Milestones in prevention in reproductive and perinatal health
题 目：Milestones in prevention in reproductive and perinatal health?xml:namespace>
主讲人：Paul Lancaster, Honorary Associate Professor, the Menzies Centre for Health Policy, Charles Perkins Centre, University of Sydney
时 间：2017年4月28日（星期五） 上午10:00
After graduating from Sydney Medical School, Paul Lancaster trained as a paediatrician and later became Director of Newborn Services at the Royal Hospital for Women in Sydney. In 1979, he was appointed as the founding Director of the National Perinatal Statistics Unit in the School of Public Health at the University of Sydney. In 1983, he established the world’s first national register of IVF pregnancies and in 1991 he initiated an international program to monitor IVF. He also steered the establishment of the International Centre for Birth Defects in Bergen, Norway. In 1994, he instigated the Master of Reproductive Health Sciences and Human Genetics degree in the Faculty of Medicine. His current appointment is Honorary Associate Professor at the Menzies Centre for Health Policy, Charles Perkins Centre, University of Sydney.
Over the past 75 years, reproductive and perinatal care and related research have led to improved survival during pregnancy and for newborn babies. Following the discovery that maternal rubella caused cataracts and other birth defects in babies, these defects were subsequently prevented by rubella vaccination. Similarly, recognition that thalidomide and other drugs caused major birth defects led to experimental work to evaluate the safety of new therapeutic drugs, preventing other major disasters. Newborn screening programs enabled early detection of uncommon genetic diseases such as phenylketonuria.
In the current era of evidence-based perinatal care, the high and rising rate of caesarean sections in many countries is often not justified. Hospital, regional and national data systems are essential to monitor trends in reproductive and perinatal health care and to evaluate unintended consequences of changes in health care policies.