Læknablaðið : fylgirit - 01.05.1982, Blaðsíða 76

74
annast á Kvennadeild Landspítalans, þar
sem aðstaða er til þess að fylgjast með
þroska fóstursins. Á Landspitalanum er náin
samvinna milli fæðingarlækna og þarna-
lækna um meðhöndlun þessara tilfella, hve-
nær og hvernig fæðingin skuli verða.
Á Vökudeild Barnaspítala Hringsins, sem
er gjörgæsludeild fyrir nýbura, er aðstaða til
þess að veita börnunum meðferð á þeim
vandamálum, sem upp kunna að koma eftir
fæðinguna.
ENGLISH SUMMARY
A retrospective study was done in order to
evaluate the utilization of ultrasound in dia-
gnosing fetal growth retardation at the De-
partment of Obstetrics and Gynecology of
Landspitalinn, Reykjavik.
Prenatal records of all women giving birth
to small-for-dates babies during 1978 and 1979
were reviewed.
75 newborns were small-for-dates. 42 of them
were evaluated by ultrasound during fetal life
but only 28 of those were diagnosed as small-
for-dates by ultrasound. The reason for failure
in ultrasound diagnosis of fetal growth retar-
dation may have been tiiat measurements of
body circumference was not done routinely.
It is the authors opinion that all pregnant
women suspected of having growth retarded
fetus should get prenatal care and obstetrical
aid at an obsterical unit equipped with ultra-
sound in order to have serial ultrasound mea-
surement of fetal size.
TILVITNANIR
1. Fritzhardinge, P.M., Kalman, E., Astley, S.,
Pape, K.E.: Present status of the infant of
very low birth weight in a referral neonatal
intensive care unit in 1974.
2. Gross, S.J., Kosmetatos, N., Grimes, C.T.,
Williams, M.L.: Newborn Head Size and
Neurological Status. Am J. Dis. Child Val.
132 Aug 1978 p 753-756.
3. Mc Itwarne, G.M., Howat, R.C.L., Dunn, F.,
Macnaughton, M.C.: The Scottish Perinatal
Mortality Survey. Br. Med. J. 1979 2 p 1103-
1106.
4. Fancourt, R., Campell, S., Harwey, D., Nor-
man, A.P.: Follow-up study of small-for-
dates babies. Br. Med. J. 1976 1 p 1435-1437.
5. Hutchins, C.J.: Delivery of the Growth —
Retarted Infant. Obstet. Cynecol. Vol 56 No.
6 Des. 1980 p 683-686.
6. Editorial Br. Med. J. 1979 1 p 1381-1382.
7. Campbell, S., Thomas, A.: Ultrasound Mea-
surement of the Fatal Head to Abdomen
Ratio in the Assessment of Growth Retarda-
tion. Br. Med. J. Obst. Gyn. 1977 84 p 165-174.
8. Neilson, J.P., Whitfield, C.R., Atchinson,
T.C., Screening for the small-for-dates fetus:
a two-stage ultrasonic examination schedule.
Br. Med. J. 1980 1 p 1203-1206.
9. Thomson, A.M., Bellewicz, W.Z., Hytten, F.
E.: The Assessment of Fetal Growth J.
Obstet. Gynec. Brith. Cwlth. Sept. 1968. Vol.
75 p 903-916.