Pregnancy in women over the age of forty.
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Biomedical subjects
Publications and source records attributed to S Roopnarinesingh.
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The purpose of this study was to investigate cortisol levels in the circulation of neonates following spontaneous onset of labor. There was no significant difference of values between primigravidas and multigravidas, male and female babies, or normal and preeclamptic pregnancies. There was no significant change in mean cord plasma cortisol values with advancing gestational age, after the 33rd week. It is conceivable that spontaneous labor in humans may be preceded by a release of cortisol into the fetal circulation, and when a critical "parturient" level is reached labor becomes established.
Marrow aspiration in 22 pregnant women with haemoglobin S revealed a high incidence of iron deficiency. Eighteen patients showed depleted iron stores while depots were adequate in four patients. The practice of denying iron to pregnant women with haemoglobinopathies is not recommended; nor is the use of prophylactic iron in all patients with sickle cell disease or trait advised. It is suggested that it is better to diagnose and treat the iron deficiency specifically.
Vitamin B12 and folate levels were studied in Indian and Negro mothers in Trinidad. Folate levels fell in both groups with increasing gestational age. Indian mothers had significantly lower B12 levels than negroes and it is suggested that this vitamin be supplemented.
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