ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Oxytocin was administered to 3831 women to pharmacologically augment labor that was not progressing satisfactorily. Results were excellent in cases of posterior occiput, abnormal descent patterns, secondary arrest of the active phase of labor, prolonged latent phase with a favorable cervix and in protracted labor during the active phase. Contraindications to the use of oxytocin have been listed in detail and a strong plea made that these be adhered to. Methodology of administration has also been outlined and certain observations made describing some pitfalls associated with oxytocin therapy. There were no maternal deaths in this series of 3831 patients, but there were 2 ruptured uteri; from 1 an unrecognized hydrocephalic baby was delivered and the other was related to forceps rotation and extraction. Duration of labor was essentially the same in both the augmented and control groups, but when forceps were necessary they were easier and lower than in the control group. In the augmented group, the cesarean section rate was about 30% lower despite the fact that practically all problem cases were in this group. Perinatal mortality and morbidity were decreased in the oxytocin augmented group. Augmenting labor with oxytocin is concluded to be both safe and beneficial as long as: a) contraindications are strictly adhered to, b) labor is monitored adequately, c) the environment is safe and d) refinements in the technic of administering oxytocin are used.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

If a pregnant woman has an elevated blood phenylalanine level, it is likely that she will give birth to a microcephalic, small-for-dates baby with multiple congenital anomalies and future mental retardation. The elevatedmaternalphenylalanine has affected the fetus; after delivery the newborn's phenylalanine level will be normal. At present, only newborns are routinely screened for hyperphenylalaninemia. The obstetrician needs to be aware of the danger of undetected maternal hyperphenylalaninemia as well as maternal phenylketonuria. Blood phenylalanine should be monitored in all women at risk for pregnancy.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

A graphic record for charting the progress of induced labor is presented. Compared to the currently used tabular record, it provides a better sense of the situation during induction and an easier, subsequent review.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The preoperative evaluation of a patient with tubal disease has become a well-accepted indication for laparoscopy. An additional indication in the surgical management of tubal infertility is described. After fimbrioplasty, a Mulligan Hood was removed through the laparoscope 4 months after its placement. When possible, this method of removal avoids an additional laparotomy thereby shortening patient hospitalization and decreasing the possibility of postoperative adhesions.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID