摘要:

Abstract.Pudendal block with 20 ml 1% mepivacaine with and without epinephrine was performed in 151 patients during the second stage of labor. No differences in efficacy of the block or in Apgar scores between the two groups were found. The maternal mepivacaine concentration was higher in the plain group than in the epinephrine group (p>0.01), but toxic levels were never reached. In the infants, no difference in mepivacaine concentration was found between the groups ((p0.02). We found no effect on blood pressure in either of the groups, with or without oxytocin and/or methergin. Twenty ml 1% mepivacaine (plain) is a safe choice for pudendal block without the possible disadvantages of adding epinephrine.

ISSN:0001-6349    

DOI:10.3109/00016348809004200

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.Adjuvant to cancer therapy, 35 percutaneous ultrasound‐guided nephrostomies have been applied in 21 patients with ureteral occlusions or lesions secondary to advanced gynecologic malignancies. Application of the catheters was uncomplicated. Dislodgement of the catheters was the major problem with this technique, occurring in 9 cases. There were no serious complications. In 14 patients, normal ureteral function was restored after the cancer therapy, 2 had to be nephrectomized, and in 5 patients the nephrostomies had to remain permanently. It is concluded that nephrostomy is a useful tool in the management of advanced gynecologic malignancies in patients who have a prospect of cure or a period of meaningful tumor regressio

ISSN:0001-6349    

DOI:10.3109/00016348809004201

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.A prospective study based upon interviews included 92 women who had undergone cesarean section, 38% with epidural analgesia and 62% under general anesthesia. The two groups were compared with respect to anesthesiological complications, postoperative morbidity and birth experience. The puerperal period was less complicated after epidural analgesia than after general anesthesia. There was a quicker re‐establishment of the gastrointestinal function after epidural analgesia and the patients were more quickly mobilized and less tired. The overall morbidity after cesarean section, 16%, was lower than in other studies. Nearly half of the patients in the epidural experienced slight per‐operative pain. In the case of repeated cesarean section, 86% of women who had epidural analgesia wanted the same anesthesia again. On the basis of this study, epidural analgesia is recommended for cesarean sect

ISSN:0001-6349    

DOI:10.3109/00016348809004202

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.In a prospective interview study, two groups each consisting of 28 sectio caesarea patients were compared concerning the course of breastfeeding. The women in the two groups were delivered under either epidural analgesia or general anesthesia. The two groups were identical with respect to age, parity, participation in antenatal preparatory courses and former breastfeeding. A significantly higher breastfeeding frequency and longer breastfeeding periods were were found after epidural analgesia than after general anesthesia.

ISSN:0001-6349    

DOI:10.3109/00016348809004203

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.Autopsy findings from 170 non‐smoking and mentally retarded women aged 12–51 years were analysed for any epidemiological association between the use of peroral lynestrenol for inducing therapeutic amenorrhea (TA) and arterial disease Eighty‐six women had received lynestrenol continuously for an average of 81 months (range 2–220 months) and the other 84 had not After exclusion of 6 cases with known risk factors (diabetes, hypertension) predisposing to arterial disease, pathological arterial changes were found in 16 patients, 10 of them belonging to the TA group and 5 to the non‐lynestrenol group The incidence of arterial disease at autopsy at the age of 35 or more was 8/19 in TA patients and 1/15 in non‐lynestrenol patients (p = 0.078) The benefits of prolonged TA induced by lynestrenol in this group of patients must be weighed very carefully against the Dossible ri

ISSN:0001-6349    

DOI:10.3109/00016348809004204

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.Pregnancy outcomes in 22 consecutively operated women with Mullerian anomalies are described. In 16 women the indication for metroplasty was two or more spontaneous abortions and/or premature deliveries The frequency of successful pregnancies increased from 5% before to 76% after operation. In 6 women metroplasty was performed on account of infertility. It is argued that infertility rarely constitutes an indication for metroplasty, and only when concurrent causes of infertility have been excluded. Several of the postoperative pregnancies and deliveries presented serious complications. Cesarean section is therefore recommended in some deliveries after metroplasty.

ISSN:0001-6349    

DOI:10.3109/00016348809004205

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.A randomized doubleblind investigation of prostaglandin vaginal suppositories prior to hysteroscopy was untertaken in 30 non‐pregnant women. PGE2in 14 of 15 treated patients we found a softening and a dilatation of the cervical canal, but with a relatively high frequency of side effects‐nausea, vomiting and diarrhea. No serious bleeding or side effects were obser

ISSN:0001-6349    

DOI:10.3109/00016348809004206

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.Between 1979 and 1985, 25 consecutive, unselected women (age 28–40 years, median 34) underwent microsurgical tubo‐tuba1 anastomosis for reversal of sterilization. The overall pregnancy rate was 44%. The incidence of pregnancy was correlated to the tubal length after reversal. Of 12 women with tubal lengths exceeding 5.5 cm, 8 (67%) became pregnant. Of the 13 women with tubal lengths under 5.5 cm only 3 (23%) conceived (p>0.04). There was no significant correlation between pregnancy rate and age, interval since sterilization, or the sterilization procedure its

ISSN:0001-6349    

DOI:10.3109/00016348809004207

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.Energy and protein intake was studied for 12 days after radical hysterectomy in 16 patients, half of whom followed a traditional postoperative regimen (il including a stomach tube until air‐passage had taken place after which liquid food, protective food and full diet was gradually introduced. In the new regimen (ii) the stomach tube was not used, liquid alimentation was given from the first postoperative day and full diet as soon as the patient desired it. This early start of oral alimentation was well tolerated, without side effects. Compared with the conventional regimen, it resulted both in a higher average protein intake (i: 31 g proteinlday, ii: 46 g proteinlday, p>0.02) and in a higher energy intake (i: 3624 kJ/day, ii: 4956 kJ/day, p>0.01

ISSN:0001-6349    

DOI:10.3109/00016348809004208

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Abstract.A cardiotocograph with autocorrelation system, a simple telephone amplifier, a telephone handset with adjustable speaker volume and an adapted portable ultrasonic fetal heart detector can form a simple but effective system for long distance telemetry of the fetal heart rate from patients’ homes using public telephone network. Especially the combination of supervision and direct communication with the patient during registration reduces the loss of signal to a minimum (4%), resulting in a high percentage of correctly transmitted fetal cardiogram

ISSN:0001-6349    

DOI:10.3109/00016348809004209

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY