摘要:

ABSTRACTA protocol of chronic antepartum surveillance was initiated at the University of Illinois hospitals in 1973 to assess the impact on perinatal mortality. At the same time, a policy of unselected fetal heart rate (FHR) monitoring was initiated to judge the effect on the intrapartum stillbirth rate. The impact of both programs played a significant role in the decline of perinatal mortality rates for infants weighing more than 1 500 g, from 21.1/1 000 births in 1970–1971 to 14.4/1 000 births in the monitored years 1973 and 1974 (p<0.02).

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00738.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTAn analysis of 31 years of adolescent pregnancies and deliveries at Novi Sad Medical Facility is presented. Obstetric complications are discussed. The psychological impact of adolescent pregnancy is examined.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00739.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTA total of 252 patients with carcinomain situcolli uteri were treated at the Women's Clinic at Turku University between 1964 and 1971. Seventy‐seven percent of the patients came to the clinic for treatment after they had participated in a mass screening program (cytodiagnosis, colposcopy). Extrafascial hysterectomy was performed most often on women in the older age groups, while most of the younger patients were treated by conization. Patients were followed up for a minimum of 5 years years. There was a 1.0% recurrence of invasive carcinoma and a 4.0% recurrence of noninvasive carcinoma. All invasive recurrences occurred after hysterectomy. None of the patients died from complications of carcinoma.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00740.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTFive hundred women were interviewed within 2 days of delivery to examine indigenous birth spacing among the urban and rural population of Ife township. The crude birth interval was between 30 and 40 months due mainly to cultural attitudes towards lactation and sexual abstinence. The women studied possessed considerable knowledge of Western contraceptive methods, but they rejected them. The possible cause of this rejection is examined and solutions to the problem are suggested.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00741.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTVaginal trichomoniasis was treated with standard courses of oral metronidazole in 597 pregnant women. In 283 other pregnant women, the infection remained untreated. The incidences of low‐birth‐weight infants, stillbirths and congenital abnormalities were not affected by metronidazole treatment of trichomoniasis in pregnancy.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00742.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTFrom March to December 1975, 496 patients were studied to compare the safety and effectiveness of menstrual regulation (MR) performed with a Karman hand syringe and first trimester abortion performed with an electric vacuum aspirator. All procedures were done on an outpatient basis. The complication rate for the MR patients was significantly lower than that for the other first trimester abortion patients. Study results indicate that MR with the Karman syringe is a safer, simpler and less costly procedure than first trimester abortion with the electric vacuum aspirator. Further research and study are necessary to determine the effect of the initial and repeat MR procedures on women's menstrual patterns and future pregnancies, including any subsequent prematurity, stillbirths and Rh immunization.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00743.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTAntepartum nonstress fetal heart rate (FHR) monitoring may become a valuable screening tool for all pregnancies. Two methods proposed for an antepartum FHR monitor are examined: abdominal electrocardiogram (AECG) and variable range directional Doppler (RDD). A good quality (detailed, clearcut baseline) RDD FHR record was obtained in 74/75 (99%) examinations, and a good quality AECG record was obtained in 31/75 (41%). Each patient was monitored in the supine, lateral and sitting positions. Considering all positions, 76% of the RDD records and 19% of the AECG records were good. The RDD system was efficacious for routine, clinical antepartum FHR monitoring, but the performance of the AECG was too limited for this purpose.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00744.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTStudies were made of 36 different nuts, grains, fruits and vegetables commonly used as human foods; each of these was fed to a group of ovariectomized rats for 10 days as a sole diet. The estrogenic activities of the foods were estimated by comparing the uterine weights, uterine fluid volumes and the vaginal cornification indices of each group of rats with those of groups fed other foods. Almonds, cashew nuts, peanuts, oats, corn, wheat and apples all showed estrogenic activity. The original sample of almonds showed the greatest estrogenic activity (p<0.01) which was confirmed by repetition of the experiment (p<0.01), but subsequent studies of other samples of almonds showed no estrogenic activity. Possible reasons for the disparity of the results with different lots of almonds are discussed.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00745.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTIntrauterine adhesions (Asherman's syndrome) may follow curettage in a recently pregnant uterus. Treatment consisting of dilatation and curettage and possibly the insertion of an intrauterine device usually is started early. The success rate is high. Very few cases of spontaneous recurring menstruation have been reported, and none of them have been based on hysterosalpingographic evidence of adhesions. The pregnancy outcome is generally poor in those cases of assumed spontaneous resolution. We present a case of spontaneous restitution of a functional uterine cavity and normal menstruation following Asherman's syndrome. Subsequent pregnancy was uneventful. A short review of the literature is presented, and the possible self‐limiting character of the disease is discussed.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00746.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTThe Obstetric Intensive Care Unit (OBICU) at Bellevue Hospital in New York City has adapted intensive care and coronary care models to the care of patients in labor. During the past 3 years, 519 of the most serious of 2 250 high‐risk obstetric patients treated at the hospital were monitored in the OBICU. There were two maternal and six perinatal deaths. The perinatal mortality rate of the very high risk population of the OBICU was 11.6/1 000, compared to 14.7/1 000 for all deliveries performed at the hospital. Our findings indicate that the OBICU system provides the ideal mechanism for the rapid and continuous control of symptoms in very high risk gravidas which is essential for stabilizing the patient, both for prompt delivery and for optimal maternal and fetal survival.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00747.x

出版商:Wiley    

年代:2016

数据来源: WILEY