Invasive Fetal Testing and Treatment - Hardcover

Inhaltsangabe

This state-of-the-art text includes principles of applications, technical details, and management plans for a variety of fetal disorders for which direct fetal testing and treatment are now the standard. Obstetricians, gynecologists, and perinatologists will learn how to decide between available tests and evaluations, understand and apply procedures such as cordocentesis to acquired fetal disorders, and apply a range of invasive testing to constitutional problems such as IUGR and maternally-mediated diseases such as severe alloimmunization.
Included are discussions on the choices among chorionic villus sampling, early and late amniocentesis, and fetal blood sampling for karyotypic abnormalities. The foremost authority on fetal infection describes his approach to a variety of maternal-fetal infectious disorders; data from the Fetal Assessment Unit in Winnipeg provides a large base for evaluation of the expanding technique of fetal blood sampling by cordocentesis; and one of the longest-standing Rh groups in North America details their application and results in a series of fetuses treated with cordocentesis and serial intravascular fetal transfusions. Members of the original team who innovated fetal blood sampling by fetoscopy offer insight on difficult areas in the management of twin pregnancy and of congenital pleural effusions. The indications and technique of placing pleuro-amniotic shunts for pleural effusion decompression are explained in depth. The problems of fetal cardiac arrhythmias and the confusing array of data, proposed treatment regimes, and ongoing trials of platelet disorders in pregnancy are fully developed.
This is a true compilation of the achievements pioneered in this controversial field, which has now become the treatment of choice for fetal disorders.

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