摘要:

Segal, S., Ben‐David, M., Anteby, S. O. and Polishuk, W. Z. (Depts. of Obstetrics&Gynecology and Pharmacology, Hadassah Medical Center, Jerusalem, Israel).The effect of intra‐amniotic injection of hypertonic urea on human placental lactogen (HPL) secretion.Int J Gynaecol Obstet 13: 193–196, 1975.Serum human placental lactogen (HPL) levels were studied in 27 women with normal pregnancies in their second trimester in whom abortion was induced by intra‐amniotic (IA) hypertonic urea. The levels of HPL remained stable during the procedure and up to the delivery of the placenta. The condition of the fetus (dead or alive) or the injection‐abortion interval did not affect HPL levels. It is thus concluded that HPL secretion is not impaired by the hypertonic urea, that it plays no role in initiation of uterine contractions, and whatever damage induced by the hypertonic urea solution does not affect HPL activity.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00046.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Rodeck, Ch., Craft, I. and Dewhurst, C. J. (Institute of Obstetrics&Gynaecology, Chelsea Hospital for Women, London, England).Genital tract obstruction and endometriosis.Int J Gynaecol Obstet 13: 197–200, 1975.The clinical features and modes of treatment of nine patients with obstruction of the genital tract are described. Three had endometriosis confirmed histologically; one of these had no macroscopic evidence of the disease. While retrograde menstruation is the most likely explanation for the development of endometriosis, it can apparently be influenced by the level of obstruction in the genital tract, the length of time during which endometrial reflux occurs, and the quantity involved. Treatment and results are discussed and it is noted that the prognosis worsens in proportion to the length of vagina occluded and in the presence of abnormality of the cervix.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00047.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Nwosu, C. U., Soffronoff, E. C. and Bolton, G. C. (Dept. of Obstetrics&Gynecology, Pennsylvania Hospital, University of Pennsylvania School of Medicine, Philadelphia, Pa.)A new look at the etiology of cervical incompetence, with review of seven‐year experience at Pennsylvania Hospital.Int J Gynaecol Obstet 13: 201–205, 1975.A review of our seven‐year experience with cervical cerclage is presented. A rising frequency is noted which cannot be explained by an increasing rate of abortions over the same period. The population with this entity showed a strikingly poor obstetrical outcome of their first pregnancy. The neonatal survival rate of the 125 pregnancies in this group prior to cerclage was 25% as compared with 71% in the 52 cerclage pregnancies. It is proposed that gestational incompetence may be initiated by hormonally induced relaxation of a congenially hypermuscular cervix.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00048.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Ogunbode, O., Ayeni, O. and Adadevoh, B. K. (Depts. of Obstetrics&Gynaecology, Preventive&Social Medicine, and Research&Training Programme in Reproductive Biomedicine, Dept. of Chemical Pathology, University College Hospital, Ibadan, Nigeria).Amniotic fluid creatinine values in anaemic pregnant Nigerian women.Int J Gynaecol Obstet 13: 206–208, 1975.Maternal serum and amniotic fluid creatinine values were determined in anaemic and non‐anaemic pregnant women. Serum maternal creatinine levels remained relatively unchanged throughout pregnancy complicated by anaemia, compared with the levels found in normal non‐anaemic pregnancies. The amniotic fluid creatinine values, however, increase with advancing gestation. In anaemic pregnancies the levels tended to be higher than in non‐anaemic pregnancies of comparable gestation but this difference was not statistically significant. Thus, creatinine concentration changes with increasing gestation can be used as an index of foetal maturity even in areas where anaemia is prevalent.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00049.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

