Kumar / Rathi Perinatal Medicine

Clinical and Biochemical Aspects of the Evaluation, Diagnosis and Management of the Fetus and Newborn
1. Auflage 2016
ISBN: 978-1-4831-8809-6
Verlag: Elsevier Science & Techn.
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 278 Seiten, Web PDF

Perinatal Medicine: Clinical and Biochemical Aspects of the Evaluation, Diagnosis and Management of the Fetus and Newborn is a collection of papers the details the advances in various areas of perinatal medicine. The materials in the title emphasizes on tackling the clinical and biomedical aspects of perinatal medicine. The coverage of the text includes the endocrine tests in the assessment of pregnancy; role of amniocentesis in elective cesarean section; and pharmacological prevention of premature delivery. The selection also covers the management of diabetes in pregnancy; nutritional management of low birth weight and premature infants; and the immunologic content of human breast milk. The book will be of great use to students, researchers, and practitioners of perinatal medicine. Other health professionals, such as nurses and midwives will also benefit from the text.

Autoren/Hrsg.

Kumar, Sudhir

Rathi, Manohar

Inhaltsverzeichnis

1;Front Cover;1
2;Perinatal Medicine;4
3;Copyright Page;5
4;Table of Contents;6
5;Contributors;8
6;Preface;12
7;Chapter 1. Recent Advances in Perinatal Medicine—Care and Treatment of Newborn;14
7.1;The Neonatal Special Care Unit;15
7.2;Amniocentesis;15
7.3;Ultrasonography;16
7.4;Computed Tomography;16
7.5;Parenteral Alimentation;16
7.6;Exchange Transfusion;16
7.7;REFERENCES:;16
8;Chapter 2. Fetal Echography;18
8.1;FIRST TRIMESTER FETAL ECHOGRAPHY;18
8.2;SECOND TRIMESTER FETAL ECHOGRAPHY;24
8.3;FETAL EVALUATION BY SERIAL CEPHALOMETRY;24
8.4;ULTRASONIC ASSESSMENT OF FETAL WEIGHT;29
8.5;REFERENCES;31
9;Chapter 3. Endocrine Tests in the Assessment of Pregnancy;32
9.1;BETA SUBUNIT RADIOIMMUNOASSAY OF HUMAN CHORIONIC GONADOTROPIN (hCG);32
9.2;AMNIOTIC FLUID DETERMINATIONS;33
9.3;HORMONES IN LATE PREGNANCY;34
9.4;REFERENCES:;35
10;Chapter 4. Evaluation of Fetal Lung Maturity;38
10.1;Selected Bibliography;46
11;Chapter 5. Role of Amniocentesis in Elective Cesarean Section;50
11.1;Cost Justification;54
11.2;Conclusion;56
11.3;REFERENCES;56
12;Chapter 6. Outcome of Total Fetal Intensive Care;58
12.1;Introduction;58
12.2;Current Methods of Approach;58
12.3;Intrapartum Intensive Care;61
12.4;The Impact of Monitoring, Antepartum and Intrapartum;62
12.5;Stillbirths at Presbyterian Hospital;62
12.6;Perinatal Morbidity at Presbyterian Hospital;64
12.7;Normal Maternal A/P Course - Infants Scoring;64
12.8;Areas for Improvement;64
12.9;BIBLIOGRAPHY;65
13;Chapter 7. Pharmacological Prevention of Premature Delivery;66
13.1;Progesterone Replacement;68
13.2;Betamimetic Agents;68
13.3;Inhibition of Oxytocin Release with Ethanol;69
13.4;Inhibition of Prostaglandin Synthesis with Anti-Inflammatory Agents;70
13.5;RESULTS OBTAINED WITH ETHANOL;70
13.6;Patient Selection;70
13.7;Ethanol Dosage Schedule;71
13.8;Results;72
13.9;Comparative Study of Ritodrine and Ethanol;73
13.10;Results;74
13.11;Discussion;75
13.12;REFERENCES;75
14;Chapter 8. Management of Diabetes in Pregnancy;78
14.1;Metabolic Adjustments in Pregnancy;79
14.2;Diagnosis and Classification;79
14.3;Nutrition;82
14.4;Insulin;82
14.5;Delivery;84
14.6;Post Partum;84
14.7;REFERENCES;85
15;Chapter 9. Steroid Therapy in the Prevention of the Respiratory Distress Syndrome;88
15.1;REFERENCES;91
16;Chapter 10. Current Management of Rh Disease;96
16.1;Pathophysiology of Rh Disease;96
16.2;Management;98
16.3;Intrauterine Transfusion;100
16.4;Bibliography;102
