摘要:

An old concept—passively immunizing a fetus by actively immunizing (vaccinating) its mother—is reevaluated in light of 50 years of data. The history and data reviewed here suggest that this concept is one whose time has come for active modern research and clinical use. In third world countries, this concept already has provided significant reduction in morbidity and mortality from neonatal infections such as tetanus. Some other neonatal and infant infections—heretofore life-threatening—may now have a practical method for prevention. These include group B β-streptococcal sepsis andHemophilus influenzaemeningitis.

ISSN:0029-7844    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Construction of a neovagina after exenterative surgery is important for the psychologic adjustment of the patient undergoing exenteration. The bulbocavernosus muscle, fat, and overlying vulvar skin have been used as a pedicle graft to create a neovagina in eight patients undergoing supralevator pelvic exenteration in the past 22 months. The vaginal length and caliber has proved to be excellent with return of normal sexual function among four women who currently have a sexual partner. This graft is easier to construct with less operative time and blood loss than the gracilis myocutaneous graft. The cosmetic results are excellent and there have been no complications.

ISSN:0029-7844    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The present study reviews the entity of holoprosencephaly as it relates to obstetric diagnosis and management. Classification, embryology, and etiology are summarized. Serial sonographic findings in a recent case of holoprosencephaly complicated by hydrocephalus are presented. Criteria for antenatal diagnosis and newborn recognition as well as an approach to management are proposed.

ISSN:0029-7844    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A previously unreported complication of acute pyelonephritis during pregnancy is described. Acute respiratory distress accompanied by varying manifestations of liver, kidney, hypothalamic, and hematopoietic dysfunction is chronicled in four women. Because these latter organ system effects are attributable to endotoxin, the authors postulate that endotoxin caused alveolar-capillary injury leading to respiratory failure in these pregnant women with acute renal infection.

ISSN:0029-7844    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Intrauterine fetal demise of one fetus in a twin gestation is an uncommon occurrence. The choice of management of the mother and viable twin is difficult. The risk of premature delivery with its associated problems must be weighed against the risk of continued exposure of the second twin to the same environmental factors that may have contributed to the death of the first. Additionally, the potential exists for a consumptive coagulopathy affecting not only maternal health, but also the fetus or neonate. The authors present three cases of a single intrauterine fetal demise in a twin gestation followed conservatively. The pregnancies continued an average of three weeks beyond the diagnosis of fetal death. There were no cases of disseminated intravascular coagulation or infection. Follow-up on the surviving twins is presented. A suggested management plan for the mother and potential problems for the surviving neonate are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A 27-year-old woman died from pneumococcal meningitis associated with pneumococcal endometritis two days after being delivered of a 1.75-kg infant. The infant also had pneumococcal septicemia and died six days after birth. The pneumococcus isolated from the mother and the baby was type 8. The membranes had ruptured 21 hours before delivery, and the mother had received a salbutamol infusion in an attempt to inhibit labor with injections of betamethasone to prevent neonatal respiratory distress. This case typified the dramatic onset and lethal nature of some pneumococcal infections.

ISSN:0029-7844    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Chlamydial cervicitis and salpingitis are being increasingly diagnosed and reported, but chlamydial proctitis is an unusual problem to be found in gynecologic practice. In the reported patient who gave a history of rectal intercourse and presented with a symptomatic vaginal mass, a diagnosis of chlamydial proctitis was made on the basis of biopsy histology, specific monoclonal antibody-immunoperoxidase chlamydia assay, and response to doxycycline therapy.

ISSN:0029-7844    

出版商:OVID    

年代:1984

数据来源: OVID