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Biomedical subjects

J Mowat

Publications and source records attributed to J Mowat.

10 recordsLinked to original sources
PubMed1988

Preterm caesarean section.

A retrospective study of 1921 caesarean sections at Rutherglen Maternity Hospital in Glasgow during the years 1979-1983, inclusive, showed that 229 (12%) were performed at less than 37 weeks gestation. Of these 229 preterm caesarean sections 41% were elective, 21% were for antepartum haemorrhage and 38% took place during labour. Of the 254 babies born 18 (7%) died in the neonatal period. These deaths comprised 31% of all neonatal deaths during the study period in this hospital. The neonatal death rate was 70% for babies weighing less than 1000 g (7 of 10) and 23% for babies weighing 1000-1500 g (6 of 26), but only 3% for babies heavier than this (7 of 217). Of the 75 women with a subsequent pregnancy after the preterm caesarean section 56% were again delivered by caesarean section. In view of the maternal morbidity associated with caesarean section and the poor neonatal outcome at birthweights of less than 1500 g, the use of operative delivery for very low birthweight infants deserves further scrutiny.

Birth Weight↗
PubMed1974

Delayed postpartum sterilization.

A series of 75 women who requested immediate postpartum sterilization were told this would not be carried out till three months postpartum, and only 64 women subsequently underwent sterilization. While some may regard this as a failure of a family limitation programme, the mental well-being of the woman is better served by allowing time for reflection before undergoing what is virtually an irreversible procedure.Though depot medroxyprogesterone acetate was associated with irregular and unpredictable bleeding in almost 25% of the patients its acceptability and value as a temporary postpartum contraceptive was confirmed.

Adult↗
PubMed1971

Abdominal wound dehiscence after caesarean section.

In a series of 2,175 patients delivered by caesarean section a dehiscence of the abdominal wound occurred in 50. Wound dehiscence was eight times more common with a vertical incision than with a low transverse incision of the abdominal wall; with the vertical incision the incidence of partial and complete dehisence was 2.94% and with the low transverse incision no complete dehiscence occurred and the incidence of partial dehisence was 0.37%. The increased use of the low transverse incision would greatly reduce the serious complication of wound dehiscence after caesarean section.

Adult↗
PubMed1970

Comparison of pentazocine and pethidine in labour.

A double-blind between-patient study was carried out comparing pentazocine with pethidine in 94 women in labour. Similar analgesic and sedative effects were obtained with the two drugs, and Apgar scores were similar for babies of both drug groups. Fewer emetic sequelae were reported after pentazocine injections, though there was no statistically significant difference between the two drug groups in incidence of other side-effects.

Adolescent↗