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CLINICAL AND ENDOCRINOLOGICAL ASPECTS OF DYSMATURITY AND THE USE OF INTERMITTENT ABDOMINAL DECOMPRESSION IN PREGNANCY
Author(s) -
MacRae D. J.,
Mohamedally S. M.,
Willmot M. P.
Publication year - 1971
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1971.tb00328.x
Subject(s) - medicine , decompression , pregnancy , pregnanediol , growth retardation , abortion , fetus , obstetrics , fetal growth , abdominal pregnancy , excretion , surgery , endocrinology , genetics , biology
Summary In dysmaturity there is a high perinatal mortality, which is increased when associated with prematurity or maternal complications of pregnancy. Oestriol monitoring of cases of suspected retardation of fetal growth was found to be a valuable aid in the recognition of fetal jeopardy. A significant rise in oestriol output and an increase in mean pregnanediol excretion occurs with intermittent abdominal decompression. The therapeutic use of abdominal decompression is shown in a series of cases and its effect on the feto‐placental circulation discussed. Because patients who have had dysmature babies have an increased risk of abortion and of recurrence of retardation of fetal growth with complications of pregnancy and labour, obstetric care should be planned from the beginning of pregnancy.