Current Perspectives on the Fetus as a Patient / Edition 1

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This is an interdisciplinary clinical reference text on improving all aspects of fetal diagnosis and therapy. The opening chapter focuses on the clinical ethics of appreciating the fetus as a patient. Section 1 presents new dimensions in fetal imaging, emphasizing Doppler ultrasound, three-dimensional ultrasound, tissue echogenecity, and fetal radiology. Section 2 covers the rapidly evolving science of molecular genetics and screening for fetal abnormalities. Section 3 contains the latest information about fetal surgery. Section 4 describes the various modalities available to obstetricians for assessing the fetal condition. Section 5 provides the latest information on the clinical management of especially controversial areas in perinatology, both before and after birth.

The book contains predominantly black-and-white illustrations, with some color illustrations.

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Editorial Reviews

Physicians and researchers from a variety of disciplines but associated with the International Society of the Fetus As a Patient offer 47 studies an essential clinical ethical concept, new dimensions in fetal imaging, advances in prenatal screening and diagnosis, challenges in fetal therapy, assessing fetal conditions, and clinical perinatology. Among the specific topics are ultrasonic and Doppler studies of the human yolk sac, molecular genetics, surgery, systematic ante-natal functional evaluation, calcium supplementation in the prevention of pregnancy-induced hypertensive diseases, and twinning and twins. Well illustrated, including eight pages of color images. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9781850707424
  • Publisher: Taylor & Francis
  • Publication date: 5/15/1996
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 666
  • Product dimensions: 8.00 (w) x 10.20 (h) x 1.82 (d)

Table of Contents

List of principal contributors
Color plates
1 An essential clinical ethical concept 1
2 Safety of obstetric ultrasound 13
3 Ultrasonic and Doppler studies of the human yolk sac 21
4 Doppler studies of subchorionic hematomas in early pregnancy 33
5 Color Doppler in prenatal diagnosis 39
6 Current perspective on the evaluation of suspected intrauterine growth retardation 49
7 Three-dimensional ultrasound in the evaluation of fetal anatomy and fetal malformations 75
8 Tissue echogenicity 89
9 Fetal radiology 103
10 Molecular genetics in fetal medicine 119
11 Fetal echocardiography in the late first trimester of pregnancy 137
12 Fetal heart screening: a diagnostic challenge 147
13 New dimensions in fetal neuroscanning 159
14 Congenital cerebral infections 185
15 Routine obstetric ultrasound examination: a clinical and ethical evaluation 203
16 Malformations and karyotype 213
17 Nuchal translucency screening for chromosomal abnormalities in the first trimester 229
18 The role of second-trimester ultrasound examination in the detection of fetal aneuploidy 243
19 Fetal surgery 257
20 Endoscopic laser coagulation in the management of severe twin-twin transfusion syndrome 271
21 Prenatal diagnosis and management of fetal tumors 281
22 Fetal cardiac intervention in congenital heart disease 297
23 Thoracoamniotic shunting for fetal pleural effusions 317
24 Techniques for pediatric and fetal surgery 327
25 The embryo as a patient: early pregnancy loss 345
26 New advances in understanding fetal hypoxia 359
27 Improved fetal outcome by fetal monitoring: 17 years' experience in Yohka Hospital 379
28 Systematic antenatal functional evaluation 385
29 Monitoring fetal hypoxemia: Doppler flow measurement and computerized cardiotocography 393
30 Uterine Doppler waveform: prediction and management of pregnancy complications 405
31 Actocardiographic assessment of the fetus 415
32 Systematic antenatal functional evaluation in pregnancies at risk of progressive fetal anemia 423
33 Abruptio placentae: from early pregnancy to term 433
34 Systematic antenatal functional evaluation in pregnancies at risk of progressive abruptio placentae 445
35 What is fetal distress? 455
36 Calcium supplementation in the prevention of pregnancy-induced hypertensive diseases 471
37 Preterm prelabor amniorrhexis 477
38 Clinical implications of automated blood pressure monitoring in pregnancy 497
39 Twinning and twins 507
40 Management of intrauterine growth retardation 527
41 The diabetic fetus 539
42 Biochemical markers of preterm delivery 555
43 Early onset pre-eclampsia and HELLP syndrome 563
44 Post-term pregnancy: fetal considerations 571
45 Congenital toxoplasmosis: old and new perspectives 581
46 Fetal and neonatal aspects of myasthenia gravis 589
47 Surfactant therapy for neonatal respiratory distress syndrome 603
Index 617
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