Perinatal Asphyxia

Obstetricians and pediatricians in daily practice will find here the answersand explanations they need concerning the major problem of perinatal asphyxia. Leading experts in pediatrics, obstetrics and neurophysiology havecome together to produce a single sourcebook covering all aspects of thesubject. Biochemical mechanisms and clinical aspects of perinatal asphyxia, fetal and neonatal assessment, and perinatal management are thoroughly discussed. Neurodevelopmental outcome is another important issue addressed. In light of newer technologies, the prognosis of infants suffering from asphyxia is examined. Many figures and typicalcases are provided, making the book easy to use and providing quick access to solutions. The reader can easily identify a problem in the fetus and its subsequent development. With such knowledge, the improved managementof perinatal asphyxia is made possible. Front Matter....Pages I-X Front Matter....Pages 1-1 Biochemical Mechanisms of Hypoxic — Ischemic Brain Damage....Pages 3-10 Clinical Aspects....Pages 11-18 Front Matter....Pages 19-19 Clinical and Biophysical Profile....Pages 21-29 Umbilical, Cerebral, and Renal Circulations in Growth-Retarded and Hypoxic Fetuses....Pages 30-42 Heart and Fetal Asphyxia....Pages 43-46 Antepartum Fetal Heart-Rate Monitoring and Fetal Asphyxia....Pages 47-57 Physiopathological Basis of Doppler Indices....Pages 58-75 Front Matter....Pages 77-77 Neuropathological Aspects of Perinatal Asphyxia and Ultrasound Imaging....Pages 79-91 Magnetic Resonance Imaging and Hypoxic — Ischemic Brain Injuries....Pages 92-118 Doppler Assessment of the Cerebral Hemodynamics in Perinatal Asphyxia....Pages 119-128 The Electroencephalogram in Birth Asphyxia....Pages 129-146 Multimodality-Evoked Potentials in Perinatal Asphyxia....Pages 147-165 Magnetic Resonance Spectroscopy....Pages 166-194 133 Xe Clearance....Pages 195-200 Near-Infrared Spectrophotometry....Pages 201-205 Hexamethypropylene Amine Oxime Single-Photon Emission-Computed Tomography in Perinatal Asphyxia and Ischemic—Hemorrhagic Lesions....Pages 206-225 Front Matter....Pages 227-227 Perinatal Management....Pages 229-246 Treatment of Anoxic-Ischemic Encephalopathy....Pages 247-252 Front Matter....Pages 253-253 Neurodevelopmental Outcome....Pages 255-264 Back Matter....Pages 265-267