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Biomedical subjects

Z Stembera

Publications and source records attributed to Z Stembera.

At least 37 records · Page 2Linked to original sources

Frequency of foetal growth deviations diagnosed by ultrasonic measurement and analysis of their causes.

In a population sample, whose congruity with the country-wide population was verified, the birthweight, menstrual age and gestational age (assessed by repeated ultrasonic foetometry in the course of pregnancy) were mutually correlated. A group of 80% of newborns out of the total population sample, in whom no disturbance of foetal growth rate was found throughout the course pregnancy, served as the basis for preparation of the standard of normal foetal growth. In the interval from the 36th to the 42nd week of pregnancy a highly significant linear relationship between gestational age and birthweight was found, without terminal flattening of the "normal foetal growth curve". In the remaining 20% of the population there was a twofold predominance of growth retardation over growth acceleration.

Embryonic and Fetal Development

Screening of perinatal risk factors leading to deviations of physical development and/or mental retardation of the child and their prevention.

We tried to demonstrate some results obtained from the analysis of one selective and one countrywide follow-up study the mode of detection of risk pregnancies and of risk factors that could be the cause of physical and mental congenital defects; the search for optimal form of screening and prevention in these cases; and verification of the effectivity of these measures.

Congenital Abnormalities

[The differentiated perinatal care for high-risk pregnancies (author's transl)].

The grounds for a change in the organisation of perinatal care in CSSR were the for years stagnating perinatal mortality and high of the perinatal morbidity. Since the modern diagnostics and effective therapy of the high-risk pregnancies represent considerable demands upon the instrumental and personnel equipment, a system of a differentiated ambulatory and institutional care for pregnant women and newborn has been worked out, that will ensure the maximal care to those who need it. The differentiated care for woman in the course of pregnancy and labour and for the newborns in the first weeks of life is divided into three degrees: basic for all, increased for risk cases and specialized for selected complications. The selection of risk cases is performed by means of simple screening methods, a further selection of the most serious cases by means of special diagnostic methods. The system of differentiated care has been worked out and checked in one of the Prague's districs with 200,000 of inhabitants under the guidance of the Institute for the Care of Mother and Child, Prague-Podolí. Now it is being introduced in all districts of the country.

Ambulatory Care