Diagnosis and Treatment of Fetal Disorders

1. Front Matter

   Pages i-xv

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2. Morphologic and Cytogenetic Methods in the Diagnosis of Fetal Conditions

   1. Deprivation of the Human Fetus: Forms, Causes and Significance

      • Peter Gruenwald

      Pages 1-14

   2. The Future of Antepartum Morphologic Studies

      • William A. Blanc

      Pages 15-49

   3. Placental Biopsy: Results, Limitations and Topographic Differences

      • Hermógenes Alvarez

      Pages 50-71

   4. Prenatal Sex-Chromatin and Chromosome Analysis

      • Harold P. Klinger, Orlando J. Miller

      Pages 72-82

3. Metabolic Performance of the Placenta and Fetus

   1. Cellular Growth of the Placenta as an Indicator of Abnormal Fetal Growth

      • Myron Winick

      Pages 83-101

   2. The Role of Placenta in the Synthesis and Metabolism of Proteins

      • John B. Josimovich

      Pages 102-112

   3. Estimation of Rates of Production and Transfer of Hormones in Pregnancy

      • Erlio Gurpide, Raymond Vande Wiele

      Pages 113-120

4. Amniotic Fluid and Fetal Blood as Indicators of Fetal Circumstance

   1. Constituents of Amniotic Fluid: Reflections of Normal and Abnormal Fetal Maturation

      • Audrey K. Brown

      Pages 121-140

   2. Amnioscopy and Fetal Blood Sampling

      • Erich Saling

      Pages 141-150

   3. Maternal-Fetal Acid-Base Relationships

      • Richard W. Reard

      Pages 151-162

   4. Use of Fetal Blood Sampling and Fetal Heart Rate Monitoring

      • Carl Wood

      Pages 163-174

   5. The Validity of Capillary Blood in the Assessment of the Acid-Base State of the Fetus

      • Karlis Adamsons, Richard W. Beard, Ermelando V. Cosmi, Ronald E. Myers

      Pages 175-177

   6. Predictability and Complications of Fetal Blood Sampling

      • L. Stanley James, Edward T. Bowe, Henry H. Balfour

      Pages 178-184

5. Physical Methods in the Assessment of Fetus

   1. Biophysical Studies of the Human Fetus

      • Edward H. Hon

      Pages 185-204

   2. Correlation of Intrapartum Changes in Fetal Heart Rate with Fetal Blood Oxygen and Acid-Base State

      • Roberto Caldeyro-Barcia, Carlos Casacuberta, Raul Bustos, Gustavo Giussi, Lidio Gulin, Luis Escarcena et al.

      Pages 205-225

   3. The Clinical and Pathological Effects of Asphyxiation in the Fetal Rhesus Monkey

      • Ronald E. Myers

      Pages 226-249

   4. Gastrointestinal Activity and Water Absorptive Capacity of the Fetus

      • Walter E. Berdon

      Pages 250-257

6. Prenatal Treatment

   1. Indications and Results of Fetal Transfusions

      • Jerold F. Lucey

      Pages 258-263

   2. Surgical Treatment of Erythroblastosis Fetalis

      • Stanley H. Asensio

      Pages 264-271

HOWARD C. TAYLOR, JR. Medicine, through its long history, has continually striven to enlarge its scope. Success in these endeavors has come in sudden bursts with long intervals of relative quiescence between. As a result of the spectacular discoveries in the basic sciences during the last decades, medicine is again in a period of revolutionary advance in many fields. One of these is the subject of this report, "The Intrauterine Patient." Until recently the fetus signalized his presence only by the mother's enlarging abdomen and by his own movements, perceived by the preg­ nant woman herself and evident to the examining midwife and physician. Later, the sounds of the fetal heart heard by auscultation and the varia­ tions in its rate became the single important means by which the welfare of the fetus might be roughly determined and threats to his survival per­ haps detected. Otherwise, the fetus remained isolated, his condition unknown and any therapy consequent on diagnosis, except for the induc­ tion or termination of labor, nonexistent.

• diagnosis
• fetus
• heart
• medicine
• therapy

• Columbia University, USA

  Karlis Adamsons

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