摘要:

Complete spinal cord injury results in abolition of motor, sensory and autonomic functions. Among the autonomic functions, the sexual system is seriously disturbed. The spinal cord injury with its many complications offers a challenge to the rehabilitation team, and the sexual problem is one of its most important aspects. For the female paraplegic, rehabilitation of sexual functions is an essential part in the building of a positive new self-image. In this review, we try to summarize the gynecological and obstetrical aspects of spinal cord injured women. Although the innervation of the reproductive system is damaged, this system continues to function and the menstrual cycle resumes its normal course after a while. Ovulation takes place regularly and pregnancy is possible. Today the general opinion is that the pregnant paralyzed woman can deliver vaginally and not by cesarean section as was believed before. We emphasize the importance of special medical care before, during and after delivery. The cooperation between physiatrist and gynecologist is mandatory.

ISSN:0378-7346    

DOI:10.1159/000300996

出版商:S. Karger AG    

年代:1978

数据来源: Karger

摘要:

Therapeutic abortion by vacuum aspiration in the first trimester was carried out on 129 healthy multigravid women. The loss of haemoglobin at operation was estimated and the volume of blood calculated. The figures were compared to those in a group of primigravid women earlier reported. Blood loss increases with gestational length. Blood loss at first trimester abortion is smaller in multigravid than in primigravid women. In multigravid women blood loss is not significantly influenced by the woman’s age and the number of pregnancie

ISSN:0378-7346    

DOI:10.1159/000300997

出版商:S. Karger AG    

年代:1978

数据来源: Karger

摘要:

In 167 women blood loss was measured during and after vacuum aspiration for therapeutic abortion in the first trimester of pregnancy. Two different negative pressures were used ––49.1 kPa (––0.5 kp/cm2) and ––78.5 kPa (––0.8 kp/cm2) in a randomized series. It was found that for the whole first trimester (8–13 weeks) blood loss during and after operation was relatively small and not influenced by the pressure used. In no case blood loos exceeded 500 ml at operation or 60 ml during the first post-operative week. In 6 women post-operative infections were diagnosed.

ISSN:0378-7346    

DOI:10.1159/000300998

出版商:S. Karger AG    

年代:1978

数据来源: Karger

摘要:

An oral contraceptive containing 20 μg of ethinylestradiol and 250 μg of levonorgestrel was given to 5 normally menstruating women for two consecutive cycles. Peripheral serum levels of FSH, LH, estradiol-170 and progesterone were determined during the treatment period and during two control cycles, one immediately before, and one immediately after treatment. In all 5 women studied there were no LH peaks and no luteal phase levels of progesterone during the treatment cycles indicating complete inhibition of ovulation. 4 of the 5 women showed no biphasic estradiol pattern. Posttreatment control cycles showed reestablished ovulatory pattern in 4 of the 5 subjects.

ISSN:0378-7346    

DOI:10.1159/000300999

出版商:S. Karger AG    

年代:1978

数据来源: Karger

摘要:

Oral contraceptives of the combined type and contraceptives containing only progestagen were studied for their effect on blood coagulation and fibrinolysis. Several blood parameters were determined in 13 women before and during the 3rd month of use of either 0.3 mg norethisterone alone or 0.05 mg ethinyloestradiol combined with 0.5 mg quingestianol. Blood samples were obtained on days 2–4, 9–11, 16–18 and 23–25 of the menstrual cycle. Except on days 16–18, a significantly increased fibrinolytic activity and a significantly increased variation in plasminogen were observed in women using the combined type of contraceptives, but not in the women using contraceptives containing only norethisterone. The other variables studied were not significantly changed, which might be due to the doses and types of progestagens used in the present series.

ISSN:0378-7346    

DOI:10.1159/000301000

出版商:S. Karger AG    

年代:1978

数据来源: Karger

摘要:

100 patients with premature contractions were treated with the β-adrenergic agent fenoterol for up to 9 weeks. To rule out a detrimental effect on the myocardium, the creatine kinase isoenzym MB, which is specific to the myocardium, was determined regulary in addition to electrocardiographic monitoring. No pathological enzyme activity was detected even in long-term tocolytic therapy with the maximum dose.

ISSN:0378-7346    

DOI:10.1159/000301001

出版商:S. Karger AG    

年代:1978

数据来源: Karger

摘要:

The role of fetal adrenals in the maturation of fetal lungs is not clear as yet. The anencephalic baby, with rudimentary adrenal glands, may be considered an excellent model for the study of this subject. The maturation of fetal lungs was determined in 3 anencephalic monsters and in 2 microencephalic babies. As a measure of fetal pulmonary maturation the foam test and lecithin/sphingomyelin ratio (L/S) were used, as determined in the amniotic fluid. In the anencephalic babies, fetal pulmonary maturation was lacking, while in the microencephalic infants there were definite signs of lung maturation.

ISSN:0378-7346    

DOI:10.1159/000301002

出版商:S. Karger AG    

年代:1978

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000301003

出版商:S. Karger AG    

年代:1978

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000301004

出版商:S. Karger AG    

年代:1978

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000280679

出版商:S. Karger AG    

年代:1899

数据来源: Karger