摘要:

Three FHR deceleration areas of fixed durations related to the onset of the concomitant uterine contraction were evaluated automatically with a small digital computer during labor. The correlations between these areas and the fetal scalp blood pH values were studied. The deceleration occurring 80 to 140 seconds after the onset of each uterine contraction during the 20 minutes preceding the fetal blood sampling presented the best correlation (r = −0.453) with fetal pH values. In addition to FHR deceleration area, baseline FHR variability should be considered in predicting fetal condition.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The use of the nitroblue tetrozolium (NRT) dye reduction test as a screening method for bacterial and fungal infections is now widely recognized. Levels have been reported to be falsely elevated in the pregnant state. This report includes a prospective study which showed that the results of this test in 124 pregnant women were indistinguishable from those of a normal control population. Seven of 8 elevated levels were attributable to infection or allergy. With this data, it is concluded that the NBT test can be used to screen for bacterial and fungal illnesses in a febrile pregnant patient as well as in the general population.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

During a 6-month course of treatment of endometriosis with Danazol®, a synthetic derivative of 17a-ethinyl testosterone, the following hormonal changes were found. Plasma LH remained essentially unchanged but FSH conceutration was consistently in the low normal range. Plasma estradiol, especially after the fourth week of therapy, dropped to levels that did not exceed 30 pg/ml throughout the 6-month period of therapy. Plasma progesterone concentration was consistent with follicular phase levels. In the months after discontinuation of Danazol, all hormone parameters were strongly suggestive of normal ovulatory cycles. Danazol did not displace estradiol bound by endometrial cytosol.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

A technic is described for suction drainage of the rclropcritoneal space. Its use is evaluated in 150 private patients undergoing vaginal or abdominal hysterectomy and com pared with 150 private control patients. This lechnic resulted in an average of 10 cc of Huid (range. 10-200 cc) heing suclioned from the retroperiloneal space. With this technic febrile morbidity decreased from 26 to 11% for abdominal hysterectomies and from 32 to 8% for vaginal hysterectomies. Information is offered to explain the physiology of posthystcrcctomy infections, the effectiveness of prophylactic antibiotics, and the paradox of a febrile morbidity higher for vaginal than for abdominal hysterectomies. The risks in using prophylactic antibiotics routinely are stated, and suction drainage is suggested as a preferable alternative.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The embryology and clinical implications or Meckcl's diverticulum, the most common gastrointestinal anomaly, are presented from the viewpoint of the obstetriciangynecologist. The complications and clinical management arc discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Although vaginal laceration following sexual trauma is a well-reported entity, vaginal evisceration appears to be a rare occurrence. This paper presents 2 cases of vaginal evisceration recently managed at the Bronx Municipal Hospital Center and a review of the literature. Etiologic factors and management arc discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

An office procedure or intrauterinc aspiration yielded a 99% diagnostic accuracy in 100 patients admitted Tor cither curcttagc or hysterectomy. After correlation with surgical diagnosis, no false-positive or false-negative results were found. The method provides tissue for cell blocks adequate for histologic diagnosis of endometrial adenocarcinoma and its precursors. The major advantage of this technic in comparison with the Gravlee Jet WasherTMis its low cost. Moreover, in this study, it proved to be less painful, superior for cell block preparation, and yielded more satisfactory specimens. As a screening procedure for asymptomatic patients at risk, this intrauterine aspiration technic holds promise and must be evaluated by further studies.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Forty percent hypcrosmolar urea Milution was used iutraamniotically to induce midtrimester pregnancy termination in 508 patients. The mean injection-abortion interval was 43.4 hours in those patients aborting within 7 days (85.8% or the total group); 76% of the group aborted within 72 hours. Complications from the procedure included endometritis hemorrhage, and nausea and vomiting; 29.3%or the patients required operative completion of the abortion (placental removal 12 hours after passage of the fetus). There were no cases of hypernalremia, cardiac arrest or collapse, clinically evident coagulopathies, nor cervical lacerations. This study supports the conclusion that urea is a safer intraamniotic solution than hypertonic saline for midtrimester pregnancy termination

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The copper content of normal human cervical mucus varies during the menstrual cycle. It is lowest at midcycle when the copper content decreases sharply. When oral contraceptives are used, levels of copper in the mucus show a general increase, this being especially evident at midcycle when the normal decrease in levels is not observable. In addition, with oral contraceptive use, normal cyclic variation in the copper levels in mucus disappears. Copper content of the mucus is also noticeably higher in users of copper IUD's and slightly higher in users of plastic (non-copper-bearing) IUD's than in normal controls. Mucus samples from copper IUD users consistently have the highest copper content in all phases of the menstrual cycle. It is concluded that the presence of copper assists in preventing pregnancy.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Ninety-four patients sterilized by tubal occlusion were interviewed at the time of hospitalization for surgery and followed at scheduled intervals for a 2-year period. There were no serious problems, medical or psychologic, and all but 3 patients were pleased and satisfied at the end of 2 years. There were no technical failures. Psychosomatic symptoms do develop. They are more prominent and persist longer in the younger age group. Patients having these symptoms are those who had difliculty with contraceptive technics, have a limited understanding of the sterilization procedure, and continue to question its permanency. The need for preoperative evaluation ami counseling is emphasized.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID