Techniques for early diagnosis of the abnormal fetus.

abstract：:Congenital diaphragmatic hernia results in abnormal lung development. There is a global hypoplasia with both lungs affected, the ipsilateral lung more severely. This results in a reduction in the number of bronchial divisions and a decrease in the quantity and maturity of the alveoli. The pneumocytes are dysfunctional...

journal_title：Clinics in perinatology

authors： Wilcox DT,Irish MS,Holm BA,Glick PL

更新日期：1996-12-01 00:00:00

abstract：:Obstetric ultrasound (US) is an integral part of fetal surgery for open and minimally invasive techniques. With advances in US imaging, the ability to refine diagnosis, predict prognosis, and contribute to fetal treatment continues to grow. Current research in fetal diagnosis and treatment includes identifying the mos...

journal_title：Clinics in perinatology

authors： Hopkins LM,Feldstein VA

更新日期：2009-06-01 00:00:00

abstract：:Prevention of harm from medication errors has become a national priority. Medication errors in the neonatal intensive care unit are common, and most can be avoided. This article reviews the prevalence and types of medication errors affecting the care of the neonate and summarizes approaches that have been used to redu...

journal_title：Clinics in perinatology

authors： Stavroudis TA,Miller MR,Lehmann CU

更新日期：2008-03-01 00:00:00

abstract：:Congenital heart defects (CHDs) are structural abnormalities of the heart and great vessels that are present from birth. The presence or absence of extracardiac anomalies has historically been used to identify patients with possible monogenic, chromosomal, or teratogenic CHD causes. These distinctions remain clinicall...

journal_title：Clinics in perinatology

authors： Cowan JR,Ware SM

更新日期：2015-06-01 00:00:00

abstract：:In understanding the various electrolyte disorders associated with respiratory failure, one has to appreciate how the otherwise healthy premature infant maintains extracellular fluid homeostasis. The same physiologic processes that regulate body fluids are affected to varying degrees in the infant with respiratory fai...

journal_title：Clinics in perinatology

authors： Brem AS

更新日期：1992-03-01 00:00:00

abstract：:Antepartum fetal surveillance with Doppler ultrasound of umbilical artery has shown significant diagnostic efficacy in identifying fetal compromise in pregnancies complicated with fetal growth restriction (FGR). Its effectiveness in decreasing perinatal mortality has been shown by randomized clinical trials (Level I e...

journal_title：Clinics in perinatology

authors： Maulik D,Mundy D,Heitmann E,Maulik D

更新日期：2011-03-01 00:00:00

abstract：:Ultrasonography has increasingly become essential in the practice of obstetrics and gynecology. Its antenatal use is well described in the literature and is a continuing subject of study. However, the use of ultrasonography in the labor and delivery suite has not been the subject of many articles. The purpose of this ...

journal_title：Clinics in perinatology

authors： Benito CW,Guzman ER,Vintzileos AM

更新日期：1996-03-01 00:00:00

abstract：:Visual evoked potentials (VEPs) are easily recorded in the neonatal intensive care setting using light-emitting diode goggles as the flash stimulus. They are sensitive measures of CNS integrity and are altered or abolished by hypoxia. Prognosis in newborns with birth asphyxia or hypoxia is difficult to predict; howeve...

journal_title：Clinics in perinatology

authors： Whyte HE

更新日期：1993-06-01 00:00:00

abstract：:Using the pregnant woman as a means to medicate her fetus represents a new and exciting therapeutic approach in clinical pharmacology. In years to come, we will see an increase in the use of the currently accepted fetal therapies and an increase in the number of therapies available to the caregiver or clinician aimed ...

journal_title：Clinics in perinatology

authors： Simone C,Derewlany LO,Koren G

更新日期：1994-09-01 00:00:00

abstract：:The LBW infant with congenital heart defects is likely to be at a higher risk for postoperative death and complications than their normal-sized counterparts because of the effects of prematurity and other organ system dysfunction. Current experience, however, does not suggest that waiting to obtain an arbitrary weight...

