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Biomedical subjects

J V Larsen

Publications and source records attributed to J V Larsen.

At least 37 records · Page 2Linked to original sources
PubMed1994

Termination of pregnancy using extra-amniotic prostaglandin F2a--experience in a peripheral hospital.

Extra-amniotic injection of prostaglandin F2a has proved to be an effective method of termination of pregnancy, although its use has been associated with serious complications including rupture of the uterus and maternal death. In this retrospective study of 45 patients who required termination of pregnancy in Eshowe Hospital for intra-uterine death or missed abortion two patients developed minor complications of this method. Forty four patients aborted between four hours 30 minutes and 18 hours 15 minutes after the injection. There was one patient who had a failed induction and who developed serious sepsis. It is not clear whether the sepsis was a result of the method used to induce labour or whether it was the primary pathology causing the intra-uterine death and failed induction.

Abortion, Induced↗
PubMed1988

The regional obstetrician--an alternative model.

The concept of the 'regional obstetrician' is defined as an alternative role model for an obstetrician and gynaecologist working in an obstetric base hospital in a small town or rural area. The results of the implementation of this role model in the area served by Eshowe Hospital in Zululand are described. Overall perinatal mortality for all the institutions in the region dropped from 49.9/1,000 to 34.9/1,000 over a period of 3 years. A plea is made for the identification of all rural hospitals which function as base hospitals, and for the co-operation of the health authorities in each region served by such hospitals in the appointment of regional obstetricians to co-ordinate and develop the obstetric services in these regions.

Female↗
PubMed1984

Uterine hyperstimulation and rupture after induction of labour with prostaglandin E2. Case reports.

Three patients are described in whom hyperstimulation of the uterus followed induction of labour with prostaglandin E2 tablets administered either orally or vaginally. All 3 patients were grand multiparas. Two patients sustained a ruptured uterus. It is concluded that the dangers of inducing labour in grand multiparas by means of this technique are no less than those associated with amniotomy and infusion of oxytocin. Recommendations concerning dosage schedules are made.

Adult↗
PubMed1983

The Zulu traditional birth attendant. An evaluation of her attitudes and techniques and their implications for health education.

Some of the important practices of Zulu traditional birth attendants in their care of pregnant women are summarized. This information is valuable in constructing the format/content of appropriate antenatal health education for women from rural areas. The target group for antenatal health education should include the opinion-formers of the community.

Black or African American↗
PubMed1983

The fate of women who deliver at home in rural Kwazulu. Assessment of the place of traditional birth attendants in the South African health services.

A community survey was carried out to establish the fate of rural Zulu women and their infants after home delivery. The results of a pilot project for training traditional birth attendants (TBAs) in the area are described. The authors conclude that potentially there is an important place for TBAs in the obstetric services of rural South Africa and recommend official recognition and preliminary extension of this programme.

Adult↗
PubMed1983

Low spinal anaesthesia combined with local anaesthesia for caesarean section--an evaluation.

A combination of low spinal anaesthesia using hyperbaric cinchocaine (Nupercaine; Ciba) 0,25% and local anaesthetic abdominal wall infiltration for caesarean section was evaluated for use in peripheral hospitals in the developing world. The technique described is not suitable for this purpose. Further research into this technique is desirable, and recommendations regarding an improved protocol are made.

Adult↗
PubMed1982

The 'unbooked' mother at King Edward VIII Hospital, Durban.

'Unbooked' status is associated with excessive perinatal mortality at King Edward VIII Hospital, Durban. A survey was therefore conducted to characterize the unbooked mother and to identify important factors contributing to her unbooked status. The unbooked mother was found to come more frequently from a background of unstable relationships and to have poor financial and emotional support. Unwanted babies and inadequate parenting arrangements were more frequent in this group. One factor contributing to unbooked status was the inaccessibility of peripheral services, which too often also offer a low standard of care. Another was the lack of commitment of private practitioners (visited 67% of the study group) to a concept of antenatal care which is cumulative and includes the planning of the timing, mode and place of delivery. Factors which did not influence the booking status of the mother included the use of traditional healers (Umthandazo and Nyanga) and the incidence of previous operative deliveries. Various recommendations arising from these findings are made.

Adult↗
PubMed1978

Obstetric care in a rural population.

The results of a survey of a rural population requiring obstetric care are presented. It was found that 56,6% of this population had significant risk factors which warranted hospital delivery. A plea is made for the provision of more 'waiting mothers' areas', especially by provincial hospital authorities, to overcome the problems of communication experienced in rural areas. It is concluded that 85% of patients at risk can be detected by meticulous antenatal screening and be admitted to such waiting areas before the onset of labour, with a consequent improvement in perinatal and maternal mortality rates. The need for the provision of adequate postnatal facilities is discussed, and comments are made regarding the implications of the survey with regard to staff utilization.

Adolescent↗