Search PubMedSearch

Biomedical subjects

M Y Gai

Publications and source records attributed to M Y Gai.

4 recordsLinked to original sources

[Fetal arrhythmia].

Nineteen cases of fetal arrhythmia discovered by antenatal auscultation were analyzed. Among them, 14 alive babies were followed up. The occurrence, diagnosis and prognosis of fetal arrhythmia were discussed. 14 cases had normal FHR with arrhythmia, 1 case with tachycardia, 4 with bradycardia. Ultrasonocardiography (USC) was performed in 12 cases. 3 of them had sinus bradycardia with structural abnormalities of heart, they showed fetal distress in labor, neonatal asphyxia and perinatal death. 14 cases were followed up for a period of less than one year to 5 years. Only 2 babies had aurical premature beat by USC, others remain normal.

Adult

[Intrauterine deaths: a clinical and pathologic analysis].

Twenty four cases of intrauterine death occurred in 3,834 deliveries from Jan. 1985 to Dec. 1987 in our hospital. The causes of fetal deaths were analysed on the basis of maternal complications and pathologic findings. Maternal complications, such as pregnancy induced hypertension, abnormal glucose tolerance test, anemia, infection ............ were observed in 18 cases (75.0%). At delivery, 4 babies (16.6%) were found to have cord around neck and 1 with short umbilical cord. Marked abnormalities of placenta were demonstrated in 12 cases (50.0%) and fetal abnormalities in 4 cases (16.6%). Clinically, intrauterine deaths were often preceded by signs of growth retardation, reduced fetal movements and abnormal NST test. Gravidography, fetal movement counting, non-stress test, and ultrasonic scanning may be helpful in predicting this catastrophe.

Adult

Clinicopathological analysis of causes of perinatal death.

The perinatal mortality rates and causes of deaths in our hospital within the three 5-year periods (1955-1959, 1976-1980, 1981-1985) were reported as well as the total number of births (16,846), deaths (457), and autopsies (393, autopsy rate 85.9%). The perinatal mortality for the three 5-year periods was 44.5%, 23.8%, and 17.2% respectively; it declined more significantly in 1981-1985 than in 1976-1980. Anoxia was the first cause of death for the three 5-year periods. Other causes in sequence in 1955-1959 were traumatic intracranial hemorrhage and pulmonary diseases, in 1976-1980 malformation and pulmonary diseases, and in 1981-1985 anoxia, pulmonary diseases and hyaline membrane disease. Results suggest that accurate analysis of causes of deaths depends on meticulous systematic fetal and neonatal autopsy, including macerated fetuses, extensive discussion by pathologists, obstetricians and neonatalogists, and indispensable placental examination.

Cause of Death