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CLINICS IN PERINATOLOGY Clin -erinatol 30 (2003) 875 894 Cumulative Index 2003 Volume 30 March ETHICS IN PERINATAL MEDICINE, pages | 7 June EVIDENCE-BASED MEDICINE, pages 189-438 September MATERNAL-FETAL SURGERY, pages 439-649 December PRETERM LABOR, pages 651 894 age numbers of article titles are in boldface type \ Aminophylline, for preterm labor, 821 Abacavir, for HIV infection, in pregnancy, Amniocentesis labor and delivery, 862 for anomaly detection emotional support for, 115 Abortion failure to inform about, 114 induced premature membrane rupture in, amnio fetal personhood and, 158 for anomalies, 113—114 patch technique for, 574 580 availability of, 117 serial, for twin twin transfusion syndrome, 594-597 decision-making on, 113-114, 118 119 Amnionitis. See Chorioamnionitis legality of, 71] Amniotic fluid methods for, 119 abnormal volumes of. See Oligohydram viability definition and, nios; Polyhydramnios 119-121 amniopatch technique involving, for for genetic indications, 90 9] premature membrane rupture, for nonmedical reasons, FIGO 574—580, 586—587 ethical guidelines for, 57 culture of, 683 684 for sex selection, 89 in gastroschisis, 559 564 selective. See Selective termination exchange or infusion of, 561 564 terminology recommendations for, 20 inflammatory effects of, 559 S61 Academ3i]c p3e2r93 f ormance, follow-up data in, Amoxicillin, for intrauterine infections, 688 — 689, 69] Acardiac twin, in twin reversed arterial Ampicillin, for intrauterine infections, 687, 689 perfusion sequence, 602-603 Amprenavir, for HIV infection, in pregnancy Access to care, in managed care, |7 2 ha labor and delivery, 863 Anastomoses, placental, in twin—twin AIDS. See Human immunodeficiency transfusion syndrome, 592—593 Virus infection Anencephaly, viability questions in, 119-12] American College of Surgeons, guidelines of, for maternal-fetal surgery, 142 \neuploidy, nuchal translucency screening for, 95-102 American Society for Reproductive Medicine reliability of, 95 98 Ethics Committee, on gender selection, respect for autonomy in, 100 75 5 risks versus benefits of, 9&8 99 0095-5108/03/$ — see front matter « 2003 Elsevier Inc. All rights reserved doi: 10.1016/S0095-5 108(03)00126-X Cumulative Index / Clin Perinatol 30 (2003) 875-894 Anhydramnios Benchmarking techniques, 343-350 in fetal distal urinary obstruction, 507 abuses of, 347 511-512, 515 limitations of, 345 in gastroschisis, 553 patient protection in, 348 to improve quality of practice, 348 Anomalies, fetal. See Fetus, anomalies in uses of, 344-346 Antenatal surgery. See Maternal -— fetal surgery Beneficence Antibiotics in fetal anomaly management, 122-123 for asymptomatic premature infants, in maternal —fetal surgery for spina treatment decisions in. See bifida, 456—457 Treatment decisions in nuchal translucency screening, 98-99 for intrauterine infections, 687-691, Bentham, Jeremy, ethics theory of, 6 718-720 for preterm premature rupture of Beta-adrenergic agonists, for preterm labor, membranes, 828 — 829 818—820 Aortic stenosis, treatment of, 544—54 Beta-sympathomimetic agents, for preterm labor, 817-820 \pnea, neonatal, methylxanthines for, treatment decisions in. See Betamethasone, antenatal, for fetal maturation, 829-833 Treatment decisions Arachidonic acid, in prostaglandin synthesis, in Biopsy, kidney, in distal urinary tract uterine activity, 807 obstruction, 513 Ascites, in distal urinary tract obstruction, 510 Bipolar coagulation, of umbilical cord, in multifetal pregnancies, 611—616 Assisted reproduction technologies multifetal pregnancy in. See Birthweight, in multifetal pregnancy, selective Multifetal pregnancy reduction effects on, 106-107 preterm birth risk with, 659 Bladder \tazanzvir, for HIV infection, in pregnancy, embryology of, 508 labor and delivery, 863 obstruction of. See Urinary tract obstruction, distal \tosiban, for preterm labor, 822, 849 Blastocyst, 29, 39 \trial septum, intact, treatment of, 545-546 Blastomeres, 29 \utonomy in decision-making about fetal anomalies, Bleeding, vaginal, preterm birth in, 657 118-119 Blood transfusions, refusal of, in pregnancy, in maternal — fetal surgery for spina 130—131. 135 bifida, 453—455 reproductive freedom component of, 114 Brain death, 36 respect for, in nuchal translucency screening, 100 Braxton Hicks contractions, 809-810 Breastfeeding, avoidance of, in HIV infection, 872 . Bronchopulmonary sequestration B diagnosis of, 482—483 Bacterial vaginosis, preterm birth in, 655-656, natural history of, 484 686-687, 690-691 size of, 481 surgical treatment of, 486-487 Balloon for tracheal occlusion, in congenital diaphragmatic hernia, 469—473 for valvuloplasty. See Valvuloplasty, balloon C -_————— Bayley Scales of Infant Development, Calcium, in uterine activity, 806-807 follow-up data in, 228 Calcium channel blockers, for preterm labor, Bedrest, for preterm labor, 813—814 820-821, 849-850 Cumulative Index / Clin Perinatol 30 (2003) 875-894 apitation, in managed care, 170 corticosteroids for, 830 diagnosis of, 679 arder, Angela, court-ordered cesarean section mechanisms of, 684 on, 129-134 organisms causing, 683-684 are, access to, in managed care, 172—173 origin of, 685 premature rupture of membranes atheters in, 691 for thoracoamniotic shunting, 485—486 treatment of, 687-691 for vesicoamniotic shunting, 513—515 versus gestational age, 681 —682 ephallalo centesie s, i in hydrocecpehaplnuasl,u s, 533 Chorionic villi sampling before multifetal pregnancy erebral palsy, motor development in reduction, 632 227-228 before selective reduction, 108— 109 premature membrane rupture in, ervicovaginal fibronectin. See amniopatch technique fot Fibronectin, fetal 574-580 ervix Chromosomal abnormalities incompetence of in discordant twins, 603 preterm labor in, 808—809 ultrasound evaluation of, 749-752 in gastroschisis, $52 in multifetal pregnancies, 605-606, length of, preterm birth risk and, 654 631—632 preparation of, for labor, 810 1 twin reversed arterial perfusion ultrasound evaluation of, 735—755 sequence, 602 in preterm birth prediction, 738—749 selective termination for. See Selective termination cervical incompetence in, 749~—752 hronic lung disease, prevention of in asymptomatic women, dexamethasone in, evidence-based 738-741. 744-747 decision-making in, 238—239 in multifetal pregnancy, lewell, William, maternal -— fetal surgery 146—747 in singleton pregnancy, research by, 442—445 744-749 lindamycin, for intrauterine infections, 689 in symptomatic women, 742-743 ochrane neonatal systematic revie landmarks for, 736 285-304, 335-33 6, 391 technique for, 736—738 results of, 28 299 versus clinical examination characteristics of included trials, 288—289 Cesarean delivery distribution across subject for HIV infection, 865, 868 areas, 288 for nonmedical reasons, FIGO ethical growth of output, 287 guidelines for, 53—54 observations on review managed care impact on methodologies, 299-300 refusal of reviewers’ conclusions, 291, 299 legal issues in, 129—133 size and precision of estimate of survey on, 134-139 treatment effect, 290—291 size of reviews, 290 Chemical phenomenon, in gastroschisis, 553 therapies with extensive versus Chiari malformation, with myelomeningocele, limited testing, 291] 523-526 survey methods in, 286—287 Chorioamnionitis Cognitive development, follow-up data in, in maternal-— fetal surgery, for lung 228-230 lesions, 487 neonatal outcomes in, 685 Common sense, in ethics, 9 preterm birth in, 655—656 ‘ommunication, 17—25 asymptomatic, 681 alternative word choices for, chronicity of, 682-682 discriminatory, 18—19 clinical features of, 680 impact on memory, 17—18 Cumulative Index / Clin Pe rinatol 30 (2003) 875-894 importance of, 17-18 in preterm premature rupture of medical language for, 19 membranes, 828— 830 obstetric language for, 20 National Institutes of Health of fetal anomaly test results, 115—117 recommendations on, 836—837 prenatal diagnosis language for, 20—24 single versus multiple courses of, sexist, 18—19 833-835 Confidentiality, of genetic data, 87-88 Council of Europe, ethics code of, 51 Congenital anomalies. See Fetus, anomalies in. Counseling Congenital cystic adenomatoid malformation, on fetal anomalies of lung, 481-492 postviability, 122—124 animal studies of, 484-485 previability, 118-119 clinical features of, 481 on selective termination, in multifetal diagnosis of, 482—483 pregnancies, 604-606 natural history of, 484 Cryoprecipitate, in amniopatch, for premature pathology of, 482 membrane rupture, 574-580, 586—587 size of, 482 surgical treatment of, 485—488 Culture, of amniotic fluid, 683—684 types of, 482 Cystic adenomatoid malformation volume Congenital diaphragmatic hernia, 465-479 ratio, 484 animal studies of, 467 Cystoscopy, for distal urinary tract obstruction, delivery with, 473-474 515-516 incidence of, 465 mortality in, 465, 467, 475 Cytogenetic analysis, in multifetal natural history of, 466—467 pregnancies, 605 prognosis for, 466—467 Cytokines treatment of postnatal, 474—475 in chorioamnionitis, 679, 684 prenatal, 467 —473 in gastroschisis, 557—558 ultrasonography in, 466—467 in preterm birth, 655—65 Congenital heart disease, 541-550 Cytomegalovirus infections, preterm birth diagnosis of, 542—543 in, 694 etiology of, 543 in gastroschisis, 554-555 treatment of anesthesia in, 547 D aortic stenosis, 544 daVinci system, for maternal -— fetal intact atrial septum, surgery, 528 mitral stenosis, 545 rationale for, 543 —544 De Lia, Julian, maternal — fetal surgery research right-sided defects, 546 by, 445-446 techniques for, 547-548 Death onsequentialism, 6 fetal, in maternal infections, 692—694 maternal, pregnancy management onstr5ic5t2i-ve5 53p henomenon, in gastroschisis, guidelines for, 53 Decision-making ontractions, uterine. See Uterus, contractions of; Home uterine activity monitoring. evidence-based. See Evidence-based decision-making. ‘orpus luteum, ultrasonography of, 39 in genetic counseling, 84—86 in preimplantation diagnosis, of Down orticosteroids, antenatal, for fetal maturation, syndrome, 74—75 $27—842 on abortion American College of Obstetricians and for anomalies, 113—114, 118—119, Gynecologists opinion on, 837 122-124 drug selection for, 830—833 for trisomy 13, 121-122 effects of, 827-828 for trisomy 18, 121-122 evidence-based decision-making in, 409-412 Declaration of Helsinki, 60—63 Cumulative Index / Clin Perinatol 30 (2003) 875-894 Delavirdine, for HIV infection, in pregnancy, Drainage labor and delivery, 862 in thoracoamniotic shunting, 485—486 in vesicoamniotic shunting, 513—515 Delivery, managed care impact on, 175 of sacrococcygeal teratoma, Denver shunt, in hydrocephalus, 534—535 497-498, 501 Dystocia, with large sacrococcygeal Deontology, 6 teratoma, 494 Department of Health and Human Services, maternal-fetal surgery research guidelines of, 146-152 Economic issues Dexamethasone in managed care, 169—171 antenatal, for fetal maturation, 829—833 in multifetal pregnancies, 624—6 to prevent chronic lung disease, in preterm birth, 666, 757—758 evidence-based decision-making in, home uterine activity monitoring 230-230 impact on, 783—784, 787 Diagnostic tests, 189-204 Education, in ethics, 1-15 benefit of, to patient, 201 —22 02 core generic course in, 11—13 posttest probability of disease and, 20] for perinatal medicine, 13 pretest probability of disease and, 201 impact of, 13-14 reproducibility of, 201 introduction to, 10-11 research literature on, 197—202 phases of, 10-13 case scenario in, 197, 202 principles of search of, for best available study definitions of, | 197-198 medical ethics v study appropriateness in, 199—200 ethics, 2 study validity in, 198-199 moral certainty, screening, 196-197 reasoning, 3—5 sensitivity, specificity, and likelihood trust, 6-9 ratio in, 190— 191, 200 process of, 9-10 purpose of, 9-10 Diaphragmatic hernia. See Congenital theories for, 6-8 diaphragmatic hernia favirenz, for HIV infection, in pregnancy, Diazoxide, for preterm labor, 822 labor and delivery, 863 Didanosine, for HIV infection, in pregnancy, lectrical properties, of myometrium labor and delivery, 859-860, 862 667— 669 Diltiazem, for preterm labor, 849-850 lectromyography, uterine, 670—674 Disability mnbbdoolt zatioj n, Of f uummbbiilliiccaall vev essel]s , inn secleelcetcitivvee prevention of, with preimplantation termination, in multifetal pregnancies, genetic diagnosis, controversy over 606— 608 ms mbryo(s) threat of, maternal—fetal surgery for as beginning ol human life, 32 spina bifida and, 459-460 definition of, 36 extracorporeal, moral status of, 70—71 Doppler studies, in congenital heart disease, research on, ethical issues in, 36—37 542 —543, 545 transfer techniques for, preterm birth risk Down syndrome in, 659 nuchal translucency screening for, ultrasonography of, 40—42 95-102 Embryo-chorionic circulation, ultrasonography reliability of, 95—98 of, 40 respect for autonomy in, 100 risks versus benefits of, 98-99 Embryogenesis, 29—30 preimplantation diagnosis of, Emotional development, follow-up data in, 230 decision-making in, 74—75 prenatal detection of, failure to inform Emotional support, for fetal anomaly detection about, 114 and management, 115 880 Cumulative Index / Clin Perinatol 30 (2003) 875-894 Emtricitabine, for HIV infection, in pregnancy, United Nations Educational, labor and delivery, 862 Scientific, and Cultural Organization, 50 Endometrium, microorganism colonization of, World Health Organization, 50—51 preterm birth in, 656 communication and, 17—25 definition of, 45 Endoscopy, for premature ruptured membrane education in, 1-15 assessment, 580—584 evidence-based. See Enfuvirtide, for HIV infection, in pregnancy, Evidence-based ethics. labor and delivery, 863 of beginning of human life, 27—44 of fetal anomaly screening, 113-126 EnI zymtehi-e-l inkeCdC immunoNOsSoCr benc t aassssc ay of genetic counseling, 81-93 for fetal fibronectin, 704 of managed care, 167-180 for salivary estriol, 721 of maternal — fetal surgery for congenital heart defects, 543 Equipoise criterion, in maternal-fetal surgery for multifetal pregnancy reduction, for myelomeningocele, 162-163 623-624 for myelomeningocele, 155-165 Erythromycin, for intrauterine infections, for spina bifida, 449-464 687—691 autonomy in, 453—455 Estriol, salivary, as preterm birth predictor, beneficence in, 456—457 at ss clinical emphasis in, 451 20 2 background of, 720—723 controversy over, 449—450 elective interventions in, confounding factors in, 72! —7423 in asymptomatic women, 723—724 458 — 459 in multifetal pregnancy, 726 moral ideas on, 451] in symptomatic women, 724-726 457-458 intervention studies of, 726—727 potential abuse of, 461 —462 predisposition to treatment in, Ethanol, for preterm labor, 815—816 460-461 religious context of, 452—453 Ethics risk considerations in, codes of, 45-65 457—458 Council of Europe, 51 threat of disability in, FIGO (International Federation of 459-460 Gynecology and Obstetrics) uncertainty in, 45; Committee, for Study of vulnerability in, 454 Ethical Aspects of Human in research programs, 141 Reproduction, 51 —58 of nuchal translucency screening, for cesarean delivery for 95-102 nonmedical reasons, 53 —54 of preimplantation diagnosis. See for induced abortion for Preimplantation genetic diagnosis nonmedical reasons, 57—59 of refusal of treatment, 127-140 for management of newborns at of selective reduction, 103-111 threshold of viability, 54—56 for management of severely Ethnic factors, in preterm birth, 651, 656 malformed newborns, 56—57 Eugenics, 86—87 for pregnancy management in sudden maternal death, 53 Evidence-based decision-making. See also for prenatal diagnosis, 52—53 Therapeutic evidence; for research on human subjects, Treatment decisions. 59-63 follow-up data in, 217-250 from hospital ethics committees, choice of outcomes to study, 46—48 ,) ] g 224 from international ethics examples of, 238—240 committees, 49—58 group difference in, 233, 237—238 from national ethics committees, health-related quality of life, 224 48—49 neonatal outcome as predictor new technology impact on, 45-46 of, 225 patient-physician relationship neurodevelopment after age 2, and, 46 999 , 39 Cumulative Index / Clin Perinatol 30 (2003) 875-894 881 academic performance, curriculum evaluation in, 430—431 y2 5 329 obtain information with maximum cognitive development, efficiency, 426—428 229-230 recognize need for information and motor development, 229 put in form of answerable social and emotional question, 425-426 deveiopment, 230 strategies for, 421—423 neurodevelopment at | to 2 years of to faculty, 425 age, 226—228 to medical students, 423-424 cognitive development, 228 hearing assessment, 2) 26 97 to residents and fellows, 424—425 motor development, 227—228 Evidence-based ethics, for extremely vision assessment, 227 premature infants, 363—387 no group difference in, 232-233 based on credible evidence, 366 in neonatal intensive care unit. Sec boundaries for care categories in, Neonatal intensive care unit 379-38] : promoting uptake and use of, 389-402, chance of survival and, 366 403-417 cost-effectiveness in, 373—375 analysis of uptake process, definition of, 364 404-405 effects on families in, 377 clinician awareness of ry p T oven futility of care, 364—366 therapies, 391 —39 405-406 need for improved studies of, 381 clinician belief in evidence, 406 outcome measurements in, 368-369 clinician commitment to patient factors in, 369-373 change, 407 preventing quandaries in, 382—383 definition of effectiveness roles of parents and physicians in, 389-39] 23770 8—(3#27 9 dissemination of new information, treatment withdrawal in, 377 393-397 types of therapeutic studies in, 367 clinician factors in, 396—397 use of resources and distress to infants comparison of methods for, 394-396 versus benefits, 375—376 evaluation of new therapies Ex utero intrapartum treatment (EXIT), 1 390-39] congenital diaphragmatic hernia, evidence to support particular 473-474 strategy, 405 examples of, 409-415 Experimental therapy, in managed care, 173 antenatal steroids for fetal Extracorporeal membrane oxygenation, for maturation, 409—412 congenital diaphragmatic hernia, National Partnership to Help 474-475 Pregnant Smokers Quit 412-414 smoking cessation in routine care, 414-415 implementation, monitoring, and maintenance of change, 408 Fee for service, negotiated, in managed care, inappropriate underuse of proven 1ri7O e— hs7 1 therapies, 397-399 Feminist ethics, 7 peer endorsement of evidence, 406-407 Ferritin, in gastroschisis, 558 perception of gap between practice Fertilization and evidence, 407 in vitro, multifetal pregnancy in, selective support for change by practice reduction in, 103—111 setting, 407—408 life beginning at synergistic effects of interventions, ‘ arguments against, 32—33 408 —409 arguments for, 31 —32 teaching of, 419—433 apply information to problem and Fetoscope evaluate outcome, 429-430 iatrogenic membrane rupture from, am- critically appraise evidence, niopatch technique for, 574—580 428—429 invention of, 440-441 882 Cumulative Index / Clin Perinatol 30 (2003) 875-894 Fetus Financial considerations, in genetic anomalies in, 113-126 counseling, 92 communication about Fluid therapy, for preterm labor, 814 See Communication lethal, hospice care in, 123 Formulary, limited, in managed care, 173 management of aggressive, 117, 122—124 balancing approach to, ii7, 123 Gamete intra-fallopian transfer, preterm birth nonaggressive, 117, 122~—12 4 risk in, 659 options for, 117 Gastroesophageal reflux, treatment decisions postviability counseling and in. See Treatment decisions decision-making on, 122-124 Gastroschisis, 551—572 amnioexchange and amnioinfusion preimplantation detection of. procedures for, 561—564 See