Search PubMed⌕ Search

Biomedical subjects

B Komáromy

Publications and source records attributed to B Komáromy.

At least 19 recordsLinked to original sources

Open mitral commissurotomy in pregnancy. A case report.

Correction of severe mitral stenosis by open commissurotomy during the second trimester of pregnancy is reported. The further course of the pregnancy was uneventful and at 34 weeks a healthy boy was vaginally delivered. Mother and child were in good health on discharge from hospital one month later.

Adult↗

Selective planned induction of labor.

Authors compare data of 1577 elective inductions with 1450 those of spontaneous labor or cases induced post term because of signs of foetal distress during regular assessment. They review the methods of selection and management of planned induction as well as their results. They are as follows: the mean duration of the 1st stage of labor was 4 hours 35 minutes, FHR changes of hypoxic origin in the 1st stage occurred in 6 per cent, scalp blood examinations showed more favourable values than the ones found in uncomplicated, spontaneous labors; the total frequency of operative interventions were 1,84 per cent, we had no perinatal deaths which could be attributed to our policy of selective planned induction of labor.

Cesarean Section↗

[Experience with ultrasonic placentography].

The authors review their procedure adopted at ultrasonic placentography. Examinations were done before amniocentesis in 21 cases and because of supposed placenta praevia in 111 cases. Patients delivered at thier institution, so the site of placental implantation could be controlled. They had only one "dangerous" mistake: considering a placenta praevia to be only placental implantation on the lower segment, otherwise ultrasonic diagnosis was wrong in 5 cases. So the efficience of our method can be taken as 96,2 per cent. The call attention to the difficulties of of posterior wall placenta diagnosis. They state that ultrasonic placentography is the least harmful among available procedures and also the safest way the localisation of placenta.

Diagnosis, Differential↗

The value of bed rest in twin pregnancies.

The effect of bed rest on the duration of pregnancy, the birth weight of newborns, the frequency of premature birth, and perinatal mortality was examined in 491 twin pregnancies. Cases were divided into two groups - women hospitalized from the 24th-26th week of pregnancy until delivery (rested group, 242 patients) and outpatients (unrested group, 249 patients). The premature birth rate was considerably less for patients in the rested group: in this group 41.0% of the newborns were delivered earlier than the 38th week and 42.9% of them weighed less than 2 500 g, whereas in the unrested group 75.0% were delivered earlier than the 38th week and 77.2% weighed less than 2 500 g. In addition, the perinatal mortality rates observed in the two groups were significantly different. Based on these findings, we conclude that the high premature birth rates and subsequent high perinatal mortality may be considerably reduced if twin pregnancies are diagnosed early and patients are hospitalized from the 26th week until delivery.

Bed Rest↗

Fetal arrhythmia during pregnancy and labour.

The significance of fetal arrhythmia presenting during pregnancy and labour has been examined in 68 patients. The different types of rhythm disorders diagnosed included 61 extrasystoles, 6 atrioventricular blocks and 1 auricular fibrillation. Extrasystoles were not associated with acidosis or organic cardiac disease. Atrioventricular block, though not associated with fetal hypoxia, was occasionally associated with congenital cardiac failure.

Acid-Base Equilibrium↗