Controversies in Perinatal Medicine: the Fetus as a Patient

437 Pages·2003·11.343 MB·English

by  Jose M. Carrera, Frank A. Chervenak, Asim Kurjak

Controversies in Perinatal Medicine
STUDIES ON THE FETUS AS A PATIENT

Controversies in Perinatal
Medicine
STUDIES ON THE FETUS AS A PATIENT
Edited by
José M.Carrera
Department of Obstetrics and Gynecology
Universidad Autónoma de Barcelona, Spain
Frank A.Chervenak
Department of Obstetrics and Gynecology
The New York Hospital, USA
Asim Kurjak
Department of Obstetrics and Gynecology
University of Zagreb, Croatia

The Parthenon Publishing Group
International Publishers in Medicine, Science & Technology
A CRC PRESS COMPANY
BOCA RATON LONDON NEW YORK WASHINGTON,
D.C.
Published in the USA by
The Parthenon Publishing Group
345 Park Avenue South, 10th Floor
New York, NY 10010
USA
Published in the UK and Europe by
The Parthenon Publishing Group
23–25 Blades Court
Deodar Road
London SW15 2NU
UK
Copyright © 2003 The Parthenon Publishing Group
Library of Congress Cataloging-in-Publication Data
Data available on request
British Library Cataloguing in Publication Data
Data available on request
ISBN 0-203-49419-9 Master e-book ISBN
ISBN 0-203-59655-2 Adobe e-Reader Format
ISBN 1-84214-230-5 (Print Edition)
First published in 2003
This edition published in the Taylor & Francis e-Library, 2005.

“To purchase your own copy of this or any of Taylor & Francis or
Routledges’s collection of thousands of eBooks please go to
www.eBookstore.tandf.co.uk.”
No part of this book may be reproduced in any form without permission from the
publishers except for the quotation of brief passages for the purposes of review
Contents

List of principal contributors x
Foreword 1
Color Plates 2

Section 1 History, concept and controversial aspects of fetal surveillance

1. The technological development of fetal surveillance: a long history 9

J.M.Carrera
2. Evidence-based perinatal medicine 27

E.Fabre, M.Tajada, L.Ornat and M.Ruoti
3. Primary prevention of neural tube defects with folates: methodological aspects 39

M.Gallo, E.Fabre and A.Reyes-Engel
4. Attendance quality in maternal-fetal medicine 53

L.Cabero

Section 2 Prenatal diagnosis, counselling and therapy

5. Early diagnosis of congenital anomalies. 1. Cephalic pole malformations 64
F.Bonilla-Musoles, L.Machado, N.Osborne, F.Raga, I.Lima-Couy, F.Bonilla Jr
and F.Torres
6. Early diagnosis of congenital anomalies. 2. Thoracic and abdominal 90
malformations

F.Bonilla-Musoles, L.Machado, N.Osborne, F.Raga, I.Lima-Couy, F.Bonilla Jr
and F.Torres
7. Early diagnosis of congenital anomalies. 3. Alterations of fetal arterial and 114
venous flow

F.Bonilla-Musoles, L.Machado, N.Osborne, F.Raga, I.Lima-Couy, F.Bonilla Jr
and F.Torres
8. Early diagnosis of congenital anomalies. 4. Adnexal markers of aneuploidy 123
F.Bonilla-Musoles, L.Machado, N.Osborne, F.Raga, I.Lima-Couy, F.Bonilla Jr
and F.Machado
9. Decision-making in prenatal diagnosis 142

A.Csaba and Z.Papp
10. Fetal necropsy 150

J.M.Carrera, V.Cusí and M.Carrera
Section 3 Fetal surveillance: new developments

11. Color and power Doppler in perinatal medicine 180

S.Kupesic, A.Kurjak and D.Bjelos
12. The role of nuchal translucency and ductus venosus in the prediction of adverse 202
perinatal outcome in fetuses with normal chromosomes
E.Antolín, C.Comas, M.Echevarría, M.Torrents and J.M.Carrera
13. Fetal actocardiogram: an objective measurement of fetal movements 212

K.Maeda
14. Is it possible to reduce the incidence of neurological complications in multiple 224
pregnancies?
I.Blickstein
15. Does Doppler ultrasound improve the outcome in restricted intrauterine 236
growth?
G.P.Mandruzzato, G.P.Maso, Y.J.Meir and G.C.Conoscenti
16. Magnetic resonance imaging in perinatal medicine 242

C.Martín

Section 4 Three-dimensional ultrasound

17. Three-dimensional ultrasound and prenatal diagnosis 254

E.Merz
18. Three-dimensional ultrasound in reproductive medicine 260

S.Kupesic, D.Bjelos and A.Kurjak
19. Contribution of three-dimensional ultrasound to studies of normal and 289
abnormal fetuses
T.Cos and S.Levi
20. Four-dimensional ultrasound: how much does it improve perinatal practice? 305

A.Kurjak, N.Vecek, S.Kupesic, G.Azumendi and M.Solak

Section 5 Recurrent miscarriage and prematurity

21. Uterine factors and recurrent pregnancy loss 323

R.Aurell
22. Most efficient screening for prematurity prevention 335

E.Saling and M.Schreiber
23. Antiphospholipid syndrome in pregnancy 348

M.Casellas Caro
24. Cervical incompetence and its treatment 367

J.M.Carrera

Section 6 Maternity care

25. The trends of the Cesarean section rate over the past 20 years 383

T.Stefos
Section 7 Ethical controversies

26. Bioethical aspects of ultrasonographic and invasive prenatal diagnosis 388

J.M.Carrera
27. Ethical dimensions of nuchal translucency screening 397

S.T.Chasen, D.W.Skupski, L.B.McCullough and F.A.Chervenak
28. Ethics on the frontier of fetal research 405

F.A.Chervenak and L.B.McCullough

Index 414