[Prenatal prevention of child abuse. 10-year-experience at the University Maternity Center of Liège].
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Biomedical subjects
Publications and source records attributed to H Thoumsin.
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Ten Belgian maternity hospitals have collaborated in an international clinical multicenter trial: Multicenter Fetal Movement Trial. Nine maternity hospitals were already managing a computerized data bank before their participation in the trial. In seven of these centers the local team was able to write a program for direct transmission of data, using standard sequential ASCII files. This procedure presents many advantages: there is a gain in time and money, since it is no longer necessary to fill out data collecting forms, or coding at a central level. Transcription errors are avoided, adhesion to strict and standard definitions is guaranteed, the micro-systems are performing in a suitable fashion in each center, modifications of parameters (and corrections) are done very quickly and, automatically carried out, on the basis of clinical data as well as "research" data, transmission by telecommunication is immediately and easily feasible.
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A review of the literature shows that intensive neonatal care has reduced the incidence of neurological handicaps in children. Babies born before term and small for date are, however, more exposed to these handicaps. The pregnancy and socio-economical factors which are now known to play a role in the occurrence of prematurity and small-for-date babies bring about acute fetal distress which results in a demand for more intensive care. However, long-term neurological defects also result from these factors. Prospective studies can be used to assign a predictive score for these predisposing factors. The Maternity Hospital in Liège University has been using a score of these factors for more than 10 years to set up "a risk of premature birth coefficient." This could help towards a more scientific prognosis of the neurological state of the infant.
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The therapeutic effect of DHEA-S has been studied in 15 cases of intra-uterine growth retardation. This double-blind study has not been able to demonstrate any difference between the effect DHEA-S and of NaCl on oestriol excretion, HPL values, and biparietal diameter. Only the uterine growth seems to be affected by DHEA-S. Thus it can be concluded that DHEA-S has no therapeutic effect on placental insufficiency.
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