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Description
Fetal Physiology and Medicine: The Basis of Perinatology, Second, Revised Edition documents many of the major advances in fetal medicine, including developmental physiology, pathology, and therapy. This book covers the most important areas of maternofetal medicine and presents different views of the critical problems of development. The various components of fetal metabolism are highlighted to demonstrate how animal experimentation has given a clear view of the interrelationship of the mother, placenta, and fetus. This text is comprised of 24 chapters; the first of which describes the use of ultrasound in antenatal diagnosis of congenital structural anomalies. This topic is followed by a discussion on sexual differentiation, acquired immunity, and endocrine changes, as well as the physiology of breathing, the control of the fetal cardiovascular system, lung maturation, fetal infections, and the effects of hypoxia on the fetal brain. This book also provides comprehensive reviews of fetal regulatory mechanisms, such as the reninangiotensin system, water metabolism, and fetal and placental hormone production. Other chapters focus on clinical applications, such as antenatal fetal heart rate monitoring, the technical aspects of fetal and uterine pressure measurements, fetal acid-base balance, and the prevention of preterm delivery. A section that explores the transition from intrauterine to extrauterine life concludes this book. This source is of great potential value to all students and practitioners of reproductive medicine.
Table of Contents
ForewordPrefaceContributors1 Antenatal Diagnosis of Congenital Structural Anomalies with Ultrasound2 Sexual Differentiation3 Ontogeny of Acquired Immunity and Maternofetal Immunological Interactions4 Endocrine Pancreas of the Pregnant Mother, Fetus, and Newborn5 Fetal Fat and Glucose Metabolism6 Maternal, Fetal, and Neonatal Amino Acid and Protein Metabolism7 Diabetes Mellitus and the Fetus8 Fetal Breathing9 Physiological Control of the Fetal Cardiovascular System10 Fetal Lung Maturation and the Respiratory Distress Syndrome11 Maternal and Fetal Infection12 Factors Influencing Perinatal Wastage13 Effect of Hypoxia on Fetal Brain14 Renin-Angiotensin System in Early Life15 Mineral and Water Exchange between Mother and Fetus16 Regulation of Fetal Growth17 Fetal, Placental, and Maternal Hormones18 Energy and Substrate Requirements for Fetal and Placental Growth and Metabolism19 Regulation of Myometrial Function throughout Gestation and Labor: Effect on Fetal Development20 Antepartum Monitoring of Fetal Heart Rate21 Technical Aspects of Fetal and Intrauterine Pressure Monitoring22 Maternal and Fetal Acid—Base Balance and Blood Gas Measurement23 Prevention of Preterm Delivery24 Adaptation of the Newborn to Extrauterine LifeIndex



