摘要:

In a series of 6223 pregnancies, a study was made of factors related to uterine bleeding not followed immediately by termination of gestation. An increased occurrence of bleeding was found among Negroes, as compared to whites, and also among those of advancing maternal age and increasing parity. Multiparas who bled had a higher rate of abortions, stillbirths, and deaths of live born children during previous gestations. If 5 or more years had passed since the termination of the immediately preceding pregnancy, the likelihood of bleeding was also greater. Both birth weight and placental weight were decreased if bleeding had occurred, regardless of the week during which the pregnancy was terminated.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The rare finding of a benign teratoma (dermoid cyst) within the fallopian tube is described. This is the thirty-seventh one to be recorded in the world literature and probably the smallest. It was an incidental finding in a patient who underwent hysterectomy and bilateral salpingo-oophorectomy for uterine leiomyomas. Previous case reports reveal no characteristic clinical pattern.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Thrombosed vulvar varices in a pregnant woman is described. A method for successful surgical management is outlined.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Tuboplasty was performed in 130 patients during the period 1955–1970. In 98 women treated during the period 1960–1970, preoperative diagnosis was based on endoscopic study, and stents fabricated from polyethylene or Teflon were used postoperatively. Of 32 patients treated with neither preoperative endoscopy nor stents, 18 (56%) had patent tubes as a result of the surgical procedure. Of those in the second group, 84 (86%) had confirmed relief of tubal obstruction postoperatively. The improved results in the more recently treated group reflected primarily the use of stents and improved patient selection enabled by endoscopic examination. A cone-shaped, spiral stent was particularly effective in maintaining patency brought about by reparative procedures and in restoring physiologic conformation of the fimbria. Of 44 patients in whom this prosthesis was used, 42 (95%) subsequently had patent tubes and 11 (25%) conceived.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Fifty patients with adhesions of the labia minora were studied. They were evaluated as to age of occurrence, etiologic factors associated with the lesion, methods of treatment, recurrence and significance of the entity. All of the patients were premenarchal. Seven had labial adhesions even though there was definite clinical evidence of endogenous circulating estrogen. Anomalies of the urinary tract were found in 3 patients (6%). Medical management with topical estrogen cream proved to be a much better method of treatment than surgical or forceful manual separation.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The rare combination of sarcoma botryoides and pregnancy was successfully managed by total abdominal hysterectomy and bilateral salpingo-oophorectomy during the latter part of the first trimester.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

A patient is presented with pelvic descensus after abdominoperineal resection of the rectum and later excision of a vaginoperineal fistula. To provide a satisfactory repair it was necessary not only to reconstruct the anterior vaginal wall but also to provide adequate posterior support without which the cystocele and residual urine, which had been present, would probably have reformed. The pelvic floor, perineum and posterior vaginal wall were reconstructed by using fascia lata strips on the anterior vaginal wall and by advancing to the midline the soft tissue remaining adjacent to the defect. Such repair can be successful if adequate tissue remains and if enough mobility can be obtained to leave little tension on suture lines. Anatomic and functional results in our patient were excellent. The etiology and management of vaginal reconstruction is discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The relationship between recent streptococcal infection and chorea gravidarum was studied in a young woman who had previously had Sydenham's rheumatic chorea. Unique circumstances made it possible to document the absence of streptococcal infection in the 15 months before the onset of chorea gravidarum. Thus it appears that chorea gravidarum represents the uncovering, through the agency of the special conditions of pregnancy, of previously latent rheumatic chorea. Recent streptococcal infection plays no role in its patho-genesis.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Torsion of a normal fallopian tube is a surgical emergency which is virtually never diagnosed preoperatively because of its rarity, the lack of definitive diagnostic signs and its similarity to other disease processes. Early exploration could possibly result in the more frequent salvage of viable tissue. Three new case reports are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Abnormal heart rate patterns were observed in 15 low birth weight (650–2500 g) fetuses by continuous monitoring during labor. Fetal scalp blood, umbilical cord arterial and venous blood pH and gases were measured. The clinical condition of the infants was evaluated during the first week of life and the results compared with those from 10 low birth weight infants with normal heart rate patterns. Infants with abnormal heart rate patterns had significant metabolic and respiratory acidosis during the intrapartum and immediate postnatal period, lower Apgar scores and 10 of 15 infants required resuscitation. The incidence of respiratory distress syndrome was higher among infants with abnormal heart rate patterns. Continuous fetal heart rate monitoring and blood sampling for acid-base and blood gas determinations are important clinical procedures in the management of premature labor and may help to detect the low birth weight fetus at risk both in the delivery room and in the nursery.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID