Bibliographies thématiques / Medicina perinatale

Littérature scientifique sur le sujet « Medicina perinatale »

Auteur : Grafiati
Publié le 10 mars 2023

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Articles de revues sur le sujet "Medicina perinatale"

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Pascali, V. L., E. Bottone et Angelo Fiori. « Problemi bioetici, deontologici e medico-legali della medicina perinatale ». Medicina e Morale 41, no 1 (28 février 1992) : 43–58. http://dx.doi.org/10.4081/mem.1992.1113.

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I quattro livelli (tecnico-professionale in senso stretto, giuridico, deontologico e bioetico) nei quali si inscrive il rapporto medico-paziente comportano problemi diversi nel consenso informato e nelle prestazioni per la diagnosi e cura delle malattie fetali e di quelle del neonato. Di tali problemi, esaminati principalmente nell'ottica delle norme giuridiche e deontologiche italiane, gli autori tracciano le linee essenziali.
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Di Renzo, Giulia. « 22° CONGRESSO NAZIONALE AGORA’ SIMP – LA BUONA MEDICINA PERINATALE DOPO IL COVID (POST-COVID GOOD PERINATAL MEDICINE) ». Journal of Maternal-Fetal & ; Neonatal Medicine 34, sup1 (24 septembre 2021) : 1–128. http://dx.doi.org/10.1080/14767058.2021.1962370.

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Zuppa, A. A., D. De Luca et M. E. Scapillati. « Il Neonato da Gravidanza Gemellare Spontanea e Indotta ». Medicina e Morale 50, no 6 (31 décembre 2001) : 1153–70. http://dx.doi.org/10.4081/mem.2001.744.

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Gli Autori riportano il dato epidemiologico dell’aumentata incidenza di gemellarità verificatosi dell’ultimo decennio a causa soprattutto della diffusione delle tecniche di induzione della gravidanza (farmacologica e da tecniche di fecondazione artificiale - GIFT e FIVET). Gli Autori si soffermano sugli aspetti clinico-assistenziali delle gravidanze gemellari soprattutto sul versante neonatale. Vengono inoltre presi in considerazione alcuni aspetti etici relativi all’induzione di gravidanza: rilevanza dei rischi in rapporto ai benefici, soprattutto relativamente alla maggiore mortalità e morbilità perinatale legata, non solo all’aumentata incidenza di gemellarità. Ma all’induzione stessa della gravidanza; l’induzione della gravidanza intesa non come procedura terapeutica ma come intervento “sostitutivo”- il sopravvento della cosiddetta medicina dei desideri.
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Gutiérrez-Montufar, Oscar Octalivar, Oscar Enrique Ordoñez-Mosquera, Mónica Alejandra Rodríguez-Gamboa, Javier Andrés Castro-Zúñiga, Jhon Edison Ijaj- Piamba et Roberth Alirio Ortiz-Martínez. « Desempeño predictivo de los criterios diagnósticos de restricción de crecimiento fetal para resultados adversos perinatales en un hospital de Popayán, Colombia ». Revista Colombiana de Obstetricia y Ginecología 73, no 2 (30 juin 2022) : 28–37. http://dx.doi.org/10.18597/rcog.3840.

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Objetivos: determinar el desempeño predictivo de la definición de ultrasonografía de la Sociedad de Medicina Materno Fetal (SMMF), consenso Delphi (CD) y Medicina Fetal de Barcelona (MFB) respecto a resultados adversos perinatales en cada una, e identificar si hay asociación entre diagnóstico de RCF y resultados adversos perinatales. Materiales y métodos: se realizó un estudio de cohorte retrospectiva. Se incluyeron gestantes con embarazo único de 24 a 36 semanas con 6 días, quienes fueron atendidas en la unidad de medicina materna fetal con evaluación ecográfica de crecimiento fetal y atención de parto en una institución hospitalaria pública de referencia ubicada en Popayán, Colombia. Se excluyeron embarazos con hallazgos ecográficos de anomalías congénitas. Muestreo por conveniencia. Se midieron variables sociodemográficas y clínicas de las gestantes al ingreso, la edad gestacional, el diagnóstico de RCF y el resultado adverso perinatal compuesto. Se analizó la capacidad predictiva de tres criterios diagnósticos de restricción de crecimiento fetal para malos resultados perinatales. Resultados: se incluyeron 228 gestantes, cuya edad media fue de 26,8 años, la prevalencia de RCF según los tres criterios fue de 3,95 %, 16,6 % y 21,9 % para CD, MFB y SMMF respectivamente. Ningún criterio aportó área bajo la curva aceptable para predicción de resultado neonatal adverso compuesto, el diagnóstico de RCF por CD y SMMF se asosiciaron a resultados adversos perinatales con RR de 2,6 (IC 95 %: 1,5-4,3) y 1,57 (IC 95 %: 1,01-2,44), respectivamente. No se encontró asociación por MFB RR: 1,32 (IC 95 %: 0,8-2,1). Conclusiones: ante un resultado positivo para RCF, el método Delphi se asocia de manera más importante a los resultados perinatales adversos.Los tres métodos tienen una muy alta proporción de falsos negativos en la predicción de mal resultado perinatal. Se requieren estudios prospectivos que reduzcan los sesgos de medición y datos ausentes.
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Spaziante, Ermenegildo. « L’aborto in Italia : aggiornamento statistico epidemiologico ». Medicina e Morale 47, no 6 (31 décembre 1998) : 1141–73. http://dx.doi.org/10.4081/mem.1998.815.

