[Abnormalities of the urogenital tract: prenatal diagnosis--postnatal development].
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Biomedical subjects
Publications and source records attributed to C Brezinka.
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Migrant workers from Turkey and their families make up 1% of the population of the Tyrol province in the west of Austria. They are the largest group of aliens. 152 Turkish women who were seen at our obstetrics department were investigated. Records of 121 women who had given birth to infants in the years 1984-86 were compared. 31 pregnant women were interviewed in their native language. More than 80% of all women studied went for routine check-ups four times or more during pregnancy. A number of conditions that would otherwise remain undetected are being diagnosed at routine pregnancy checks: tuberculosis, diabetes, genetic disease. Although patient compliance is good in this group, communication problems often put a successful outcome of the pregnancy at risk. Many women, who have been living in Austria for many years, are still unable to speak and understand German. Unqualified interpreters (husbands, children, relatives, hospital cleaning staff that is composed largely of Turks) often create problems by making up things the doctor would like to hear. The rate of cesarean sections is 11% in this group. Perinatal infant mortality rate is much higher than in the native Austrian population. The strict hygienic rules of Islam, the support and nurture supplied by the tightly-knit family structure of Turkish emigrants and a basically confident and trusting attitude towards doctors and nurses, if these can make themselves understood, should be recognised as positive factors and should be used to reduce perinatal risks in pregnant Turkish women.
It is reported on an abnormally prolonged action of vecuronium in a female patient with known neurofibromatosis (Morbus von Recklinghausen). In this female patient an increased sensitivity to vecuronium (0.06 mg/kg) was observed during anaesthesia for Caesarean section. A 100% block lasted 50 minutes and the neuromuscular recovery from 75% block to 25% block amounted to 25 minutes. This prolonged neuromuscular block can also be due to overdosing, relative hypovolaemia during arterial hypertension and the previous application of suxamethonium.
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A fist-sized tumour was seen in a Caesarean section scar of a 28-year old pregnant Turkish woman who had been operated on three years previously. The tumour was excised during Caesarean section and diagnosed as desmoid tumour. Etiology and pathogenesis of these rare soft tissue tumours are discussed and the literature reviewed.
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