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Biomedical subjects

M S Gillieson

Publications and source records attributed to M S Gillieson.

9 recordsLinked to original sources
PubMed1987

Fetal foot length as a predictor of gestational age.

Ultrasonographic measurement of fetal foot length is useful in the assessment of gestational age. Two hundred twenty-three postpartum and 224 ultrasonographic measurements were performed between 11 and 43 weeks' gestation; 207 postpartum and 160 ultrasonographic measurements met our requirements of secure dates and no physical anomaly or maternal disease. Mean foot length at each week of gestation compared favorably with Streeter's data, based on pathologic specimens, described in 1920. Comparison of curvilinear regression of foot length versus gestational age demonstrated a strong correlation with an R2 value of 0.981; 95% confidence intervals at each week compared favorably with both biparietal diameter and femur length data. Fetal foot length is a reliable parameter for use in the assessment of gestational age and is particularly useful when other parameters do not accurately predict gestational age, for example, hydrocephalus, anencephaly, short limb dysplasia.

Female↗
PubMed1985

ECT in an acutely psychotic pregnant woman with actively aggressive (homicidal) impulses.

The specific use of ECT to control homicidal impulses in a pregnant, acutely psychotic schizophrenic patient is described, with no adverse effects to the mother or the baby. Besides the relative safety of the procedure during pregnancy, the need for monitoring foetal effects is stressed. Although literature is abundant on various aspects of ECT (1-3) there has been little written on its use in pregnancy (4-6) for its value in treating severe depressive illness or certain types of schizophrenia; without adverse effect to the mother and the baby, and where there is a risk-benefit advantage to its use. Nineteen hundred and eighty-four marked 50 years in the history of the use of convulsive therapy (Metrazol) since its introduction into the realm of psychiatry by the Hungarian psychiatrist, Ladislas Meduna. Electro-convulsive therapy (ECT) has been the subject of much controversy among the lay public and some professionals alike in recent years, even though it is generally considered to be one of the most effective treatments available in psychiatry. The Canadian Psychiatric Association (7), the American Psychiatric Association (8), and the Royal College of Psychiatrists (U.K.) (9) have made their position clear on the issue. In a recent Canadian survey of the use of ECT, Smith concluded, "Some of the reported rates are below the predicted minimum levels" indicating that "certain patients have been deprived of the most effective treatment available" (10).

Acute Disease↗
PubMed1984

Uterine myomas in pregnancy.

Pregnancy complications occur in many patients who have uterine myomas. Patients in whom the placenta is implanted near a myoma are more likely to be affected. Early pregnancy bleeding, premature rupture of membranes and postpartum hemorrhage are the problems most frequently seen. Sonographic assessment identifies these patients who are at risk and in whom special precautions are advisable.

Abortion, Spontaneous↗
PubMed1982

Sonographic detection of polyhydramnios: a five-year experience.

Between 1975 and 1980, 16,586 sonograms, including repeat scans, were obtained on pregnant women for various obstetric indications. The diagnosis of polyhydramnios was made 78 times by an experienced sonographer as a simple observer judgment of an excess amount of amniotic fluid. In pregnancies thus diagnosed, the fetus was then carefully scanned for anomalies, and repeat scans were done. Major clinical problems encountered are discussed.

Congenital Abnormalities↗
PubMed1982

Low-lying placenta.

Routine ultrasonographic examinations were performed in 255 pregnant women. Most of the patients (95%) had the examination prior to 32 weeks of gestation. In 16 patients (6%) the placenta was identified as low-lying placenta or placenta previa. Of those 16 patients, the placenta was located on the anterior wall in 6, on the posterior wall in 7, and on both the anterior and posterior walls in 3. Ultrasonographic follow-up examination showed conversion to normal position in 10 of those 16 patients (63%). Three of the 7 patients with posterior placentas and all 3 of the patients with placentas located on both posterior and anterior walls failed to demonstrate conversion of the placenta to a normal position. Bleeding complications were also more common in those 2 groups.

Adult↗
PubMed1981

Puerperal febrile complications and cervical flora following elective manual exploration of the uterus.

Two hundred patients who underwent vaginal delivery were randomly divided into two groups on arrival to the case room in labor. After delivery was completed the uteri of 100 patients were manually explored; the remainder of the patients served as a control group. Aerobic and anaerobic cultures of the endocervix were taken from 50 patients in each group, during labor and on the fourth postpartum day. There was no difference in the number of puerperal febrile complications between the groups. Endocervical cultures showed a marked increase in the incidence of Escherichia coli and anaerobic bacteria after delivery. This increase occurred in both groups in similar proportions and was not affected by manual exploration.

Bacterial Infections↗