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In sette anni, dal 1987 al 1994, l’incidenza annuale dell’abortività legalmente indotta è diminuita in Italia da n. 191.469 IVG a n. 136.481 (-28,7%). L’indice per mille nati-vivi è passato nello stesso periodo dal 347 del 1987 al 234 del 1994, con un decremento pari al -32,5%. Il tasso di abortività provocata per mille donne (dai 15 ai 49 anni) è passato dal 13,3 del 1987 al 9,5 del 1994, con un calo del -28,6%. Un tenue aumento percentuale è stato osservato nelle classi di età da 15 a 19 e da 30 a 34 anni. I dati statistici regionali presentano notevoli differenze nella frequenza delle IVG. Il confronto con i dati della cosiddetta “abortività spontanea” conduce ad evidenziare che varie regioni con basso indice di “abortività indotta” presentano più elevati tassi di “aborto spontaneo”. Tale frequente correlazione statistica induce l’Autore a supporre che con ogni probabilità una certa percentuale di “aborti spontanei” in realtà sia costituita da “aborti volontari”, codificati per “cause indeterminate”. La “speranza di vita” nel secondo mese di vita prenatale non è analoga per tutte le regioni. Aggregando i dati dell’abortività indotta legale, quelli dell’abortività “spontanea”, e gli indici di mortalità perinatale (entro la prima settimana dalla nascita), si evidenziano differenze notevoli fra le distinte regioni. Nel Veneto la probabilità per il feto di sopravvivere ha un valore dell’80%, in altre regioni, quali Emilia-Romagna, Piemonte, Liguria, Umbria e Toscana, la “speranza di sopravvivenza” (di giungere alla seconda settimana del primo anno di vita) è limitata al 65%, poiché circa il 35% degli “esseri umani” che hanno superato le otto settimane dal concepimento viene soppresso con l’aborto volontario, codificato come IVG, oppure è eliminato come “aborto spontaneo” o si presenta come nato-morto o, ancora, muore entro la prima settimana dalla nascita. Naturalmente tale probabilità non tiene conto degli embrioni e dei feti eliminati subito dopo il concepimento o nelle prime otto settimane di vita fetale. Il raffronto con i diversi indici demografici, quali la mortalità generale, la speranza media di vita, la mortalità infantile, ritenuti generalmente favorevoli per l’Italia, conferma che per molte regioni l’abortività rimane invece problema sociale grave, meritevole certamente di più adeguata attenzione non solo nell’ambito della medicina preventiva, ma anche della coscienza civile.
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Horan, Holly, Melissa Cheyney, Yvette Piovanetti et Vanessa Caldari. « La Crisis de la Atención de Maternidad : Experts’ Perspectives on the Syndemic of Poor Perinatal Health Outcomes in Puerto Rico ». Human Organization 80, no 1 (1 mars 2021) : 2–16. http://dx.doi.org/10.17730/1938-3525-80.1.2.

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The purpose of this study was to center the voices of maternal and infant health care (MIH) clinicians and public health experts to better understand factors associated with persistently high rates of poor perinatal health outcomes in Puerto Rico. Currently, Puerto Rican physicians, midwives, and other care providers’ perspectives are absent from the literature. Guided by a syndemics framework, data were collected during eighteen months of ethnographic fieldwork and through open-ended, semi-structured interviews (n=20). Three core themes emerged. The first two themes: (1) Los estresores diarios: poor nutrition, contaminated water, and psychosocial stress; and (2) Medicina defensiva: solo obstetrics and fear-based medicine, describe contributing factors to Puerto Rico’s high preterm and cesarean birth rates. The third theme: (3) Medicina integrada: midwives, doulas, and comprehensive re-education explores potential solutions to the island’s maternity care crisis that include improved integration of perinatal care services and educational initiatives for both patients and providers. Collectively, participants’ narratives expose a syndemic of poor perinatal health outcomes that emerges from the structural vulnerability generated by decades of colonial domination embedded in the daily lives of island residents and in the Puerto Rican maternity care system.
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Jawerbaum, Alicia. « LABORATORIO DE REPRODUCCIÓN Y METABOLISMO CEFYBO-CONICET. FACULTAD DE MEDICINA, UBA ». Revista de la Sociedad Argentina de Diabetes 51, no 1 (30 juillet 2018) : 6. http://dx.doi.org/10.47196/diab.v51i1.48.

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En la gestación las complicaciones inducidas por la diabetes pregestacional y gestacional son múltiples. Abarcan alteraciones que pueden afectar el embrión temprano y conducir a fallas en la implantación, anomalías en los procesos de organogénesis temprana que incrementan el riesgo de malformaciones congénitas y fallas en los procesos de desarrollo placentario que pueden vincularse tanto a la mayor inducción de preeclampsia como a anomalías de crecimiento intrauterino (retraso de crecimiento o macrosomía) que afectan el desarrollo perinatal y postnatal. En este contexto son relevantes las alteraciones metabólicas propias de la diabetes materna, tanto del metabolismo de los hidratos de carbono como de los lípidos, y que impactarán en la transferencia de nutrientes al feto y afectarán el desarrollo y crecimiento fetal. Las consecuencias adversas se presentan en la madre (donde a las complicaciones propias de la diabetes se suma el fuerte impacto de los cambios adaptativos propios de la gestación), en el desarrollo embrionario, placentario y fetal, en las complicaciones perinatales y en la vida del neonato, en el cual es elevado el riesgo de programación de alteraciones metabólicas y cardiovasculares.
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Cotera-Abad, Gabriela T., Lucy E. Correa-Lopez et Pedro M. Arango-Ochante. « Factores asociados a repercusiones perinatales desfavorables en gestantes con oligohidramnios en el Hospital de Vitarte, periodo 2016 – 2019 ». Revista Peruana de Investigación Materno Perinatal 10, no 1 (18 mai 2021) : 27–39. http://dx.doi.org/10.33421/inmp.2021225.

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Introducción: El oligohidramnios es la presencia deficiente del volumen de líquido amniótico, presenta una frecuencia mundial de 0,5% a 5,5% aproximadamente, como condición que complica el embarazo. Se ha asociado a mayor riesgo de morbimortalidad perinatal. Objetivo: Identificar los factores asociados a repercusiones perinatales desfavorables en gestantes con oligohidramnios en el hospital de Vitarte, periodo 2016 - 2019. Materiales y métodos: Se realizó un estudio analítico, retrospectivo, caso - control. La población de estudio fueron las gestantes con diagnóstico de oligohidramnios, por método ILA menor a 5cm, atendidas en el servicio de hospitalización de Ginecobstetricia en el hospital de Vitarte, durante el periodo 2016 – 2019; conformada por 97 casos y controles (1:1). Los casos fueron los que presentaron resultados perinatales desfavorables. En el análisis bivariado se utilizó la prueba de chi cuadrado, con un nivel de significancia de 0,05. Se calcularon los OR con un Intervalo de confianza al 95% a través del programa SPSS. Resultados: Los neonatos con repercusiones desfavorables se presentaron en el 47%. El tipo de parto más frecuente fue cesárea (76%), evidenciándose asociación estadísticamente significativa con la resultante perinatal adversa (OR=2,25; IC95%=1,21-4,19; p=0,009). No se encontró asociación con variables sociodemográficas maternas, inicio de parto, edad gestacional, número de controles prenatales, paridad, comorbilidad materna ni sexo del recién nacido. Conclusiones: La morbimortalidad perinatal es frecuente en gestantes con diagnóstico de oligohidramnios. Culminar el embarazo por cesárea es un factor asociado a repercusiones perinatales desfavorables. Además, la indicación de cesárea es innecesario solo por el hallazgo de oligohidramnios, ésta debe ser guiada por la patología subyacente.
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Bezhenar, Vitaly F., Lidia A. Ivanova et Dmitry O. Ivanov. « Legal aspects of perinatal loss ». Journal of obstetrics and women's diseases 70, no 3 (16 août 2021) : 143–50. http://dx.doi.org/10.17816/jowd64324.

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BACKGROUND: Perinatal death is the death of the fetus, starting from 22 weeks of pregnancy and in childbirth, as well as the death of a newborn in the first seven days of life. Despite the fact that reducing perinatal losses is one of the most important tasks of contemporary medicine, the level of perinatal mortality in Russia in recent years has been about 7.5 . AIM: The aim of this study was to analyze documentation related to the legal aspects of perinatal loss. MATERIALS AND METHODS: The article analyzes the main federal laws, agency regulations, orders, methodological letters, recommendations, and materials on the Internet concerning the main aspects and questions that most often arise among doctors, as well as postpartum women who have undergone perinatal loss and their family members. RESULTS: The article provides data on: the medical criteria for birth, basic documentation issued in case of stillbirth, the birth of a live child who died in the perinatal period, and the rules for their issuance; the rules and procedure for notifying state bodies in case of perinatal death, the rules for registering a stillborn and a child who died in the first 168 hours of extrauterine life; the types of perinatal death certificate; the rules for conducting a pathological autopsy and the possibility of refusing it; the issues of burial of children who died perinatally; the rules for handling material obtained during termination of pregnancy up to 22 weeks. CONCLUSIONS: The legislative framework was analyzed and answers were given to the most frequently asked questions regarding the legal aspects of perinatal loss.
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Kurjak, Asim, et Frank A. Chervenak. « Ultrasound in perinatal medicine ». Ultrasound Review of Obstetrics and Gynecology 1, no 3 (janvier 2001) : 193–94. http://dx.doi.org/10.3109/14722240108500437.

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Thèses sur le sujet "Medicina perinatale"

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Døllner, Henrik. « Inflammatory mediators in perinatal infections ». Doctoral thesis, Norwegian University of Science and Technology, Faculty of Medicine, 2002. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-574.

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Jenmalm, Maria, et Karel Duchén. « Timing of allergy-preventive and immunomodulatory dietary interventions : are prenatal, perinatal or postnatal strategies optimal ? » Linköpings universitet, Institutionen för klinisk och experimentell medicin, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-90064.

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The increasing allergy prevalence in affluent countries may be caused by reduced microbial stimulation and a decreased dietary ω-3/ω-6 long-chain polyunsaturated fatty acid (LCPUFA) ratio, resulting in an abnormal postnatal immune maturation. The timing of allergy-preventive probiotic and ω-3 LCPUFA interventions is critical, as early-life events occurring during critical windows of immune vulnerability can have long-term impact on immune development. The maternal dietary and microbial environment during pregnancy may programme the immune development of the child. Prenatal environmental exposures may alter gene expression via epigenetic mechanisms, aiming to induce physiological adaptations to the anticipated postnatal environment, but potentially also increasing disease susceptibility in the offspring if exposures are mismatched. Although the importance of fetal programming mostly has been studied in cardiovascular and metabolic disease, this hypothesis is also very attractive in the context of environmentally influenced immune-mediated diseases. This review focuses on how prenatal, perinatal or postnatal ω-3 LCPUFA interventions regulate childhood immune and allergy development, and if synergistic effects may be obtained by simultaneous probiotic supplementation. We propose that combined pre- and postnatal preventive measures may be most efficacious. Increasing knowledge on the immunomodulatory effects of prenatal, perinatal and postnatal interventions will help to direct future strategies to combat the allergy epidemic.

Funding Agencies|Swedish Research Council||Ekhaga Foundation||Research Council for the South-East Sweden||Swedish Asthma and Allergy Association||Olle Engkvist Foundation||Vardal Foundation - for Health Care Sciences and Allergy Research||

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Silva, Silvia Anadir Medeiros da. « Ventila??o heterog?nea em prematuros e fatores perinatais associados ». Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2011. http://tede2.pucrs.br/tede2/handle/tede/1394.

