By E. Saliba, J. Laugier (auth.), Joseph Haddad M.D., Elie Saliba M.D. (eds.)
Obstetricians and pediatricians in day-by-day perform will locate the following the answersand reasons they want about the significant issue of perinatal asphyxia. prime specialists in pediatrics, obstetrics and neurophysiology havecome jointly to provide a unmarried sourcebook overlaying all elements of thesubject. Biochemical mechanisms and medical features of perinatal asphyxia, fetal and neonatal evaluation, and perinatal administration are completely mentioned. Neurodevelopmental consequence is one other very important factor addressed. In gentle of more moderen applied sciences, the diagnosis of babies being affected by asphyxia is tested. Many figures and typicalcases are supplied, making the booklet effortless to take advantage of and supplying easy accessibility to strategies. The reader can simply establish an issue within the fetus and its next improvement. With such wisdom, the enhanced managementof perinatal asphyxia is made possible.
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Extra resources for Perinatal Asphyxia
1984): women are not monitored as regularly as advised and a negligible group of them do not contact those responsible for their antenatal care when fetal movement decreases. Valentin and Marsal (1986) found that a third of the patients failed to report a decrease in fetal-movement count and that many women (representing 30% of all calls) with normal movement patterns were calling the hospital about fetal movements (Valentin and Marsal 1986). Contrary to Jackson's affirmation, we think the cost of complementary investigations and the psychological impact on women and-pregnancy evolution is not negligible and should be evaluated at the same time.
Moreover, in the case of oligoamnios or hydramnios for instance, the renal resistance increase or decrease and probably the renal flow is also affected by any change iIi fetal volemia. Therefore it seems that the renal index needs to be evaluated in a larger population in order to conclude whether or not it is a reliable parameter for the evaluation and follow-up of fetal hypoxia. Regional Cerebral Flow With the color Doppler technique it is now possible to investigate the main cerebral arteries and to evaluate the vascular resistance in the different brain vascular areas supplied by these arteries (Arbeille et al.
1989). The oxygen test (maternal oxygenation administration) was used to test fetal brain reactivity (Arduini et al. 1989; Edelstone et al. 1985; Nicolaides et al. 1987). During the oxygen treatment the cerebral index was measured at the level of the internal carotid. On fetuses with brain sparing (cerebral resistance below normal), but which did not develop fetal distress, the oxygen treatment induced an increase in cerebral resistance. On the other hand, those fetuses with cerebral vasodilation, which did not respond to the oxygen test (no increase in cerebral resistance), developed fetal distress (Fig.