MacKenzie, I. Z. and Hillier, K. (Nuffield Dept. of Obstetrics and Gynaecology, John Radcliffe Hospital, Headington, Oxford, England).Delayed morbidity following prostaglandin‐induced abortion.Int J Gynaecol Obstet 13: 209–214, 1975.Delayed morbidity in 307 patients who had a prostaglandin‐induced abortion 18 months or more previously, has been assessed. Two hundred and sixty‐six replies to questionnaires sent to patients and a further 41 from their general practitioners were analysed to assess reproductive performance and general health subsequent to abortion. Eleven patients had depressive illness including one who attempted suicide shortly after abortion, but no other significant interim illnesses were reported. Menstrual symptoms were infrequent. Fifty‐three pregnancies in 46 of the 307 patients have subsequently occurred, eight resulting in spontaneous abortion, 13 in a further therapeutic abortion and one ectopic pregnancy. In the term pregnancies morbidity was low. The usage of adequate contraception at the time of follow‐up was found to be 80.5% compared with only 33.8% before abortion.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00050.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Jafari, K., Cartnick, E. N. and Talebian, F. (Dept. of Obstetrics&Gynecology, Nassau County Medical Center, East Meadow, New York, and Health Sciences Center, State University of New York at Stony Brook, USA).Modified radical hysterectomy in treatment of in situ and microinvasive squamous cell carcinoma of the cervix.Int J Gynaecol Obstet 13: 215–218, 1975.This review of the records of 100 patients evaluates the management ofin situand microinvasive carcinoma of the cervix by modified radical hysterectomy in a county hospital from 1970 through 1973. There was no greater incidence of morbidity in 50 patients with early cervical neoplasia who were treated by modified radical hysterectomy than of those 50 patients with benign disease who were treated by simple abdominal hysterectomy. Safety of this procedure has also been documented by other authors. However, whether we are achieving a superior result in treatment of early cervical neoplasia by performing modified radical hysterectomy versus simple hysterectomy remains unanswered at present.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00051.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Jafari, K., Ruiz, G., Cooperman, N. R. and Vargas, J. (Dept. of Obstetrics and Gynecology, Cook County Hospital, Chicago, Ill. and Dept. of Obstetrics and Gynecology, University of Health Sciences/The Chicago Medical School, Chicago, Ill., USA).Spontaneous rupture of uterus in second trimester of pregnancy.Int J Gynaecol Obstet 13: 219–221, 1975.Spontaneous rupture of a pregnant uterus in the second trimester is a rare condition. Most reported cases of ruptured uteri have occurred in the third trimester. We are adding 2 cases of second trimester uterine rupture to the literature, one due to placenta ac‐creta and the other with no demonstrable cause.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00052.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Jafari, K., Stepto, R. C. and Petrys, R. (Dept. of Obstetrics and Gynecology, Cook County Hospital, Chicago, Ill., USA).Pregnancy and leprosy.Int J Gynaecol Obstet 13: 222–224, 1975.A case of lepromatous leprosy in a patient with pregnancy is reported. Literature was reviewed. Fetal and maternal outcome and the modality of the treatment is discussed.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00053.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Suonio, S., Jalkanen, M., Olkkonen, H.&Castrén, O. (Dept. of Obstetrics and Gynaecology, University Central Hospital, Kuopio, Finland).Effect of isoxu‐prine on uteroplacental blood flow in normal and hypertensive patients during the last trimester of pregnancy.Int J Gynaecol Obstet 13: 225–228, 1975.The uteroplacental blood flow was evaluated in 15 normal and 12 hypertensive patients in late pregnancy using the99mTc accumulation method before and after a single i.m. dose of 5 mg of isoxuprine. In the group of normal patients there was a statistically significant 35 per cent mean increase in the accumulation rate, but in the group of hypertensive patients no significant change was found. Other haemodynamic variables measured were the maternal heart rate and systolic and diastolic blood pressures. There was a statistically significant increase in the heart rate in both patient groups after medication. No significant changes were observed in systolic pressure. In diastolic pressure a significant fall was found in normal, but not in hypertensive patients. According to the results, the therapeutically positive maternal vascular response to isoxuprine does not take place in pregnancy complicated by hypertensive disease.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00054.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

Hayashi, R. H., Rothwell, R. O.&Weinberg, P. C. (Dept. of Obstetrics and Gynecology, Medical School, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78284, USA).Uterine rupture complicating mid‐trimester abortion in a young woman of low parity.Int J Gynaecol Obstet 13: 229–232, 1975.This is a case report of uterine fundal rupture in a young woman of low parity undergoing attemped hyperosmolar urea termination of pregnancy with high concentration oxytocin augmentation. The possible causes and cautions relating to this event are discussed.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1975.tb00055.x

出版商:Wiley    

年代:2016

数据来源: WILEY