Can Fam Physician. 1971 Sep;17(9):43-7.
The author reviews some of the classical clinical entities which carry with them major degree of risk to the fetus and newborn. He lists systems which facilitate the identification of high risk patients on a statistical basis, and describes easily applied clinical examination techniques which may help in screening and diagnosing previously unrecognized serious problems of feto-placental malfunction.The author then discusses the more sophisticated methods of detecting and managing serious high risk pregnancies, highlighting the severe degree of risk created by the additional stress of labor, superimposed on previous chronic feto-placental malfunction.Dr. Effer concludes that the nature of the sequelae, i.e. death or brain damage, are the product of catastrophic failures; these demand that we consider all the high risk pregnancies with a great deal of respect, and develop increasing cooperative efforts to investigate and institute the already known measures which may create substantial improvement.
作者回顾了一些具有胎儿和新生儿高风险的经典临床病症。他列出了一些系统，这些系统可以根据统计学基础来帮助识别高危患者，并描述了一些易于应用的临床检查技术，这些技术可能有助于筛查和诊断以前未被发现的胎儿胎盘功能障碍的严重问题。然后，作者讨论了更复杂的检测和管理严重高危妊娠的方法，强调了在先前慢性胎儿胎盘功能障碍的基础上，分娩带来的额外压力所造成的严重风险程度。Effer 医生总结说，后遗症的性质，即死亡或脑损伤，是灾难性故障的产物；这些都要求我们非常重视所有的高危妊娠，并加大合作力度，研究和实施已经知道的可能带来实质性改善的措施。
