摘要:

SummarySummaryIn 15 years, sixty-two patients underwent appendicectomy during pregnancy or the puerperium. Appendicitis was confirmed microscopically in thirty-five cases. During pregnancy the appendix may be displaced upwards by the enlarging uterus but in our series abdominal pain located in the lower right quadrant was still the most common presenting symptom. Abdominal tenderness and rebound tenderness were the most common physical findings, the latter being less common in advanced pregnancy. Laboratory tests were of little help in selecting patients for surgery. Operation was performed within 24 hours from the onset of pain in 73 per cent of all cases. There was no maternal mortality. The price of a short observation period to avoid delay in treatment was a degree of clinical overdiagnosis: twenty-seven patients had a normal appendix. In this group of patients, the negative laparotomy was associated with a loss of three fetuses compared with only two in the group of 35 patients with appendicitis. Wound infection occurred in two cases in each of the groups.

ISSN:1340-9654    

DOI:10.3109/01443619409004057

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

摘要:

SummarySummaryWe used intravenous immunoglobulin treatment (human monomeric IgG) in six patients with recurrent spontaneous abortion and ABO-incompatibility or raised anticardiolipin IgG antibody levels.All six patients achieved a live baby.

ISSN:1340-9654    

DOI:10.3109/01443619409004058

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

摘要:

SummarySummaryTwenty-eight cases of fetal hydrops were referred to the Regional Fetal Medicine Centre in two years. All of these were diagnosed antenatally and were alive at the time of referral. The overall mortality was 75 per cent (21/28). Three major poor prognostic factors were identified, gestational age less than 20 weeks (when the patient usually decided on abortion), abnormal karyotype and congenital anomaly (17 cases). Correcting for these factors resulted in a 63 per cent survival (7111).All cases of fetal hydrops should be thoroughly investigated in order to improve parental counselling regarding prognosis and to offer treatment in appropriate cases.

ISSN:1340-9654    

DOI:10.3109/01443619409004059

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

摘要:

SummarySummaryA slow release hydrogel polymer prostaglandin E2pessary with a retrieval system for the induction of labour was studied in III women with a cervical score≤6. The pessary was removed with little difficulty and caused no discomfort whilein situin 97 per cent of cases. The mean prostaglandin E2release rate, assessed by high performance liquid chromatography, was 0·33±0·15 mg/hour (s.d.; 95 per cent confidence interval 0·30–0·36 mg/hour) and was not related to parity, treatment success or failure. There was no dose dumping. Four cases (4 per cent) had fetal heart rate abnormalities during induction, none were hyperstimulated. Two cases (2 per cent) of hyperstimulation resolved with removal of the pessary and in neither case was more than 1 mg of prostaglandin E2released from the pessary. This preparation safely allows the obstetrician to control the dose of prostaglandin E2administered during induction of labour.

ISSN:1340-9654    

DOI:10.3109/01443619409004060

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

摘要:

SummarySummaryWe studied 24 women who had an undiagnosed breech presentation in labour and compared them to a control population of 48 women where the breech was diagnosed and assessed antenatally, to determine if there were any factors important in deciding the mode of delivery of an undiagnosed breech presentation, and to compare outcomes for mother and baby. Women in the study group achieved a 60 per cent vaginal delivery rate where clinical assessment allowed a trial of labour. The maternal morbidity for all women achieving a vaginal delivery was lower than that for caesarean section hut was lowest where the breech was also diagnosed antenatally. Clinical assessment of fetal size was accurate in identifying all fetuses weighing>3.8 kg. No significant difference in the fetal outcome was found if the breech was diagnosed or undiagnosed, or in relation to the eventual mode of delivery. The practice of individual assesment for optimum mode of delivery of women with undiagnosed breech presentations in labour should continue with vaginal delivery as an acceptable option.

ISSN:1340-9654    

DOI:10.3109/01443619409004061

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

摘要:

SummarySummaryOver 12 years, we performed abdominal delivery of the second twin after the first had been delivered vaginally, in 21 patients. The commonest indications for caesarean section for the second twin were obstructed labour and a contracted cervix.

ISSN:1340-9654    

DOI:10.3109/01443619409004062

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

摘要:

SummarySummaryThe case records of obstetric hysterectomies performed at St Richard's Hospital, Chichester over 18 years (1972 to 1990), were reviewed. Altogether there were II hysterectomies. Nine babies were alive and healthy and two were stillborn. There were no maternal deaths.

ISSN:1340-9654    

DOI:10.3109/01443619409004063

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619409004065

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619409004066

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619409004067

出版商:Taylor&Francis    

年代:1994

数据来源: WILEY