Document Detail


Delivery room management and outcome issues in the neonate.
MedLine Citation:
PMID:  1450346     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Issues relevant to term newborns include screening for functional neurologic deficits that may be improved by early detection and intervention. Papers are presented that consider ocular, acoustic, and cognitive evaluations in the term neonate. Delivery room management of the meconium-stained infant remains controversial and is discussed by several authors. Data are presented regarding intubation and its role in the prevention of meconium aspiration syndrome, causes of meconium passage in utero, and its significance for neonatal outcome. In addition, illicit drug use, especially cocaine, is a significant problem among pregnant women with multiple sequelae for the fetus and newborn. Papers reviewed include a comparison of neonatal drug screening techniques, fetal effects of subacute maternal cocaine use, and follow-up data in a large cocaine-exposed cohort. The impact of the cocaine problem is growing nationally, overwhelming existing programs for medical care and rehabilitation, and mandating change at all levels of intervention. Finally, the search for a definitive indicator or predictor of birth asphyxia continues to generate literature in both the pediatric and obstetric journals.
Authors:
J M Goplerud
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in obstetrics & gynecology     Volume:  4     ISSN:  1040-872X     ISO Abbreviation:  Curr. Opin. Obstet. Gynecol.     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-01-06     Completed Date:  1993-01-06     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9007264     Medline TA:  Curr Opin Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  826-35     Citation Subset:  IM    
Affiliation:
University of Pennsylvania School of Medicine, Philadelphia.
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MeSH Terms
Descriptor/Qualifier:
Blood Gas Analysis
Cocaine
Delivery Rooms*
Female
Fetal Blood / chemistry
Fetal Diseases / diagnosis*
Heart Rate, Fetal
Humans
Infant, Newborn
Infant, Newborn, Diseases / diagnosis*,  prevention & control
Nervous System Diseases / diagnosis,  prevention & control
Pregnancy
Pregnancy Outcome
Prenatal Exposure Delayed Effects
Prognosis
Substance-Related Disorders
Chemical
Reg. No./Substance:
50-36-2/Cocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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