摘要:

A modified version of Philpott's partogram was used to analyze primipara labor in Israel. The rate of cervical dilatation measured early in the active phase of tabor (initial rate) is an accurate indicator of the outcome of labor. Ninety-three percent of primiparas with an initial cervical dilatation rate of 1.00 cm/hour or more delivered spontaneously. Seventy-six percent of those with an initial cervical dilatation rate of less than 1.00 cm/hour required an assisted delivery (forceps or vacuum) or cesarean section. The mean cervical dilatation rate for spontaneous deliveries as measured early in the active phase was 1.75 cm/hour. Patients needing an assisted delivery had a mean cervical dilatation rate of 0.93 cm/hour, and for cesarean section deliveries the mean rate was 0.42 cm/hour. No significant differences were observed among patients of different ethnic origins. The initial cervical dilatation rate proves to be useful in early identification of those patients whose deliveries were complicated. The method avoids complicated cervicographs and is simple and reliable..

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Experiences with unselected intrapartum fetal monitoring in the 3-year period from 1972-1974 are compared with those of the 3 preceding years before monitoring was instituted. The effect of monitoring all laboring patients is correlated with a significant decrease in the perinatal mortality and a significant increase in the cesarean section rate. There were 16 intrapartum deaths during the period before monitors were used compared to only 1 intrapartum death in the period when monitors were used. The advantages and disadvantages of unselected electronic monitoring arc discussed. The importance of education of medical and paramedical personnel necessary for intense intrapartum care is emphasized.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

A controlled study for the management of antepartum meconium- stained amniotic fluid (MSAF) detected by amnioscopy performed in a total of 508 patients is presented. The incidence of antepartum MSAF was 2.2%, while intrapartum MSAF was found in 15% of cases. A significant incidence of depressed neonates was found in the latter group. Patients with antepartum MSAF had no perinatal losses, whether managed expectantly or by oxytocin induction. Immediate operative intervention (ie, cesarean section) is not warranted. Observations on FHR patterns, fetal pH,and Apgar scores of these patients are presented..

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Six cases of ovarian vein thrombophlebitis are reported including one resulting in operative death, a case diagnosed by phlebography, a postabortal case, and a case followed by habitual abortion. An historic review of this disease is presented. It is suggested that the ovarian vein may be the most commonly involved vein in puerperal pelvic thrombophlebitis.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The selective β2s-receptor stimulator, terbutaline (0.25-0.5 mg), was given intravenously to healthy women at different times in the menstrual cycle. Intrauterine pressure was recorded by means of a microtransducer catheter, and local endometrial blood flow followed by a thermistor technic based on measuring thermodilution. The general response to terbutaline was a decrease in uterine activity and an increase in blood flow. However, the effects varied with the menstrual phase, being maximum around the onset of menstruation and minimum at midcycle. Pretreatment with propranolol (1 mg IV) completely inhibited the effects of terbutaline.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Uteri obtained at the postmortem examination of 164 girls ranging in age from premature and immature infants to 11 years were studied for evidence regarding the developmental changes that take place in the cervix during this period of life and in particular the mechanisms involved in the production and regression of congenital ectropion. It is concluded that congenital ectropion is a normal feature of development of the cervix. Its occurrence and its persistence or disappearance appear to depend on variable growth of cervical tissues as they react to hormonal stimulation, hormonal deprivation, and systemic growth. The mechanisms are described in detail.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Koilocytotic atypia was found in 217 of 858 cervical biopsies obtained during a 26-month period. Koilocytotic change was more common in younger women. Nuclear atypia in the koilocytotic cells was associated with cervical dysplasia in a high proportion of cases. There was a significant difference in the incidence of dysplasia in koilocytosis with marked nuclear atypia when compared to koilocytosis without nuclear atypia. In some cases koilocytosis was associated with vesicular changes in the cervical epithelium. The significance of this change and its association with other abnormalities of the cervix is discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Exfoliated cells from the services of 22 patients with histologically diagnosed squamous cell carcinoma of the cervix and from (hose of 24 control women were examined for herpes subtype 2 (HT-2) antigens by indirect immunofluorescence studies. This method demonstrated that cells from all the patients with carcinoma contained antigens related to HT-2 virus. In contrast, squamous cells from the services of 24 control women with no cervical disease and of 2 women with chronic cervicitis did not contain such HT-2 antigens. Although an etiologic role of HT-2 virus infection cannot yet be established, it is probable that such infection precedes neoplastic changes.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Among 32 female patients with urethral diverticulum, a high incidence of prior gonococcal infection suggests that periurethral infection with this organism may be a common etiologic factor. The voiding cystourethrogram appears to be the best technic for demonstrating the diverticulum and for differentiating it from other suburethral masses. In the cases not associated with urinary tract infections, local symptoms were uniformly relieved by successful surgical excision. In patients with infection, surgery accomplished clearing of chronic urinary tract infection in 47% and cure of local symptoms in 63%. Persistence of infection following operation calls for further investigation to search for other etiologic factors or the presence of a new or recurrent diverticulum.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Forty-nine postoperative abscesses were encountered following 1600 major pelvic procedures. Abdominal and vaginal procedures were complicated by abscess formation in 0.7% and 4% of rases, respectively. The average time between surgery and recognition of the pelvic abscess was 18 days. A positive correlation between surgery performed during the luteal phase and abscess formation was noted. Fifty-five percent of pelvic abscesses treated by primary vaginal drainage required eventful laparotomy for final eradiction of disease. An aggressive approach to abscess management is felt to be justified in this disease entity.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID