By Gifford F. Batstone M.B., B.S. (auth.), Gifford F. Batstone M.B., B.S., Alastair W. Blair M.B., Ch.B., M.R.C.P.E., D.C.H., Jack M. Slater M.B., Ch.B., M.R.C.O.G. (eds.)
Formerly the coverage of masterly state of being inactive used to be usually permitted in obstetrical perform. besides the fact that, this is often not real firstly of the current decade, and the authors are to be congratulated in attempting to stimulate their juniors to method the issues of Pre-natal Paediatrics in a educated demeanour. while state of no activity should be the therapy of selection now and again, it's going to merely be performed with the complete wisdom that each one is easily, and this evidently will contain the use and knowing of recent investigations and methods. in my view the authors have completed their goals and notwithstanding there are those that may well continuously have reservations, they need to definitely settle for the authors' appraisal of the fashionable method of this technology. VICTOR R. TINDALL Cardiff, I97 I PREFACE This booklet confines itself to these features of pre-natal boost ment that are of value to the clinician. we are hoping to offer a pretty concise account of this quite new and quickly increasing box of clinical technological know-how. pressure is given to recommendations that can no longer but be in lots of normal obstetric and paediatric texts. additionally, we want to supply an simply obtainable selection of reference facts for the busy member of junior employees to consult through the process his regimen paintings. We as a result make no apology for any repetition had to make each one part readable with no many pass references.
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Additional resources for A Handbook of Pre-Natal Paediatrics for Obstetricians and Pediatricians
C. C. Thomas). MORRIS, E. , and BEARD, R. W. (1965). 'The rationale and technique of foetal blood sampling and amnioscopy',}. Obstet. Gynaec. Br. , 72 ,489. PENDLETON, H. J. (1970). 'Fetal heart monitoring', Br. }. Hospt. , 3,50 9. , and SCHNEIDER, D. (1967). 'Biochemical supervision of the fetus during labour', J. Obstet. Gynaec. Br. , 74, 799. TINDALL, V. R. (1970). 'The diagnosis and management of anoxia of the foetus', Update, 2,403. WALSH, S. , and LIND, J. (1970). 'Physiology of the perinatal period', p.
A pH below 7'20 is considered abnormal and suggestive of fetal hypoxia. During labour the fetal pH is fairly constant until it declines just before delivery to values between 7'35 and 7'25. Techniques have been developed to measure fetal pH and thus, when performed at intervals during labour, have become a useful aid in assessing the significance of 'classical' fetal distress, viz. abnormal fetal heart rates and/or meconium in the liquor. g. pre-eclampsia, prolonged pregnancy, 'light-for-dates' babies.
The mean creatinine excretion in 24 hours is 1"35 g with a range of 0"29 to 2"9 g. A correction equation has been suggested, viz. oestriol (mg) X 1·35 creatinine (g) Certain drugs affect oestrogen levels, apart from corticosteroid therapy already mentioned. The urinary antiseptic Mandelamine has a marked effect and laxatives containing phenophthalein or I : 8 dihydroxyanthraquinone can interfere where colorimetric techniques are used. It is likely that gas-liquid chromatography will be used on blood and liquor amnii samples in the future, thus allowing quicker results and assessment of the state of the feto-placental unit at more specific times.