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- Title
Some Future Aspects within Perinatal Medicine considered by a Senior Fellow.
- Authors
Saling, Erich
- Abstract
During the last six decades, a unique new field of applied medicine has been brought forward in the phase before the great biological event of birth, namely into the intrauterine space. On the basis of experiences collected during this time, a few selected thoughts about further aspects based on new but also on some old achievements are presented. The first one concerns the hardly necessary too frequent use of antibiotics with its negative side effects, such as damage of intestinal flora. We found convincing results in a group of cases with premature rupture of membranes, using PVP-iodine solution for vaginal rinsing to practice in this way an efficient local antiseptic therapy until birth. Another example is amnioscopy, unfortunately replaced to a large extent. But its use remains appropriate because of the low expense and high safety of this method. A current progress of great importance for the future is the field of perinatal programming. Malprogramming via epigenetic mechanisms results in a lifelong disposition for overweight, obesity, and diabetic metabolic disorders across generations. Important progress and reduction of risks in later life can be expected by suitable research. A fascinating new field is fetal neurology. Fetal behavioral patterns diagnosed by four-dimensional (4D) ultrasound are directly reflecting developmental and maturational processes of the fetal central nervous system. Such information will hopefully be of great value for further elucidation of neurological problems, for instance, cerebral palsy. And finally a field in which we have been involved in the 1980s concerns the compensatory intrauterine supply of malnourished fetuses. Fortunately, there are some efforts to continue these studies to treat severe placental insufficiency with amino acid and glucose by intraumbilical supplementation via a port system.
- Subjects
PERINATOLOGY; OBSTETRICS; PEDIATRICS; AMNIOSCOPY; AMNIOTIC liquid examination
- Publication
Donald School Journal of Ultrasound in Obstetrics & Gynecology, 2016, Vol 10, Issue 2, p113
- ISSN
0973-614X
- Publication type
Article
- DOI
10.5005/jp-journals-10009-1452