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Biomedical subjects

J Kindt

Publications and source records attributed to J Kindt.

7 recordsLinked to original sources
PubMed1991

[Decrease in premature birth rate through consequent application of diagnostic and therapeutic standards in pregnancy monitoring].

All pregnant women living in the district of Suhl have been observed in our prenatal outpatient department. All gave birth in our department for obstetrics and gynaecology. This observation is made on the base of a standard. From 1981-1987 there were 5,657 pregnant women with singleton pregnancies. In this time the rate of premature birth was on an average of 4.7%. But, over the time there was a slope from 7.3 to 2.8%. Consecutively there was a decrease of 50% in perinatal mortality. The successful standards for observation of pregnant women used in our department have been discussed.

Adult↗
PubMed1988

[Left ventricular ejection time (LVET) in the course of pregnancy].

In 101 normotensive healthy pregnant women, the left ventricular ejection time (LVET) was estimated. The examinations were performed in intervals of 14 days and 6 weeks after child-birth in left-side and in upright position. The LVET-values are closely frequency-related. Therefore the LVET-values were corrected with regression equations ascertained in 129 healthy non-pregnant women. The curve of the uncorrected LVET has a continuous shift downwards till to the end of pregnancy. However, after correction with the frequency the curve increases in the course of pregnancy till to the time of the 26th-30th week of pregnancy. After this time there is diminishing tendency. In orthostasis in upright position the curves have a similar shift but on a lower level. In the course of pregnancy the heart-frequency increases till to the 31st-35th week. After that it decreases slightly. It has to be assessed that the increase of the frequency-corrected LVET is related to the increasing loading with intravascular volume. On the other hand this increase can be the expression of the improved cardiac performance showing the adaptation to the increase charge of the cardiovascular system. The LVET is to be seen as a indirect destination value of the hearts contractility.

Adolescent↗
PubMed1988

[Recurrent excessive dilatation of the efferent urinary tract in pregnancy. Case report].

Case report on a patient with an extensive dilatation of renal pelvis and ureter during the first and the following two pregnancies. Operative drainage was performed of renal pelvis on both sides in the 24th and 28th week of the first pregnancy. The second pregnancy ended with spontaneous abortion in the 27th week of pregnancy. Percutaneous punction nephrostomy with successful course of the third pregnancy. Drainage of renal pelvis by punction nephrostomy is indicated in case of co-existence between dilatation of renal pelvis and severe illness and destruction renal parenchyma and of septic pyelonephritis in pregnancy. This procedure should also be done in case of a solitary kidney and excessive dilatation of the renal pelvis. An operative approach is recommended in renal abscess.

Adult↗
PubMed1987

[Subjective registration of fetal movements. Relation to typologic-psychologic markers in pregnant patients].

The influence of psychic factors on the accuracy of counting of fetal movements (FM) by pregnant women is investigated. The typologic features extraversion/introversion, stability/lability and vegetative lability are the criterion of judgement. Introverted pregnant women note FM under the condition of extensive protection of external irritation more exactly than extraverted pregnant women. Under the influence of an external irritation by transcutaneous nerve stimulation (TNS) no differences are to be seen. Psychic stable pregnant women are not as much alterable by external irritations as unstable pregnant women. Psychic stable pregnant women count FM under the influence of TNS more exactly than psychic unstable pregnant women. Without the influence of TNS there is no difference between stable and instable pregnant women concerning perception of FM.

Arousal↗
PubMed1987

[External version from breech position to head presentation near term].

The external version of fetus from breech into a head presentation is one of the methods to avoid maternal and fetal risk by Cesarean section and by vaginal delivery. As a supposition, we see a technique which is undangerous for mother and fetus. Our procedure corresponds in many points with a practice, which is published by B. Westin. The sober patient is positioned head down on the side of fetus small parts. Then an intravenous infusion is given over 30 min with 2 micrograms fenoterol (Partusisten)/min. The version is performed in many single and little steps. It needs time, a soft hand and the readiness of the Cesarean section. In 104 of 242 patients with breech presentation there was the indication with fulfilled suppositions for such a version. The success-rate was nearly 50%. In no case there was a complication. The rate of Cesarean section past turning was clearly reduced in contrary to breach presentation. The fetal outcome was clearly better. The version of breach presentation is recommended.

Breech Presentation↗
PubMed1987

[Counting fetal movements in ambulatory prenatal care].

96 healthy late pregnant women with singleton pregnancies counted the fetal movements beginning with the 34th week of pregnancy. The start for this daily counting was in the morning at 9 o'clock a.m. The method used is "count till ten" according to the so-called "Cardiff-system". An other group of 76 healthy late pregnant women started the counting in the evening at 5 o'clock p.m. The time necessary to collect 10 fetal movements is in the evening hours about 2-3 hours shorter than in the morning. The modified Cardiff-system with counting in the evening with start at 5 o'clock p.m. is recommended.

Ambulatory Care↗