Perinatal management has improved drastically over the past decade. With improved fetal survival in highrisk pregnancies, the onus is on pediatricians to provide the specialized care the products of these pregnancies demand. We must understand the technology and methods used by the skilled pennatologist to assess the unborn child to extend that care into the delivery room and newborn nursery.
After reviewing this issue of Pediatrie Annals, clinicians should have a better understanding of 1 ) sonographicaliy detectable fetal malformations and their associated anomalies, 2) useful means to prevent prematurity, 3) the etiologies and physiology of assymetric intrauterine growth retardation and its impact on the fetus, 4) the usefulness of intrapartum fetal monitoring techniques and the information they provide, 5) the microbiology of group B streptococcal infection, its epidemiology, and consequences, and 6) the characteristic morbidity of infants of diabetic mothers.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1. Anencapfialy Is the most common fetal central nervous system anomaly.
2. Serial abdominal palpation and palpation and fundal height measurement by a single examiner provides a more sensitive and specific diagnosis of decreased fetal growth rate than a single ultrasound examination.
3. Mothers with thick meconlum-stalned amnlotlc fluid require Immediate delivery by cesarean section.
4. Culture Is the gold standard for detection of maternal group B streptococcal carriage.
Answers to the Pretest:
1. A 2. A 3. B 4. A