摘要:

AbstractAntenatal care is effective, but relies heavily on the sympathetic attitude of health personnel. Essential to its promotion is community participation and involvement of family members. Transportation to a well‐equipped facility for emergency obstetric care is a critical element. The effectiveness of antenatal care to reduce maternal morbidity and mortality from certain major causes is reviewed.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02483-S

出版商:Wiley    

年代:2017

数据来源: WILEY

摘要:

AbstractObjective: To reduce the pain experienced during abortion. Methods: A four‐phase study was conducted at a free‐standing abortion clinic. Phase 1: a double‐blind, randomized, placebo‐controlled trial of 600 mg ibuprofen given preoperatively was carried out in 193 women. Pain during the procedure and 30 min postoperatively was compared. Phase 2: a double‐blind, randomized trial compared 1% lidocaine, buffered 1% lidocaine and 0.25% bupivacaine in terms of the pain of the injection and the pain of the procedure in 200 women. Phase 3: waiting times of 0, 3 and 10–20 min between the end of the injection and the beginning of the procedure were compared in terms of pain during the procedure in 139 women. Phase 4: local anesthetic was injected into one side of the cervix slowly and one side quickly and the pain of the injections was compared in 87 women. Results: Phase 1:ibuprofen reduced pain scores more than placebo with the improvement being greatest for the postoperative period. Phase 2: buffered lidocaine was significantly less painful to inject than plain lidocaine or bupivacaine. Phase 3: waiting between the injection and the procedure did not improve pain control. Phase 4: slower injections were found to be less painful than fast injections. Conclusions: Several methods were found to improve pain control during abortions.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02416-A

出版商:Wiley    

年代:2000

数据来源: WILEY

ISSN:0020-6695    

DOI:10.1016/S0020-7292(10)82484-1

出版商:Wiley    

年代:2010

数据来源: WILEY

摘要:

AbstractWe undertook this study to determine the current prevalence of anemia in pregnancy and its impact on maternal and perinatal mortality and morbidity, and to suggest ways to make the anemia prevention programs more effective. The incidence of pregnancy anemia was determined by a population‐based survey (1990–1994) of rural and urban areas using a cluster sample design. Mortality and morbidity data were gathered from our own hospital records (1982–1994). The survey data showed that 86.1% of pregnant women (n= 4752) were anemic (Hb<11 g/dl); 56.0% had severe anemia (Hb<7 g/dl); and 1.9% were decompensated (Hb<4 g/dl). The hospital‐based analysis revealed that severe anemia contributed to 34.5% of all maternal deaths (case fatality ratio = 1769). Hypertensive disorders were found in 28.2% of severe anemia cases. The incidence of preterm labor was 31.2% in these cases and the birthweight 2.23 ± 1.13 kg (mean ± SD), while perinatal mortality was 65 compared to overall rates of 7.9%, 2.78 ± 1.32 kg and 46, respectively. We conclude that severe anemia of pregnancy is still rampant and its adverse consequences remain unabated. The risk‐care approach is advocated as an alternative strategy.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02485-U

出版商:Wiley    

年代:2017

数据来源: WILEY

摘要:

AbstractWe evaluated the potential prognostic factors for fetomaternal hemorrhage (FMH). Sinusoidal heart rate pattern and decrease in fetal movement are considered important signs of FMH. However these findings were detected in only two of six cases of FMH and were thought to be late signs of FMH. Fetal hemoglobin levels in the maternal circulation for infants born alive following FMH were less than 5%. Our findings suggest that this amount of blood loss could cause fetal death.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02394-R

出版商:Wiley    

年代:2000

数据来源: WILEY

ISSN:0020-6695    

DOI:10.1016/S0020-7292(10)82486-5

出版商:Wiley    

年代:2010

数据来源: WILEY

摘要:

AbstractA 24‐year‐old patient with dysgerminoma of the right ovary and hypoplastic left ovary was screened for chromosomal aberration. Triple‐X syndrome was found in the oral epithelium and lymphocyte culture, while chromosomal in situ hybridization of the tumor itself showed a normal XX karyotype. Although trisomy X and dysgerminoma are coincidental findings in our case report, women with malignant germ cell tumors and abnormal genitalia should be checked for chromosomal aberrations to exclude anomalies carrying a Y chromosome.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02395-S

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractAt the individual level, risk assessment is fundamental to antenatal care. But at the program level, there are real difficulties associated with it, of which the most important is the false negatives — women with no (or few) risk factors who experience complications. This paper evaluates several commonly used indicators of risk in terms of both maternal (cephalopelvic disproportion) and fetal (low birthweight/prematurity) outcomes. The literature shows that obstetric history is a better measure of risk than so‐called demographic variables like age and parity. When assessing the utility of a risk factor, Us sensitivity must be evaluated against the likelihood of false negatives. If risk assessment is practiced effectively, it must include a means of ensuring prompt treatment for low risk women with (unexpected) complications.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02487-W

出版商:Wiley    

年代:2017

数据来源: WILEY

摘要:

AbstractAll reported cases of primary squamous cell carcinoma of the endometrium and the effectiveness of the different treatment modalities in the world literature are reviewed. We present the first reported case of primary squamous cell carcinoma of the endometrium treated by radical hysterectomy, pelvic and para‐aortic lymphadenectomy. The patient is without signs of disease 4 years after surgery. This is the longest follow‐up of all reported cases. There are very few cases from which to conclusively predict the best mode of therapy. The current standard of treatment is total abdominal hysterectomy and bilateral salpingo‐oophorectomy with or without pelvic and para‐aortic lymph node sampling, depending on the histology and depth of the myometrial invasion. Adjuvant therapy includes radiation therapy according to the extent of disease.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02369-N

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractIn developing countries where most women are not delivered in health facilities, screening for obstetric risk is neither a cost‐effective nor efficient strategy for maternal mortality reduction. Antenatal care can contribute to preventing such deaths when used for identifying early obstetric complications, educating women to identify obstetric danger signs, and motivating them and their families to seek appropriate referral care.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02488-X

出版商:Wiley    

年代:2017

数据来源: WILEY