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Congenital Abnormalities and Preterm Birth Related to Maternal Illnesses During Pregnancy (Hardcover, 2010)
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Congenital Abnormalities and Preterm Birth Related to Maternal Illnesses During Pregnancy (Hardcover, 2010)
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The major objective of our studies in the last decade was a
systematic analysis of maternal diseases during pregnancy to reveal
their possible adverse effects on birth outcomes. The two most
important factors of infant mortality were parti- larly analyzed:
structural birth defects, known as congenital abnormalities (CAs)
and preterm birth (PB). In general the objectives of scienti c
studies might be either to test a new hypothesis or to con rm or
confront previously published results. However, less frequently the
authors/scientists have personal motivations determined by their
professional activities. The authors of this book are practicing
physicians and genetic epidemiologist who are mainly interested in
the following three practical questions: 1. The possible adverse
effects of pharmaceutical products. The possible t- atogenic
potential of about 170 drugs has been evaluated very thoroughly
using the data set of the Hungarian Case-Control Surveillance of
Congenital Abnormalities (HCCSCA) in the last 50 years. These drugs
were used to treat maternal diseases and the ndings of our
population-based case-control studies will be cited in this book
and are shown in the Appendix at the end of the book. However, our
long experiences showed two problems in the drug teratology. In
general the evaluation of clinical doses of these drugs is a
particularly dif- cult challenge due to the modi cation effects of
confounders. This problem motivated one of the authors to establish
a new model of disaster epidemiology.
General
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