although it is not often thought of, elderly abuse is a frequently occurring phenomenon. especially when an older patient dies, maltreatment is low on the list of possible causes of death. there are, however, signs that may point in the direction of abuse. these can either be on the patient’s body, in the surroundings, or within the story as to how the patient died. attention should be paid to ...

Birth asphyxia also termed perinatal asphyxia is an obstetric complication that strongly affects brain structure and function. Central nervous system is highly susceptible to oxidative damage caused by perinatal asphyxia while activation and maturity of the proper pathways are relevant to avoiding abnormal neural development. Perinatal asphyxia is associated with high morbimortality in term and...

Background: Oligohydramnios has increased incidence of meconium stained liquor, abnormal FHR tracing, low Apgar score, low birth weight, admission to NICU, birth asphyxia and cesarean section for fetal distress. Objective: To compare the perinatal outcome in women with singleton term pregnancies having amniotic fluid index (AFI) < 5cm to those having AFI between 6 to 20 cm. Material and methods...

This paper describes the design, construction, and testing of a multi-channel fetal electrocardiogram (fECG) signal generator based on LabVIEW. Special attention is paid to the fetal heart development in relation to the fetus' anatomy, physiology, and pathology. The non-invasive signal generator enables many parameters to be set, including fetal heart rate (FHR), maternal heart rate (MHR), gest...

Congenital oral and neck masses are associated with a high perinatal mortality and morbidity secondary to airway obstruction due to a mass effect of the tumor with subsequent neonatal asphyxia and/or neonatal death. In 1997, the Ex Utero Intrapartum Treatment (EXIT) technique was designed to establish a secure neonatal airway. This procedure allows neonatal tracheal intubation while the uteropl...

Traditionally, the idea of transient asphyxia plus some degree of cold stimulation has been used to explain the establishment of continuous breathing at birth. This idea was nurtured by observations made in the acute fetal preparation at a time when fetal breathing was considered absent. Experimental observations made in the past two decades have challenged this traditional view. First, complet...

The diagnosis of chronic villitis of unknown etiology (CVUE), characterized by focal areas of inflammation with mononuclear cells and areas of fibrinoid necrosis in chorionic villi, can only be set-up after exclusion of a latent maternal-fetal transmission of infectious agents by sophisticated techniques such as polymerase chain reaction. Significant associations of CVUE with maternal body mass...

RATIONALE A healthy foetus, if exposed to external sound stimulation, often responds with vigorous movements which can be felt by the mother. A hypoxic foetus usually does not show this response. OBJECTIVES To evaluate the fetal acoustic stimulation test (FAST) in antepartum fetal monitoring. DESIGN AND SETTING Prospective interventional study carried out at the Teaching Hospital, Galle. ...