Perinatal Medicine: Proceedings of the IX European Congress of Perinatal Medicine Held in Dublin, Ireland September 3rd-5th 1984

ISBN-13: 9789401086790 / Angielski / Miękka / 2011 / 384 str.

J. Clinch; T. G. Matthews

Opis

Perinatal Medicine is a relatively new specialty, sited between the mechanistic approach of traditional obstetrics and the anticipatory and preventative out look expressed in the study of fetal growth which extends into monitoring neo natal progress and development. It is of primary importance that obstetricians and neonatologists should think alike and should not allow their interests to develop along separate lines. Frequent clinical consultations with neonat ologists cooperating in prenatal care and obstetricians visiting the special nur sery on a regular basis are essential if every fetus is to reach its full potential. Such aims have been advanced by previous European Congresses and it was our privilege in Dublin to host the IXth Congress held at the Royal Dublin Society from September 3rd to 5th 1984. Over nine hundred delegates rep resenting thirty-nine countries attended the scientific and social programme. The theme of the congress was the mature baby. The organizers felt that while major advances had been made in the management of prematurity there were still far too many mature fetuses dying and too many deaths in the nor mally formed appropriate weight for gestational age neonate. Hence antenatal fetal assessment, the management of labour including electronic monitoring in normal women and asphyxial brain damage were major topics. Pregnancy hy pertension, caesarean section, breech presentation, diabetes and unexplained mature stillbirth were workshop topics."

Spis treści

Section 1 Main Lectures.- 1. Randomized trial of fetal monitoring.- 2. The contribution of perinatal physiology to clinical practice.- 3. The importance of the infant’s condition at birth.- Section 2 Management of childbirth in normal women.- Chairman’s introduction.- 4. Active involvement in Dublin.- 5. Aspects of monitoring in normal labour.- 6. Management in Pithiviers.- 7. The third stage and fetal adaptation.- 8. The Netherlands as an obstetric experiment.- Chairman’s Summary.- Section 3 Antenatal Fetal Assessment.- 9. Fetal and neonatal assessment.- 10. The value and interpretation of fetal heart rate patterns.- 11. Antenatal assessment of fetal health using dynamic real-time ultrasound.- 12. Assessment of adaptation to extrauterine life in clinics without integrated neonatology.- Section 4 Asphyxial Brain Damage.- Chairman’s introduction.- 13. Pathophysiological aspects of asphyxial brain damage.- 14. Acidaemia and its neurological effects.- 15. The role of technology in detection and management — techniques of investigation.- 16. Outcome and long term follow-up.- Section 5 Hypertension in Pregnancy.- Chairman’s introduction.- 17. The follow-up of patients with severe pre-eclampsia.- 18. Hypertension-related perinatal mortality in Alberta.- 19. The effect of hypertension on the uteroplacental vasculature.- 20. A critical appraisal.- 21. Conservative management of pre-eclampsia: maternal risk.- Section 6 Indication for Caesarean Section.- Chairman’s introduction.- 22. Trends and variations in the use of caesarean delivery.- 23. Evolution of caesarean section in France.- 24. Caesarean section and perinatal mortality rates.- 25. Situation in the German Federal Republic.- 26. The European survey of obstetrical interventions.- Chairman’s summary.- Section 7 Persistent Fetal Circulation.- 27. Physiological control of the pulmonary circulation.- 28. Persistent fetal circulation — aetiology.- 29. Persistent fetal circulation complicating other neonatal lung disorders — definition and diagnosis.- 30. Treatment of persistent fetal circulation.- Chairman’s summary.- Section 8 Management of Breech Delivery.- Chairman’s introduction.- 31. The obstetric management of the premature breech.- 32. The pediatric approach to the premature breech.- 33. The obstetric management of the mature breech.- 34. The term breech: subsequent growth and development.- 35. The term breech: results of psychological assessment at 4 years of age.- Section 9 Perinatal Audit.- 36. Perinatal audit: an overview.- 37. Use of routinely collected data for perinatal surveillance.- 38. The use of tracer conditions to assess the quality of perinatal care.- 39. The role of collaborative clinical trials for auditing perinatal practice.- Chairman’s summary.- Section 10 Diabetes in Pregnancy.- Chairman’s introduction.- 40. Pregnancy in the clinical diabetic.- 41. Tight metabolic control during early pregnancy prevents malformation in offspring of insulin-dependent diabetic women.- 42. Long term morbidity in infants of diabetic mothers.- Section 11 Surfactant.- Chairman’s introduction.- 43. Human surfactant.- 44. The Cambridge experience of artificial surfactant.- 45. Overview of surfactant replacement therapy.- 46. Surfactant replacement studies in Belfast.- Section 12 Perinatal Training.- 47. Higher training in fetal medicine in Britain.- 48. Perinatal training in Germany.- 49. Training in perinatal pediatrics.- 50. Subspecialization of neonatologists.- 51. Training of neonatologists in the USA.- Section 13 Unexplained Mature Stillbirth.- 52. Incidence of stillbirths in singletons and twins: national Swedish data — a preliminary report.- 53. Clinical characteristics of unexpected intrauterine death.- 54. Unexplained mature stillbirth: review of clinical and laboratory data.- 55. Pathological investigations.- Chairman’s summary.