Author(s): E. Saling

During the past few years it has been recognized more and more that ascendinggenital infection is an important factor in the etiology of prematurity. This is confirmedin a number of reports in the literature.

The Clinical Value of Extracorporeal Membrane Oxygenation

Author(s): D.W. Roloff

Clinical perinatology to a large extent concerns itself with the maintenance ofnormal respiratory gas exchange for fetus and neonate via placenta and lungs. Disturbancesin the function of these organs account for most perinatal morbidity andmortality.

Clinical Value of Magnetic Resonance and Near-Infrared Spectroscopy in Neonates

Author(s): P. Hope, K. Ives, J. Moorcraft

There is no doubt that cerebral ultrasound has proved an extremely useful techniquefor the neonatologist, who is increasingly concerned not only with reducingperinatal mortality but also with improving the quality of neonatal survival.

Surfactant Replacement Therapy: Benefits and Risks

Author(s): T. Fujiwara, S. Chida, M. Konishi

Surfactant deficiency at birth makes it difficult for the newborn to inflate its lungs.As the infant makes increasingly vigorous attempts to ventilate noncompliant lungs,delayed adsorption of lung fluid, pulmonary edema, extravasation of plasma proteinsinto air spaces, and lung injury occur, which cause progressive respiratory distress.Intratracheal administration of surfactant into the infant's lungs is a reasonable approachto replenish the missing surfactant.