Abstract
A survey of neonatal deaths occurring over two years in Northern Ireland disclosed that many hospitals where babies could be born probably could not be staffed and equipped to deal effectively with major perinatal problems. The incidence of congenital malformations, especially neural tube defects, was high. A reduction in neonatal deaths from this cause might be expected if facilities for antenatal diagnosis and termination of pregnancy were made available, although this raises grave ethical problems. Many infants died of prematurity and the idiopathic respiratory distress syndrome. A considerable reduction in neonatal deaths might be expected with improved care at the place of delivery backed by a regional centre with facilities for transporting and treating severely ill infants needing intensive care.
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Selected References
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- Brock D. J. Prenatal diagnosis - chemical methods. Br Med Bull. 1976 Jan;32(1):16–20. doi: 10.1093/oxfordjournals.bmb.a071317. [DOI] [PubMed] [Google Scholar]
- Elwood J. H., Nevin N. C. Anencephalus and spina bifida in Belfast (1964-1968). Ulster Med J. 1973;42(2):213–222. [PMC free article] [PubMed] [Google Scholar]
- Field B., Kerr C. Letter: Antenatal diagnosis of neural-tube defects. Lancet. 1975 Aug 16;2(7929):324–325. doi: 10.1016/s0140-6736(75)92760-9. [DOI] [PubMed] [Google Scholar]
- Milunsky A., Atkins L., Littlefield J. W. Amniocentesis for prenatal genetic studies. Obstet Gynecol. 1972 Jul;40(1):104–108. [PubMed] [Google Scholar]
- RICHARDS M. R., MERRITT K. K., SAMUELS M. H., LANGMANN A. G. Congenital malformations of the cardiovascular system in a series of 6,053 infants. Pediatrics. 1955 Jan;15(1):12–32. [PubMed] [Google Scholar]
- Thompson T. The results of intensive care therapy for neonates: I. Overall neonatal mortality rates. II. Neonatal mortality rates and long-term prognosis for low birth weight neonates. J Perinat Med. 1977;5(2):59–75. doi: 10.1515/jpme.1977.5.2.59. [DOI] [PubMed] [Google Scholar]