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Journal of Tropical Pediatrics 1984 30(2):126-128; doi:10.1093/tropej/30.2.126
© 1984 by Oxford University Press
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Feeding the Fetus in the Tropics: Rest is Best

André Briend, MD

Chargé de Recherches, ORSTOM, Section Nutrition, BP 1386, Dakar, République du Sénégal

Physiological adjustments to heat, upright posture and exercise interact in man. One result is that sympathetic activity increases with temperature in nonresting subjects. Comparative evidence suggests that utero-placental blood flow is affected by this reaction. This could be a major cause of fetal malnutrition in the tropics which presumably will not be overcome by improving maternal diet. Allowing a pregnant woman rest at the end of pregnancy might be a prerequisite to reduce fetal malnutrition and perinatal mortality in these areas.


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