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Obstetric update: Antepartum assessment of the foetus and its environment

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Conclusion

Until recently the practice of high-risk obstetrics has been limited because of the inability to assess the perinate directly. The application of dynamic ultrasound now enables both structural and functional assessment of the foetus and its environment. Thus it is now possible to begin to transfer the principles of physical diagnosis used in extrauterine medicine to the foetus in utero. This major advance has resulted in a four- to six-fold decrease in foetal death rate, a detection of anomalies approaching 80 per cent, as well creating opportunities to reduce maternal and foetal morbidity associated with anomalies, and detection of almost all growth retarded foetuses and twins. Technical procedures have been greatly facilitated. Despite these advances, however, it is likely that the greatest positive influence of the technique will be the recognition and management of the foetus as a separate patient.

References

  1. 1

    Evertson LR, Gauthier RI, Schifrin BS, et al. Antepartum Fetal Heart Rate Testing. I. Evolution of the non-stress test. Am J Obstet Gynecol 1979; 133:29–34.

  2. 2

    Ray M, Freeman RK, Pine S. Clinical experience with the Oxytocin Challenge Test. Am J Obstet Gynecol 1972; 114:1–8.

  3. 3

    Manning FA, Platt LD, Sipos L. Antepartum Fetal Evaluation: Development of a Fetal Biophysical Profile Score. Am J Obstet Gynecol 1980; 136:787–94.

  4. 4

    Manning F A, Basket TF, Morrison L, et at. Fetal Biophysical Profile Scoring: A prospective study of 1184 high risk patients. Am J Obstet Gynecol 1981; 140:289–94.

  5. 5

    Manning FA, Morrison I, Lange IR et al. Antepartum Determination of Fetal Health; Composite Fetal Biophysical Profile Scoring. Clin Perinat 1982; 9:285–96.

  6. 6

    Sabbagha RF. IUGR: Antenatal Diagnosis by Ultrasound. Obstet Gynecol 1978; 52:252–7.

  7. 7

    Manning FA, Thompson T, Khitrov G, et al. Antepartum calculation of fetal weight by ultrasound; A Comparative Study. Proc Soc Obstet Gynecol Can June, 1982 (Abstract).

  8. 8

    Morrison I, Manning FA, Lange JR. Antepartum detection of IUGR: Prospective study of 1000 referred cases. In preparation, 1982.

  9. 9

    Platt LD, Manning FA, LeMay M. Real Time B-scan Directed Amniocentesis. Am J Obstet Gynecol 1978; 130:700–4.

  10. 10

    Harman CR, Manning FA, Bowman JM, et al. Severe Rh Disease: Poor outcome is not inevitable. Am J Obstet Gynecol (In press) 1982.

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Author information

Correspondence to Frank A. Manning.

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Manning, F.A. Obstetric update: Antepartum assessment of the foetus and its environment. Can Anaesth Soc J 30, 88–90 (1983). https://doi.org/10.1007/BF03007724

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Keywords

  • Oxytocin
  • Foetal Death Rate
  • Amniotic Fluid Volume
  • Foetal Weight Estimate
  • Foetal Heart Rate Monitoring