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 inactiveness used to be usually authorized in obstetrical perform. even if, this is often not precise at the start of the current decade, and the authors are to be congratulated in attempting to stimulate their juniors to process the issues of Pre-natal Paediatrics in a educated demeanour. while state of being inactive should still be the remedy of selection every now and then, it's going to purely be conducted with the total wisdom that each one is easily, and this evidently will contain the use and knowing of recent investigations and methods. for my part the authors have accomplished their goals and notwithstanding there are those that could continually have reservations, they have to absolutely settle for the authors' appraisal of the fashionable method of this technology. VICTOR R. TINDALL Cardiff, I97 I PREFACE This publication confines itself to these elements of pre-natal enhance ment that are of value to the clinician. we are hoping to give a fairly concise account of this fairly new and speedily increasing box of scientific technology. rigidity is given to thoughts which can no longer but be in lots of average obstetric and paediatric texts. additionally, we want to offer an simply available choice of reference info for the busy member of junior employees to consult in the course of the process his regimen paintings. We for that reason make no apology for any repetition had to make every one part readable with no many move references.
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Extra resources for A Handbook of Pre-Natal Paediatrics for Obstetricians and Pediatricians
Gynaec. Br. , 76, 1057. ITTRICH, G. (1960). 'Studies on the extraction of red Kober dyes by organk solvents for the determination of urinary oestrogens', Acta endocr. (Kbh) , 35,34· KLOPPER, A. (1969). 'Foetus and Placenta' (Ed. Klopper and Diczfalusy), Blackwell Scientific Publications, Oxford and Edinburgh, 471. LEETON, J. et al. (1967). 'Vaginal Cytohormonal studies in late abnormal pregnancy', Acta cytol. ), n, 410. MICHIE, E. , and LIVINGSTONE, J. R. , 6:1, 329. OAKEY, R. E. etal. (1967). 'The rapid estimation ofoestrogens in pregnancy to monitor foetal risk', Clinica.
3. Early bleeding, threatened abortion, decidual and implanation bleeds. 4. The contraceptive pill. 5. The unreliability of clinical assessment unless made in early pregnancy. I t is unfortunately very common for women to be unsure of I I. 55 Estimation of length of gestation 4. I. Survey mortality ratio (M) at weekly gestations near term in nontoxaemic, toxaemic, and all pregnancies. ) FIG. , ~'- ::l (f) 100 "" \ \ \ / / \ \ " "- "- / \ / / \ " " '-......... \ -----..... _:------""': ----- -...
Direct fetal electrocardiography, where an electrode is directly applied to the presenting part of the fetus is now more commonly used. Various appliances have been developed using clips, suction, or 'Araldite' glue, for fixing electrodes to the fetal scalp. Recorded fetal heart rates and irregularities can be monitored, and computers have been used for the more complex analysis and interpretation of these patterns. Similar continuous recordings can be obtained using ultrasonic detectors utilizing the Doppler effect.