Preimplantation amniotic fluid impact on, 559-562 genetic diagnosis animal models of, 557—559 previability counseling and consequence S ea 53 decision-making on, 118— 119 delivery in, 55¢ screening and detection of diagnosis of, 55 emotional support in, 115 ethical basis of, 113-114 genetic factors 1n, giving bad news after, historical review of, 5 115-117 incidence of, 551] selective reduction for, 108— 109 inflammation in, monitoring of, viability definition and, 119~— 122 outcome of, 55: fibronectin related to. Sec postnatal care in, 554 Fibronectin, fetal prognosis for, $55—55 genetic counseling related to. See Genetic surgical treatment of, 554 counseling. maturation of, antenatal steroid therapy Gender in. See Corticosteroids, antenatal, medical language insensitive to, 19 prebirth selection for, 75—77, 89 for fetal maturation sexist language and, 18 — 19 personhood of, 31, 156-160, 449-452 research on, ethics guidelines for, 62—63 Gene therapy, preimplantation genetic surgery on. See Maternal -—fetal surgery diagnosis and, 92 ultrasonography of, 3D and 4D, 41 —42 Genetic counseling, 81—93 viability of. See Viability, of fetus counselor responsibilities in, 84—86 or newborn. decision rights in, 84—86 directive, 82 Fibrin formation, in amniopatch technique, 578 discrimination resulting from, 88 —89 ib.in glue, for premature rupture of history of, 81—82 membranes, 585—586 illness versus health considerations in, 89-90 Fibronectin, fetal means of, 82—84 as preterm birth predictor, 702 nondirective, 82, 84—86 assays for, 704—705 on financial costs, 92 confounding factors in, 705 on monogenic diseases, 86—87 historical background of, 702—705 on pregnancy termination, 90—91 in asymptomatic women, 706—709 on preimplantation diagnosis, 92 in multifetal gestations, 714—717 on presymptomatic diagnostics, in symptomatic women, 710—714 confidentiality of data and, 87—88 intervention studies of, 17-720 on sex selection and determination, 89 in normal pregnancies, 702-704 religious considerations in, 91 —92 stigmatization resulting from, 88— 89 FIGO (International Federation of Gynecology and Obstetrics) Committee, for Study of Gestational age Ethical Aspects of Human Reproduction, at delivery, tocolysis effects on, 852 51-58 versus intrauterine infections, 681 —682 Cumulative Index / Clin -erinatol 30 (2003) 875-894 follow-up care in, 871 Harrison, Michael, maternal — fetal surgery eneral laboratory testing in, 859-860 IIV testing in, 858—859 research by, 441-442 neonatal care in, 871—872 Health, versus illness, genetic counseling obstetric procedures in, 868—869 89—90 postpartum care in, 871 Health maintenance organizations. Se¢ viral transmission prevention in, 860-868 Managed care Hearing assessment, follow-up data in, Hydrocephalus, 443 —445, 531-539 196 227 anomalies associated with, 531 —53 classification of, 531 Heart disease, congenital. See Congenital heart disease etiology morbidity and mortality in, Hernia, diaphragmatic. See Congenital 534—535 diaphragmatic hernia : h <9 myelomeningocele with, 52 Highly active antiretroviral therapy, for HI\ prevalence of, 531 infection, in pregnancy, labor and treatment of, 533—538 deliv ery 861 Hydronephrosis, in distal urinary tract HIV infection. See Human immunodeficiency obstruction, 510 virus infection Hydrops Home uterine activity monitoring, 757—804 in lung lesions, 481—486 after tocolysis 787-791 in sacrococcygeal teratoma, 495 SUS clinical trials overview of, 759 Hydroureters, in distal urinary tract comprehensive system versus obstruction, 510 self-palpation, 767—768 controversy over, 759-760 7-a-Hydroxyprogesterone, for preterm devices for, 765—766 labor, @98272 during maintenance tocolytic therapy, 793—797 Hyperglycemia, from ritodrine, 819-820 economic impact of, 783—784, 78 Hypnotics, for preterm labor, 821 —822 false versus true, 766 frequency of, 764—765 Hypoplastic left heart syndrome in multifetal pregnancy, 765, 781 —782 in aortic