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Biomedical subjects

G Defawe

Publications and source records attributed to G Defawe.

36 records · Page 2Linked to original sources

[The results obtained from the first certificate of health between 1972 and 1979 at Ille-et-Vilaine (author's transl)].

The authors describe and comment on some of the results that have been obtained in a French département (Ille-and-Vilaine) using the information obtained from the first health certificate which has been set up compulsorily for all children in the eight days following delivery. This analysis makes it possible to carry out an annual survey of the demographic course of affairs (birth rate, perinatal mortality rate) and compare these with France as a whole. The certificate gives interesting information about labour (multiple births, Caesarean births, the state of the infant at birth, weight, length, skull circumference, prematurity and small for dates), and the pathology of the first week of life (transfer to other hospitals and death). Malformations are as yet poorly registered and there is need to obtain more information from doctors. Correlations can be established, as for example between neonatal mortality and social class. Finally, using this first certificate will make it possible to open a file on high-risk women for a possible future pregnancy. the authors point out that the contents obtained in the first certificate had to be modified and will later give extra information about the pregnancies, the number of antenatal visits, the number of admissions to hospital, and the preparation for delivery, etc. The results that have up till now been given for various maternity departments allow each obstetrician to audit the work in his department.

Adult↗

[Injection of placental blood vessels: technique and the preliminary results (author's transl)].

The authors describe a technique for injecting the placenta, using an iodine contrast solution which allows a radiographic picture to be obtained. The vascular supply of the placenta can be shown up by this method accurately and cotyledons can be identified so that their number and their surface can be measured. The preliminary results show that there is a significant difference between the placentas of normal infants and of those with growth retardation. This should give rise to a new approach of the syndrome of intra-uterine growth retardation.

Catheterization↗

[A study of the weight of the placenta in normal and pathological pregnancies (author's transl)].

The authors have studied 826 placentas in premature births, and in growth retardation and normal births. First of all they describe the technique which should be followed. They establish in this way a correlation between the weight of the placenta and the weight of the infant at birth on the one side and the gestational age on the other. On the other hand, they find that there is no correlation between the weight of the placenta and the mother's weight-gain in pregnancy when this is more than 12 kg. The weight of the placenta is shown to decrease after the 41st week of pregnancy and the placental index is at its highest at 38 weeks of pregnancy according to their study. They suggest that a curve of placental weight growth during pregnancy is useful in studying prematurity and growth retardation.

Female↗

[Late prenatal diagnosis of fetal growth retardation: the diagnosis of a case of trisomy 18 (author's transl)].

The authors were able to confirm when dealing with a case of severe intra-uterine growth retardation that they were dealing with a case of trisomy 18 when they suspected a positive sign of growth retardation and carried out a pre-natal diagnostic test at the 32nd week of the pregnancy. They point out that this new indication could avoid unnecessary Caesarean operations.

Adult↗

[Visual behavior of the premature infant].

Ocular reflexes were studied at birth in neonates of varying gestational ages and then followed every two weeks. It is possible to distinguish reflexes that may be present at birth that are dependent on gestational age and those acquired later. Each reflex corresponds to the establishment of neuronal corrections and thus it is possible to follow the development of neural structures in utero and after birth. Ocular examination of the newborn completes the examination of the central nervous system and a scale of visual age is proposed. The repeated examination of premature infants showed the development of visual function was accelerated.

Gestational Age↗

[About five cases of congenital german measle (author's transl)].

The authors are reporting five cases of congenital german measles confirmed by serological and virological tests. They recall the circumstances in which the serological diagnosis of maternal german measles was arrived at during pregnancy: misinterpretation of the results had in four cases given the doctor a mistaken sense of security. Lastly, they are stressing the interest of prevention by systematic vaccination of girls aged 11 to 13 and women known to be seronegative.

Abnormalities, Multiple↗

[Value and technique of measuring the tibia length in pathological conditions of the newborn (author's transl)].

Together with determining the bone age of the immature and/or small-for date neonate, it is possible to work out the length of the tibia on the profile X ray of the leg. Authors have drafted up a scale of growth, featuring the 10 th, 50 th and 90 th percentiles common for boys and girls ranging from 28 to 42 weeks of gestation and they propose this new criterion for the study of pathological neonates, particularly the small-for-date. The method has a second advantage: it is possible to follow the increment of the tibia length by X rays taken at regular intervals and thus to estimate the various factors that can interfere with the child's growth, and in the first place, the quality of the food given to the child.

Female↗

[Screening of deafness at birth (author's transl)].

The authors studied different parameters of the hearing test proposed to detect deafness among new-borns. These parameters belong to the technic of the test itself (intensity of stimulus, repetition of the test five minutes later, during the day and the following days, characters of the reactions) and to the infant (gestational age birth weight age, disease). They found that the noise in the resuscitation room and in the usual incubators is high and perhaps injurious. Following their own experience and the results published in France and abroad, they think that the test is difficult and cannot be generalised for the moment to all newborns.

Deafness↗

[Ophthalmologic evaluation at the age of 2 years of newborn infants hospitalized in the neonatology center at Rennes].

The eyes of 1 466 children (88.3% of the total) who were admitted to the Centre for premature babies and the neonatal intensive care unit at Rennes between 1973-1975 were re-examined at the age of 2 years. There were 839 premature and 226 term babies whose weight was appropriate for gestational age, and 74 premature and 327 term babies who were small for dates. 95 (6.5%) had eye disorders at the age of 2. Abnormalities were more common in infants with a Birth weight of less than 1 500 g and in those with a gestional age of less than 28-30 weeks. Boys were more commonly affected than girls. 38% of the children with eye disorders had other problems of which the commonest was mental retardation (75%). There was no relation between perinatal complication and the incidence of eye disorders. The most common abnormality was squint (94%) but other problems were major (blindness, cataracts, retrolental fibroplasia). 37% of the abnormalities had not been diagnosed until found in the survey at the age of 2 years.

Birth Weight↗

[Noise in incubators].

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Evaluation Studies as Topic↗