th th st . On December 19,20 and 21 1979, we had the opportunlty to
organize a Workshop on "Antenatal factors affecting meta- bolic
adaptation to extrauterine life - Role of carbohydra- tes and energy
metabolism". This meeting was made possible thanks to grants from the
Committee of Medical Research and Public Health (CRM) of the Commission
of European Communi- ties. We want to express our warmst gratitude for
the effort that has been made and we hope that the exchange of
information between the participants will allow better understanding of
the mechanism of adaptation to extrauterine life and that the
conclusions drawn will contribute to a better care of the newborn.
Adaptation to extrauterine life is one of the most impor- tant steps in
life. At the moment of birth, numerous conditions are drastically
changed and in order to survive the newborn has to rely upon new sources
of energy and of substrates. This switch over has to occur smoothly and
any adaptation failure will result in the disturbance of impor- tant
metabolic functions. Mortality and morbidity in neo- natal period remain
still very high in comparison with the figures observed later in life;
the reduction of mortality has been much more important in child and
adult than in neonates.