摘要:

In order to find out how often labor is complicated by persistent occiput posterior position, (OPP), and how it affects the course and outcome of labor, the records of 3648 deliveries were reviewed, a frequency of 4.7% was found. Also, the amount of operative deliveries was surprisingly high, less than half of these cases were delivered without operative intervention. Total duration of labor, stage I1 of labor were both significantly longer in the OPP group. The children in the OPP group also were significantly heavier (79 g) than the average birthweight in the whole material.

ISSN:0001-6349    

DOI:10.3109/00016349409013392

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Study objective. To investigate the use of contraception in a representative sample of Norwegian women.Outcome measures. Frequency distribution of contraceptive methods by age, marital status and parity strata.Material. A sample of 4,933 women were selected at random from the Central Population Register as participants in the second Norwegian fertility study (1988). The response rate was 81% (n=4,019) and personal interviews of contraceptive use were carried out among 2,782 women who were fecund, sexually active and not pregnant. These women comprise the study population.Results. 2,782 women were sexually active during the last month prior to the interview and thus in potential need of contraception. More than 50% of the women used either oral contraceptives (21%) or IUDs (30%). The use of oral contraceptives decreased linearly with age from a user rate of 60% among women 20‐24 years old to 1.5% among women 40‐44 years of age. The use of IUDs increased from 6% in the youngest age group to nearly 40% among women aged 30‐39 years of age. Oral contraceptives were preferentially used by childless women or those with only one child, while IUDs were most often used by women with two or more children. The sterilisation rate increased by age and in the 40‐44 age group one out of every three women was sterilised. Non‐use was most frequent among the subgroups of women who planned children in the future. Use of condoms and other coitus‐dependent contraceptives varied less with age, marital status and parity than did the use of OC, IUDs or sterilisation.Conclusion. The user pattern concerning different contraceptive methods reflects the general guidelines for contraceptives in Norway. The fact that nearly 70% of the women were in one of the three categories ‐ OC or IUD users, or one of the partners was sterilised ‐ reveals that the awareness and knowledge of modern contraception is high in No

ISSN:0001-6349    

DOI:10.3109/00016349409013393

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Transvaginal hysterosalpingoultrasonography (HSUG) was performed using a uterine cannula and Ringer's solution (Kabi Baxter) as a contrast agent in 14 women consulting for infertility. The results were compared with those of chromopertubation at laparoscopy/ laparotomy. With HSUG, the uterine cavity was always well visualized, though it was more difficult to evaluate tubal status. As compared with those of the other methods, HSUG findings manifested total agreement in 50% of cases, total disagreement in 22%, and partial agreement in the remaining 28%. The method was well tolerated by the women studied, and six out of nine women who had previously undergone hysterosalpingography (HSG) found HSUG to cause less discomfort. Thus, the findings suggest that HSUG might prove useful as a means of ascertaining tubal status at an early stage in infertility evaluations.

ISSN:0001-6349    

DOI:10.3109/00016349409013394

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

We analyzed the postoperative modifications of dysmenorrhea in 90 patients with septate or subseptate uterus, but no other genital or pelvic disorders, who underwent metroplasty according to Tompkins (n= 28) or hysteroscopic metroplasty (n= 62). The frequency of dysmenorrhea fell from 50% to 32.1% after the Tompkins procedure and from 54.8% to 17.7% after hysteroscopic metroplasty. The severity of dysmenorrhea evaluated with two scales, one linear and one multidimensional, showed a significant postoperative decrease in both the groups. In view of the limited cost and low risks of hysteroscopic metroplasty, primary dysmenorrhea associated with septate or subseptate uterus may be considered an indication for this intervention.

ISSN:0001-6349    

DOI:10.3109/00016349409013395

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Objective. To study the reproductive and medical history of monozygotic twin sisters and mothers of patients with endometriosis.Material and methods. Among 515 patients with endometriosis, eight had a monozygotic twin sister all of whom had had a gynecological laparoscopy or laparotomy. In addition, five of their mothers had had a laparotomy. Details about these 13 relatives were obtained either from medical records (ten cases) or by unmistakable reports from the proband (three cases).Result. Six of the monozygotic twin sisters (75%) also had symptomatic endometriosis compared with 3.8% among other types of sisters (p<0.0005). Three of the mothers (38%) had either endometriosis or adenomyosis.Conclusion. This study gives support to the assumption that endometriosis has a genetic trait.

ISSN:0001-6349    

DOI:10.3109/00016349409013396

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

First catch urine (FCU) from 751 asymptomatic adolescent female high school students, with sexual debut, were screened for the presence ofChlamydia trachomatis(Group A). The prevalence ofC. trachomatisinfection in Group A was 2.1% (16/751). In Group B, 619 asymptomatic adolescent females attending a youth and a family planning clinic were screened forC. trachomatisby testing FCU and cervical specimens. An enzyme immunoassay (IDEIA‐III) was used to detectC. trachomatisvertified by fluorescein‐isothianate‐conjugated (FITC) monoclonal antibodies. Only samples positive in both tests were regarded as true positive. The cervical samples from the women in Group B were positive in 7.8% (48/619), while the FCU were positive in 6.0% (37/619). Detection ofC. trachomatisby EIA in FCU samples was found useful for screening females for genital chlamydial infection. The prevalence of C.trachomatisin an unselected asymptomatic population was found to be lower than in age‐matched individuals seeking medical advice in the same cohere

ISSN:0001-6349    

DOI:10.3109/00016349409013397

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Seven cases with childhood ovarian tumors are presented. All underwent an ultrasound scan which gave the the preliminary diagnosis of ovarian tumor. Treatment differs according to the status of the child and whether malignity is involved. The numerous differential diagnoses must be kept in mind. The management of children with an unexplained abdominal mass should include an ultrasound scan.

ISSN:0001-6349    

DOI:10.3109/00016349409013398

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Objective. To investigate the effect of sodium carboxymethylcellulose (SCMC) and the combination of low molecular weight heparin (LMWH) with SCMC in the prevention of intraperitoneal adhesion.Design. Thirty‐eight rats underwent bilateral surgical injury to the uterine horn and the parietal peritoneum. In 13 rats, a solution of SCMC was instilled at laparotomy. In 11 rats, LMWH was delivered on to serosal and peritoneal defects, and SCMC was instilled. As a control group 14 rats were included in the study.Setting. Surgical Research Laboratory, Erciyes University.Participants. Female Wistar‐Albino rats, weighing 200 to 250 g each.Main outcome measures. Adhesions between the uterine horn and the abdominal sidewall were scored for extent and severity two weeks after the initial surgery.Results. Although the mean adhesion score both in the SCMC group (2.8, s.d. 1.15) and in the SCMC with LMWH group (1.6, s.d 1.18) was found to be significantly lower than in the control group (3.4, s.d. 0.89) (p<0.05 andp<0.001, respectively), more favorable adhesion prophylaxis was achieved in the SCMC with LMWH group in comparison with the SCMC treatment group without any hemorrhagic complications (p<0.001).Conclusion. We conclude that SCMC with LMWH are highly effective in reducing postoperative adhesions in this animal model. SCMC with LMWH appears promising in adhesion prophyla

ISSN:0001-6349    

DOI:10.3109/00016349409013399

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Antithrombin III (AT III) was measured in plasma of healthy fetuses between 20‐29 weeks of gestation, in plasma of suspected growth retarded or malformed fetuses between 30‐39 weeks of gestation, in healthy newborn infants after delivery, and in healthy infants during the first year of life. Measurements were performed with an AT III assay (Orion Diagnostica, Espoo, Finland Turbox) on nephalometer Turbox. The results were expressed as a percentage of the mean adult value (300 mg/1) and statistically analysed with the non‐parametric Kruskal‐Walles test. AT III levels in fetuses were low but increasing. They continued to increase after birth (F = 34.53p<0.001) and reached adult values in the age between the tenth and twelfth month

ISSN:0001-6349    

DOI:10.3109/00016349409013400

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

A 72‐year‐old postmenopausal woman with high plasma testosterone levels and virilization, as demonstrated by hirsutism and balding, is presented. Urinary 17‐ketosteroids and 17‐hydroxycorticosteroids, as well as computed axial tomography scan of the adrenal glands were normal. Although no pelvic mass was detected by ultrasonography or pelvis examination, the patient was found to have small bilateral hilus cell tumors of the ovary. Following bilateral salpingo‐oophorectomy the plasma testosterone dropped to normal level. This is the third case of bilateral hilus cell tumors of the ovary to be

ISSN:0001-6349    

DOI:10.3109/00016349409013401

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY