High Risk Pregnancy and Child

ISBN-13: 9789401014229 / Angielski / Miękka / 2011 / 310 str.

Z. Stembera; K. Znamenacek; K. Polacek

Spis treści

to English edition.- to Czech edition.- The Present State, Mission and Social Significance of Perinatal Medicine.- Perinatal mortality.- Population problems.- Perinatal morbidity.- Economic consequences.- Future prospects.- Screening and Differentiation of the High Risk Pregnancy.- Screening of the high risk pregnancy.- High risk pregnancy registration and differentiation.- Further auxiliary measures.- General Case History.- Age and parity.- Pre-pregnancy height and weight.- Sterility.- Chronic diseases.- Developmental uterine anomalies.- Previous Pregnancies.- Artificial termination of pregnancy.- Repeated spontaneous abortions.- Congenital anomalies.- Present Pregnancy.- Diabetes and pregnancy.- EPH gestosis.- Rh immunological conflict between mother and foetus.- Prematurity.- Some infections during pregnancy.- Nutrition and pregnancy.- Cardiopathies.- Twins.- Anaemia and bleeding during pregnancy.- Asymptomatic bacteriuria.- Protracted pregnancy.- Smoking and pregnancy.- Interval between present and preceding pregnancy.- Antenatal care.- Complications During Labour.- Breech delivery.- Protracted labour.- Premature rupture of the membranes.- Fever during labour.- Umbilical cord complications.- Signs of hypoxia during labour.- Surgical delivery.- Anaesthesia and analgesia.- Methods for Diagnosing Danger to Foetus and Placental Dysfunction.- Recording the foetal heart rate (FHR).- Functional tests.- Foetal electrocardiography.- Determination of foetal blood pH from skin of foetus’s head.- The urinary oestriol level.- Vaginal cytology in the third trimester.- Alkaline phosphatase.- Human placental lactogen (HPL).- Amnioscopy.- Amniocentesis.- Examination of the amniotic fluid.- Localization of the placenta.- The oxytocin test (Smyth’s test).- Readiness of the uterine cervix for labour.- Ultrasound determination of the size of the foetus.- Prospects for the diagnostics of placental dysfunction and danger to the foetus.- Summing-up of the methods.- Prevention and Therapy of the High Risk Foetus.- Induction of labour.- Stimulation of uterine activity during labour.- Inhibition of uterine activity during labour.- Caesarian section.- Forceps and the vacuum extractor.- Conservative therapy.- Care of the “High Risk” Newborn Infant.- Cooperation between obstetrician and paediatrician.- The neonatal unit in the delivery theatre.- Postnatal classification of neonates.- Wards of the neonatal department.- The observation box of the neonatal department.- The intensive care unit.- Infusion therapy and administration of antibiotics.- Diagnostic values and therapeutic doses.- Prognosis for “high risk” neonates.- Categories of “High Risk” Neonates.- The asphyxiated newborn infant.- The traumatized neonate.- The premature neonate.- The small-for-dates neonate.- The post-term neonate.- The newborn infant with haemolytic disease (erythroblastosis foetalis).- The infant of a diabetic mother.- Infections of the newborn infant.- The anaemic and plethoric newborn infant.- The genetically stigmatized neonate.- Neurological Diagnostics.- Importance of neurological examination.- Method of examining infants from high risk pregnancies.- Auxiliary examination methods.- Psychological Diagnostics.- Specific features of the psychological examination of very young children.- Delayed Effects in High-Risk-Pregnancy Children.- Socio-economic factors.- First signs of defects in the development of motility.- Development of motility and its stimulation in infants with perinatal CNS injury.- Minimal cerebral dysfunction (minimal brain damage).- Infantile cerebral palsy.- Supplement: Screening of an Infant’s Psychomotor Development).- Examination procedures.- References.