摘要:

Two hundred eighty patients with vertex presentation who were in spontaneous labor and delivered neonates weighing 2 kg or less were examined for early ultrasound evidence of periventricular/intraventricular hemorrhage. This was correlated retrospectively with delivery route (cesarean section versus vaginal delivery) and delivery method (low forceps delivery vaginal delivery) and delivery method (low forceps delivery versus normal spontaneous delivery) in the group born vaginally. No correlation was evident between early periventricular/intraventricular hemorrhage and delivery route or method.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

In 20 consecutive cases of fetal ventriculomegaly, diagnosed by antenatal ultrasound examination, hydrocephalus was isolated in six patients (30%) and was associated with other anomalies in 14 (70%). There were no false positive diagnoses of fetal ventriculomegaly in this series. Fetal structural and/or chromosome abnormalities were diagnosed antenatally in 11 of the 14 patients (78.5%) with postnatally documented anomalies. In ten patients (50%), isolated fetal ventriculomegaly or ventriculomegaly asociated with spina bifida was diagnosed antenatally, and the perinatal management consisted of frequent ultrasound examinations, weekly fetal biophysical profiles, and delivery by cesarean section after documenting fetal lung maturity. Ventriculoamniotic shunt placement was not part of the management. The outcomes were induced abortion, four patients (20%); intrapartum death, two patients (10%); postnatal death, five patients (25%); and currently alive, nine patients (45%).

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Amniotic fluid samples from 21 diabetic pregnant women were pair-matched for gestational age with 21 samples obtained from nondiabetic women, and analyzed for magnesium concentration. Mean ± standard deviation amniotic fluid magnesium concentration (mg/dL) was 0.86 ± 0.21 in the diabetic group and 1.06 ± 0.22 in the control group (P<.001). It is concluded that in the diabetic pregnancy, a state of fetal magnesium deficiency exists. This deficient state may contribute to neonatal hypocalcemia in infants of diabetic mothers.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

The inability to make a definitive diagnosis in the fetus with a sonographically identified abnormality often results in parental and physician uncertainty. An antenatal chromosome evaluation could resolve this uncertainty. Forty-one fetuses with an abnormal ultrasound examination were tested for karyotypic abnormality using a variety of specimens. Nearly one-third (13 of 41) of these featuses had various chromosome abnormalities. There were only seven survivors in this series, underscoring the often poor prognosis when a significant ultrasound defect is detected antenatally. Knowledge of the fetal chromosome constitution in the setting of an abnormal ultrasound has important epidemiologic, cost-benefit, counseling, and pregnancy management implications.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

During obstetric ultrasound examinations of 10, 214 patients at a tertiary perinatal unit, 102 cases of mild to severe polyhydramnios were detected, a prevalence rate of 1.04%. When referred patients were excluded, a prevalence rate of 0.93% was obtained. An etiology for polyhydramnios was apparent in 16.5% of patients with mild polyhydramnios. When polyhydramnios was characterized as moderate or severe, a definable cause was determined in 21 of 23 patients (91.3%).

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Thirteen pregnant women who conceived within six months after terminating oral contraceptive agent therapy of at least three years' duration participated in this study. Nine pregnant women with no history of oral contraceptive agent use served as controls. At delivery, erythrocyte counts were reduced, and during the first trimester and at delivery mean corpuscular hemoglobin and volume values were increased and erythrocyte zinc values were reduced in the oral contraceptive agent group as compared with controls. These changes appeared to be subclinical in magnitude and oral contraceptive agents may have induced a macrocytic erythrocyte population. Because no changes in maternal plasma zinc and copper levels were observed and no hematologic, biochemical, or anthropometric differences were observed in neonates, long-term oral contraceptive agent usage appeared to have little or no effect on zinc and copper metabolism in a subsequent pregnancy.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

To study subjective and objective changes of micturition after colposuspension, 80 patients were evaluated before and after surgery. It was found that colposuspension may introduce an element of urethral obstruction, which leads to a significant proportion of immediate as well as late voiding difficulties. Thus, 25% of the patients developed severe voiding difficulties in the immediate postoperative course. Low pressure voiding (Pdetless than 15 cm water) preoperatively was found to predispose significantly to immediate postoperative voiding difficulties. Another 20% developed late voiding difficulties. Increased urethral resistance preoperatively was found to predispose significantly to late postoperative voiding difficulties. Increased urethral rigidity is suggested as an underlying factor. Only four (5%) of the patients developed both immediate and late postoperative voiding difficulties. The detrusor pressure at maximum flow was found to be an unreliable parameter in assessing the true potential of the detrusor. It is emphasized that a thorough preoperative evaluation of both bladder and urethral function and the use of a proper surgical technique are required to avoid voiding difficulties after colposuspension.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

In a 16-month period the one-hour pad-weighing test proposed by the International Continence Society was used in 126 instances for objective assessment of the degree of incontinence in 81 women with urinary incontinence. The present study deals with applicability of the test, patient compliance, reproducibility of the test, and comparison of test results with conventional methods for objective assessment of urinary incontinence. In spite of a rather high mean age (55 years), 73 patients (88%) were able to perform the entire test program. In 85 tests (68%) the patients indicated the result to be in accordance with the daily leakage. The reproducibility of the test was relatively good (r=0.68;P<.01), but significantly better (r=0.93;P<.0001) when taking into consideration the bladder volume at test start and the diuresis during the test. When compared with the pad-weighing test, the stress test and voiding-cystourethrography gave false negative results in approximately half the cases. The one-hour pad-weighing test was found to be practical and useful in quantifying the dgree of leakage in women with urinary incontinence.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Between 1980 and 1984, 406 patients were referred to Tripler Army Medical Center's cervical clinic for the evaluation of atypical squamous cells in a Papanicolaou smear. Their evaluation included repeating the smear, colposcopy in all cases, colposcopically directed biopsies, and/or endocervical curettage in 70%. The results of the repeat Papanicolaou smear in 400 patients were 274 (68.5%) negative, 77 (19%) atypical squamous cells, 40 (10%) cervical intraepithelial neoplasia (CIN) 1, seven (2%) CIN 2, and two (0.5%) CIN 3. No invasive cancer was detected. Dysplasia was documented histopathologically in 18.7%, but a repeat smear was reported as negative in 10.9% of patients with biopsyproven dysplasia. A Papanicolaou smear report of atypical squamous cells should not be considered normal, and further evaluation of the patient is required. If colposcopy is impractical, serial follow-up smears are recommended.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Twenty-eight patients were treated by cryotherapy for cervical condylomata acuminata during the second and third trimesters of pregnancy. Most required two treatment sessions before the condylomata resolved. All women responded favorably and none had residual disease at six weeks' postpartum. No neonate was affected. Cryotherapy for cervical condylomata acuminata had no identifiable adverse effect on pregnancy. There were no cases of rupture of membranes or labor starting as a consequence of treatment. There was no scarring to the cervix and deliveries were normal. We conclude that cryotherapy for cervical condylomata acuminata is an effective and safe procedure during the last two-thirds of pregnancy.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID