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Biomedical subjects

R Spernol

Publications and source records attributed to R Spernol.

51 records · Page 3Linked to original sources
PubMed1981

[Congenital abnormalities--risk, incidence and etiology. Catamnestic studies on causal teratogenesis].

Questionnaires were sent to the mothers of infants with congenital malformations delivered at the Second Department of Obstetrics and Gynecology, Vienna University Medical School, between 1972 and 1978 and to a group of controls. The response rate was 48%. On evaluation, the incidence of maternal disease and therapeutic drug intake was found to be significantly higher in the group with congenital malformations. In addition, malformations were significantly more common in planned pregnancies. A teratogenetic role of emotional stresses was not verifiable with statistical significance. As inheritance of numerous malformations tends to be multifactorial, endogenous factors were equally considered, but failed to show significant differences.

Alcohol Drinking↗
PubMed1981

[Pregnancy and delivery in 12 to 15 year-old girls (author's transl)].

From January 1st 1974 to March 1st 1980, altogether 51 girls under the age of 16 were admitted for delivery at the 2nd Department of Obstetrics and Gynaecology, University of Vienna, Medical School. By means of the following parameters, i. e. premature birth rate = 5.9%, rate of gestosis (GI greater than 3) = 3.9 and perinatal mortality rate = 0, the question of clinical assessment of gestation as high-risk pregnancy in the case of young girls in discussed yet again. For the total number of reported cases within the specified period, the rate of premature birth is 8.7%, the corresponding rate of gestosis is 6.7 and the overall perinatal mortality rate is 1.6%.

Adolescent↗
PubMed1981

[Comparative determination of the vesico-urethral angle in incontinence via ultrasound and lateral urethro-cystogram (author's transl)].

Pre-operative diagnostic procedures in evaluating stress urinary incontinence in women became increasingly important within the last years. In many clinics the measurement of the posterior vesico-urethral angle using lateral urethro-cystograms has become an eminent criterion for the selection of the operative method applied. Until now, this angle could be measured by employing X-ray examination techniques. In this paper, an ultrasonic examination with the same accuracy as in X-ray. The technique of both methods and their advantages and disadvantages are discussed.

Female↗
PubMed1981

[The position of the IUD and intrauterine pregnancies].

In 59 women who became pregnant with an IUD the position of the device was controlled by ultrasound. Before the 9th week of pregnancy the device was located in 40 women (78.4%) in the cervix or in the isthmic region of the uterus. In 11 cases the IUD was in correct position. 8 women had a pregnancy of more than 9 weeks and were not included in the study as the gestational sac could have influenced the IUD position. The possibility of regular control of the IUD position by ultrasound is discussed in order to reduce the failure rate of this contraceptive method.

Cervix Uteri↗
PubMed1981

[Incidence of congenital malformations among births of foreign workers (author's transl)].

From 1967 to 1972 7.83% of the parturients delivered at the Department of Obstetrics and Gynecology II of the University of Vienna were foreign workers. From 1972 to 1978 the part of the foreign workers come to 21.31%. From 1967 to 1972 there was a highly significant prevalence of so-called "non-viable malformations" (p less than 0,001) among foreign workers and "severe external malformations" were significantly more common at the 5% level. In the period from 1972 to 1978 these differences were no longer as pronounced. Statistical significance was not reached for the so-called "non-viable malformations" in the period from 1972 to 1978. Only dysrhaphism continued to be significantly more common at the 1+ level. Among these malformations incomplete ventral fusion was significantly more frequent at the 5%.

Adult↗
PubMed1981

[Experiences with a new questionnaire for preoperative evaluation of female urinary incontinence (author's transl)].

A new questionnaire with an urge-score and stress-score described by Gaudenz was put before 90 incontinent women scheduled to undergo vaginal repair. In addition to the history cystometry and simultaneous urethral pressure profilometry was done. According to the questionnaire 70 patients had evidence of stress-incontinence and 20 patients of urge-incontinence. A good correlation was found with the results of the urodynamic evaluation. The score does not reflect the severity of urinary incontinence. In patients with symptoms of both stress- and urge-incontinence the score emphasizes urge-incontinence. When a urodynamic work-up is not possible the questionnaire with the urge-score and stress-score is a very helpful tool for differentiating between stress- and urge-incontinence.

Diagnosis, Differential↗
PubMed1981

[Continuous evaluation of the incidence of congenital malformations (author's transl)].

In a previous retrospective analysis the rate of congenital malformations in the infants delivered at the Department of Obstetrics and Gynecology II of the University of Vienna between 1961 and 1971 was found to be 4.52%. In a retrospective cross-sectional study conducted under identical conditions concerning the period from 1972 to 1978 a rate of 4.47% was computed. As the difference of 0.07% is below statistical significance, the incidence of malformations has apparently remained unchanged, the rate being approximately 4.5%.

Abnormalities, Multiple↗
PubMed1980

[The pregnant and non-pregnant rudimentary horn of an uterus (author's transl)].

In the past 10 years three cases of pregnancy in a rudimentary horn of a double uterus and one case of haematometra were observed at the second university hospital for women in Vienna. The problems of the development of a pregnancy in the uterine cavity of a rudimentary horn which is not connected to the main uterine cavity are discussed. The clinical course of such a pregnancy is discussed reviewing our own cases and those reported in the literature.

Adolescent↗
PubMed1980

[Ultrasonic diagnosis of fetal ascites (author's transl)].

Fetal ascites is relatively rare, but confronts the obstetrician with difficult decisions. By X-ray methods such as plain X-ray or fetography fetal ascites may only be suspected. Performing ultrasonic examinations however it is not only possible to detect the fluid collection in the peritoneal cavity but as well to recognize the inducing causes. This is documented by sonograms of three cases observed within the last year. The different decisions for the obstetrician in respect to fetal ascites with or without malformations are discussed.

Adult↗
PubMed1980

[Intramural gravidity - case report and account of literature (author's transl)].

Reference is made to a report on intramural pregnancy, the twelfth case so far described in accessible literature, and the authors' own views on the possible origin of this extremely rare location of pregnancy are added to other assumptions so far made on the pathogenesis. The hypothetical proposition made by the author's is based on the assumption of transperitoneal penetration of the uterine wall by the spermovium via a focus of endometriosis. Described are case histories, symptoms, tentative diagnoses, and surgical approach in the cases so far observed.

Adult↗
PubMed1979

[Foetal complications associated with use of foetal scalp electrodes and scalp blood sampling (author's transl)].

A retrospective study was performed in the context of 1,047 cases of internal foetal monitoring, using direct foetal electrocardiography and/or foetal scalp blood sampling. Seven minor foetal complications have been observed, including six cases of infection and one of haemorrhage, representing a rate of 0.66 per cent. The advantages obtainable from internal foetal monitoring appear to outweigh the low risk associated with these methods.

Abscess↗
PubMedDate not supplied

[Clinical value of fetal flow measurements with pulsed Doppler ultrasound].

326 fetal flow-measurements with Doppler ultrasound were carried out in the umbilical arteries and fetal aortas of 236 newborn babies. The pulsatility index and the resistance index were used for the flowprofile analysis. The dystrophy rate and the rate of serious perinatological problems of newborn babies with pathological flow (n = 26) are compared with those of newborn babies with a normal flow. It appears that in the group with pathological flowindices, the dystrophy rate is 7.8 times and the morbidity rate 17 times higher. Most important, however, was the fact that all endangered SGA fetuses were diagnosed with flowmeasurements while SGA fetuses with a normal flow had no perinatological problems at all. Enddiastolic flow reductions, based on an increased placental resistance, are provable relatively early, whereas a beginning centralization of the fetal circulation is only recognizable in a closer temporal connection with the fetal imperilment on account of pathological flowprofiles.

Aorta↗