摘要:

ABSTRACTThe world's rate of population growth is declining. Most industrialized societies have achieved or are moving rapidly toward stationary populations, but while birth rates are also declining in many developing countries, continued growth must be expected because of the large proportions of young people in these populations. New evidence of exceptions to the classical demographic transition theory indicate that declining fertility is compatible with high mortality or low socioeconomic development if acceptable means of fertility control are readily available. “Fertility silhouettes” showing differing age‐specific fertility rates indicate that present family planning programs have had a demographic impact. A review of the economic and ecologic consequences of rapid population growth justifies the conclusion that considerable effort will be required to again bring the world's population into balance with these systems. The author outlines priorities for this effort, with emphasis on the need to devise acceptable means of fertility control that will not tax the frail health care infrastructures of developing countries.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00675.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTThis article reviews worldwide controversies concerning gestational trophoblastic neoplasms (hydatidiform mole, invasive mole, and choriocarcinoma). The epidemiology, endocrinology, histopathologic grading, classification, diagnosis, treatment, management and follow‐up (including chemotherapy, irradiation, and immunotherapy) of gestational trophoblastic neoplasms—particularly molar pregnancies—are discussed; and ways to help create a standardized classification system and provide optimal treatment for each type of patient are suggested.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00676.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTTen patients with galactorrhea syndrome were treated with two different daily dosages (5 mg and 7.5 mg) of Bromergocryptine. The 5 mg daily dosage often did not produce the desired hormonal and clinical response. Five patients were treated with this regimen for 38 to 90 days, with treatment extending over more than one menstrual cycle. However, the 7.5 mg daily dosage resulted in complete cessation of galactorrhea in all patients, restoration of menstrual cycles in five patients, and pregnancies in four patients.*Disappearance of lactation proved to be a very good indicator of the general responsiveness of patients. Nausea, vomiting, and occasional dizziness were side effects of the drug. The case histories and hormonal findings of four typical patients are reported.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00677.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTDysmenorrhea, with associated anxiety and incapacitation, is a common gynecologic complaint. Of 60 patients given indomethacin for moderate to severe dysmenorrhea, 80% had significant relief of their symptoms and 10% discontinued therapy because of side effects from the medication.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00678.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTIn the late 1940s, some researchers found that amniotic fluid had an inhibitory effect on bacterial growth due, they believed, to the presence of lysozymes. Later other authorities asserted that amniotic fluid facilitates bacterial growth. More recently, studies have indicated that liquor amnii has a remarkable antibacterial activity. To further examine this antibacterial action, the present study of the effect of amniotic fluid onStaphylococcus aureuswas undertaken.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00679.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTTo simplify the clinical evaluation of the hypothalamic‐pituitary‐ovarian function, a 5‐day treatment regimen of 100 mg clomiphene administered daily was tested on a group of 30 amenorrheic women (4 with primary amenorrhea and 26 with secondary amenorrhea). Vaginal smears and serum follicle‐stimulating hormone, luteinizing hormone, prolactin, estradiol‐17β and progesterone levels were obtained prior to treatment and 5 and 12 days after treatment ended. According to her response to clomiphene, each patient was assigned to one of the four response categories established by Kjeld et al. (6). Based on clinical findings and changes in serum hormone levels, the patients' responses to clomiphene were categorized as “normal” (the patient ovulated), “partial” (the patient experienced menstrual bleeding without ovulation), “minimal” (rise in estradiol without menses), and “nil”. Of the parameters studied, the patient's serum estradiol level was the most sensitive index of her response to clomiphene.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00680.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTAlthough the husband's reactions to and feelings about his wife's pregnancy are frequently overlooked, his wife is always concerned about his perception of her. She often feels unattractive and is most interested in how satisfied her husband is with her pregnant body. The present study attempts to determine whether the husband or wife viewed the wife's body more positively, whether the husbands and wives could accurately predict each other's satisfaction or dissatisfaction with the pregnant body, and whether husbands' and wives' attitudes about important perinatal issues differed significantly. The data were analyzed by multivariate analysis of variance, comparing the husbands' and wives' satisfaction or dissatisfaction with the pregnant body. The body cathexis scale was used to measure such satisfaction and Osgood's semantic differential measured attitudes toward “pregnancy”, “spouse”, “unborn baby”, and “labor and delivery”. Findings show that husbands were more satisfied with their wives' pregnant bodies than the wives themselves were. The wives were not able to predict their husbands' levels of satisfaction, although the men accurately predicted their wives' responses. Husbands also tended to hold more positive attitudes toward perinatal issues.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00681.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTThe standard prophylactic dose of anti‐Rh immunoglobulin used in the United States is 300 μg. For use after spontaneous or induced abortion and diagnostic amniocentesis, this dose represents immunological “overkill”. A 50 μg dose has been effectively used for these patients in other countries but the specific products used were not equivalent to the products available in the USA. No evaluation of this 50 μg dose has been conducted in the USA. This is a pilot study of 315 patients given a 50 μg dose or a 300 μg dose of anti‐Rh immunoglobulin after first trimester abortion. No patient in either treatment group developed atypical blood group antibodies within 6 months. This finding confirms that 50 μg of the American product is protective after first trimester abortion.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00682.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTThe instillation of 1 to 6 ml of 1% lidocaine was evaluated as a topical anesthetic method of reducing pain associated with uterine manipulations during gynecologic procedures. A plastic acorn cannula connected to a metal adapter and syringe was used to administer the topical anesthetic in 146 intrauterine device insertions, 16 cervical dilatations, and 18 dilatation and curettage procedures. Most patients reported satisfactory relief of pain. No complications were attributed to the topical anesthetic.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00683.x

出版商:Wiley    

年代:2016

数据来源: WILEY

摘要:

ABSTRACTStudies of hospitalized “spontaneous” abortion patients in two Muslim countries (Indonesia and Sudan) revealed the need for contraception in this group of married women and indicated the potential role of maternity hospitals in providing them with contraceptive counseling. It could not be determined which of the abortions were induced outside the hospital and which were truly spontaneous. Of the 893 women treated at the Djakarta Hospital, 15.3% used contraceptives during the month of conception of the index abortion, compared to 10.0% of the 2 759 patients in Khartoum. After hospitalization for completion of the abortion, the rates of contraceptive use increased by more than one third in both cities. The highest rates of increase in contraceptive use after abortion were noted among poorly educated women, women with large families, and women with abortions diagnosed as septic. Among the nonseptic patients at all hospitals, those experiencing complications associated with the abortion reported a slightly higher rate of postabortion contraceptive use. In hospitals where contraceptive counseling was provided, there was a proportional increase in postabortion use of contraceptives by the study population.

ISSN:0020-6695    

DOI:10.1002/j.1879-3479.1977.tb00684.x

出版商:Wiley    

年代:2016

数据来源: WILEY