Document Detail

High risk pregnancy: detection and management.
MedLine Citation:
PMID:  21286514     Owner:  NLM     Status:  In-Data-Review    
Risk in pregnancy relates to events which lead to perinatal morbidity and mortality. Numerous risk scoring systems have been devised to bring attention to risk factors so that problems can be prevented, identified and treated. However, by carrying out very few fundamental assessments at regular antenatal office visits: checking blood pressure, testing urine for protein, measuring the symphysis to fundus height and carefully establishing the expected date of confinement during the first trimester, the principal causes of perinatal morbidity and mortality-intrauterine growth retardation, prematurity, congenital anomalies, infection, abruptio placentae and meconium aspiration-can be identified and treated. Appropriate perinatal management of the very premature fetus/neonate (less than 34 weeks gestation) is a critical factor which will influence outcome. Whenever possible the mother should be transferred to a centre equipped and staffed for all necessary intrapartum and neonatal care, to minimize the risk of adverse outcome: postnatal transfer of the deteriorating, sick, small neonate is at best hazardous.
G F Fellows; G W Chance
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian family physician Médecin de famille canadien     Volume:  28     ISSN:  0008-350X     ISO Abbreviation:  Can Fam Physician     Publication Date:  1982 Sep 
Date Detail:
Created Date:  2011-02-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0120300     Medline TA:  Can Fam Physician     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1553-7     Citation Subset:  -    
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