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Download PDF, EPUB, Kindle Advances in Perinatal Medicine: Volume 5

Download PDF, EPUB, Kindle Advances in Perinatal Medicine: Volume 5

Advances in Perinatal Medicine: Volume 5 by E Friedman
Advances in Perinatal Medicine: Volume 5
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Author: E Friedman
Number of Pages: 316 pages
Published Date: 12 Feb 2012
Publisher: Springer-Verlag New York Inc.
Publication Country: New York, United States
Language: English
Format: Pdf
ISBN: 9781461594703
File size: 30 Mb
Download Link: advances in perinatal medicine volume 5
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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.

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