摘要:

SummaryPregnancy outcome in obese women was compared to that in non-obese controls in Hull. Pregnancy induced hypertension was 2.72 (95 per cent confidence interval 1.56 to 4.79) times more common in obese women. Preterm delivery was 1.6 times less common in the obese group while prolonged pregnancy was five times less frequent in the obese women. Apart from a difference in the number of women offered epidural analgesia in labour, other aspects of labour were similar in the two groups. Abdominal wound infections were more common in the obese group (odds ratio 8.35; 95 per cent confidence interval, 2.04 to 73.38). Babies of obese women weighed more than those of the non-obese controls but no significant difference was detected in the perinatal mortality rate. We conclude that as reported elsewhere, pregnancy induced hypertension and wound infections appear to be the two main complications that are more common in obese women.

ISSN:1340-9654    

DOI:10.3109/01443619309151728

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryThe diagnostic value of a combination of estimates of blood pressure, proteinuria, oedema, platelet count, serum proteins and serum uric acid for detecting intrauterine growth retardation and predicting perinatal mortality has been evaluated by means of a stepwise logistic regression in 147 cases of pregnancy induced hypertension. The 'Gestosis Index' variables, combining systolic and diastolic blood pressure, proteinuria and oedema had less value in detecting intra-uterine growth retardation than the triad systolic blood pressure, serum protein and platelet count. Neither group of variables predicted perinatal mortality well. Further investigation is needed to see if serum protein and platelet counts are helpful in predicting other complications of pregnancy induced hypertension.

ISSN:1340-9654    

DOI:10.3109/01443619309151729

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryDuring the third trimester of pregnancy umbilical artery pulsatility index was measured in 30 insulin dependent diabetic women, classes B to R, according to the White (1978) classification. A mean capillary glucose value>6.1 mmol/1 (110 mg/dl) was selected to indicate poor glucose control. The patients were divided into three groups (10 patients in each) based on mean capillary blood glucose: group I,7.2 mmol/1 (130 mg/dl). Each patient had one measurement of the umbilical artery pulsatility index at 31 weeks and one at 34 weeks. No Doppler measurements were outside the normal range in group I and III. Sixteen measurements (80 per cent) were more than 1 s.d. above the mean in group II. No differences were found between mean pulsatility indices in controls, in group I and in group III. The mean pulsatility index in group II was greater than that in controls (P<0.01) and that in group I (P<0.01) and group III (P<0.01).

ISSN:1340-9654    

DOI:10.3109/01443619309151730

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryWe have previously reported an increase in the proportion of deliveries of babies weighing over 4 kg from 1981 to 1991. 'Birth weight for gestational age' nomograms and gestational age at delivery data from 1991 were compared with those from 1981, and, a case-control study was performed, to assess the characteristics common to the 77 pregnancies in 1991 that were complicated by the delivery of a macrosomic baby. The nomograms for 1991 did not differ from those for 1981. A greater proportion of infants in 1991 were delivered at 42 weeks or more, compared with 1981. This suggests that changes in the induction of labour policy over this time may be responsible for the increase in macrosomic infants. In the macrosomic baby deliveries in 1991, maternal age, parity, antenatal maternal random blood glucose concentrations, proportion of male infants and gestational age at delivery, were increased as compared to the control group. Incidence of smoking was lower in pregnancies complicated by delivery of a macrosomic baby.

ISSN:1340-9654    

DOI:10.3109/01443619309151731

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryIntra-uterine pressure was measured in 40 primigravi-dae in spontaneous labour at term. Labour was conducted according to a standard protocol. Intra-uterine pressure values were calculated in Montevideo units and correlated with the progress of labour in terms of cervical dilatation. The mean intra-uterine pressure tended to be higher in the group receiving oxytocin than in the group progressing without oxytocin at equal cervical dilatation but no statistical difference was demonstrated. There is no evidence in this study that intra-uterine pressures generated by oxytocin in the active management of labour are excessive.

ISSN:1340-9654    

DOI:10.3109/01443619309151732

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryOne hundred consecutive cases of breech presentation were studied in a district general hospital in the South of England. All had live singleton pregnancies at 37-4.2 weeks. Fifty-three were allowed or elected to labour. Of these, 22 (42 per cent) progressed to vaginal breech delivery; 31 (58 per cent) had emergency caesarean sections. All the babies in the study were born in good condition. When careful selection criteria are applied and careful management guidelines followed in labour, only 22 per cent of patients with breech presentation delivered vaginally. Concern shared by obstetricians and patients has resulted in a large number of elective and emergency caesarean sections.

ISSN:1340-9654    

DOI:10.3109/01443619309151733

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryIn the 10 years 1979 to 1988, there were 27 cases of ruptured uterus in 78 489 deliveries. There was no case in 27 829 primigravidae. In 48 718 multigravidae with unscarred uteruses there were eight cases (0.02 per cent) and in 2842 multigravidae who had previously had caesarean sections there were 19 ruptured uteruses (0.7 per cent). Postpartum haemorrhage was the commonest presentation of rupture of the unscarred uterus while intrapartum fetal distress was the predominant feature in the majority of cases of rupture of the scarred uterus. Oxytocin administration was the most frequently associated feature in women with a previous uterine scar. There were no maternal deaths. Eight of the 27 patients had a caesarean hysterectomy. There were 12 perinatal deaths (45 per cent). Rupture of the uterus still presents a significant clinical problem which must be identified if the associated risks to maternal and fetal well-being are to be reduced.

ISSN:1340-9654    

DOI:10.3109/01443619309151734

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619309151735

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619309151736

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619309151737

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY