摘要:

The frequency of puerperal febrile complications is considerably higher following cesarean section than after vaginal delivery. In a retrospective investigation of 234 planned operations and 506 emergency operations, a significantly different frequency of febrile morbidity (FM) was found following the two types of operation (7.7% vs. 20.9%). The development of FM following emergency operation was investigated in relation to factors such as age, parity, repeat cesarean section, surgeon's experience, peroperative bleeding, rupture of membranes, frequency of vaginal exploration, gestational weeks, pre‐ and postoperative anemia. We found some predisposing factors to FM and of these five, each was significant, but a multiple regression analysis showed that only rupture of the membranes, and pre‐ and postoperative anemia have an independent significant explanatory value (p>0.

ISSN:0001-6349    

DOI:10.3109/00016348709004141

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

In this study 13 women bathed in a warm tub bath during the first stage labor after a strictly normal pregnancy. The control group consisted of 9 women who did not want warm tub bath. Apgar scores at 1 and 5 minutes were recorded and plasma adrenalin, noradrenalin were measured in umbilical arterial blood at birth, together with pH, pCO2, and base excess and beta‐endorphin‐like immunoreactivity in umbilical venous blood. No differences were found between the groups. No beneficial effect was found on infant condition of a warm tub bath during la

ISSN:0001-6349    

DOI:10.3109/00016348709004142

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The aim of the study was to investigate whether the expulsion of the placenta was delayed among women who had previously undergone induced abortion by suction curettage.We studied the duration of the third stage of labor retrospectively by comparing the third stage of labor, recorded in minutes, between 76 second gravida women with previously induced abortions and 95 second para women with previously uncomplicated pregnancies. The duration of the third stage of labor was also compared among a group of primigravidas and a group of second gravidas with previously induced abortions.We excluded women with previous gynecological disorders (e.g. resulting in curettage of the uterine cavity). All patients included presented normal pregnancies and deliveries resulting in full term (>37 weeks), liveborn infants. By the statistical analysis (analysis of variance and Duncan's test), it could be shown that the 3rd stage of labor lasted significantly longer among women with previously induced abortions (mean: I2 minutes), than among the other groups included in the study (mean: 9 minutes). This discrete difference in length of the third stage of labor need not indicate an altered routine for women, who give birth subsequent to an induced abortion.

ISSN:0001-6349    

DOI:10.3109/00016348709004143

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

In order to develop a simple in vitro method for assessing adequacy of placental perfusion, umbilical flow was measured in placentae from 10 normal control women and from 10 women with pre–eclampsia, by infusing through the umbilical arteries a heparinized 0.9% saline solution. The average induced umbilical flow in placentae from uneventful pregnancies was 276 ±16 SE ml/min compared with 163±12 ml/min (p>0.001) in the pre‐eclamptic group. In angiographic studies, 79±2 SE % of the cotyledons from the normal series, and only 56±3 % (p>0.001) from the pre‐eclamptic series were functional. Additionally, gross and histological examination revealed three distinct types of cotyledon. Placental areas that blanched following saline infusion showed no blood in the collapsed villi or in the intervillous space; areas distinguished by a ruddy appearance following perfusion showed blood trapped in the villi and in the intervillous space; in a third area, the findings were mixed. When compared with placental zones identified by perfusion with 5% Hypaque solution, these three anatomical regions corresponded to normal, reduced, or absent flow (blanched, intermediate, or ruddy regions, respectively). We conclude that under the conditions of this in vitro study, pre–eclamptic placentae had a greater proportion of umbilical perfusion deficits than had norma

