[Social gynecology as a common task].
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Biomedical subjects
Publications and source records attributed to J Rothe.
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Between 1.10.1979 and 31.1.1981, maturity estimation tests were conducted on 379 eutrophic and 78 hypotrophic neonates at the Department of Obstetrics in Berlin Neukölln by means of motor nerve conduction velocity (NCV) combined with the FARR system. In both eutrophic and hypotrophic infants the median of the nerve conduction velocity rises almost in a straight line from 16.5 m/sec in the 34th week of gestation to 25.7 m/sec in the 41st week. The significance calculation of the nerve conduction velocity of both groups showed no variation (p less than 0,01). On the other hand the maturity estimation made with the FARR system deviated strongly in a false positive direction up to the 38th week of gestation. The measurement of the motor nerve conduction velocity of the ulnar nerve has proved to be a simple and very precise estimation of the postpartum gestational age which makes it possible to distinguish with certainty between premature eutrophic infants and hypotrophic infants of low birthweight.
During the period 1.10.1979 to 31.1.1981 508 maturity determinations were carried out in 483 infants at the Department of Medical Obstetrics of the Neukölln Hospital in Berlin, using the motor nerve conduction rate of the n. ulnaris in combination with the FARR schema. The median value of the NCR increases from 13.0 m/sec in the 33rd pregnancy week (PW) to 30.4 m/sec in the 44th PW almost in linear progression by 1.58 m/sec per week. Over the entire range the NCR showed a highly significant correlation (r = 0.946 at p greater than 0.00001) with the gestatory age of the infant, whereas the FARR schema differs up to the 38th PW markedly in false-positive direction. Measurement of the motor NCR of the n. ulnaris is evidently a simple and very accurate method for post-partum determination of the gestatory age.
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The above law had been passed and taken effect on September 27th, 1950. Its 30th anniversary is used as an occasion for expounding preparatory efforts for its full effectiveness as well as priorities and major trends in the contest of peripartal-perinatal healthcare. The goals laid down in the law have been successfully implemented, and both new targets and methods for further progress are expounded against that background.
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The objectives and purpose of sociogynaecology are defined. Included in it are the following lines of research: (a) Health care for women; (b) Coordination, planning, and organisation of appropriate health services: (c) Social factors of relevance to health care for women: (d) Health education of women.
An account is given of what is being done in the GDR in the context of social gynaecology, with reference being made to the subject proper as well as to its position in society and the tasks relating to it. Prepartal attention is described as an example. An appraisal of various concepts of social gynaecology has shown that these have always depended on the social conditions under which they have come into being. Their potentials and outcome are in conformity with those conditions, as well. Attempts have been made to define social gynaecology by the ways it is practised in certain "charitable" institutions or with closer reference to certain groups of people. However, such attempts have proved to be unacceptable to practitioners in the GDR where social gynaecology is considered a discipline of research and education to provide a profound scientific basis for action in reality. It is a social component of public health and an integral element of gynaecology and obstetrics.
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