stenosis, 544—545 in secondary prevention clinical trials, in intact atrial septum, 545—546 768787 in mitral stenosis, 545 in socioeconomically disadvantaged Hypoplastic right heart syndrome, 543, 546 group, 783—784 Hypotension, in prem1a ture infants, inotropes In tertiary prey ention clinical trials, 87—791 for, treatment decisions in. See indications for, 75 59 Treatment decisions miscellaneous studies on, 79] preterm contractions, 764—765 preterm labor symptoms and, 766—767 protocol for, 761~— 764 recording strips produced in, 76] | Illness, versus health, genetic counseling and, 89-90 Hospice care, in lethal fetal anomalies, 123-124 Implantation, as beginning of human life, 33 Hospital ethics committees, 46—48 In vitro fertilization multifetal pregnancy in, selective Human Genome Project, genetic counseling reduction in, 103-111 and, 86~—87 preterm birth risk in, 659 Human immunodeficiency virus infection, Incompetence, cervical, ultrasound evaluation preterm labor in, 857—876 of, 749-752 antenatal care in, 871] clinical situations in, 869—8 0 Indinavir, for HIV infection, in pregnancy, delivery mode in, 865 labor and delivery, 863 884 Cumulative Index / Clin Perinatol 30 (2003) 875-894 ndomethacin International Fetal Medicine and Surgery for preterm labor, 816—817, 847, 849 Society, 444 prophylactic, in low birth weight infants, International Fetoscopy Group, 440-441 evidence-based decision-making in, 239-240 Intestine Infections exteriorization of, in gastroschisis, 5 pathology of, in gastroschisis, 553—554 neonatal effects of, 687 preterm birth in, 655—656, Intrauterine growth retardation 677-700, 809 after multifetal pregnancy reduction, 631 ascent of, 686 in gastroschisis, 554, 563 asymptomatic, 68| bacterial vaginosis, 686-687 Intrauterine pressure catheters, for preterm chronicity of, 682-683 labor detection, 667 diagnosis of, 679—680 Isoxuprine, for preterm labor, 818 fetal death in, 694 fetal fibronectin in, 704, 717—720 historical review ot, 677-679 markers of, 680 mechanisms of, 684 Justice principle, preimplantation genetic organisms causing, 683 — 684 diagnosis and, 69 origin of, 685 premature rupture of membranes in, 691 sexually transmitted, 691, 693-694 K - Kant, Immanuel, ethics theory of, 6 treatment of, 687-691 types of. 680—681 Karyotyping, for genetic diagnosis in selective versus gestational age, 681 — 682 reduction, 108-109 viral, 694 Keratinocyte growth factor, in congenital cystic Infertility, treatments for adenomatoid malformation, 482 multifetal pregnancy in, 103 religious teachings on, 34 Kidney biopsy of, in distal urinary tract Inflammation, in gastroschisis, 557 obstruction, 513 562 —564 damage of, in urethral obstruction, Informed choice, in maternal -— fetal surgery for 507-510 spina bifida, 460—461 Informed consent for nuchal translucency screening, 100 for preimplantation genetic diagnosis, 69 Labor and delivery. See also Cesarean delivery diagnosis of Inotropes, for hypotension, in premature clinical, 666-667 infants, treatment decisions in. See electromyography in, 670-674 Treatment decisions in congenital diaphragmatic hernia, Intensive care unit, neonatal. See under 473-474 Neonatal intensive care unit in gastroschisis, 555 in HIV infection, 865, 868 Interleukin(s), in gastroschisis, 557—558, in hydrocephalus, : 533-534 562-563 in large sacrococcygeal teratoma, 494 International ethics committees premature. See Premature labor codes of, 49—58 and delivery. Council of Europe, 5 preparatory stage of, 669-670 United Nations Educational, Scientific, Lamivudine, for HIV infection, in pregnancy, and Cultural Organization, 50 labor and delivery, 862, 864 World Health Organization, 50-51 Language. See Communication International Federation of Gynecology and Obstetrics (FIGO) Committee, for Study Laser therapy of Ethical Aspects of Human for premature rupture of membranes, Reproduction, 51 —58 584-586

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