摘要:

SummaryPregnancy is an unusual event in women with end stage renal failure. In a study of 1281 women of childbearing age cared for in 260 dialysis units in the States over a 2 years study period, only 1–5 per cent of them became pregnant, and only 37 per cent of them had a livebirth (Hou, 1994). Fetal loss is very common in this group of patients, but has been seldom reported. Most reports are skewed in favour of a positive outcome as investigators tend to report their success rather than failures. In the past 10 years, we have managed three pregnant patients who required dialysis and they all lost their fetuses during the second trimester. Hence we report our experience and review the reports on successful pregnancies. The problems of management are discussed.

ISSN:1340-9654    

DOI:10.3109/01443619609020705

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

摘要:

SummarySeventy-three placentae and 73 newborn babies were examined from 72 consecutive parturient Nigerian women at term. Ten of the placentae had ring forms ofPlasmodium falciparumonly, 17 placentae had ring forms and schizonts, and two placentae had only schizonts. Pigment granules alone was present in two placentae, and pigment granules in combination with ring forms and/or schizonts were seen in 10 placentae. There was seasonal variation in both maternal and placental parasite infection. There was also a positive correlation between peripheral and placental parasite density. First-born babies of primigravidae with infected placentae weighed less and had body lengths lower than those of first-born babies with non-infected placentae but the difference was not statistically significant. Their weights and lengths were also significantly less than those of babies of multigravidae with infected placentae. Peripheral parasitaemia was present in 16 of 73 (21 per cent) newborn babies. Parasite density in the newborn babies was low (8–159 asexual forms per (μblood) and only one newborn baby was symptomatic within 24 hours of birth. Infected newborn babies weighed less than non-infected newborn babies but the difference was not statistically significant. Despite peripheral and/or placental parasitaemia in 25 of the parturient women, only 5 (20 per cent) had symptoms in the one week preceding presentation. Maternal weekly pyrimethamine prophylaxis appears not to confer protection against infection.

ISSN:1340-9654    

DOI:10.3109/01443619609020706

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

摘要:

SummaryTo assess the obstetric risk of grand multiparity we conducted a retrospective case control study over a two-year period. Defining grand multiparity as parity>5 we identified 229 cases; matched controls were within 5 years of age and parity 1. We found significantly more Jewish and Muslim patients, a discrepancy of greater than 2 weeks between menstrual date and dating ultrasound scan at 16 weeks, and significantly higher anaemia rates in the grand multi-parae (P<0–01). Antenatal admission rates including antepartum haemorrhage were similar, but the grand multiparous group had significantly less analgesic use in labour, a shorter second stage and a higher intact perineum rate. Mode of delivery, gestation, age, birth weight, Apgar scores and postpartum haemorrhage rates did not differ. There were three stillbirths in the 229 grand multiparous group, with none in the control group, with no neonatal deaths in either group. With modern obstetric management protocols, grand multi-parity does not appear to be an obstetric risk factor.

ISSN:1340-9654    

DOI:10.3109/01443619609020707

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

摘要:

SummaryTwenty-eight women following forceps delivery were recruited to assess the validity of the ultrasonic estimation of bladder volumes. A further 20 postpartum women with in-dwelling catheters were recruited to assess the reliability of the ultrasound method. The in limit of visualisation of urine in the bladder by ultrasound appeared to be approximately 25 ml. 1 he intraelass correlation coefficients for the bladder volume estimated by ultrasound versus those obtained by urethral catheterisation was 0–98. indicating a high degree of correctness in the ultrasonic measurements (validity). The mean difference between bladder volumes measured by two independent observers for bladder volumes between 40 and 120 ml was + 2–4 ml and the corresponding limits of agreement (mean i s.d.) were -13–6 to±18–3 ml. The overall intraelass correlation coefficient for bladder volumes independently measured using ultrasound by two observers was 0–99, indicating a high degree of agreement between the two observers (reliability). Real-time ultrasound provides a valid, reliable and non-invasive method of measuring bladder volumes in postpartum women.

ISSN:1340-9654    

DOI:10.3109/01443619609020708

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

摘要:

SummaryTwo symphysis-fundus (SF) curves based on ultrasonically dated pregnancies were constructed. One SF curve (A) was constructed using data from all 2255 included women and another SF curve (B) from 1226 women who were selected by almost the same maternal and neonatal criteria as Westin used. The level of both curves is higher than the SF reference curve used today.

ISSN:1340-9654    

DOI:10.3109/01443619609020709

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

摘要:

SummaryOne of the major goals in perinatal practice is to achieve the lowest possible mortality. We reviewed 312 perinatal deaths in the King Fahd Hospital, Al-Khobar, Saudi Arabia, during a six year period. The study revealed a perinatal mortality ratio of 13–7/1000 births. In the patients who had no antenatal care, the perinatal mortality rate was 20–8/1000 compared with 13–3/1000 in booked patients. Amongst the normally formed babies, low birth weight was the commonest association with perinatal loss (26–29%-) followed by the consequences of maternal diseases (12–8%). The cause of death was unknown in 19–5′7c of mature babies who died. Unbooked patients are responsible for 70–5% of the total perinatal deaths. Perinatal mortality can only be reduced once those patients realise the importance of antenatal care.

ISSN:1340-9654    

DOI:10.3109/01443619609020710

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

摘要:

SummaryThe diagnosis of abdominal pregnancy can be difficult. The following cases are presented to describe clinical features which may raise the suspicion of this diagnosis. The continuation of such pregnancies carries significant risks for both mother and baby, and we review the literature on this subject in addition to highlighting clinical features which may indicate a subgroup of patients in whom a favourable outcome might be expected.

ISSN:1340-9654    

DOI:10.3109/01443619609020711

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

摘要:

SummaryFive hundred women attending the antenatal clinic at Yerwa maternal and the child health clinic in Maiduguri, Nigeria who planned to have their deliveries conducted at home were recruited into the study. The majority of the patients were illiterate. Eighty per cent of the women had uncomplicated labour conducted by traditional birth attendants at home while 20 per cent required transfer to hospital for delivery. Three per cent of the women who delivered at home required further hospitalisation. The perinatal mortality rate in the study group was 16/1000. Five of the perinatal deaths occurred among those who required hospital birth.

ISSN:1340-9654    

DOI:10.3109/01443619609020712

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619609020713

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619609020714

出版商:Taylor&Francis    

年代:1996

数据来源: WILEY