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Biomedical subjects

E Papiernik

Publications and source records attributed to E Papiernik.

At least 217 records · Page 12Linked to original sources

Comparison of two successive policies of cervical cerclage for the prevention of pre-term birth.

The percentage of women receiving cervical cerclage increased from 5% to 18% between two periods at Haguenau maternity hospital, according to a new policy for the prevention of pre-term birth. A parallel reduction of premature deliveries by about a half was observed in the relevant group of women. This suggests that cerclage might be employed on another basis than is currently the case, and that a randomized trial is urgently needed to define its indications more precisely.

Cervix Uteri↗

Delivery of twin pregnancy.

Preliminary observations fail to indicate a higher risk to the twin babies as a result of labor induction or Cesarian section, so that a systematic clinical trial will now be possible.

Birth Injuries↗

[Perforation of the uterus after voluntary termination of pregnancy using the aspiration technique. Two serious cases (author's transl)].

The authors formulate some safety rules in view of two case histories of bowel complications following voluntary termination of pregnancy using suction techniques. Where it is not certain that a perforation has occurred laparoscopy is necessary. When perforation has been confirmed a laparotomy is undertaken in order to check the state of the bowel throughout its length, because when lesions of the digestive tract are treated rapidly the results are good whereas when they have to be treated for peritonitis the outlook is poor.

Abortion, Induced↗

[Avoidable perinatal deaths and prenatal consultation (author's transl)].

Perinatal deaths may be avoided by the prenatal consultation. We show that women with a previous preterm delivery may have a term child if they are correctly followed, that adolescent pregnancies can have term birth with good social support and medical support. We show that uterine height (pubis-fundus) is a good measure of fetal development, giving a better prediction of term weight compared to echotomography from 28 to 36 weeks, afterwhat echo is obviously better. This means that simple clinical measures can reduce during pregnancy important causes of perinatal deaths.

Adolescent↗

[Intrauterine growth retardation and prenatal nutrition. II. Personal cases].

We have carried out an enquiry into feeding in mothers in whom failure of intra-uterine growth of the fetus has been suspected around the thirtieth week of amenorrhoea according to clinical criteria (23 cases with a mean birth weight of 2564 g). We used a special questionnaire in the third trimester of pregnancy. The special feature of these failures of intra-uterine growth were that they did not appear to have any known cause. The calory intake of the mother was compared at the same time with a control group (39 cases where the mean birth weight was 3333 g). A significant difference was found in the calory intake (2241 Kcal as against 2553 Kcal) and this was especially connected with a low carbohydrate intake. The consequences of this deficiency in maternal carbohydrates on the birth weights of the newborn is discussed taking into account other factors that could interfere with fetal growth.

Birth Weight↗