ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Amniutic pressure and maternal heart rate were recorded continuously and simultaneously in 15 women in labor or prelabor. Orciprenaline (Alupent) was administered through an intravenous infusion pump at the rate of 10 and 20 μg/min. Uterine contractility and maternal and fetal heart rate were measured before its onset and during the infusion. The development and stabilization of the effects were studied. Continuous intravenous infusions of orciprenaline at rates of 10 and 20 μg/min are recommended. They proved to be very useful in obtaining uterine inhibition with a minimum of undesirable side effects.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The incidence of multiple abdominal punctures, blood-stained aspirates, and fetomaternal transfusion was compared in patients undergoing amniocentesis at various stages of pregnancy with and without prior placental localization by ultrasound. A lower incidence of complications was found in those on whom ultrasound examination had been performed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The significance of fetal heart rate-uterine contraction (FHR-UC) monitoring as a means of predicting the condition of the fetus during labor was studied by correlating 460 fetal pH determinations obtained from 216 patients with the analysis of the 20-minute FHR-UC record preceding the fetal scalp blood sample. Both qualitative and quantitative analyses of the FHR-UC record were performed. The results indicate a less than 10% chance of fetal pH ≤7.250 with a normal baseline FHR and no periodic changes or with periodic accelerations, early decelerations, and uncomplicated baseline bradycardia or tachycardia. Variable or delayed decelerations with a total surface area (TSA) of 1–100 for the 20-min period were associated with a fetal pH ≤ 7.250 in 23 and 34% of cases, respectively. Variable or delayed decelerations with a TSA > 100 had a 35 or 47% chance of fetal pH ≤ 7.250. It is concluded that FHR-UC monitoring can be used to screen the innocuous from the ominous periodic change but that fetal scalp blood pH must be obtained to identify accurately the true from the false-positive ominous pattern.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

During the 13 years 1960–1972, in a teaching hospital that serves a predominantly rural and semiurban population in southern India, there were 74,384 deliveries and 1245 maternal deaths, a maternal mortality rate of 16.7 per 1000 births. Direct obstetric factors caused 854 (65.5%) of these deaths. The leading indirect or associated causes of maternal deaths were anemia, cerebrovascular accidents, and infectious hepatitis. During the past 13 years, monthly maternal mortality meetings have helped to reduce the incidence of avoidable factors in maternal deaths among patients from the city but not among those brought from the surrounding countryside. The important causes of maternal deaths in this developing country, and their prevention, are individually discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Among the 2300 cases accumulated in the Emil Novak Tumor Registry between the years 1942 and 1972, there were 100 examples of ovarian neoplasia associated with gestation. Lutein cysts or luteomas were excluded since such lesions usually represent physiologic responses of the gonad to increased levels of chorionic gonadotropin. Only 10 cases of dermoids (benign cystic teratomas) were reviewed. We believe this to be the largest scries reported in conjunction with pregnancy. There was a total 5-year salvage rate of 76%, which is obviously much greater than with ovarian tumors in general, although there are certain patients alive with a late recurrence. This excellent survival rate seemingly reflects the low-grade malignant potential of many of the neoplasms encountered during pregnancy. However, certain cases of extremely aggressive and advanced ovarian tumors as noted at operation seemed to do surprisingly well following termination of pregnancy, and one must speculate whether gestation impairs antibody response with an apparent immunologic rebound postpartum.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Seventeen patients with congenital absence of the vagina are presented. The clinical results of conservative and surgical treatment are briefly described. Psychologic problems produced in the patients by knowledge of the anomaly and following the operative procedure were studied by a retrospective interview technique and are discussed. It is concluded that the gynecologist and psychologist must together undertake psychologic preparation of the patient for the operation—and its mental aftermath—as early as possible if the best clinical and psychologic results are to be obtained.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Forty-three patients with primary amenorrhea secondary to congenital absence of the vagina have been seen at this institution over the past 25 years. Associated urologic anomalies were present in 47% of patients in whom evaluation of the urinary tract was performed. Two patients recently presented with the rare combination of vaginal agenesis and solitary pelvic kidney, and one other such patient was found in a retrospective study of these records. A review of the literature concerning the associations of these conditions is presented with reference to frequency, embryology, pathophysiology, diagnostic methods, and various surgical procedures for correction of vaginal agenesis. The results of surgical correction using simple techniques in this institution have been comparable to those of other authors. The need for thorough preoperative evaluation of patients with genital malformations to include complete urologic studies is stressed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The olfactory, auditory, and gustatory functions of 20 women with gonadal dysgenesis were studied. Various abnormalities of these functions were found, and they occurred principally in patients with mosaicism of the sex chromosomes. This is further evidence of the increased likelihood of various somatic abnormalities among women with gonadal dysgenesis, and particularly among those who carry more than one line of sex chromosomes.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The crystallization phenomenon of human cervical mucus was studied with the scanning electron microscope. Changes in the conformation of the crystals, crystal conglomerates, and ferning patterns occurred almost daily. During the very early and late stages of the cycle two types of crystals could be found, one columnar and the other flat. At the other times, the columnar crystals were absent and the flat crystals changed their shape to cuboidal. During the follicular phase, these cuboidal crystals were initially located in small groups, then in parallel rows, and finally in three types of ferning patterns, one seemingly typical for the time of ovulation. These patterns reversed during the luteal phase of the cycle. The scanning electron microscope appears to be an extremely useful instrument for the evaluation of these phenomena.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID