Human parturition is a painful and sometimes dangerous physiologic process, which has been managed all over the time through mobilisation and various maternal vertical postures. Three hundred years ago, Mauriceau, a French obstetrician, imposed a semi-recumbent position for the second stage of labor, which became largely adopted in western countries. For three decades, spontaneous positions for parturition have been encouraged, based on anatomophysiologic considerations. There is now sufficient data from randomised trials for recommending maternal mobility during labor and various vertical positions for delivery. Yet, the third stage is sometimes more hemorrhagic and should be managed through preventive measures.

Adult↗

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Comparative clinical performances of 4 copper-releasing IUDs.

Clinical performances of the Copper 7, Gyne T 200, MLcu 250 and Tcu 200 were compared on 203 patients in this random study conducted over a period of 18 months. Insertion-linked events, tolerance (markers were bleeding or spotting, IUD-linked pain and partner discomfort) and causes for removal (spontaneous expulsion, pregnancies and pelvic infection) were considered. Randomization was performed at the beginning, using prescriptions that came from a randomized pool. Validity of the randomization method was checked against four criteria: number of models inserted per IUD type, prevalence of IUD type per age group, per previous gravidities and per previous means of contraception. No major difference in clinical performance among the four IUD types appeared upon analysis of the resulting data.

Adult↗

PubMedDate not supplied

[Thrombophlebitis of the ovarian vein in the postpartum period. Diagnostic and therapeutic problems].

Three cases of thrombophlebitis of the ovarian vein occurred early after delivery. The thrombus extended into the inferior vena cava in all three cases and led to pulmonary emboli in one patient. The clinical presentation was suggestive of the diagnosis which was confirmed by echography and computed tomography. Heparin and antibiotics were given at diagnosis and thrombectomy of the inferior vena cava was performed in 2 cases with a vibrating thrombus. Ligature was required in these cases. The clinical case was favourable in all three cases.

Adult↗