Biomedical subjects

K Goeschen

Publications and source records attributed to K Goeschen.

3 recordsLinked to original sources

PubMed1979

[Prognostic and therapeutic implications of the antenatal care of multiple pregnancies].

From January 1967 to April 1978, 175 twin deliveries occurred among 19,935 deliveries (.88%). A comparison to the literature a low perinatal mortality of 4.57% (adjusted 2.84%) was noted. The reason for the 3 to 5 fold increase in perinatal mortality compared to single on pregnancies was investigated. Review of the records showed conditions specific for twin pregnancies. The treatment necessary to improve the prognosis for twin pregnancies was discussed. It is suggested that the perinatal mortality of 2% for twin pregnancies can be achieved with intensive antenatal care for twin pregnancies.

Berlin↗

PubMed1977

[Programmed breech deliveries (author's transl)].

The question whether the termination of a breech pregnancy by a programmed breech delivery would reduce the fetal risk was investigated. In 71 of 433 singleton breech deliveries (16%) the breech delivery was induced by oxytocin infusion. There were 38 primigravidas and 33 multi-gravidas. The Apgar and pH values showed the same results as in 3904 vertex deliveries with spontaneous onset of labour. The duration of labour was shortened. The incidence of Caesarean Section in programmed breech deliveries was 9.86%. All 71 infants were mature and healthy. There were no perinatal deaths. The results show that the fetal risk in breech deliveries is reduced by programmed breech delivery to the same risk as in vertex deliveries with spontaneous onset of labour.

Apgar Score↗

PubMedDate not supplied

[Combined monitoring of labor: maternal and neonatal results].

The purpose of this study was to prove, whether intrapartum fetal monitoring by cardiotocography and fetal blood analysis brings advantages for mother and child. The data of 10,234 patients, delivered in 5 different hospitals in 1988 and 1989, were analyzed by a computer. The results show that nonpermanent in comparison to permanent monitoring lead to a significant increase in cesarean section rate, neonatal morbidity and perinatal mortality. Furthermore we found a negative correlation between cesarean section rate and frequency of fetal blood analysis (r = -0.54). The use of fetal blood analysis in cases with pathological fetal heart patterns lead to a significant reduction in cesarean section rate, neonatal morbidity and perinatal mortality. In summary the study shows that a combined intrapartum monitoring improve the results.

Cardiotocography↗