Pediatrics

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While electronic fetal heart rate monitoring has become a routine part of intrapartum care, abnormal patterns often alarm physicians needlessly. Pulse oximetry can clarify a confusing FHR pattern and may reduce the risk of perinatal complications.

The presence of meconium can indicate a severely debilitating fetal event. Its exact role in fetal hypoxia, CNS damage, heart rate abnormalities, and pulmonary dysfunction--all hotly debated--is the basis of this discussion.

The presence of meconium can indicate a severely debilitating fetal event. Its exact role in fetal hypoxia, CNS damage, heart rate abnormalities, and pulmonary dysfunction--all hotly debated--is the basis of this discussion.

After analyzing the clinical research, the authors present a practical approach to the challenge of caring for pregnant women who weigh 250 lb or more. Guidelines for these patients--who tend to have more C/S, larger babies, and longer hospital stays--aim to minimize morbidity and mortality, thus improving perinatal outcome.

Considering the number of severe maternal and fetal complications that can result from untreated hypertension, ob/gyns must be vigilant about recognizing the chronic form of the disease. Anything less puts your patients and you in harm's way.

The latest NIH consensus development panel has concluded that a single course of therapy can improve clinical outcomes for preterm infants. They also caution that more is not necessarily better.

Since the CDC recommendations have been put into practice, we've seen a dramatic decline in early-onset neonatal GBS infections. But an expert in the field discusses several unresolved issues and emphasizes the need for continued vigilance to keep the disease under control.

The 2001 annual meeting of the Society for Maternal-Fetal Medicine offered a wide array of important research findings--and new clinical implications--on tocolysis, thrombophilia, cerclage, antenatal steroid therapy, and group B streptocccal infection.

Reducing the frequency of menstruation--or simply eliminating it--is a safe and effective option for many women, argues this author. Controlling when and whether menstruation occurs may even be beneficial to their health.