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Perinatal Medicine is a relatively new specialty, sited between the mechanistic approach of traditional obstetrics and the anticipatory and preventative out look expressed in the study of fetal growth which extends into monitoring neo natal progress and development. It is of primary importance that obstetricians and neonatologists should think alike and should not allow their interests to develop along separate lines. Frequent clinical consultations with neonat ologists cooperating in prenatal care and obstetricians visiting the special nur sery on a regular basis are essential if every fetus is to reach its full potential. Such aims have been advanced by previous European Congresses and it was our privilege in Dublin to host the IXth Congress held at the Royal Dublin Society from September 3rd to 5th 1984. Over nine hundred delegates rep resenting thirty-nine countries attended the scientific and social programme. The theme of the congress was the mature baby. The organizers felt that while major advances had been made in the management of prematurity there were still far too many mature fetuses dying and too many deaths in the nor mally formed appropriate weight for gestational age neonate. Hence antenatal fetal assessment, the management of labour including electronic monitoring in normal women and asphyxial brain damage were major topics. Pregnancy hy pertension, caesarean section, breech presentation, diabetes and unexplained mature stillbirth were workshop topics.
E-Book Content
Perinatal Medicine
Perinatal Medicine Edited by
J. Clinch
and
T. Matthews Proceedings of the IX European Congress of Perinatal Medicine held in Dublin, Ireland September 3rd-5th 1984
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MTP PRESS LIMITED ...
a member of the KLUWER ACADEMIC PUBLISHERS GROUP , _
- LANCASTER / BOSTON / THE HAGUE / DORDRECHT
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Published in the UK and Europe by MTP Press Limited Falcon House Lancaster, England
British Library Cataloguing in Publication Data European Congress of Perinatal Medicine 19th: 1984: Dublin) Perinatal medicine: proceedings of the IX European Congress of Perinatal Medicine held in Dublin, Ireland, September 3rd-5th 1984. 1. Obstetrics 2. Pediatrics I. Title II. Clinch, J. III. Matthews, T. 618.3'2 RG524 e-ISBN-13: 978-94-009-4918-8 ISBN-13: 978-94-010-8679-0 001: 10.1007/978-94-009-4918-8 Published in the USA by MTP Press A division of Kluwer Boston Inc 190 Old Derby Street Hingham, MA 02043, USA Copyright © 1985 MTP Press Limited Softcover reprint of the hardcover 15t edition 1985 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the publishers.
Contents
Committee Members List of contributors Preface Maternite Prize Address E. Saling Maternite Prize Winners Section 1
D. MacDonald
3
G.Dawes
9
R. Usher
19
2. The contribution of perinatal physiology to clinical practice 3. The importance ofthe infant's condition at birth
Section 2
5. 6. 7.
xxv
Main Lectures
1. Randomized trial of fetal monitoring
4.
xi xiii xix xxi
Management of childbirth in normal women
Chairman: P. Dunn Secretary: 1. Alvey Chairman's introduction Active involvement in Dublin K. O'Driscoll and P. Crowley Aspects of monitoring in normal labour F. Kubli Management in Pithiviers M.Odent The third stage and fetal adaptation P.M. Dunn
33
35
37 39 43 47
vi
PERINATAL MEDICINE
8. The Netherlands as an obstetric experiment G. J. Kloosterman Chairman's Summary Section 3