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By Jean W. Keeling (auth.), Jean W. Keeling MB, BS, FRCPath (eds.)
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Additional info for Fetal and Neonatal Pathology
Sample text
Placenta 1: 337-344 Campbell S. Pearce JMF (1985) Ultrasound in obstetrics and gynaecology. In: McDonald RR (ed) Scientific basis of obstetrics and gynaecology. Churchill Livingstone. Edinburgh. pp 304-349 Chamberlain GYP (] 985) The length of labour. In: Crawford JW (ed) Risks oflabour. Wiley. Chichester. pp ]-10 Cooke RWI. Lucas A. Yudkin PLN. Pryse-Davies J (1977) Head circumference as an index of brain weight in the foetus and newborn. Early HumDev 1: 145-149 Dorovini-Zis K. Dolman CL (1977) Gestational development of brain.
When there is clinical suspicion of such abnormality. which has not been confirmed or excluded during life. then colleagues should be advised to seek consent for necropsy. or. failing that. for removal of specific tissue samples. before the baby dies so that delay in obtaining important diagnostic material is minimised. Delay reduces the reliability of investigations. Samples required will depend on the type of disorder suspected. but plasma. serum and urine together with skin for fibroblast culture are useful minima.
The left atrium is small when there is mitral atresia or stenosis and in the presence of pulmonary hypoplasia or total anomalous pulmonary venous return. Inspect the distribution of the coronary arteries. The anterior descending branch of the left coronary artery is the surface marking of the interventricular septum. Its position indicates the relative contribu- b 16 Fig. 20. Traction of the heart to the right shows confluence of pulmonary veins and an anomalous venous trunk descending through the diaphragm.