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Biomedical subjects

G Seidenschnur

Publications and source records attributed to G Seidenschnur.

At least 55 records · Page 3Linked to original sources
PubMed1979

Fetal risk in delivery with the Shute parallel forceps: analysis of 1,503 forceps deliveries.

A total of 1,503 vaginal deliveries with the Shute parallel forceps during a 10 year period are analyzed as to the risk of instrumental damage. In this series, 35 infants died intrapartum or neonatally. Eliminating all deaths from unrelated causes, three remain in which the forceps could possibly have been implicated. Investigation of these, however, revealed in each case the presence of other concomitant and potentially lethal factors, none of which could be completely ruled out as the primary cause of fetal death. Each of the three cases is discussed in detail. We conclude from our series that the Shute forceps is useful in the delivery of premature infants, but should be employed for this maneuver only by very experienced operators. In these cases, midforceps should be performed only for critical indications. The risk of damage with parallel forceps deliveries from the pelvic floor is minimal if decision for operation is based on cardiotocographic criteria, and under favorable degrees of oxygenation. In the delivery of the immature infants, the parallel forceps can, in fact, hardly be superseded by any other instrument because of its unique controlled protection of the fragile fetal head from even the pressures of the birth canal. Delivery with the Shute forceps can be performed effectively under pudendal block or local infiltration anesthesia.

Adult↗
PubMed1979

[Catamnestic findings in breech-presentation births].

Connections exist between the delivery technique for breech presentation cases and the intellectual development of infants. Extracted infants show lower development quotients (EQ) than others delivered with a modified Bracht. Diagnostic symptoms of early brain damage are found in either group. No symptom combination appears to have a significant effect on the EQ level. A prospective delivery technique should be selected in the case of breech presentation on the basis of specific criteria.

Brain Damage, Chronic↗
PubMed1979

[The value of irreversible contraception].

8 years after sterilization was in force in GDR it is stated, that this way of female healthy protection was different performed in the varions countries of GDR. The portion of the country Rostock amount to 56,6%. --85,3% of the women were elder than 30 years. 60% of the applicants have had legal abortions. 66,8% of the propositions were based by medical indication. --The rate of complications and failures amount to 0,3%. --By reason of the results it is recommended to regard the sterilization as the adequate method of contraception, if reproduction is finished.

Adolescent↗
PubMed1978

[Diagnosis and therapy of acute adnexitis using laparoscopy].

In cases of acute adnexitis laparoscopy is an excellent diagnostic method. By this way we found in 182 patients with clinical symptoms only 50,5% acute inflammatory diseases of adnexa. On the other hand there was a normal genital status in 18,1%, acute appendicitis in 9,9%, ectopic pregnancy in 7,7% etc. Clinical examinations and second-look-laparoscopy 6--8 weeks after ending the treatment cases of salpingitis alone showed the best results. Patients with more extensive inflammatory reactions had more adhesions too. An early diagnosis and treatment under hospital conditions is recommended. We have good experiences with immediately operation in cases of suppurative inflammation of the adnexa, which are only diagnosticate by laparoscopy.

Acute Disease↗
PubMed1978

[Development of intensive monitoring in obstetrics].

As early as about the turn of the century the causes for the discharge of the meconium under labour were studied and the attempt was made to record alterations of the cardiac sound under the influence of labour pain as well as the behaviour of the fetal heart by means of the electrocardiogram. In the development of obstetrics certain stages can be observed which in the past few decades entailed a great many changes, such as changing from delivery at home to delivery at hospital, parasitological clarification of intrauterine infections and the revelation of the pathogenesis of the Mhn. Studies of the physiology of intrauterine respiration, direct measurements of the oxygene pressure in the fetal blood represent the base for the future development of perinatal medicine. An essential improvement of the fetal supervision has come about ever since amnioscopy, cardiotocography, supersonic diagnostics, hormono- and enzyme analyses were introduced. Problems of organization and the future tasks of perinatal medicine are shown on the basis of maternal mortality at district level and perinatal mortality of the hospital.

Critical Care↗
PubMed1978

[Epidemiology of prematurity in working women].

Employment of the woman is of utmost importance among all the environmental factors, simultaneously influencing the development of pregnancy. It affects the individuality of the woman, before as well as during pregnancy, influences her social and material environment, thus contributing as well to the risk of prematurity in a positive or negative way. From 1970 onwards there is to observe a general adjustment of the prematurity rates of employed women and house-wives in GDR. In case of good health of the woman full employment and pregnancy are compatible in GDR. This is especially valid for hitherto childless women in full-time work. Furthermore the paper deals with the influences of marital harmony, parents' attitude towards their child, corporal frame and smoking habits of the rate of prematurity.

Adult↗
PubMed1977

[Injury hazards in deliveries using the Shute forceps (analysis of 1016 forceps deliveries)].

Report about 1016 deliveries by means of the parallel forceps (W. B. Shute). This group contains pathologic-anatomical results of 30 stillbirthes or died newborns. Accordingly to the classification in subarachnoidal, subependymal or subdural hämorrhage there are only in two cases signs of obstetrical brain damage. The hypoxia is the most important reason of intracraniale haemorrhage. In order to an objektive indication, without progredient signs of fetal hypoxia the extraction by means of parallel forceps is not dangerous. We have used the instrument for extraction as well term as preterm infants with good results.

Adult↗
PubMed1977

[ADP system for automatic production of physician's letters as well as statistics analyses in the area of obstetrics and perinatology].

Report about an electronic data processing system for obstetrics and perinatology. The developed data document design and data flowchart are shown. The continuously accumulated data allowed everytime a detailed interpretation record. For all clinical treated patients the computer printed out a final obstetrical report (physician report). By means of this simple system there is an improvement of the information and the typewriting work of medical staff has been reduced. Cost and work-expenditure for this system are limited in relation to our earlier hand made procedure.

Computers↗
PubMed1976

[Ambulatory tocography].

The value of the ambulant tocography was tested in 127 cases by ambulant tocograph T 500. The average frequency of uterine contractions was in 66 normal cases 0,5/30 min. This frequency of uterine contraction was higher in a group with anamnestic risk (1,1/30 min) and in patients with tocolytic medication (2,3/30 min). Nearly term all groups tended to higher frequency of uterine contractions. The ambulant tocography is a new method to completed the diagnostic.

Ambulatory Care↗
PubMed1976

[2-year analysis of the results of a screening program on computer basis for the detection of pre- and early stages of cervix carcinoma (model Rostock) (II)].

Two years experiences with a computer-assisted program for early detection of prestages and early cervical cancer in Rostock-city are reported. 65% = 27028 women finally cooperated. Pathological papsmears were found in 0,52%. 9 cases of severe dysplasia, 30 carcinomata in situ, 3 cases of early invasion, 3 micro- and 5 macrocarcinomas were observed. Accessory findings were seen in 10,2%.

Adult↗
PubMed1976

[Histological diagnosis in aspiration curettage].

The techniques and diagnostic accuracies for histologic sampling of endometrial tissue after suction curettage performed on 161 patients are discussed. In 90% no tissue was retrieved by sharp curettage after suction curettage. Tissues with higher consistence like polyps were obtained only for 50%. However, it will be expected, that Crumbling tissues of cancer will be obtained.

Curettage↗