Search PubMed⌕ Search

Biomedical subjects

E Papiernik

Publications and source records attributed to E Papiernik.

At least 253 records · Page 14Linked to original sources
PubMedDate not supplied

[Computer-assisted model of weight gain during pregnancy].

The goal of this study was to modelize the evolution of "ideal" weight gain during pregnancy and to generate automatically the appropriate diet. This computerized model has been developed on a microcomputer and has two units: the first unit calculates the "ideal" weight gain during pregnancy, based on the curves of Rosso which show that weight gain is not linear with term and depends of the prepregnancy weight. The second unit calculates the appropriate diet which is depending for the first visit on height, prepregnancy weight and weight gain and for the followed visits on weight gain and the diet situation of the previous visit. The next step will be the medical evaluation of this computer-aided modelization of weight gain during pregnancy.

Computer Simulation↗
PubMedDate not supplied

The Guadeloupean perinatal mortality audit: process, results, and implications.

In 1983, we implemented an ongoing perinatal mortality audit in Guadeloupe to identify factors underlying the current level of poor perinatal outcome and to stimulate increased provider motivation. The audit was part of an active research approach to document the specific nature of the perceived perinatal health problem, to modify provider behavior through the use of this acquired information, and, ultimately, to decrease avoidable perinatal deaths. We investigated all 320 perinatal deaths in Guadeloupe during 1984 and 1985. Nearly one-half of the perinatal deaths reviewed were determined to be related to maternal high blood pressure, maternal/fetal infection, and preterm delivery. Slightly more than one-half of the perinatal deaths were considered to be avoidable. Over the course of the audit, perinatal mortality rates exhibited a marked decline. The findings of this study support claims that perinatal audits with confidential inquiries may help effect change in perinatal health status in a population; the findings also call attention to the potential benefits of incorporating motivational incentives into these activities.

Cause of Death↗
PubMedDate not supplied

Prevention of preterm birth and perinatal risk reduction.

A reduction in preterm births has been observed in Haguenau, eastern France, during a 12-year intervention study on prevention of preterm deliveries. Between 1971 and 1982 there was also an increase in the proportion of women who attended the prenatal clinic in the first trimester, and an increase in the mean number of visits in the first 6 months of pregnancy. These changes were observed in women of all educational levels. This investigation illustrates the use of time-trend studies in the field of health technology assessment.

Educational Status↗
PubMedDate not supplied

[The antibacterial activity of amniotic fluid with a correlation between zinc phosphorus concentrations (author's transl)].

Antibacterial activity of 22 amniotic fluids collected at different stage of pregnancy have been tested against different types of staphylococci: 209 P, 2961 and Escherichia Coli OMS and 83. At the same time zinc and phosphorus concentration in these fluids have been measured. 77 p. 100 of those fluids present an antibacterial activity, but no correlation has been found with their concentration in zinc and phosphorus. Probably this activity is multifactorial and further studies need to be done to identify the factor or factors responsible for that antibacterial activity.

Amniotic Fluid↗
PubMedDate not supplied

[Ethnic variation of the duration of gestation].

This study compares the durations of gestation of 6,885 West Indian women who delivered in Fort-de-France, with 11,818 Metropolitan, 257 West Indian and 110 African women whose deliveries took place in Clamart (France). Mean duration of pregnancy was 4/10 of a week shorter: i.e. 3 days, for West Indians. There was no difference between West Indians giving birth in Fort-de-France as opposed to those giving birth in Clamart. Duration of pregnancy was shortest for Africans as compared with West Indians and Metropolitans. These differences were statistically significant. At Clamart, despite standardization allowing for maternal ages, parity and socio-economic status, mean differences and their statistical significance remained.

Africa↗
PubMedDate not supplied

[Intra-uterine growth retardation and prenatal nutrition. I. Review of the literature].

The authors have carried out a review of the literature about the consequences of alimentary deficiency in the mother on the growth of the fetus. The effects of under nutrition in the animal kingdom are well known. In the human species studies have been made in developing countries and also in countries that are developed in times of food rationing. These show that when the ration is deficient in calories there is a drop in the birthweight of the newborn. All the same, the effects of moderate malnutrition are not well established. A discussion therefore is started on the methods by which the diet is examined and the patients have been selected. Whenever there is suspicion of failure of intra-uterine growth during pregnancy, the place of enquiring into the mother's diet is emphasized, together with the other methods of investigation of the causes.

Body Height↗
PubMedDate not supplied

[300 breech delivery in continuity (author's transl)].

In this study of 300 breech deliveries in continuity, the authors after a review of the principal attitudes and of the results of other publications; bring their attitude and their results, by a more detailed analysis of cases and specially the small for date--the preterm deliveries and the breech associated with multiple pregnancy, because these associated risks are the most important. Systematic casarian section must not be systematic on term breechs if obstetrical explorations are normal--in these cases 60 0/0 of trials labor perform well with a minimal morbidity and with mortality no account. In the other hand, in cases where risk increase cesarian section is the best solution.

Breech Presentation↗
PubMedDate not supplied

Determinants of meconium-stained amniotic fluid in term pregnancies.

This study examines ethnic variations in meconium-stained amniotic fluid in term pregnancies, taking into account the role of gestational age, maternal sociodemographic characteristics, and medical risk factors. The study population included black and white singleton live births (N = 14,419) between 37 and 42 weeks' gestation, delivered vaginally at the Medical University of South Carolina from 1982 through 1990. Chi-square and logistic regression analysis were used to examine the association between the independent variables and meconium-stained amniotic fluid (MSAF). An increased risk of MSAF was found for advancing gestational age, indicators of fetal stress, fewer than five prenatal care visits, and > 15 hours labor. After controlling for demographic and clinical characteristics, the risk of MSAF in black patients was approximately 1.5 times that of white patients. The higher proportion of MSAF in blacks could not be explained with obvious risk factors.

Adolescent↗