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Made available in DSpace on 2015-04-14T13:32:58Z (GMT). No. of bitstreams: 1 439172.pdf: 4325979 bytes, checksum: fb686c7a6cc068a1adc08b2feaab0ecb (MD5) Previous issue date: 2011-03-15
Background: Alterations to lung development in preterm infants is characterized by decreased alveolarization and dysmorphic vasculature. Has been considered the possibility that changes associated with perinatal factors decrease lung volume and quality of ventilation distribution. Objective: To measure the functional residual capacity and heterogeneity of ventilation in preterm infants and to study their association with perinatal factors. Methods: This is a cross-sectional study involving preterm infants corrected age of 8 to 13 months. Were measured at functional residual capacity (FRC) and ventilation inhomogeneity using the lung clearance index (LCI) by the technique multiple breath inert gas washout (MBW) with sulfur hexafluoride (SF6) to 4%, with sedation, using a ultrasonic flowmeter. The statistical analysis used the Student t test and linear regression. Results: We studied 28 preterm infants with gestational age (GA) (mean ?SD) of 31? 2.9 weeks, with of 7.88 ?0.6 and equal to 19.7 ?4.3 ml.kg-1. Positive correlation were found between LCI and males and intrauterine growth restriction (p <0.05). Premature rupture of membranes were negative correlation with LCI (p <0.05). Conclusion: The results suggest that this sample, male sex, the IUGR and premature rupture of membranes affect LCI in preterm infants. The FRC was not associated with prematurity or other pre-natal and post-natal factors.
Introdu??o: A altera??o no desenvolvimento pulmonar em prematuros ? caracterizada por redu??o na alveolariza??o e vasculariza??o dism?rfica. Tem sido considerada a possibilidade de que altera??es associadas a fatores perinatais diminuam volumes pulmonares e a qualidade da distribui??o da ventila??o. Objetivo: Medir a heterogeneidade da ventila??o e a capacidade residual funcional em prematuros e estudar suas associa??es com fatores perinatais. M?todos: Este ? um estudo transversal envolvendo prematuros com idade corrigida de 8 a 13 meses. Foram medidas a capacidade residual funcional (CRF) e a ventila??o heterog?nea utilizando o lung clearence ?ndex (LCI) atrav?s da t?cnica multiple breath inert gas washout (MBW) com hexafluoreto de enxofre (SF6) a 4%, com seda??o, usando um medidor de fluxo ultrass?nico. Na an?lise estat?stica foi usado o teste t de Student e a regress?o linear. Resultados: Foram estudados 28 prematuros com idade gestacional (IG) (m?dia?dp) de 31?2,9 semanas, com LCI de 7,88?0,6 e CRF igual a 19,7?4,3 ml.kg-1. Houve correla??o positiva entre LCI e sexo masculino e restri??o do crescimento intrauterino (RCIU) (p<0,05). Houve correla??o negativa entre LCI e ruptura prematura das membranas (ruprema) (p<0,05). Conclus?o: Os resultados encontrados sugerem, que nesta amostra, o sexo masculino, o RCIU e a ruprema influenciaram o LCI em prematuros. A CRF n?o foi associada ? prematuridade ou outros fatores perinatais.
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Carrera, Hueso Mª Luisa. « Papel del obstetra ante la pérdida perinatal ». Doctoral thesis, Universitat de València, 1995. http://hdl.handle.net/10803/10136.

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La relación de la madre con su hijo comienza fisiológica y psicológicamente antes del nacimiento.Kennell en 1970 ya refiere que el proceso de duelo por un recién nacido(RN) muerto es similar al que se produce por la muerte de un familiar cercano.El duelo es una reacción dolorosa que necesita un trabajo psicológico. Bowlby(1984), distingue cuatro fases evolutivas del proceso de duelo: primera de " choque "-incredulidad, segunda de nostalgia-búsqueda, tercera de desorganización y cuarta de reorganización.Condon(1987), cita: "La percepción que la mujer tiene de los hechos que suceden minutos ú horas inmediatamente después de percatarse de la posibilidad de la muerte de su hijo tiene máxima importancia, porque estos recuerdos forman el núcleo del proceso de pesar", de ahí la importancia del equipo obstétrico . JustificaciónNuestra finalidad es conocer lo que ocurre para poderlo evitar. Nos parecio adecuado estudiar la ansiedad(A) y la depresión(D) en las mujeres que han sufrido una pérdida perinatal I, a la vez de administrarles un plan de intervención en la crisis. Material y MetodoTrabajamos con 94 mujeres, distribuidas en tres grupos:- Grupo control: 37 mujeres con RN vivo y sano, valorandolas en A y D en el nacimiento, 6 y 12 meses.- Grupo seguimiento: 23 mujeres con perdida perinatal I a las que se les administro un plan de intervención en la crisis y se valoro su A y D en el nacimiento, 6 y 12 meses.- Grupo no seguimiento: 34 mujeres con perdida perinatal I el año anterior y que no se les administro plan de intervención, valorando su A y D a los 12 meses.Para la valoración psicológica se utilizaron : El inventario de depresión de Beck , la escala de depresión del MMPI, El STAI de Spielberger y Test de ansiedad de Cattell.En el grupo control y de seguimiento el estudio fue prospectivo, mientras que en el grupo de no seguimiento fue transversal.Para comparar las variables obstétricas se utilizó un análisis de varianza , un test de "Chi" Cuadrado o un test exacto de Fisher. Los resultados de las pruebas psicológicas se muestran utilizando las graficas de cajas y bigotes. Se calculan los intervalos de confianza de la media al 95%. ResultadosEn el nacimiento, las madres con perdida puntuaban más en A y D que las madres con RN vivo.A los 6 meses, las madres con perdida igualan sus puntuaciones de A con las del grupo control, pero no las de depresión.A los 12 meses, mientras las mujeres con perdida y plan igualan sus puntuaciones con las de hijo vivo, las mujeres con perdida y sin plan están más deprimidas y ansiosas que las de hijo vivo, siendo estas diferencias significativas, demostrando así la utilidad del plan de intervención. CONCLUSIONES1.- Las mujeres con pérdida perinatal tienen mayor nivel de ansiedad y depresión en el postparto inmediato que las mujeres con hijo vivo. 2.- Las mujeres con pérdida a las que se les ha administrado plan de intervención, mantienen a los 6 meses niveles de depresión superiores a las mujeres con hijo vivo, no habiendo diferencias en ansiedad.Al año estas mujeres han igualado sus índices de ansiedad y depresión con los de las mujeres que habían tenido un hijo vivo.3.- Las mujeres con pérdida que no recibieron plan se encuentran más deprimidas y ansiosas, al año del nacimiento, que las de hijo vivo.4.- Las mujeres con pérdida que recibieron plan de intervención presentan al año, índices de ansiedad y depresión más bajos que las que no recibieron dicho plan
Since Kenell in 1970 has been admited that the mourning process for a newbornbaby dead is similar to the one produced by the death of a relative.Bowlby(1984), distinguishes four evolutives stages at the mourning process:· The first one is shock-unvelieving· The second: nostalgia-seartching· The third: disorganization· The four: reorganizationFor the resolution process has a big importance what happens inmediately is received the notice of the death of a newbornbaby. JustificationWe try to know what happens to be able to avoid it. We considered appropiate study the anxiety and the depression in women who have suffered a perinatal loss I, combining it with a crisis treatment plan.Material and MethodWe worked with 95 women distributed in three groups:· Control group: 37 women with newbornbaby alive and health valuating in A ( Stai of Spielberger and Cattell) and D ( Beck's inventory and scale of MMPI) in the birthmoment, 6 and 12 months.· Following group: 23 women with perinatal loss and the women who have been treated with the crisis treatment plan, being valuated their A and D in birthmoment, 6 and 12 months.· Not Following group: 34 women with perinatal loss I last year whom was not treated with treatment plan, valuating their A and D at twelve months.In control and following groups, the study was prospective whereas in the not following group it was transverse.Results and ConclusionIn the birthmoment, the mothers with perinatal loss have score more in A and D that mothers with newbornbaby alive.At the sixth month, the mothers with perinatal loss level their A score with the following goup ones, but not the depression ones.At twelveth month, whereas the women with perinatal loss and plan, level their score with the alive newbornbaby ones. The women with loss and without plan feel more deppresive and anxious than the women with alive baby, being the differences more significative, showing in that way the profit of the intervention plan.
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Vyas-Lee, J. « Perinatal psychosocial interventions ». Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/17719/.

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Background: Joint working between adult and child services has historically been difficult; the Think Family Toolkit was produced by the government in order to aid collaborative working. Aim: The aim of this evaluation was to explore joint working between services using the Think Family Toolkit. Method: An adult team, child team and service users were given questionnaires to explore joint working. Results: Joint working was described as something that would be useful but there were many barriers to achieving it. The child team did not respond to the questionnaire perhaps due to time constraints and potential burnout. Conclusions: Recommendations are provided to increase the effectiveness of joint working between services.
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Ågren, Johan. « Water transport through perinatal skin : Barrier function and aquaporin water channels ». Doctoral thesis, Uppsala University, Department of Women's and Children's Health, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3369.

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While constituting a well functioning interface with the aqueous environment in utero, the skin offers a poor barrier after very preterm birth. As a result, transepidermal water loss (TEWL) is high, a fact which has important clinical consequences in these infants. To investigate the transport of water through perinatal skin and the potential role of aquaporin (AQP), a water channel protein, in this process, we determined TEWL in a group of extremely preterm infants, and in an experimental rat model we analyzed the expression and distribution of AQP in perinatal skin in relation to TEWL, skin surface hydration and water content. The effects of antenatal corticosteroids (ANS) and of restricted intake of fluids and nutrients on barrier characteristics of the perinatal skin and its AQP expression were also studied.

In infants born at 24 and 25 weeks of gestation TEWL was very high in the first days after birth and decreased with increasing postnatal age. At a postnatal age of 4 weeks, TEWL was still twice as high as previously reported in infants born at a gestational age of 25-27 weeks and four times higher than in infants born at term. In the rat model, immunohistochemical analysis revealed that AQP1 and AQP3 are abundantly expressed in the skin. AQP1 was expressed exclusively in dermal capillaries and AQP3 in basal layers of the epidermis. AQP1 and AQP3 mRNA as assessed by semiquantitative RT-PCR was higher in fetal than in adult skin. As in infants, TEWL and skin surface hydration were inversely related to gestational age in the rat. In preterm rat pups exposed to ANS, TEWL and skin surface hydration were lower than in unexposed controls, and AQP3 expression was selectively induced by ANS. In term newborn rat pups, restriction of fluid and nutrient intake resulted in a higher skin water content and higher TEWL early after birth, while at an age of 7 days TEWL was lower in fasting rat pups than in controls, although skin water content was still higher.

To conclude, TEWL is very high in extremely preterm infants early after birth and then decreases at a slower rate than previously reported for a group of slightly more mature infants.

This is the first time that the distribution and gene expression of AQP1 and AQP3 have been demonstrated in perinatal skin. The localization and expression of AQP in the skin might indicate that these water channels are involved in the regulation of skin hydration and transepidermal water transport in the fetus and newborn infant.

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Sedgfield, Amber. « Mindfulness during the perinatal period ». Thesis, University of Warwick, 2015. http://wrap.warwick.ac.uk/76034/.

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It is well documented that the perinatal period (the time from pregnancy until the first year of a child’s life) is a crucial window of opportunity for foetal and infant development. Evidence suggests that parental psychopathology can have harmful consequences for the parent-infant relationship, parents’ relationship, infant’s development and later mental-health into adulthood. The focus of this thesis will be on exploring mindfulness as one possible non-pharmacological intervention that could benefit parents’ emotional well-being during the perinatal period. Chapter one contains a mixed methods systematic review of 14 published studies of Mindfulness and Acceptance Based Interventions (MABIs) during the perinatal period, for mothers experiencing anxiety and stress. The synthesis of quantitative and qualitative results were integrated and demonstrated tentative findings that MABIs can reduce anxiety, pregnancy anxiety and stress for mothers, whilst increasing self-efficacy and mindfulness. Qualitative themes discussed propose possible explanations for these findings. Methodological limitations are discussed in line with implications for clinical practice and recommendations for future research. Chapter two explores mothers’ and fathers’ experiences of mindfulness during parenting, one year following their attendance on the Mindfulness-Based Childbirth and Parenting programme (MBCP). Ten semi-structured interviews gathered rich, in-depth, idiosyncratic accounts which were subject to Interpretative Phenomenological Analysis (IPA). Two superordinate themes emerged from the data, ‘Getting closer to really living’ and ‘Greater connectedness and attunement’. Finally, Chapter 3 provides a reflective account of the author’s lived experience of the parallels between her own research journey and personal experience of becoming a mother. It addresses the author’s epistemological position and the researcher’s influence on the research process.
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Fleming, Karen Isobel. « Prenatal, perinatal and postnatal factors in developmental dyslexia ». Thesis, University of Hull, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272002.

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Silva, Silvia Anadir Medeiros da. « Ventilação heterogênea em prematuros e fatores perinatais associados ». Pontifícia Universidade Católica do Rio Grande do Sul, 2011. http://hdl.handle.net/10923/4686.

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Background: Alterations to lung development in preterm infants is characterized by decreased alveolarization and dysmorphic vasculature. Has been considered the possibility that changes associated with perinatal factors decrease lung volume and quality of ventilation distribution. Objective: To measure the functional residual capacity and heterogeneity of ventilation in preterm infants and to study their association with perinatal factors. Methods: This is a cross-sectional study involving preterm infants corrected age of 8 to 13 months. Were measured at functional residual capacity (FRC) and ventilation inhomogeneity using the lung clearance index (LCI) by the technique multiple breath inert gas washout (MBW) with sulfur hexafluoride (SF6) to 4%, with sedation, using a ultrasonic flowmeter. The statistical analysis used the Student t test and linear regression. Results: We studied 28 preterm infants with gestational age (GA) (mean ±SD) of 31± 2. 9 weeks, with of 7. 88 ±0. 6 and equal to 19. 7 ±4. 3 ml. kg-1. Positive correlation were found between LCI and males and intrauterine growth restriction (p <0. 05). Premature rupture of membranes were negative correlation with LCI (p <0. 05).Conclusion: The results suggest that this sample, male sex, the IUGR and premature rupture of membranes affect LCI in preterm infants. The FRC was not associated with prematurity or other pre-natal and post-natal factors.
Introdução: A alteração no desenvolvimento pulmonar em prematuros é caracterizada por redução na alveolarização e vascularização dismórfica. Tem sido considerada a possibilidade de que alterações associadas a fatores perinatais diminuam volumes pulmonares e a qualidade da distribuição da ventilação. Objetivo: Medir a heterogeneidade da ventilação e a capacidade residual funcional em prematuros e estudar suas associações com fatores perinatais.Métodos: Este é um estudo transversal envolvendo prematuros com idade corrigida de 8 a 13 meses. Foram medidas a capacidade residual funcional (CRF) e a ventilação heterogênea utilizando o lung clearence índex (LCI) através da técnica multiple breath inert gas washout (MBW) com hexafluoreto de enxofre (SF6) a 4%, com sedação, usando um medidor de fluxo ultrassônico. Na análise estatística foi usado o teste t de Student e a regressão linear. Resultados: Foram estudados 28 prematuros com idade gestacional (IG) (média±dp) de 31±2,9 semanas, com LCI de 7,88±0,6 e CRF igual a 19,7±4,3 ml. kg-1. Houve correlação positiva entre LCI e sexo masculino e restrição do crescimento intrauterino (RCIU) (p<0,05). Houve correlação negativa entre LCI e ruptura prematura das membranas (ruprema) (p<0,05).Conclusão: Os resultados encontrados sugerem, que nesta amostra, o sexo masculino, o RCIU e a ruprema influenciaram o LCI em prematuros. A CRF não foi associada à prematuridade ou outros fatores perinatais.
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Traverzim, Maria Aparecida Dos Santos. « Aplicação de check list ampliado para detecção de incidentes de segurança do paciente em medicina perinatal ». Universidade Nove de Julho, 2015. http://bibliotecadigital.uninove.br/handle/tede/1201.

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Patient safety is one of the dimensions of quality that has received increasing attention in recent years. The incident detection in patient safety aims to improve the quality of patient care. Incidents and adverse events (AEs) of patient safety should be reported spontaneously contributing for the apprenticeship and to create barriers so that they would not be repeated, but the fear of prosecution and punishment cause its underreporting. The objective of this study was to evaluate the incidence of patient safety incidents in the perinatal period with the use of an extended check list. This research used the inductive method, empirical approach with exploratory, descriptive, cross and as a strategy action research. Population sample was composed by admitted patients in the perinatal unit from June 25th to July 25th, 2015.We evaluated in maternal registry for proper completion of partogram, the patient chart and newborn data. We looked for: uterine rupture, changing the delivery type, returning to the operating room during hospitalization or after discharge, instrumental delivery, complications in the postpartum period, maternal death. In the newborn chart we collected information on neonatal trauma due to childbirth; research proper fetal vitality; Apgar score less than 7, and death of newborns weighing more than 2,500 g, and mother / newborn (NB). For both we looked for the detection of failure to follow the clinical protocol and blood components transfusion. We also evaluated whether these components of the check list were related to incidents or EAs in health care assistance. The total number of patients studied in the period was 249 patients, and we detected 97 AEs (38.9%). Of EAs, 27 (27.8%) were detected by traditional trigger points and 70 (72.8%) extended check list. The Apgar score less than 7 at the fifth minute was detected in 11 (11.3%) of all EAs and seven newborns (7.2% of events) had some type of trauma due to childbirth, 4 NB (4, 1%) were admitted to the ICU with less than 24 hours of birth. It was noted that two patients (2%) had to undergo to further surgery and one of them is still in outpatient treatment in the unit. Two patients (2%) had lacerations third / fourth degree and one patient (1%) uterine rupture diagnosed at the time of cesarean section. In the extended check list we detected failure in medicines in 20.6% of all AEs. In this study we observed a high incidence of clinical protocols violation (39.2%). Nine patients (9.3%) had complications in the postpartum period, two (2.1%) required liaison and one patient (1%) anesthetic complications.
A segurança do paciente é uma dimensão de qualidade que tem recebido atenção crescente nos últimos anos. A detecção de incidentes na área tem como objetivo melhorar a qualidade da assistência. Os incidentes e eventos adversos (EAs) deveriam ser relatados espontaneamente para que haja aprendizado e criação de barreiras para que não se repetam; porém, o receio de processos judiciais e punições leva a subnotificação. O objetivo deste estudo é avaliar sua incidência no período perinatal com o uso de um check list ampliado. A pesquisa utilizou o método indutivo, abordagem empírica com caráter exploratório, descritivo e transversal, e como estratégia a pesquisa-ação. Foram averiguados os atendimentos prestados a pacientes internadas na unidade de medicina perinatal, no período de 25 de junho a 25 de julho de 2015, quanto ao preenchimento adequado do partograma, dados do prontuário materno e do recém-nascido (RN). Também foi averiguado se a mãe apresentou, durante a internação na unidade: rotura uterina, alteração da via de parto durante o procedimento, retorno à sala cirúrgica durante a internação ou pós-alta hospitalar, parto instrumental, intercorrências no período puerperal ou morte materna. Entre os RNs, verificou-se a ocorrência de trauma neonatal devido ao parto, Apgar menor que 7 e morte com peso superior a 2.500g, além de investigação da vitalidade fetal adequada. Para mãe e recem-nascido, verificou-se se foi seguido o protocolo clínico da instituição e transfusão de heomcomponentes. Também avaliamos se esses componentes do check list, quando presentes, estavam relacionados a incidentes ou EAs no atendimento. O total de pacientes estudadas no período foi de 249, sendo detectados 97 EAs (38,9%). Destes, 27 (27,8%) foram detectados pelos trigger points tradicionais e 70 (72,8%) pelo check list ampliado. O índice de Apgar menor que 7 no quinto minuto foi detectado em 11 (11,3%) do total de EAs e 7 RNs (7,2% dos eventos) apresentaram algum tipo de trauma devido ao parto. 4 RNs (4,1%) foram admitidos na UTI com menos de 24h de nascimento. Observou-se que duas pacientes (2%) tiveram que ser submetidas a nova intervenção cirúrgica e que uma delas ainda continua em tratamento ambulatorial na unidade. Duas (2%) apresentaram lacerações de terceiro/quarto grau e uma (1%), rotura uterina diagnosticada no momento da cesárea. No check list ampliado detectamos falhas de medicamentos como causa de 20,6% de todos os EAs. O número de inobservância de protocolos clínicos da instituição também se mostrou com elevada incidência (39,2%). Nove pacientes (9,3%) apresentaram intercorrências no puerpério, duas (2,1%) necessitaram de interconsulta e uma (1%) de intercorrência anestésica.
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Livres sur le sujet "Medicina perinatale"

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Clinch, J., et T. Matthews, dir. Perinatal Medicine. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8.

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McClure, Garth. Perinatal medicine. London : Baillière Tindall, 1988.

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S, Kennedy Melanie, Wilson Susan M, Kelton John G et American Association of Blood Banks., dir. Perinatal transfusion medicine. Arlington, Va : American Association of Blood Banks, 1990.

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1937-, Cosmi Ermelando V., Di Renzo G. C, Hawkins D. F et Ettore Majorana International Centre for Scientific Culture., dir. Advances in perinatal medicine. Chur [Switzerland] : Harwood Academic Publishers, 1988.

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Milunsky, Aubrey, Emanuel A. Friedman et Louis Gluck, dir. Advances in Perinatal Medicine. Boston, MA : Springer US, 1986. http://dx.doi.org/10.1007/978-1-4615-9468-0.

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Milunsky, Aubrey, Emanuel A. Friedman et Louis Gluck, dir. Advances in Perinatal Medicine. Boston, MA : Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-7998-0.

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Asim, Kurjak, et Chervenak Frank A, dir. Textbook of perinatal medicine. 2e éd. Abingdon : Informa Healthcare, 2006.

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F, Hawkins D., Di Renzo G. C et Cosmi Ermelando V. 1937-, dir. Progress in perinatal medicine. Chur : Harwood Academic Publishers, 1990.

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Saling, Erich, Monika Dräger et Jens H. Stupin, dir. The Beginnings of Perinatal Medicine. Berlin, München, Boston : DE GRUYTER, 2014. http://dx.doi.org/10.1515/9783110317954.

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L, Chiswick Malcolm, dir. Recent advances in perinatal medicine. Edinburgh : Churchill Livingstone, 1985.

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Chapitres de livres sur le sujet "Medicina perinatale"

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Hobel, Calvin J. « ABCs of Perinatal Medicine ». Dans Ciba Foundation Symposium 59 - Major Mental Handicap : Methods and Costs of Prevention, 53–76. Chichester, UK : John Wiley & Sons, Ltd., 2008. http://dx.doi.org/10.1002/9780470720417.ch5.

