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 no activity was once normally accredited in obstetrical perform. despite the fact that, this is often not precise before everything of the current decade, and the authors are to be congratulated in attempting to stimulate their juniors to strategy the issues of Pre-natal Paediatrics in a educated demeanour. when inactiveness should be the remedy of selection occasionally, it may in simple terms be conducted with the total wisdom that each one is definitely, and this evidently will contain the use and knowing of latest investigations and methods. in my view the authors have completed their goals and even though there are those that may perhaps consistently have reservations, they have to definitely settle for the authors' appraisal of the trendy method of this technological know-how. VICTOR R. TINDALL Cardiff, I97 I PREFACE This publication confines itself to these points of pre-natal enhance ment that are of significance to the clinician. we are hoping to offer a pretty concise account of this particularly new and quickly increasing box of clinical technological know-how. rigidity is given to strategies that may now not but be in lots of common obstetric and paediatric texts. additionally, we want to supply an simply obtainable selection of reference info for the busy member of junior employees to consult through the process his regimen paintings. We for that reason make no apology for any repetition had to make every one part readable with out many go references.
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Extra resources for A Handbook of Pre-Natal Paediatrics for Obstetricians and Pediatricians
CHAPTER 4 ESTIMATION OF LENGTH OF GESTATION The clinician frequently needs to know, as accurately as possible, the length of gestation to help him manage certain obstetric problems. These almost all involve the termination of a pregnancy, by induction of labour or caesarean section, to minimize the hazard to the fetus and/or mother produced by the particular obstetric problem. On the other hand, such interference should be timely and not add to the already too high incidence of premature labours.
Which is raised where there is progesterone deficiency. In cases where vaginal cytology shows progesterone deficiency, the administration of progestogens may restore the cytology to normal. g. I7a:-hydroxyprogesterone caproate 250 mg or hydrogesterone 15 mg, daily by mouth until 18 weeks. Virilization of a female fetus is not likely to occur with these substances. This form of investigation and treatment is in common use, but its value, in terms of fetal salvage, has yet to be defined. The presence of endometrial cells indicates that the abortion has become inevitable.
This would result in static or falling maternal girth. Similarly, in such situations the placenta may produce less oestrogen and progesterone, and there will be static or falling maternal weight due to reduced fluid retention. These changes were noted to be more pronounced where maternal hypertension existed - notably in pre-eclampsia - and form an interesting contrast with the efforts to prevent excessive weight gain in our ante-natal clinics, to the extent of strict diet, salt restriction etc.
A Handbook of Pre-Natal Paediatrics for Obstetricians and Pediatricians 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.)