[Metabolism of corticosteroids in pregnancy. Role of estrogens in their plasma transport (transcortin) and in their hepatic catabolism].
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Biomedical subjects
Publications and source records attributed to D Dargent.
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Coagulation of the cervix is one of the most frequently carried out gynaecological procedures. All the same, protagonists and antagonists produce numerous arguments about the indications for the operation, the best techniques to adopt and whether it does have any prophylactic action against cancer. The author, in this article, which reviews the arguments and counter-arguments, summarises the opinion of several specialists about this matter. The advice given seems to be very divided as far as the indications are concerned, the author himself reserving coagulation especially for those cervices from which pathological discharges emanate, after he has controlled the state by smears and colposcopy, and has considered atypical epithelia as a contra-indication to coagulation. The variety of techniques in use prove that the problem has not been resolved. To bipolar diathermy coagulation has followed cryosurgery and coagulation at 90 degrees C. Finally, the prophylactic role against cancer is discussed. Whatever the attitude taken, coagulation of the cervix does not mean that follow-up may be dispensed with.
The results of the prospective survey of hospital infections in mothers and newborns at the obstetrical clinic of the Edouard Herriot Hospital in Lyon are presented. Surveillance lasting six successive years covered 18,026 deliveries with or without the use of cesarean section. The incidence of hospital infections (not taking into account cases of bacteriuria) was 1.6% in parturient women not subjected to cesarean section and 11.7% in those having had this operation. Urinary tract and parietal infections, endometritis were in leading cases. The average incidence of hospital infection in newborns was 2.68%, the leading clinical manifestations being peripheral staphylococcal lesions in the form of pustules.