摘要:

SummaryA prospective epidemiological study was made of vaginal carriage ofGardnerella vaginalisintrapartum and postpartum in 275 women with normal pregnancies. Thirty-five women (13 per cent) carriedG. vaginalison the day of delivery with no clinical manifestations. The rate was higher with low socio-economic status (P<0-001). Vaginal carriage increased after vaginal delivery (37 per cent on day 5;P<10−9) but not after a caesarean section. No infectious complications were observed but the early use of antibiotics in case ofG. vaginalismonoculture prevented any assessment of the pathogenic effect ofG. vaginalisin the postpartum period. The carriage rate returned to normal after a few weeks whether or not antibiotics were given following the fifth day. These results confirm thatG. vaginalisbelongs to the commensal vaginal flora and suggest that it often proliferates temporarily after delivery.

ISSN:1340-9654    

DOI:10.3109/01443619309151759

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryMaternal serumα-fetoprotein is more commonly elevated (>2 multiples of the median) in pregnancy associated with systemic lupus erythematosus (35 per cent compared with 5 per cent for a general obstetric population,P<001). An elevatedα-fetoprotein level is, in this series, a predictor of fetal loss, pregnancy induced hypertension and premature delivery (before 34 weeks) in the lupus patient.

ISSN:1340-9654    

DOI:10.3109/01443619309151760

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryThe aim of this study was to investigate the consistency of the estimation of the risk of a Down's syndrome birth in the face of changing human chorionic gonadotrophin (hCG) and a-fetoprotein concentrations. Starting at 15 weeks gestational age, blood samples were taken over a 4-week period, from six apparently normal volunteers. Serumα-fetoprotein and hCG were used to estimate the combined risk using a commercially available computer algorithm. During the period of the study theα-fetoprotein concentration almost doubled and the hCG concentration approximately halved. Despite a statistically significant relationship between odds ratio and gestational age the estimate of risk of Down's syndrome remained relatively constant.

ISSN:1340-9654    

DOI:10.3109/01443619309151761

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryThe obstetric outcome of 192 women who failed to drain amniotic fluid during labour was studied. All the women had ruptured membranes as a consequence of either spontaneous rupture of the membranes before labour or following amniotomy. The latter was performed either at the time of diagnosis of labour in women with spontaneous onset of labour or in order to induce labour. No amniotic fluid was observed at amniotomy or throughout the course of labour. Following delivery of the fetus, 38 per cent of these women drained clear amniotic fluid, 33 per cent continued to have absent amniotic fluid while 29 per cent drained meconium-stained amniotic fluid. When compared with those patients who were observed to drain amniotic fluid during labour or at amniotomy, patients with absent amniotic fluid had a three-fold increase in the incidence of fetal heart rate abnormalities requiring fetal blood sampling, a three-fold increase in forceps delivery and a four-fold increase in caesarean section performed for suspected fetal distress. The finding of absent amniotic fluid early in labour in women with ruptured membranes is a predictor of increased fetal risk and of increased obstetric intervention.

ISSN:1340-9654    

DOI:10.3109/01443619309151762

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryThe need for intervention in prolonged but otherwise normal pregnancy is frequently questioned. The conservative management of post dates pregnancy, and the possible contribution of Doppler blood How studies to this were assessed in an observational study of 167 women with apparently normal post dates pregnancies. There was no difference in mean Doppler indices between 16 women delivered for fetal distress and other women. Fetal distress was more common after 290 days and following induction. Antenatal cardiotocography and Doppler studies failed to predict one stillbirth. These findings agree with other studies casting doubt on the value of Doppler in the management of the post dates pregnancy, possibly because the deterioration in placental function occurs with no reduction in blood flow.

ISSN:1340-9654    

DOI:10.3109/01443619309151763

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryPregnancies after repeated caesarean sections are often considered to have increased maternal and fetal risks because of the assumed fragility of the scarred uterus. A group of 103 pregnant women who had more than three uterine scars was studied and compared to 12l pregnant women who were delivered by a third caesarean section during the same period. The pregnancy outcome and complications during pregnancy, intra-operative and postoperative variables were studied. No statistical difference was found between the two groups. The complication rate is low even in repeated caesarean sections. Thus there is no place for an arbitrary limitation of the number of caesarean sections. Advice should be based on the apparent condition of the uterus during the last operation.

ISSN:1340-9654    

DOI:10.3109/01443619309151764

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryOne hundred and forty eases of cord prolapse and 25 cases of cord presentation were reported among 39 420 deliveries which occurred at the Riyadh Military Hospital between 1983 and 1990 (l in 239 deliveries). The incidence was higher with malpresentation (breech 8-5 per cent, and transverse lie or compound presentation 5-5 per cent) low birth weight,4000 g, mothers over 35 years of age and highly parous women, para 4. One hundred and forty-five (87-8 per cent) caesarean sections were performed. Seven patients were delivered by forceps or ventouse and eight had normal vaginal deliveries. After 26 weeks of pregnancy, prompt caesarean section is the treatment of choice, when cord prolapse is diagnosed, when the fetus is still alive and when delivery is not imminent.

ISSN:1340-9654    

DOI:10.3109/01443619309151765

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummarySixty-eight cases of rupture of the gravid uterus occurring between January 1966 and December 1987 at the Rotunda Hospital, Dublin are reviewed, highlighting the differences in presentation, treatment and fetal outcome in those classified as complete and those that were incomplete. Simple repair without tubal ligation was performed in 35 cases. Despite a commonly held view that hysterectomy is the treatment of choice when rupture is diagnosed careful consideration should be given to performing a simple repair. Successful outcome of subsequent pregnancies may be anticipated if appropriately managed.

ISSN:1340-9654    

DOI:10.3109/01443619309151766

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

摘要:

SummaryWe reviewed 247 cases of cervical circlage of which 19l (77-3 per cent) had concomitant tocolytic agents. There was no added benefit of prolonged pregnancy compared with patients who had no tocolytics.

ISSN:1340-9654    

DOI:10.3109/01443619309151767

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY

ISSN:1340-9654    

DOI:10.3109/01443619309151768

出版商:Taylor&Francis    

年代:1993

数据来源: WILEY