ISSN:0001-6349    

DOI:10.3109/00016348709004144

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The effect of luteinizing hormone releasing hormone (LHRH) on progesterone and estradiol production was studied in human luteal tissue. Tissue slices were incubated in Ham's F‐10 medium under an atmosphere of 95% O2; 5% CO2at 37 °C for 4 h. Slices were treated with or without human chorionic gonadotropin (HCG) in the presence or absence of LHRH. HCG stimulated progesterone and estradiol production by human luteal tissue in a time‐and dose‐related manner. LHRH stimulated the basal progesterone production in five (one early luteal and four mid‐luteal) of 17 corpora lutea, and stimulated the basal estradiol production in three (all mid‐luteal) of 16 corpora lutea. On the other hand, LHRH inhibited HCG–stimulated progesterone production in four (two early heal and two mid–luteal) of 22 corpora lutea. and inhibited HCG‐stimulated estradiol production in four (one early luteal and three mid‐luteal) of 18 corpora lutea. In the acute short‐term incubations of human luteal tissue, therefore, LHRH had little effect on basal and HCG‐stimulated steroidogenesis. However, in a few corpora lutea taken in the early or mid‐luteal phase, LHRH 5timulated basal steroidogenesis and inhibited HCG‐

ISSN:0001-6349    

DOI:10.3109/00016348709004145

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

A study comprising 221 women sterilized laparoscopically with Filshie Clips is presented. The pregnancy rate was 1.36%, which is considered acceptable as the method was new in the Department and performed by 10 surgeons with different degrees of skill in laparoscopy.

ISSN:0001-6349    

DOI:10.3109/00016348709004146

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

By employing an ammonium sulphate precipitation technique, previous studies have shown circulating immune complexes (cIC) in an increased proportion of women using oral contraceptives, as compared with non‐users. The pathogenicity of cIC is well established, as deposition in organs may lead to activation of the complement system and thereby inflammation and tissue destruction. The purpose of the present study was to determine whether estrogen treatment could induce the formation of cIC, as measured by more specific immune complex assays. To test for complement activation, plasma samples were analysed for the complement split product C3d. Thirty‐one women treated with estrogen for menopausal hormone deficiency symptoms and 38 untreated controls were analysed for cIC. Using a solid‐phase Clq‐anti‐lgG binding assay, the mean level of clC in the estrogen‐treated group did not differ significantly from that of the untreated control group (p>0.05). In a solid‐phase Clq‐protein A binding assay a very small average increase in the clC values for the estrogen–treated group in comparison with the untreated group was found, expressing a significant difference (p = 0.04). Moreover, the C3d levels for the estrogen–treated group did not differ from the untreated control group. Finally, no differences could be demonstrated in cIC and C3d levels between patients treated with synthetic estrogens and patients treated wit

ISSN:0001-6349    

DOI:10.3109/00016348709004147

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

In a prospective study, 88 women bathed in a warm tub bath for 1/2–2 hours during fist stage labor after a strictly normal pregnancy, ending with spontaneous onset of labor at term. A control group consisted of 72 women fulfilling the same criteria of normality during pregnancy and labor, but who did not want to take a warm tub bath during labor. Apart from the bath, the two groups followed the usual obstetric procedures of the Department. The cervical dilatation in the “bath group” was 2 1/2 cm/h compared with 1 1/4 cm/h in the “control group”. Mean pain score in the bath group was higher at the start of the study, before the bath, and they experienced a pain relief during bath which was not observed in the control group. This difference may be due to bias. The use of morfica and the need for stimulation of labor contractions were both twice as high in the control group, but this difference was not significant. No differences were observed with regard to operative delivery, vaginal or perineal laceration or in bleeding during labor or post‐partum. The total duration of labor was the same in the two groups and no differences in neonatal condition were observed. The bacterial contamination of the bath water was insignificant and there were no significant febrile episodes

ISSN:0001-6349    

DOI:10.3109/00016348709004148

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Cases of benign sinusoidal‐like fetal heart‐rate pattern, associated with rhythmic movements of the fetal mouth, are reported as probably physiological. The importance of fetal behavior observation during prepartum. fetal heart‐rate monitoring is stressed as a quick way to improve diagnostic accuracy in similar

ISSN:0001-6349    

DOI:10.3109/00016348709004149

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

A case of prolapsed tumor after home delivery is reported. At first a puerperal inversion of the uterus was suspected. At operation a dermoid ovarian tumor was found to he prolapsed through the vaginal fornix.

ISSN:0001-6349    

DOI:10.3109/00016348709004150

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY