| Advances in Perinatal Medicine: Volume 5 1986 Edition Contributor(s): Friedman, E. (Editor), Gluck, L. (Editor), Milunsky, Aubrey (Editor) |
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ISBN: 0306423316 ISBN-13: 9780306423314 Publisher: Springer OUR PRICE: $94.05 Product Type: Hardcover - Other Formats Published: September 1986 |
| Additional Information |
| BISAC Categories: - Medical | Gynecology & Obstetrics - Medical | Pediatrics - Medical | Nursing - Maternity, Perinatal, Women's Health |
| Dewey: 618.1 |
| LCCN: 80020701 |
| Series: Advances in Perinatal Medicine |
| Physical Information: 298 pages |
| Descriptions, Reviews, Etc. |
| Publisher Description: The state of health care is reflected by perinatal and neonatal morbidity and mortality as well as by the frequencies of long-term neurologic and developmental disorders. Many factors, some without immediately rec- ognizable significance to childbearing and many still unknown, undoubt- edly contribute beneficially or adversely to the outcome of pregnancy. Knowledge concerning the impact of such factors on the fetus and sur- viving infant is critical. Confounding analyses of pregnancy outcome, especially these past two or three decades, are the effects of newly un- dertaken invasive or inactive therapeutic approaches coupled with the advent of high technology. Many innovations have been introduced with- out serious efforts to evaluate their impact prospectively and objectively. The consequences of therapeutic misadventures characterized the past; it seems they have been replaced to a degree by some of the complications of applied technology. Examples abound: after overuse of oxygen was recognized to cause retrolental fibroplasia, its restriction led to an in- crease in both neonatal death rates and neurologic damage in surviving infants. Administration of vitamin K to prevent neonatal hemorrhagic disease, particularly when given in what we now know as excessive dos- age, occasionally resulted in kernicterus. Prophylactic sulfonamide use had a similar end result. More recent is the observation of bronchopul- monary dysplasia as a complication of respirator therapy for hyaline membrane disease. |