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Biomedical subjects

K L Rasmussen

Publications and source records attributed to K L Rasmussen.

At least 19 recordsLinked to original sources
PubMed1998

[Delivery of extremely large infants].

The purpose of this retrospective study was to find out if more effort should be applied to the diagnosis of extremely large infants, with a birth weight of 5,000 grams or more, and if elective caesarean section can be recommended. In the Department of Obstetrics, Herning Central Hospital, Denmark, 67 mothers delivered an infant with a birth weight of 5000 g or more over a ten year period. This index group was compared with a matched group with infants of normal weight. The result showed significantly more caesarean sections in the index group (24% versus 5%, p = 0.002). Shoulder dystocia and Duchenne-Erb's palsy were more frequent as well. Sixteen percent in the index group were admitted to the paediatric department, but the Apgar scores were not significantly lower. Except for one, all the infants showed complete recovery. In conclusion, elective caesarean section can not be generally recommended for an estimated birthweight exceeding 5,000 g, if a trained obstetrician is present at delivery.

Apgar Score↗
PubMed1998

Histocompatibility antigen studies in women with recurrent miscarriages and Müllerian uterine anomalies.

OBJECTIVE: To determine whether the HLA alleles DR1, DR3, DR4 and DR10 which have been suggested to be risk markers for unexplained recurrent miscarriages also play a part in women with recurrent miscarriages with Müllerian uterine fusion anomalies. STUDY DESIGN: HLA-DR typing was undertaken in 28 women with recurrent miscarriage who had been surgically treated for Müllerian anomalies and in 360 controls. In the study group, outcome of pregnancies after surgery was correlated to the results of the HLA typing. RESULTS: In the study group, 61% were positive for HLA-DR1, -DR3, -DR4 or -DR10 compared with 65% of the controls (not significantly different). Among patients positive for these HLA risk markers, 64% of the pregnancies after surgery miscarried compared with 13% in those negative (P<0.005, RR for miscarriage=4.8, 95% CI= 1.3-18.0). CONCLUSION: The proposed risk HLA markers for unexplained recurrent miscarriage also seem to display a negative impact on pregnancy outcome in patients with recurrent miscarriages with Müllerian uterine anomalies.

Abortion, Habitual↗
PubMed1997

[Habitual abortion. A review of etiology, diagnosis and treatment with emphasis on immunonological factors].

Almost 1% of women who attempt pregnancy will experience recurrent miscarriage. The majority of traditionally accepted causes of recurrent miscarriage lack proper documentation and the evidence for the majority of treatments is sparse. An increased level of midfollicular phase luteinizing hormone seems to be associated with some cases of recurrent miscarriage. Many autoantibodies are found with increased frequency in women with recurrent miscarriage, and they seem to be associated with an increased risk of adverse pregnancy outcome. This may indicate that the autoantibodies per se or associated immunological phenomena are risk factors for the condition. Polygenically determined immunological phenomena seem to play an important role. Treatment of recurrent miscarriage by anticoagulation, allogeneic lymphocyte immunization or intravenous immunoglobulin is under evaluation in controlled trials.

Abortion, Habitual↗
PubMed1997

The influence of infant birth weight on post partum stress incontinence in obese women.

One hundred ninety four women with a Body Mass Index (BMI) of at least 30 kg/m2 who were delivered vaginally between 01 10 93 and 30 09 95 at the obstetric department, Herning Central Hospital, were sent a postal questionnaire about stress incontinence. The response rate was 89.2%. In the heavy birth weight group (n = 4000 g or more) stress incontinence increased from 10.6% before pregnancy to 34.0% post partum. In the low birth weight group 6.9% suffered from stress incontinence before pregnancy increasing to 30.6% post partum. There was no difference in the reporting of mixed or urge incontinence between the two groups.

Birth Weight↗
PubMed1997

Fathers of persons with mental illness: a preliminary study of coping capacity and service needs.

Issues faced by fathers coping with the mental illness of an adult child represent an unexplored dimension of service needs. A preliminary exploratory study found that a group of 25 such fathers manifested important indicators of emotional stress that were largely unrecognized and unacknowledged. They also demonstrated typical patterns of healing that were different from those experienced by their wives. The paper reports findings that suggest that fathers employ more isolating strategies, and suggests service approaches that might be more fruitful in responding to these serious needs.

Adaptation, Psychological↗
PubMed1997

Obesity as a predictor of postpartum urinary symptoms.

BACKGROUND: To investigate the relationship between pre-pregnancy obesity, and urinary symptoms, especially urinary incontinence, before, during, and 6-18 months after delivery. METHODS: Body Mass Index extracted from obstetric records. Postal questionnaire. MATERIAL AND SETTING: One hundred and eight women with Body Mass Index of at least 30 kg/m2 delivered at the Obstetric Department, Herning Central Hospital, October 1994 to September 1995. As control served 108 matched, normal weight women delivering during the same period. RESULT: Response rate was 83%. Stress incontinence, urgency and the feeling of having a hygienic problem was significantly more common after delivery in both groups, but at any time significantly more common among obese women. Urge incontinence was a numerically small problem after delivery. CONCLUSION: Obesity is a potent risk factor for several urinary symptoms after pregnancy and delivery, and a substantial number of women still have problems 6-18 months postpartum.

Adult↗
PubMed1996

[Prolapse of the salpinx after hysterectomy].

Prolapse of the fallopian tube through the vaginal vault is a rare, but possible complication after hysterectomy, and a tubal prolapse may be mistaken as granulation tissue or an adenocarcinoma. A possible treatment is vaginal extirpation with simultaneous laparoscopy. A case is presented and the relevant literature is reviewed.

Adult↗
PubMed1996

[Violence towards pregnant women].

The current literature concerning violence against pregnant women is reviewed. The prevalence of battering during pregnancy is estimated to be between one and ten percent, and the problem is most often hidden from the medical staff. In one fourth of the cases, violence increases during pregnancy, and usually the violent episodes are a continuation of the couple's habitual way of life. An episode of battering per se is only in extreme situations dangerous for the pregnancy, but serves as a marker of negative social events, e.g. unemployment, smoking, emotional instability etc., which increases the risk of an adverse pregnancy outcome. Furthermore, the violent husband may extend the battering to the child after delivery. It is concluded, that all medical personnel dealing with pregnant women should be aware of the high prevalence of battering during pregnancy. If battering is detected, the pregnancy may be at risk, but the main problem is the social issue and the later consequences for the child. The general practitioner is central in the long-term approach to these cases.

Battered Women↗
PubMed1995

[Infertility].

Explore the source record for details and available documents.

Female↗