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Obstetrics, neonatology and gynaecology

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Clinical Hemorheology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 74))

Abstract

The quotation from Harvey’s classic work contains the essence of rheology in obstetrics, gynecology and neonatology. The adequacy of placental blood flow, on both maternal and fetal sides of the placenta, is critical for fetal growth and development, and abnormal rheology has been reported as a final common pathway for fetal intrauterine growth retardation in many different pregnancy pathologies. Hemorheological therapy in obstetrics is well established and being rapidly developed. In gynecology the importance of venous thrombo-embolism is as great as in any surgical speciality, and the role of hormones, which are used in pregnancy, contraception and replacement therapy, in producing rheological changes that predispose to thrombosis has been well defined. The neonate has a particularly vulnerable microcirculation, and there are clearly defined hyperviscosity syndromes for which appropriate hemorheological therapy holds an established place in neonatological practice. This chapter reviews the current state of knowledge of hemorheology in three important clinical disciplines.

“It is the heart by whose virtue and pulse the blood is moved, perfected and made apt to nourish, and is preserved from corruption and coagulation.” William Harvey (1628) [1]

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, St. James’s University Hospital, Leeds, LS9 7TF, UK

    Peter C. Buchan

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  1. Peter C. Buchan
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Editors and Affiliations

  1. Department of Physiology, College of Surgeons and Physicians Columbia University, New York, USA

    S. Chien

  2. Department of Surgery, St. James’ and St. George’s Hospital, London, UK

    J. Dormandy

  3. Hemorheology Research Unit, University Clinic, Munich, Germany

    E. Ernst  & A. Matrai  & 

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© 1987 Martinus Nijhoff Publishers, Dordrecht

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Buchan, P.C. (1987). Obstetrics, neonatology and gynaecology. In: Chien, S., Dormandy, J., Ernst, E., Matrai, A. (eds) Clinical Hemorheology. Developments in Cardiovascular Medicine, vol 74. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4285-1_9

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  • DOI: https://doi.org/10.1007/978-94-009-4285-1_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8404-8

  • Online ISBN: 978-94-009-4285-1

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