3. ISBN : 3540181113
Author :
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4. Decision making in modem obstetrics and perinatology is con trolled by a variety of different factors,
but there is little doubt that in industrialized countries one of the most powerful single factors is the
concern and fear of causing permanent brain damage in the unborn and newborn. The dramatic
increase in the rates of abdom inal deliveries in many parts of the world is certainly rooted to a
substantial part in the ~bstetrician's concern not so much about possible perinatal death, but more so
about permanent brain dam age in surviving children. This trend has been accelerated by the
increasing number of litigations in connection with brain damage observed in many societies. This
problem itself has many aspects, but it seems evident that litigation - justified or unjustified - is one
modem expression of the human and social tragedy inflicted on individuals and families by the birth
of a brain-damaged child. The medical, social, and human importance of the problem is in sharp
contrast to the relative lack of scientific knowledge avail able. This became very clear when the
National Institutes of Health published the excellent review in 1985 on "Prenatal and Perinatal
Factors Associated with Brain Disorders" and its editor, J. M.
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