Books > Medicine > Clinical & internal medicine > Gynaecology & obstetrics > Materno-fetal medicine
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Advances in Perinatal Medicine (Paperback, Softcover reprint of the original 1st ed. 1982)
Loot Price: R2,986
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Advances in Perinatal Medicine (Paperback, Softcover reprint of the original 1st ed. 1982)
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The state of health care is reflected by perinatal and neonatal
morbidity and mortality as well as by the frequencies of long-term
neurological and developmental disorders. Many factors, some
without immediately recognizable significance to childbearing and
many still unknown, undoubtedly contribute beneficially or
adversely to the outcome of pregnancy. Knowledge concerning the
impact of such factors on the fetus and surviving infant is
critical. Confounding analyses of pregnancy outcome, especially
these past 2 or 3 decades, are the effects of newly undertaken
invasive or inactive therapeutic approaches coupled with the advent
of high technology. Many innovations have been introduced without
serious efforts to evaluate their impact prospectively and
objectively. The consequences of therapeutic misadventures
character ized the past; it seems they have been replaced to a
degree by some of the complications of applied technology. Examples
abound: after overuse of oxygen was recognized to cause retrolental
fibroplasia, its restriction led to an increase in both neonatal
death rates and neurologic damage in surviving infants.
Administration of vitamin K to prevent neonatal hemorrhagic
disease, particularly when given in what we now know as excessive
dosage, occasionally resulted in kernicterus. Prophy lactic
sulfonamide use had a similar end result. More recent is the
observation of bronchopulmonary dysplasia as a complication of re
spirator therapy for hyaline membrane disease. The decade of the
eighties opened with the all-time highest rate of cesarean section
in the United States.
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