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Copyright of Revue de Médecine Périnatale is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revue de Médecine Périnatale is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The first part of this work covers regulatory texts on paediatrics in maternity hospitals, the operational areas of postnatal wards and delivery rooms, as well as paediatrics within the framework of prenatal diagnosis and foetal medicine. The second part describes the medical references of this area of activity, according to child and parent needs (on somatic, psycho-emotional and educational levels) and within medical and psychosocial contexts. Finally, this work examines the difficulties of paediatric practice in maternity hospitals, which are mostly dependent on an inadequate medical staff. Early discharges of term newborns because of the insufficient capacity of maternity wards are not regularly followed-up by appropriate aftercare at home. Some recommendations are proposed to limit the adverse effects of early postpartum discharges. [ABSTRACT FROM AUTHOR]

Despite improvements in intensive care, lung hypoplasia and persistent pulmonary hypertension cause a high mortality rate in newborns with CDH. Sequelae including bronchopulmonary dysplasia, chronic pulmonary hypertension, gastro-oesophageal reflux, growth retardation and oral aversion are observed in half the surviving infants. The aims of post-natal management are: 1) to provide adequate tissular oxygenation and decarboxylation, with minimal lung volo-or barotrauma; 2) to optimise circulatory function through PPHN management; 3) to prevent respiratory and nutritional morbidity. Long-term follow-up and multidisciplinary management are required. [ABSTRACT FROM AUTHOR]