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Whitfield, C. R. « Higher training in fetal medicine in Britain ». Dans Perinatal Medicine, 301–2. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_58.

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MacDonald, D. « Randomized trial of fetal monitoring ». Dans Perinatal Medicine, 3–8. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_1.

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Dunn, P. M. « Chairman’s summary ». Dans Perinatal Medicine, 61–62. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_10.

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Rooth, G. « Fetal and neonatal assessment ». Dans Perinatal Medicine, 65–69. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_11.

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van Geijn, H. P. « The value and interpretation of fetal heart rate patterns ». Dans Perinatal Medicine, 71–78. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_12.

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Chamberlain, P. F. « Antenatal assessment of fetal health using dynamic real-time ultrasound ». Dans Perinatal Medicine, 79–84. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_13.

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Duc, G. « Assessment of adaptation to extrauterine life in clinics without integrated neonatology ». Dans Perinatal Medicine, 85–88. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_14.

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Duc, G. « Chairman’s introduction ». Dans Perinatal Medicine, 91–92. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_15.

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Wigglesworth, J. S. « Pathophysiological aspects of asphyxial brain damage ». Dans Perinatal Medicine, 93–98. Dordrecht : Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_16.

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Actes de conférences sur le sujet "Medicina perinatale"

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Cosmi, E. V., G. C. Di Renzo, T. H. Bloomfield, D. F. Hawkins et A. Zichichi. « Recent Advances in Perinatal Medicine ». Dans Proceedings of the 100th Course of the International School of Medical Sciences. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789814527330.

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Popov, Alexander D., Tatiana V. Zuevskaya et Aliona S. Latinceva. « Psychosomatic aspects of comorbid pathology in perinatal medicine ». Dans II Международная конференция, посвящеенная 100- летию И.А. Држевецкой. СКФУ, 2022. http://dx.doi.org/10.38006/9612-62-6.2022.256.260.

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Frize, Monique, Doaa Ibrahim, Christina Catley et Robin Walker. « Using Artificial Intelligence to Estimate Outcomes in Perinatal Medicine ». Dans 2006 Canadian Conference on Electrical and Computer Engineering. IEEE, 2006. http://dx.doi.org/10.1109/ccece.2006.277807.

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Сандуляк, Т. В. « ПОПЕРЕДЖУВАНІСТЬ ЗАХВОРЮВАНЬ І ВІДВОРОТНІСТЬ ПРИЧИН СМЕРТІ ПЕРЕДЧАСНО НАРОДЖЕНИХ ДІТЕЙ З ВНУТРІШНЬОУТРОБНОЮ ІНФЕКЦІЄЮ ». Dans International Trends in Science and Technology. RS Global Sp. z O.O., 2020. http://dx.doi.org/10.31435/rsglobal_conf/30122020/7349.

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We carried out research about disease prevention and avoiding of death causes in premature babies with different body masses and intrauterine infections at the modern perinatal center. Under conditions of help localization to pregnant women and newborns and implementation of acknowledged standards of the evidence-based medicine and perinatal strategies of health care to mother and child, we found out some demographic changes in the structure of birth giving, diseases and death of premature babies. Although there is a significant improvement of medical care quality to pregnant women and newborns, as well as an increase in the survival rate among premature newborns with very little and extremely little body masses, a number of newborns has grown who suffered from long-lasting infections and hypoxi before birth, which caused negative disease side-effects
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Erickson, Grant, Kari L. Wagner, Maribel Morgan, Jennifer Hepps, Gregory Gorman et Christopher Rouse. « Evaluating Trainee Clinical Judgment in Neonatal Perinatal Medicine : A Script Concordance Test ». Dans Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.521.

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O’Farrell, IB, E. Manning, S. Leitao, P. Corcoran, J. McKernan, P. de Foubert et RA Greene. « P78 Perinatal mortality in ireland, 2016 – a national clinical audit into perinatal mortality in the republic of ireland ». Dans Society for Social Medicine and Population Health and International Epidemiology Association European Congress Annual Scientific Meeting 2019, Hosted by the Society for Social Medicine & Population Health and International Epidemiology Association (IEA), School of Public Health, University College Cork, Cork, Ireland, 4–6 September 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/jech-2019-ssmabstracts.229.

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Lavanga, M., G. Naulaers, S. Van Huffel, O. De Wel, A. Caicedo, M. Deviaene, J. Moeyersons et al. « The implementation of an apnea-based perinatal stress calculator ». Dans 2019 41st Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). IEEE, 2019. http://dx.doi.org/10.1109/embc.2019.8856955.

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Plotnikova, E. Y., E. A. Badeeva, T. I. Murashkina, A. N. Lonteva, A. G. Fomenko, E. L. Shapovalova, E. G. Davydenko, E. S. Kochetkova et A. V. Olenskay. « FEATURES OF BREASTFEEDING AND ARTIFICIAL FEEDING OF NEWBORNS OF THE PERINATAL PERIOD ». Dans NOVEL TECHNOLOGIES IN MEDICINE, BIOLOGY, PHARMACOLOGY AND ECOLOGY. Institute of information technology, 2022. http://dx.doi.org/10.47501/978-5-6044060-2-1.336-341.

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The interrelation of anatomical and physiological features of the language during breastfeed-ing and artificial feeding with the strength of its pressure is considered. The introduction of fiber-optic diagnostics of the pressure force of the newborn's tongue, as it will facilitate the selection of the optimal diameter of the nipple outlet during artificial feeding of the child with an untenable sucking reflex.
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Aeyels, Bruno, Georges van der Perre, Laura Pello, Andre van Assche et Bernard Spitz. « On-line processing of perinatal fetal heart rate and intra-uterine pressure ». Dans 1992 14th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.5761651.

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Aeyels, Van Der Perre, Pello, van Assche et Spitz. « On-line Processing Of Perinatal Fetal Heart Rate And Intra-uterine Pressure ». Dans Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.592973.

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