Joachim Dudenhausen

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: I am Roberta Speyer and I am reporting for 		  OBGYN.net from the Word Congress in Perinatal Medicine in Berlin. I am here speaking 		  to Professor Joachim Dudenhausen who is the president this year of the congress. He is going 		  to tell us a little bit about the highlights, what is going on and what is the 	    hot subject this year at the congress. Professor?

: The World Congress of Perinatal Medicine is a 		  congress of the World Association of Perinatal Medicine. This association was 		  founded 20 years ago in Tokyo from Professor Sakamoto, he was the first president. 		  For the past 20 years we had congresses in different places in the world, the 		  States and South America and now we are in Europe, in Berlin. That is a very 		  nice idea to come to Berlin because Berlin is one of the roofs of perinatal medicine 		  and here was done the work with the focus of the child in obstetrics in the beginning 		  of the 1960's with Professor Saling. Therefore we are happy to be the host of 		  the Perinatal family in Berlin.

We had 2,200 delegates and that is a huge increase in participants over the 		  years. I am very happy that a lot of participants from a 50 nations came to Berlin. 		  They will hear the newest results of research in perinatal medicine. For instance, 		  it is interesting to hear the results about preterm labor and new research about 		  molecular reasons of preterm labor and the connection between infection and preterm 		  labor, and it is possible today with the high specific diagnostic methods to 		  find the MRA between the infection and the microbiology and the preterm contractions. 		  This is one of the highlights.

On the other hand, not only research results are important of genetic and molecular 		  medicine, what is very important for a world association, are world problems, 		  are global problems. There are two global problems, which are very important 		  for the perinatal medicine; and that is the maternal mortality all over the world 		  and the reason for the maternal death. Six hundred thousand women die in pregnancies, 		  delivery and childbed. That is a tragedy of a catastrophic result because these 		  numbers are the same since several years. And we, the perinatologists have to 		  think about possibilities to reduce these numbers. It is not only a political 		  question, this is a question of humanity, and responsible are the MDs or the 		  midwives all over the world to change this situation. We discussed yesterday 		  this problem of maternal mortality all over the world and we had a speaker for 		  the WHO and from different countries of the developing countries. This problem 		  is 90 percent a problem of the developing countries. Nevertheless, in the developed 		  countries, the industrialized world, the mortality of mother is not the first 		  problem but in every case of death of mother in pregnancy, delivery and child 		  bed, is one case too many.

The second highlight for this public health problem in perinatal medicine is 		  the HIV problem to reduce the infection of the child during delivery; that is 		  a very important point, especially in the industrialized world, but more in the 		  sub-Saharan region or in Asia. It is possible to reduce the maternal/fetal infection 		  to less than one percent in these cases, and that is a very important point. 		  It is an organizational point or organizational interest and a question of substances 		  availability in the developing countries.

: How can it be reduced? How can we in the developing world - 		  what can we do to help these countries lower the infant mortality and mother 		  mortality rate?

: The first thing we can do is we can inform the 		  health professionals in these countries that it is important to look for the 		  HIV virus in the blood of the pregnant mother. We cannot treat a mother if we 		  do not know the HIV infection, therefore it is necessary to make an HIV diagnostic 		  in pregnancy, all over the world. This test has to be done. If the test is positive 		  the mother and the child have to get special obstetrical treatment with some 		  substances before the delivery, special delivery - maybe a C-section, that is 		  a question of the virus load, and the treatment of the newborn baby after delivery.

It is not a question of money alone. It is a question of knowledge and diagnostic, 		  and third point, money for the substances.

: We appreciate your letting us come here and report from this 		  wonderful congress. It has been a pleasure to be part of it and we are looking 		  forward to next year, it will be in Uruguay?

: In two years we will meet in Uruguay, Punta del 		  Este, one of the most beautiful places in the world.

: In 2011, we look forward to seeing you there. Thank you professor.

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