摘要:

Despite intensive family planning counseling, repeat abortion patients began to appear at a rate of 5% within the first 12 months of a new pregnancy termination program at City Hospital Center. The reasons for contraceptive failure and abortion recidivism were categorized as: a) patient failure (61.0%), b) method failure (24.4%) and c) institutional failure (14.6%). Never-married nulliparas formed a unique sub-set of repeat abortion patients, constituting about one-third of the group; 88.2% were less than 24 years of age and had a significantly greater deficit in motivation for contraception. To combat this unacceptably high rate of abortion recidivism, immediate postabortion IUD insertion was recommended as the preferred method of birth control. Abortion morbidity was not increased by this technic and spontaneous IUD expulsion rates and removals-for-cause were low. Patient acceptance of this program was gratifying (64.5%) and even higher (73.3%) in the young, poorly motivated, never-married nulliparas. The study interval was too brief to permit evaluation of the effect of this program on the rate of abortion recidivism at this institution, but the high rate of patient acceptance indicates that immediate postabortion IUD insertion seems to offer the best opportunity to reduce this public health problem.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Amniotic fluid L/S ratios were determined in 78 patients. No infant delivered within 48 hours after a mature ratio was recorded developed respiratory distress syndrome (RDS). Two of 8 babies born after the L/S ratio indicated immaturity developed RDS. Discrepancies between amnotic fluid creatinine and fetal weight were noted. The test was found to be very helpful in the management of high-risk pregnancies and in repeat cesarean sections.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Urine specimens from 50 pregnant and 50 nonpregnnnt women were tested with five immunologic pregnancy tests. Pregnosticon Accuspheres, a new hemagglutination inhibition test, was found to be more convenient when compared with UCG, an established tube test. Compared with two established rapid slide tests, Pregnosticon and Prequest, Pregnosticon Dri-Dot, a new latex agglutination inhibition test, was the most convenient to use, had an endpoint that could be detected easily and an acceptable degree of accuracy equal to the Pregnosticon Slide Test from which it was derived. The latter would be our choice as a pregnancy test for routine office use.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

A study was undertaken to define the incidence of fever and bacteremia in patients undergoing hypertonic saline abortion. The records of 302 patients were reviewed. The incidence of febrile complications was found to be 18.5%. Fever occurred either during the time of labor or closely following the expulsion of the products of conception. Six of 56 febrile patients had positive blood cultures, while potential pathogens were isolated from the reproductive tract of 15 others. A prospective study with serial blood cultures was conducted on 43 patients to determine the frequency of transient bacteremia following the intra-amniotic instillation of saline. Although an incidence of fever similar to that in the retrospective group were encountered, there were no positive blood cultures. A febrile episode may occur in approximately 20% of cases, but in many of these, bacterial infection cannot be demonstrated. It is concluded that the prophylactic use of antibiotics is not warranted.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

When a solution of hypertonic saline is instilled into the amniotic sac, approximately 15% of the women will not have aborted within 72 hours. The purpose of this study was to determine whether the concentration of sodium in amniotic fluid at the end of the procedure was the critical factor affecting the latent period between instillation and delivery. It was learned that if the concentration of sodium was more than 2000 mEq/liter, it was not the critical factor affecting onset of labor. Management of the woman with delayed onset of labor after hypertonic saline was instilled is discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Currently, serial measurements of maternal urinary estriol excretion is the most reliable and well-defined index of fetoplacental function. However, there are technical and maternal factors which can cause a decrease in reported estriol values without an associated decline in fetal well being. A discussion of these various factors is presented and may explain some instances of seemingly spurious results.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Misconnection of the tubing to a vacuum machine caused air under pressure to be introduced into the uterus during termination of pregnancy by intended vacuum aspiration. The resulting massive air embolism eventuated in the patient's death. Measures are discussed which should help to prevent the need for abortion under similar circumstances and obviate the possibility of an air embolism as well as aid in its management when it does occur.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

A case report of true sacculation of a pregnant uterus and a complete review of the world's literature are presented. Thirty-seven cases have been analyzed. Most occurred in primigravidas and any area of the uterus was involved. No rupture of a sacculated uterus was reported but it may be involved in occurrences of retained placenta. In the absence of other contraindications, vaginal delivery may be anticipated.

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

摘要:

Fifty-eight primigravidas and 67 multiparas who entered the active phase of labor with intact membranes were randomly assigned to either a control or an amniotomy group. Length of the latent phase, active phase, total first stage, second stage and active phase plus second stage, as well as a number of nonlabor parameters were studied.For primigravidas the mean active phase, second stage and active phase plus second stage for the amniotomy group were shorter than the control's by 40 minutes, 26 minutes and 60 minutes respectively. For multiparas, only the mean active phase for the amniotomy group was shorter than the control's and by only 1 minute. There were no significant differences between the amniotomy and control groups with respect to the nonlabor parameters.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID