Premature labor and intra-amniotic infection. Clinical aspects and role of the cytokines in diagnosis and pathophysiology.

abstract：:Diagnostic and invasive procedures in premature infants may require general anesthesia. General anesthetics interfere with the development of the immature animal brain. Accelerated apoptosis, disturbed synaptogenesis, and cytoarchitecture are among the mechanisms suspected to underlie this phenomenon. The implications...

journal_title：Clinics in perinatology

authors： Clausen NG,Hansen TG,Disma N

更新日期：2019-12-01 00:00:00

abstract：:History has always been a series of pendulum swings, and there is perhaps no better example in obstetrics than that of vaginal birth after cesarean. Vaginal birth after cesarean (VBAC) rates rose steadily in the early 1990s. However, VBAC rates have declined dramatically over recent years, while the cesarean delivery ...

journal_title：Clinics in perinatology

authors： Bonanno C,Clausing M,Berkowitz R

更新日期：2011-06-01 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：: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：:Postpartum hemorrhage is an obstetric emergency that represents a major cause of maternal morbidity and mortality. With the recent rise in the cesarean delivery rate, prompt recognition and proper management at the time of cesarean delivery are becoming increasingly important for providers of obstetrics. Preparedness ...

journal_title：Clinics in perinatology

authors： Bonanno C,Gaddipati S

更新日期：2008-09-01 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：:Numerous articles have chronicled the problems that stem from patients' lack of compliance with health care recommendations, yet there has not been a systematic approach to the development of a strategy for increasing the effectiveness of health education programs. In this article, making use of anticipatory guidance,...

journal_title：Clinics in perinatology

authors： Christophersen ER

更新日期：1985-06-01 00:00:00

abstract：:Cesarean delivery as a result of maternal request is increasingly popular, leading to important ethical questions. One of the challenging issues is balancing respect for the autonomy of a pregnant woman with concerns of beneficence and nonmaleficence for her and the fetus. The perceived benefit of cesarean section is ...

journal_title：Clinics in perinatology

authors： Williams HO

更新日期：2008-06-01 00:00:00

abstract：:Decision-making for extremely immature preterm infants at the margins of viability is ethically, professionally, and emotionally complicated. A standard for prenatal consultation should be developed incorporating assessment of parental decision-making preferences and styles, a communication process involving a recipro...

journal_title：Clinics in perinatology

authors： Haward MF,Kirshenbaum NW,Campbell DE

更新日期：2011-09-01 00:00:00

abstract：:This article reviews the significance of hypoxic-ischemic encephalopathy and the associated patterns of cerebral injury in the context of the most probable timing of the insult and prognosis. The evolution of the clinical features of significant hypoxic-ischemic encephalopathy, and the diagnostic value of imaging and ...

journal_title：Clinics in perinatology

authors： Hill A,Volpe JJ

更新日期：1989-06-01 00:00:00

abstract：:Despite the fact that hypoglycemia is an extremely common disorder of the newborn, consensus has been difficult to reach regarding definition, diagnosis, outcome, and treatment. With improved neuroradiologic techniques, such as MRI and PET scanning becoming increasingly available, studies to determine the correlation ...

journal_title：Clinics in perinatology

authors： Yager JY

更新日期：2002-12-01 00:00:00

abstract：:Exogenous surfactant therapy has been a significant advance in the management of preterm infants with RDS. It has become established as a standard part of the management of such infants. Both natural and synthetic surfactants lead to clinical improvement and decreased mortality, with natural surfactants having additio...

journal_title：Clinics in perinatology

authors： Suresh GK,Soll RF

更新日期：2001-09-01 00:00:00

abstract：:A regionalized system of perinatal care, which draws on the strengths of individual hospitals and corrects any weaknesses, can enhance the level of performance of the community hospital. Although the care of high risk infants takes priority in this system, concern is expressed that routine perinatal care should also r...

journal_title：Clinics in perinatology

authors： Brown JL

更新日期：1980-03-01 00:00:00

abstract：:Necrotizing enterocolitis (NEC) is a multifactorial disorder that primarily affects premature infants. Human milk compared with formula reduces the incidence of NEC. Feeding practices do not increase the incidence of NEC in preterm infants. There is no evidence supporting continuous versus intermittent tube feedings i...

journal_title：Clinics in perinatology

authors： Ramani M,Ambalavanan N

更新日期：2013-03-01 00:00:00

abstract：:Neutropenia is a relatively common problem in the NICU, recognized in as many as 8% of patients at some time during their hospital stay. In most instances, neutropenia among NICU patients is of short duration and has little influence on outcome. In other cases it is prolonged and severe, and constitutes a serious anti...

journal_title：Clinics in perinatology

authors： Christensen RD,Calhoun DA,Rimsza LM

更新日期：2000-09-01 00:00:00

abstract：:When tissue oxygenation is impaired, compensatory mechanisms occur, including a redistribution of blood flow in order to maintain oxygen delivery to vital organs, resulting in a fall in peripheral blood flow. Monitoring peripheral oxygenation therefore has potential benefits as it may provide an early warning of chang...

journal_title：Clinics in perinatology

authors： Wardle SP,Weindling AM

更新日期：1999-12-01 00:00:00

abstract：:We emphasize again that the prevalence of maternal infections may vary in different populations, and others might arrive at different estimates about the percentage of infants colonized and, concerning those infants colonized, about the percentage with adverse outcomes. Additionally, many women are colonized or infect...

journal_title：Clinics in perinatology

authors： Goldenberg RL,Andrews WW,Yuan AC,MacKay HT,St Louis ME

更新日期：1997-03-01 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：: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：:The authors believe that the literature provides sufficient evidence that antenatal corticosteroid administration is beneficial and safe even in conditions of ruptured membranes. The evidence by now is remarkably robust and one can be reasonably confident regarding the benefits of antenatal corticosteroids in the sett...

journal_title：Clinics in perinatology

authors： Vidaeff AC,Ramin SM,Gilstrap LC 3rd

更新日期：2001-12-01 00:00:00

abstract：:The development of the flow-directed pulmonary artery catheter in the early 1970s moved invasive monitoring from the laboratory to the patient's bedside. Its current use in obstetrics is directed toward definition of certain pathophysiologic states unique to pregnancy and toward diagnosis and management of critically ...

journal_title：Clinics in perinatology

authors： Hankins GD

更新日期：1986-12-01 00:00:00

abstract：:Complex biochemical consequences are the result of a series of secondary biochemical changes caused by oxygen depletion. Hypoxia in the fetus and neonate results in decreased GI blood flow, especially to the GI mucosa. Although severe O2 deprivation cannot be entirely compensated for, an increase in tissue O2 extracti...

journal_title：Clinics in perinatology

authors： Goplerud JM,Delivoria-Papadopoulos M

更新日期：1986-03-01 00:00:00

abstract：:Despite advances in neonatal medicine, the mortality rate for congenital diaphragmatic hernia remains high. The results of work in animal models suggest that this anomaly may be amenable to in utero surgical correction. In this article, the natural history of congenital diaphragmatic hernia in humans is reviewed, and ...

journal_title：Clinics in perinatology

authors： Neerhof MG,MacGregor SN,Kilner JF

更新日期：1996-09-01 00:00:00

abstract：:This article summarizes the commonly used biomarkers currently available for diagnosis of necrotizing enterocolitis. The most exciting advances in diagnostic tests were the use of new nucleic acid sequencing techniques (eg, next-generation sequencing) and molecular screening methods (eg, proteomics and microarray anal...

journal_title：Clinics in perinatology

authors： Ng PC,Chan KY,Poon TC

更新日期：2013-03-01 00:00:00

abstract：:Ischemic perinatal stroke (IPS) occurs in 1 of 2300 to 5000 live births. It is an under-recognized cause of significant long-term disabilities, including hemiplegic cerebral palsy, epilepsy, cognitive delays, and behavioral impairments. The pathophysiology is complex and multifactorial, involving maternal, fetal, plac...

journal_title：Clinics in perinatology

authors： Barnette AR,Inder TE

更新日期：2009-03-01 00:00:00

abstract：:Two different care procedures are presented to raise the difficult question of whether we should completely reevaluate our paradigms of care in the perinatal period. In this thorough review, should we continue to use the same framework of beliefs in deciding on the benefits and risks of any care procedure? ...

journal_title：Clinics in perinatology

authors： Kennell JH,Klaus MH

更新日期：1988-12-01 00:00:00

abstract：:MPR and ST are important options for patients who have multifetal pregnancies. Both procedures have been shown to be technically safe and result in acceptable pregnancy loss rates and GAs at delivery. An important caveat is that these findings are observed in centers that have vast experience performing this type of p...

journal_title：Clinics in perinatology

authors： Bush MC,Eddleman KA

更新日期：2003-09-01 00:00:00

abstract：:Several microangiopathic disorders that are encountered during pregnancy provide physicians with a formidable diagnostic challenge. Severe pre-eclampsia with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome and many other obstetric and medical or surgical conditions produce similar clinical presen...

journal_title：Clinics in perinatology

authors： Sibai BM

更新日期：2004-12-01 00:00:00

abstract：:Emphasis has been placed on engaging parents in processes of shared decision making for delivery room management decisions of critically ill neonates whose outcomes are uncertain and unpredictable. The goal of antenatal consultation should rather be to adapt to parental needs and empower them through a personalized de...

journal_title：Clinics in perinatology

authors： Haward MF,Gaucher N,Payot A,Robson K,Janvier A

更新日期：2017-06-01 00:00:00

abstract：:The nature of perinatal education has been transformed, reflecting the changes in health care and health care consumers. Because of short maternity stays, the venue of most perinatal education, especially postpartum education, has moved from hospitals to other areas, including the home. In light of conflicting finding...

journal_title：Clinics in perinatology

authors： Standing TS,el-Sabagh N,Brooten D

更新日期：1998-06-01 00:00:00