Biochemical Monitoring of the Fetus

Biochemical monitoring of the fetus has been in the back of every perinatologist's mind. Technological advancements have been made in the last ten years but not to the expected level. A continued interest in the subject can only be maintained by symposiums of this nature where perinatologists from different countries can share their experience. Laserspectroscopy of the fetus is a valuable addition to this volume. The future of biochemical monitoring of the intrapartum fetus depends on the continued collection of scientific data and further technological advances. This successful symposium was held in October, 1990, in Albuquerque, New Mexico, USA. I would like to thank Hewlett Packard for their generous support without which this publication would not have been possible. My sincere thanks goes to my secretary, Nancy Whalen, who has done a tremendous job with the word processing, organization, and layout of the chapters. Molly S. Chatterjee, M. D. Associate Professor University of New Mexico Department of Obstetrics & Gynecology CLINICAL IMPORTANCE OF BIOCHEMICAL MONITORING OF THE FETUS DURING LABOR WITH DEMONSTRATION OF TYPICAL CASES E. SALING, J. BARTNICKI Institute of Perinatal Medicine, Free University of Berlin, Berlin, Germany The biochemical monitoring of the fetus during labor is historically the oldest part of prenatal medicine. The very first direct approach to the human fetus took place on June 21, 1960 when the first blood samples were taken from the fetal scalp in our labor room (3). Front Matter....Pages i-vi Clinical Importance of Biochemical Monitoring of the Fetus During Labor with Demonstration of Typical Cases....Pages 1-12 Animal Study and Clinical Application of Laserspectroscopy in the Fetus....Pages 13-22 Computerized FHR Analysis and Biochemical Changes....Pages 23-29 Laserspectroscopy: Technology and Theoretical Background....Pages 30-34 Continuous Base Excess Monitoring in the Human Fetus....Pages 35-40 Importance of Pulsed Doppler and Color Flow Mapping in Diabetic Pregnancies....Pages 41-44 A Certified Nurse-Midwife’s Perspective on Intrapartum Biochemical Monitoring of the Fetus....Pages 45-47 Cerebral Palsy and Fetal Hypoxia....Pages 48-54 The Effects of Anesthesia on Fetal Blood Gases....Pages 55-64 Color Doppler and Fetal Echocardiography....Pages 65-71 UNM Experience with Color Doppler Flow Mapping in Fetal Echocardiography....Pages 72-75 Fetal Arrhythmia: Diagnosis, Significance, and Management....Pages 76-82 Magnetic Resonance Imaging: A Useful Adjunct in Evaluating the Abdominal Pregnancy....Pages 83-89 This book is a state-of-the-art update of intrapartum biochemical monitoring and applications of color slow mapping in obstetrics. It includes additional information on laserspectroscopy, doppler and computerization of data on obstetrical patients. Of particular interest to the reader may be application of the computer to fetal heart monitoring.