13th Congress of the Federation of Asia and
Oceania Perinatal Societies

April 14-18 2004 (Kuala Lumpur - Malaysia)





This book of proceedings is a compilation of some of the papers that have been presented at the 13th Congress of the Federation of Asia –Oceania Perinatal Societies (FAOPS) which was held on the 14th-18th April 2004 in Kuala Lumpur. As this is a voluntary activity not all authors have submitted their papers for this publication.
The FAOPS was established 24 years ago with the objectives to
1) promote the science and art of perinatology
2) promote maternal, fetal and neonatal welfare
3) maintain liaison and promote cooperation and goodwill with other perinatal organizations
4) provide expert advice to governmental and other bodies pert aining to perinatalogy and
5) promote research and training in perinatology
In order to achieve its aims broadly based national perinatal societies in countries within the Asia and Oceania region, with memberships drawn from neonatal pediatrics, obstetrics, neonatal nursing, midwifery and basic science, are formed and one of its main activities is the provision of continuing medical education.
A major event of the FAOPS is the biennial congress of which the first was held in Singapore in 1980 and subsequent ones were in Auckland (1982), Calcutta (1984), Tokyo (1986), Bali (1988), Perth (1990), Bangkok (1992), Taipei (1994), Singapore (1996), Seoul (1998), Manila (2000) and Christchurch (2002). These meetings have become a tradition and important gathering of the best of minds in perinatal health and medicine from the Asia-Oceania region.
The 13th Congress in Malaysia this year was themed ‘Back to Basics & Much More!’ and was held in conjunction with the 11th Annual Congress of the Perinatal Society of Malaysia.
The scientific program covered perinatal issues both at the molecular and clinical level, and of importance to both developed and developing countries. It also aimed to narrow the knowledge gap and to bridge differences in practice of perinatology between the technologically advanced and less advanced nations. Issues as basic, but very vital, as breastfeeding and education were given a fresh look while advances in artificial reproductive techniques and molecular genetics were also given eminence.
Perinatology has advanced very rapidly in recent times and all health care providers must be constantly appraising their practices in the light of ever evolving information in the field. Nearly 250 papers were presented at the meeting and it is hoped that this proceedings together with the presentations made and their discussions will enhance our knowledge and understanding to enable us to provide better care for our patients.
The editor wishes to express her utmost gratitude to all speakers at the conference and especially to those who have allocated time and effort to prepare their full papers for this publication. I am sure all delegates at the meeting and readers of this proceedings will be enriched by the expertise, knowledge and wisdom that have or are being shared.

Nyok-Ling Lim
Organizing chairman
FAOPS 2004






Invited Lectures


Developmental Care: Concepts and Effectiveness
H. Als, H.L.N. Conneman and G.B. McAnulty

Challenges in Breastfeeding Multiples
C.-H. Chen

Challenge in Implementation of Developmental Care
C.H. Chen

Prevention of Neonatal Hypothermia
L.M. Daniel

Training Strategies in Resuscitation
A.K. Deorari

Lung Injury and Platelet
T.F. Fok 29
The Treatment of Neonatal Jaundice
T.F. Fok

Training Paramedics in Neonatal Retrieval in a Developing Country
J. Ho, P. Subramaniam and A. Singh

Inutero Diagnosis of Fetal Hypoxia
JAP Dhammika, S. Arulkumaran

Twin to Twin Transfusion Syndrome– Magnitude of the Problem S. Kalavathy Subramaniam and N. Sivalingam

Cerebral Injury: Is It Asphyxia?
N.L. Lim

Early Markers of Infection in Neonates
P.C. Ng

Transient Adrenal Insufficiency of Prematurity – TAP
P.C. Ng

Breastfeeding and Formula Feeding – What’s the Difference? The Evidence for Breastfeeding
S.C.Y. Ng

Importance of Micronutrients in Feeding of the Low Birth Weight Infant
S.C.Y. Ng

Strategies to Improve Feed Tolerance in Preterm Infants
S.C.Y. Ng

Intrauterine Treatment of Twin Reversed Arterial Perfusion (TRAP) Sequence
S. Tanawattanacharoen

Preimplantation Genetic Diagnosis and Controversies
M.-K. Thong

Lessons from the Molecular Biology of Neonatal Hyperbilirubinaemia
H. Van Rostenberghe, N. Yussof, H. Nishio, M. Matsuo,
R. Noraida and W.I. Wan Pauzi

Long Term Outcome of Assisted Reproduction Technology Babies
V.Y.H. Yu

Perinatal and Paediatric Mortality and Morbidity in Twin Twin Transfusion and Intrauterine Therapy
V.Y.H. Yu

Strategies to Enhance National Perinatal-Neonatal Programs in Asia-Oceania
V.Y.H. Yu



Free Papers

The Significance of Measurement of Serum Unbound Bilirubin Concentration in High Risk Infants
Y. Daito, H. Negishi, Y. Lee, H. Minami, H. Nishio and Y. Taninaka

The Morbidity Pattern of Low Birth Weight Infant in Neonatal Intermediate Ward of Dr. Soetomo Hospital Surabaya
S. Damanik, F. Indarso, A. Harianto and R. Etika

Screening for Asymptomatic Bacteriuria (ABU) in Pregnancy Among Antenatal Attendees in HUSM
N.H.N. Hazlina, Nizar Bidin, C.Y. Che Annuar, J. Radzi, A. Maimunah, B. Norsaadah and M. Norlen

Hypoxic-ischaemic Neuronal Damage in the Neonatal Brainstem
Z.D. Jiang, X.M. Shao and A.R. Wilkinson

Identification of Fetal Growth-Related Single Nucleotide Polymorphisms in Insulin-like Growth Factor (IGF)2 and IGF2 Receptor Gene Regions
K. Kaku, H. Osada, Y. Iitsuka, K. Masuda, K. Seki and S. Sekiya

Molecular Basis of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency in Cambodia
M.Y. Narazah, R. Devenish, H.V. Rostenberghe, K. Nishiyama, T. Shirakawa, G. Selamah and M. Matsuo

Assessment of Labour Pain by Midwives in Labour Suite Hospital University Sains Malaysia (HUSM) Kelantan
N.H. Nik Hazlina, H. Intan Idiana, R. Rogayah Abd.

Neonatal Melioidosis: A Case Report and Review of the Literature
R. Noraida, H. Van Rostenberghe and W.I. Wan Pauzi

Safe the Mother and Baby in Remote Island – Natuna Indonesia
P. Rochjati, S. Damanik and A. Hidayat

Early Neonatal Outcome of Infant with Chorioamnionitis and Funisitis
K. Sawada, A. Takashima, Y. Fukasawa, Y. Aoki, A. Tateno, T. Kinoshita, M. Itoh, N. Hiruta and N. Kameda

Neonatal Outcome in Offspring of Women with Increased BMI at Pregnancy Term
N. Smiljan Severinski, O. Mamula, A. Finderle, H. Haller and U. Marton

Neonatal Outcome in Discordant Twin Gestation
N. Smiljan Severinski, O. Mamula, A. Finderle, O. Petrović, H. Haller and S. Zoričić

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