journal_title：Clinics in perinatology

authors： Wernovsky G,Rubenstein SD,Spray TL

更新日期：2001-03-01 00:00:00

abstract：:Neurologically impaired infants have immature, damaged, or abnormally developed nervous systems that may cause abnormalities of sucking and swallowing, among other problems. Sucking abnormalities usually present as absence of the sucking response, weakness or incoordination of sucking and swallowing, or some combinati...

journal_title：Clinics in perinatology

authors： McBride MC,Danner SC

更新日期：1987-03-01 00:00:00

abstract：:HFV is a mode of therapy that allows gas exchange with pressure fluctuations much lower than that required for conventional ventilation, and may consequently decrease the incidence of barotrauma and chronic lung disease. At present the National Institute of Health is sponsoring the first large controlled trial to test...

journal_title：Clinics in perinatology

authors： Bancalari E,Goldberg RN

更新日期：1987-09-01 00:00:00

abstract：:Most allegations in obstetric lawsuits against obstetrician-gynecologists relate in some manner to the management of labor and delivery; few solely involve perceived flaws in prenatal or postpartum care. Although many of these cases accuse the defendant of not having properly monitored the fetus during labor for signs...

journal_title：Clinics in perinatology

authors： Cohen WR,Schifrin BS

更新日期：2007-06-01 00:00:00

abstract：:Total parenteral nutrition permits normal growth and development of the infant during the adaptive phase of the short bowel syndrome. Skilled nutritional support combined with a variety of medical and surgical manipulations facilitates survival of infants with as little as 15 to 20 cm of intestinal length. ...

journal_title：Clinics in perinatology

authors： Ziegler MM

更新日期：1986-03-01 00:00:00

abstract：:Immunotherapy was a common method of treating infectious diseases in the preantibiotic era. Serotherapy was a popular approach to serious infections and employed hyperimmune globulins harvested from various large animals. Such antisera needed to be administered early in the course of the disease and unfortunately was ...

journal_title：Clinics in perinatology

authors： Kliegman RM,Clapp DW

更新日期：1991-06-01 00:00:00

abstract：:Familial hypothyroidism results from both thyroidal and extrathyroidal dysfunction. Specific intrathyroidal abnormalities in thyroid hormone synthesis causing goitrous hypothyroidism are iodide trap defect, organification defect, "coupling" defect, iodoprotein defect, and dehalogenase defect. The diagnostic studies fo...

journal_title：Clinics in perinatology

authors： Jackson IM

更新日期：1976-03-01 00:00:00

abstract：:This article explains the mechanisms underlying choices of pharmacotherapy for hypoxic-ischemic insults of both preterm and term babies. Some preclinical data are strong enough that clinical trials are now underway. Challenges remain in deciding the best combination therapies for each age and insult. ...

journal_title：Clinics in perinatology

authors： Juul SE,Ferriero DM

更新日期：2014-03-01 00:00:00

abstract：:It is now recognized that pregnancy is associated with significant changes in maternal thyroid function that are largely mediated by the placenta. The author summarizes the understanding of these changes during pregnancy and follows with a discussion of fetal thyroid system ontogenesis. ...

journal_title：Clinics in perinatology

authors： Fisher DA

更新日期：1983-10-01 00:00:00

abstract：:The photoplethysmogram (PPG) is a noninvasive circulatory signal related to the pulsatile volume in tissue and is displayed by many pulse oximeters. The PPG is similar in appearance to the invasive arterial waveform, but is noninvasive and ubiquitous in hospitals. There is increasing interest in seeking circulatory in...

journal_title：Clinics in perinatology

authors： Sahni R

更新日期：2012-09-01 00:00:00

abstract：:This article discusses the historical background, epidemiology, and pathophysiology of meconium-stained amniotic fluid and provides current concepts in delivery room management of meconium-stained neonate including the current Neonatal Resuscitation Program guidelines. ...

