ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

All but 3 of 263 women with confirmed rheumatic cardiac disease seen during pregnancy in the 5-year period, July 1937 to August 1942, have been traced up to 1974. The series was enlarged by including all the cases (57) in functional Classes III and IV at conception which were seen from 1931 through 1943; all have been traced. The remote mortalities have been: in patients Class I at coneption, 58.3% dead (with an average annual death rate of 23.5/1000); Class II at conception, 73.8% dead (average annual death rate 36.5/1000): Classes III and IV at conception, 91.3% dead (average annual death rate, 66.5/1000). A comparison of women with and without pregnancies subsequent to the one admitting them to the study fails to show any remote adverse effect of later pregnancies on the course of the disease.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

There are 1565 premature and full-term deliveries in patients with tuberculosis at The New York Hospital included in this report. About 10% of the patients had active pulmonary tuberculosis immediately before or during gestation. The obstetric management of the patient with inactive tuberculosis is similar to that of the nontuberculous woman. In patients with active or recently active tuberculosis, delivery under regional anesthesia, with forceps when necessary to avoid excessive straining during the second stage of labor, is advised. Tuberculosis is not an indication for cesarean section. Chemotherapy is now the cornerstone of all therapy for tuberculosis; the various regimens and modifications depend on the type and extent of the disease. The best combination of drugs is isoniazid and ethambutol. Therapy in all cases must be multiple drug, continuous, and long-term. Prophylactic isoniazid is used infrequently during pregnancy and only in special circumstances. Results of treatment with the newer antituberculosis drugs show that the disease progressed in less than 1% of patients between 1957 and 1972 compared to 3 to 4% of patients from 1933 to 1956. Infants born to the 1565 tuberculous mothers reported here were of average weight, and none of the 1588 infants (23 sets of twins) had congential tuberculosis. Patients should be carefully followed postpartum with sputum tests and x-rays. They should also be given medical and socioeconomic counseling.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Ultrasonic placental and fetal head localization, although not mandatory, may minimize the risks of amniocentesis for use in genetic counseling. It permits choosing a site other than low midline with a low-lying anterior placenta; with a posterior placenta, the insertion within the amniotic cavity should stop short of the placenta. Although complications of amniocentesis in the second trimester without ultrasound have been very few, it seems worthwhile to try to decrease even this small risk by the use of ultrasound.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Eight patients with choriocarcinoma of the ovary treated at the Choriocarcinoma Research and Treatment Center are presented and the previously reported cases reviewed. A more optimistic prognosis can be offered for these tumors than previously. Four of the 8 patients are in remission and 4 have died. Triple therapy should be used for these tumors despite the increase in toxicity.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

This paper is intended to render a brief review of the present methods and thoughts in the management of the complication of diabetes in pregnancy. Pregnancy affects the diabetes and the diabetes affects the pregnancy. Much knowledge has been obtained in the last several years concerning this disease and its management.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID