摘要:

SummaryThe findings on 30 women with 48 pregnancies complicated by idiopathic thrombocytopenic purpura (ITP) have been analysed. The criteria for advising whether or not pregnancy complicated by ITP should be allowed to continue are as follows. When the onset of ITP precedes pregnancy and pregnancy occurs without any remission, termination of the pregnancy should be considered because in these circumstances ITP commonly runs a poor course. When the onset of ITP has preceded pregnancy, and is in remission at the time of conception, pregnancy can be continued. In those cases where ITP develops during pregnancy, it is generally possible to continue pregnancy.Haemorrhage during pregnancy can be controlled with corticosteroids and blood transfusion. In those cases with decreased platelet counts, bleeding from the uterine cavity after labour is not a problem but haemorrhage from lacerated wounds is difficult to control. Therefore, vaginal delivery is preferred unless there is an absolute indication for caesarean section

ISSN:1340-9654    

DOI:10.3109/01443618109067397

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

摘要:

SummaryHuman Reproduction: Conception and Contraception, 2nd edition. By E. S. E. Hafex. 260×180 mm. Pp. 960. 1980. London, Harper and Row.£30·95.

ISSN:1340-9654    

DOI:10.3109/01443618109067398

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

摘要:

SummaryTwenty-three pregnancies in 22 women with thyrotoxicosis occurring between 1960 and 1979 are reviewed. Nineteen pregnancies were managed using antithyroid drugs combined with thyroid hormone supplements, 1 with an antithyroid drug alone and 3 had a partial thyroidectomy during pregnancy. There were no maternal or fetal losses, and only 1 small neonatal goitre occurred, the mother being on propylthiouracil and tri-iodothyronine. No neonatal cretinism or thyrotoxicosis was found. Excluding a set of twins, 23 per cent of all babies were dysmature (birth weight<10th centile for gestational age). Minimal doses of antithyroid drugs, with regular clinical assessment and measurements of free thyroxine index and serum thyrotrophin, constitute a safe form of management. Failure of adequate response to medical therapy was not found, but this or compliance problems are indications for thyroid surgery

ISSN:1340-9654    

DOI:10.3109/01443618109067399

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

摘要:

SummaryAdvances in Gynaecological Endocrinology.By The Royal College of Obstetricians and Gynaecologists. 230×172mm. Pp. 416. 1979. Wokingham, Van Nostrand Reinhold.£20·65.

ISSN:1340-9654    

DOI:10.3109/01443618109067400

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

摘要:

SummaryThe effect of three levels of iron supplementation on serum ferritin levels was compared during normal pregnancy. Eight patients receiving no iron supplementation were compared with 13 patients receiving routine oral iron (105 mg elemental iron per day) and 10 patients receiving a high oral dose of iron (480 mg per day). The dramatic fall in serum ferritin levels in the unsupplemented and routinely supplemented women was reversed in those receiving high dose iron with no adverse effects on the fetus. This suggests that 480 mg iron per day causes an increase in iron stores regardless of the demands of pregnancy. In order to maintain total maternal iron levels, it may be beneficial to supplement the iron intake of pregnant women with an intermediate dose of 200 mg of elemental iron per day

ISSN:1340-9654    

DOI:10.3109/01443618109067401

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

摘要:

SummaryFetal and Maternal Medicine.By E. J. Quilligan and Norman Kretchmer. 252×175 mm. Pp. 698. 1980. New York, John Wiley.£25·35.

ISSN:1340-9654    

DOI:10.3109/01443618109067402

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443618109067403

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443618109067404

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

摘要:

SummaryThe Apgar score of 202 babies delivered by elective caesarean section under general anaesthesia using thiopentone as induction agent was studied in relation to induction-delivery interval. A total of 155 babies (76·7 per cent) had Apgar scores of 7 to 10 at 1 minute and 47 (23·3 per cent) 6 or less. A total of 106 babies with induction-delivery intervals of between 11 and 15 minutes had Apgar scores of 7 to 10, while 18 babies with induction-delivery intervals of 5 minutes or less had Apgar scores of 6 or less at 1 minute. It is suggested that the depressive effect blamed on thiopentone is time-related and the best induction-delivery interval for the baby using general anaesthesia with thiopentone as induction agent is 11 to 15 minutes

ISSN:1340-9654    

DOI:10.3109/01443618109067405

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY

摘要:

SummaryOver a 3-year period (1976-1978) 5274 babies were born in our unit, with a perinatal mortality of 13·5/1000 and a neonatal mortality rate in the first 7 days of life of 5·7/1000 live births. Within the total group, 1210 births (22·9 per cent) were to mothers who had risk factors identified. Within this high risk group, the early neonatal mortality was 16·5/1000 live births, compared with 2·6/1000 for the remaining‘low risk’population.In the high risk population, birth asphyxia was common. Three hundred and thirty-seven (29 per cent) had a one minute Apgar score of less than 7, and 100 (8·3 per cent) were severely asphyxiated with an Apgar score of less than 3 at one minute. The severely asphyxiated group had a predictably poor prognosis with an early neonatal mortality of 122/1000, rising to 180/1000 if the 5 minute Apgar score was below 8. Males were more commonly asphyxiated than females. Among the factors analysed (maternal age, parity, social class and ethnic origin), poor social class of the parents was the most important.A LOW Apgar score at birth is expected to occur more frequently as a complication of high risk pregnancies (Low et al., 1975). The present study was undertaken to evaluate the incidence of this complication in a population of neonates after various abnormal events during pregnancy, labour and delivery. The importance of socio-economic status in all these situations was also analysed

ISSN:1340-9654    

DOI:10.3109/01443618109067406

出版商:Taylor&Francis    

年代:1981

数据来源: WILEY