journal_title：Clinics in perinatology

authors： Bhat R,Vidyasagar D

更新日期：2012-12-01 00:00:00

abstract：:Every diagnostic test causes additional cost if not additional risk. The cost and risk are justified if the test result is likely to change what is done for patients. This includes a diagnostic test that does not alter therapy but provides important prognostic information for the parents. Whether the test result chang...

journal_title：Clinics in perinatology

authors： Moyer VA,Kennedy KA

更新日期：2003-06-01 00:00:00

abstract：:To understand medical disorders such as obstructive apnea, or pulmonary aspiration, one must understand the many functions performed by the upper airway. These functions include respiration, airway protection at the face, feeding, and regulation of thoracoabdominal pressure. The neuromuscular mechanisms that perform t...

journal_title：Clinics in perinatology

authors： Thach BT

更新日期：1992-12-01 00:00:00

abstract：:The role of infection in the pathogenesis of preterm labor and delivery, and the specific mechanisms through which this association is demonstrated are presented. Cellular and biochemical changes that initiate parturition in the setting of infection are discussed, particularly prostaglandins and cytokines. ...

journal_title：Clinics in perinatology

authors： Gomez R,Ghezzi F,Romero R,Muñoz H,Tolosa JE,Rojas I

更新日期：1995-06-01 00:00:00

abstract：:Periviable birth carries a high risk of fetal and newborn death, and the potential for life-long complications in survivors. The family at risk for periviable birth should receive objective, accurate, and up to date information regarding fetal, newborn, and maternal risks and outcomes with delivery or with continued p...

journal_title：Clinics in perinatology

authors： Mercer BM

更新日期：2017-06-01 00:00:00

abstract：:The evaluation of the craniofacial region is a multistep process. First, sonographic skill and expertise are required to ascertain these often subtle abnormalities. Next, precise measurements must be obtained in appropriate and reproducible planes. Finally, a thorough search for other related fetal anomalies is essent...

journal_title：Clinics in perinatology

authors： Dar P,Gross SJ

更新日期：2000-12-01 00:00:00

abstract：:A scheme of regionalization is proposed in which a regional perinatal system within a defined geographic area permits access of the high risk mother-fetus and infant to the appropriate level of technology for improved perinatal outcome. ...

journal_title：Clinics in perinatology

authors： Merkatz IR,Johnson KG

更新日期：1976-09-01 00:00:00

abstract：:A review of the English literature reveals considerable disagreement regarding the cardiovascular hemodynamics of preeclampsia as measured by both noninvasive and invasive techniques. In the untreated patient, most of the data suggest the presence of low CO, low PCWP, and elevated SVR as compared to normotensive pregn...

journal_title：Clinics in perinatology

authors： Sibai BM,Mabie WC

更新日期：1991-12-01 00:00:00

abstract：:Glomerular disorders in infancy can include nephrotic and nephritic syndromes. Congenital nephrotic syndrome (CNS) is most commonly caused by single gene mutations in kidney proteins, but may also be due to congenital infections or passive transfer of maternal antibodies that target kidney proteins. Prenatal findings ...

journal_title：Clinics in perinatology

authors： Rheault MN

更新日期：2014-09-01 00:00:00

abstract：:Advances in fetal echocardiography are providing highly accurate diagnoses of congenital heart disease prior to delivery, making it possible to plan the delivery-room management of these newborns. Knowledge of the expected transitional circulation occurring with birth and the pathophysiologic implications of congenita...

journal_title：Clinics in perinatology

authors： Johnson BA,Ades A

更新日期：2005-12-01 00:00:00

abstract：:The Healthy People 2000 objectives for breastfeeding were to move the breastfeeding initiation rate to 75% from 54% and the breastfeeding continuation rate to 50% at age 6 months from the 1988 baseline of 21%. The 1996 data indicated that the goal will not be met either for initiation or duration in spite of governmen...

journal_title：Clinics in perinatology

authors： Cadwell K

更新日期：1999-06-01 00:00:00