Word: liley
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...Zealand-born Dr. A. William Liley applied simple, practical reasoning to the problem. Anything he did, he figured, must be for the better-"You couldn't possibly do any harm to the baby, because it couldn't be worse off than it already was." And if it was all right to push a hypodermic needle into the bag of waters, why not keep going and push it into the fetus' abdomen? At National Women's Hospital in Auckland, he did just that. Through the bore of the heavy-gauge needle, he then inserted a thin plastic...
Into an Artery. Dr. Liley's bold invasion of the womb failed in his first three tries because the babies had already been too severely damaged. His fourth attempt succeeded, and a live baby-now 16 months old and developing normally-was delivered. Dr. Liley has since had 13 successes in 18 cases. He is now at Manhattan's Columbia Presbyterian Medical Center on a research grant from the U.S. Public Health Service...
Also at Columbia, Dr. Karlis Adamsons Jr. decided that as valuable as the Liley technique may be, it is still too little and too late in too many cases. What the fetus may need, he reasoned, is a massive, virtually total exchange transfusion. But how to give it? In one case, Dr. Adamsons boldly cut through the mother's abdominal wall and enough of the uterus to expose the fetus' abdomen and one leg. He cut into the fetus' groin and put a plastic catheter in the femoral artery. Through this tube he withdrew much...
Back in Auckland during Dr. Liley's absence, Surgeon Graham C. Liggins has found a way to insert a catheter through the bore of a hypodermic needle, then anchor it in the peritoneum in such a way that no matter how much the fetus squirms, the catheter will not pull out. Thus it can be left in place for repeated transfusions...
...centers in New York City, and at others in Rochester, N.Y., Boston, Denver, Los Angeles, San Francisco and Winnipeg. About half of the hundred or more babies treated have been saved. Last month the University of California's Dr. Jimmie Alf Westberg flew to Phoenix and supervised a Liley-style transfusion. The 40-year-old mother had lost ten babies to Rh incompatibility. Her latest pregnancy will have a chance of success...
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