English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

The process of fetal maturing strongly depends on gestational age. The maturity of a newborn, expressed äs gestational age, can be determined by birth weight and length or doing a "maturity scoring." Like the pediatrician also the obstetrician often needs the diagnosis of fetal maturity/ but in contrast to the pediatrician he needs it before the baby is born to be able to make a precise decision wether to suppress uterine contractions in cases of prematurity or in contrary, to induce labor in a case of fetal dysmaturity. One of the Organs best reflecting the state of maturity and also most easy accessable to antepartum diagnosis is the skin, and one of the most striking changes within a short time near term is sloughing of vernix caseosa. Quantity and location of vernix caseosa are relevant indices of maturity, and I wonder, why the well known scores for checking newborn are lacking these criteria. This fact is all the more to regret, äs sloughing of vernix caseosa.and thus the actual vernix state is correlated to changes of amniotic fluid turbidity, amount of sedimentable vernix and cytological changes of the sediment allowing reliable ante partum estimation of fetal maturity. An other point of discussion, especially for an obstetrician with special interest in the various problems of fetal intrapartum risk in placental dysfunction is the fact, that there is no strict differentiation between those criteria of a maturity score, which are more related to gestational age like skin colour and opacity, state of hairs of length of nails and those more related to placental function, like desquamation of epidermis, loss of turgor and reduction of subcutaneous fat. There is to be examinated, too, if formation, depth and extent of plantar creases is more dependent from duration of pregnancy or from placental function. In our clinic a prospective study has been started to analyze the various criteria of neonatal maturity especially of the skin and its appendages their interactions and their association to amniotic fluid findings. In each case the vernix state of the newborn is checked according to ZABKAR (5) at the back, the ehest and abdomen, the extremities and in the great body creases: the total score gives O-12 points (see Fig. 1) . A

The role of skin and its appendages in the assessment of the newborns maturity