17;Chapter 11. Chromosomal Aberrations in Recurrent Spontaneous Abortions;104
17.1;INCIDENCE OF ABORTIONS;104
17.2;CHROMOSOMAL ANOMALIES IN SPONTANEOUS ABORTIONS;104
17.3;ETIOLOGIC FACTORS;106
17.4;CONCLUSIONS;110
17.5;REFERENCES;111
18;Chapter 12. Fetal and Neonatal Cardiovascular Responses to Stress;112
18.1;EFFECTS OF STRESS ON FETAL BLOOD GASES AND pH;113
18.2;GENERAL CIRCULATORY EFFECTS ON THE CIRCULATION;113
18.3;EFFECTS OF HYPOXIA AND ACIDEMIA ON THE PULMONARY CIRCULATION IN THE FETAL AND NEWBORN ANIMAL;119
18.4;HORMONAL FACTORS IN CIRCULATORY RESPONSES TO STRESS;121
18.5;REFERENCES;122
19;Chapter 13. Conduction Anesthesia in Obstetrics;124
19.1;INTRODUCTION;124
19.2;LOCAL ANESTHETIC AGENTS;125
19.3;PHARMACOKINETICS AND DISTRIBUTION (2);125
19.4;SITE AND TIMING OF CONDUCTION ANESTHESIA;128
19.5;PATIENT FACTORS;130
19.6;REFERENCES;131
20;Chapter 14. Effect of Maternal Sedation on Mother-Infant Bonding;134
21;Chapter 15. New Concepts in Ventilation of Respiratory Distress Syndrome;142
21.1;Selected Bibliography;147
22;Chapter 16. Management of Metabolic Disorders in Infants with Respiratory Distress Syndrome;150
22.1;NEONATAL HYPOGLYCEMIA;150
22.2;NEONATAL HYPOCALCEMIA;150
22.3;DISTURBANCE IN SODIUM BALANCE;151
22.4;FLUID MANAGEMENT;152
22.5;NUTRITIONAL SUPPORT;154
22.6;REFERENCES;154
23;Chapter 17. Differentiation of Metabolic Disease from Asphyxia in the Very Young Infant;156
23.1;ABSTRACT;156
23.2;REFERENCES;163
24;Chapter 18. Intracranial Pressure Monitoring as an Adjunct to the Management of Sick Neonates;164
24.1;Methods and Materials;165
24.2;Normal AFP Values;165
24.3;Birth Asphyxia, Meconium Aspiration and Meningitis;169
24.4;Effect of Osmotic Therapy;169
24.5;AFP in Infants with Hydrocephalus;169
24.6;Miscellaneous;170
24.7;Discussion;170
24.8;Summary;174
24.9;REFERENCES;175
25;Chapter 19. Recognition and Differential Diagnosis of Neonatal Cardiac Problems;178
25.1;CARDIAC MURMURS;181
25.2;CYANOSIS;181
25.3;RESPIRATORY DISTRESS SYNDROME VS. PATENT DUCTUS ARTERIOSUS;182
25.4;APNEA;184
25.5;HEART FAILURE;184
25.6;APPROACH TO A CARDIAC PROBLEMS;187
25.7;REFERENCES;189
26;Chapter 20. Cardiovascular Problems and Recognition in Infants of Diabetic Mothers;192
26.1;Materials and Methods;193
26.2;Results;193
26.3;Case 3 (B.H.):;197
26.4;Case 4 (M.B.):;197
26.5;Case 5 (V.C.):;203
26.6;Cases 6-8:;203
26.7;Case 9 (J.A.T.):;203
26.8;Case 10 (S.V.M.);204
26.9;Case 11 (R.C.);204
26.10;Case 17 (J.S.);204
26.11;Discussion;204
26.12;Summary;206
26.13;References;206
27;Chapter 21. Nutritional Management of Low Birth Weight and Premature Infants;210
27.1;Babies from Diabetic Mothers;214
27.2;Respiratory Distress Syndrome;215
27.3;Necrotizing Enterocolitis;215
27.4;Morbidity;219
27.5;Acknowledgment;219
27.6;REFERENCES;220
28;Chapter 22. The Immunologic Content of Human Breast Milk;224
28.1;REFERENCES;229
29;Chapter 23. Phenylketonuria - Clinical and Biochemical Relationship;232
29.1;REFERENCES;246
30;Chapter 24. Sphingolipidoses: Disorders of Lysosomal Metabolism;254
30.1;Metabolic Blocks in Sphingolipidoses;254
30.2;Clinical Symptoms in Sphingolipidoses;257
30.3;Heterozygote Detection and Prenatal Diagnosis.;262
30.4;Therapy.;262
30.5;ACKNOWLEDGMENT;263
30.6;REFERENCES;263
31;Chapter 25. Screening for Congenital Hypothyroidism;266
31.1;THYROID FUNCTION IN THE NORMAL FULL TERM INFANT;266
31.2;RADIOIMMUNOASSAY OF T4 USING DRIED BLOOD SPOTS;268
31.3;RADIOIMMUNOASSAY OF TSH USING DRIED BLOOD FILTER PAPERS;271
31.4;EARLY RESULTS OF MASS SCREENING USING THE COMBINATION OF T4-TSH ASSAY;272
31.5;ACKNOWLEDGMENTS;274
31.6;REFERENCES;274
32;Chapter 26. Malnutrition and Behavior: Data from Adoption Studies of Korean Children;276
32.1;REFERENCES;278