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Description
Some aspects of Respiratory distress Syndrome (Hyaline Membrane disease) in newborn infants examined.
Metadata describing this Open University video programme
Module code and title: S321, Physiology of cells and organisms
Item code: S321; 10
First transmission date: 23-06-1974
Published: 1974
Rights Statement:
Restrictions on use:
Duration: 00:24:18
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Producer: John Groom
Contributor: Vic Daniels
Publisher: BBC Open University
Keyword(s): Amniocentesis; Caesarian section; Corticosteroid treatment; Foetal blood sampling; Infant breathing; Respiratory Distress Syndrome; Sonar
Footage description: Film shots of a baby in a neonatal intensive care unit. Commentary by Vic Daniels describes the baby's condition. It is suffering from Respiratory Distress Syndrome (hyaline membrane disease). Further shots of the baby. A doctor gives its case history and gives the symptoms of hyaline membrane disease. Vic Daniels explains the differences in breathing of normal babies and those suffering from the Syndrome. Diagrams of the lungs and alveoli. Scanning electron micrograph of an alveola. Photomicrographs of sections of normal and diseased lung tissue of babies. Vic Daniels uses a graph to show levels of sulfactants during pregnancy. The levels of lecithin and sphingomyelin are shown. He discusses their measurement. Daniels then describes a method for obtaining the lung fluid from the foetus. Diagram of the mother showing the foetus. Film shots of this technique being used on a pregnant patient. Commentary, by Vic Daniels and several doctors, explains the technique (a needle is introduced to the womb through the mothers abdomen and a sample of the foetal fluid extracted). Shots of a sonogram which shows the position of the foetus and placenta. Shots of a sonogram being obtained. Continuing shots of the technique being used. Shots of the fluid being tested for amount of sulfactants present by chromatography. A doctor explains the criteria for deciding when a premature delivery should be induced and also what method is to be used. Shots of a cesarian section being performed. Commentary by Vic Daniels explains each step of the operation. Shots of a vaginal delivery. Commentary by Vic Daniels and a doctor explains the techniques used to discover the presence of asphixia in the child before and during the delivery (measurement of blood pH of a sample from the baby's scalp). Shots of a blood sample being taken from the foetus in the uterus. Commentary explains the technique. Shots of the blood being tested on a pH meter. A doctor explains some of the additional problems which arise through the presence of hyaline membrane disease. Schematic diagram of part of the circulatory system of a new born baby. Commentary by Vic Daniels explains why presense of the disease causes reversion to foetal circulation in the infant. A doctor continues Daniels' commentary Vic Daniels discusses possible treatment for the disease. Shots of baby receiving treatment (artificial etc). Shots of a doctor examining a baby during treatment. He decides that the baby is well enough to breathe without aid. Vic Daniels explains the necessity for monitoring the oxygen uptake of the baby continuously. Shots of a method of continuous monitoring in operation. A doctor continues the commentary. More shots of technique. Vic Daniels discusses some of the possible avenues of advance in the treatment of hyaline membrane disease. A doctor adds to the discussion.
Master spool number: 6HT/71416
Production number: 00525_1114
Videofinder number: 1827
Available to public: no