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• W4253675961 abstract "In recent years improvement in social conditions in the civilized world and greatly improved maternity care have caused dramatic falls in the rates of maternal mortality, stillbirth, and early neonatal death. The good clinician is concerned now with the quality of the child produced. Stillbirth is a measurable failure, but what of the various degrees of permanent anoxic damage, subtle in their effects but far reaching in their importance? This is a much less finite problem: measures are difficult and clinical standards impossible to apply. In these days of expanding technology and rising standards of achievement, there is a desperate need that all infants go home from the hospital with the expectation of maximum mental prowess and of minimal behavioral abnormality to which they are entitled by their genetic potential. The maximum risk of long-term damage is, in general, to the premature baby, not only because of its prematurity and the risks allied thereto, but because also of damage antenatally. Genetic defect or early pregnancy insult can lead to damage. These are vast problems in themselves—but I am concerned in this paper mainly with the problems of later pregnancy. During prolonged or difficult labor35 and in the presence of gross disease in the mother, it is possible that metabolic damage to the baby may occur; and I fully realize the implications of birth trauma. I am in this paper, however, concerned only partly with trauma, and mainly with anoxia. The fetus in utero under normal circumstances grows and develops normally at oxygen levels low by adult standards, but it must be clearly realized that such levels are physiological in the fetus. There are, however, many circumstances under which the oxygen supply can deteriorate, often very rapidly. Associated with, because of, or following from, these circumstances, the fetus usually shows the classical signs of distress." @default.
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• W4253675961 title "Fetal distress" @default.
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• W4253675961 doi "https://doi.org/10.1016/0002-9378(59)90272-8" @default.
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