[Induction of abortion with prostaglandins].
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Biomedical subjects
Publications and source records attributed to U Haller.
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A 25-year old para II suffered of mushroom poisoning by amanita phalloides at 9 weeks gestation. When the life threatening maternal illness was overcome a therapeutic abortion was carried out at 12 weeks gestation. Prostaglandin F2 alpha was injected retro-amniotically. The damage to the fetus by the toxins of amanita phalloides is described and discussed.
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In 100 women who underwent laparoscopic sterilization approximately one year before a follow-up check including gynecological examination, a structurized interview and a "Maudsley Personality Inventory" (MPI) test were performed. 6% complained about algopareunia before the operation which did not disappear afterwards. In 8 patients algopareunia started after the operation, only 2 of them presenting pelvic adhesions at control, whereas 6 patients suffered from psychogenic algopareunia. Neurotic tendency was evidently elevated in all those patients complaining about pelvic pain before and after operation. 6 patients had pelvipathia nervosa, 14 showed organic alterations, but these were not necessarily the reason for the complaints. Laparoscopy revealed pathologic processes e.g. adhesions, pelvic varicosis or adnexitis in 27%, but not more than 11% of these patients with obvious pathology had subjective complaints. These findings underline the fact that pathologic alterations will not necessarily explain pelvic pains and that in most cases psychosomatic factors must be taken into consideration.
On 975 pregnant women treated and delivered during 1973 at the Heidelberg University department of obstetrics 3780 ultrasound examinations were carried out. The frequency of breech presentation related to the duration of pregnancy and the likelyhood of breech presentation at term were calculated. Breech presentation can be seen as physiologic in 70% of early pregnancies. After the 33rd week it is below 10%, after the 38th week 4%. The probability of breech presentation at term at nay given stage before the 30th week is below 10%. After de 31st week this rises steeply up to a maximum of 66% after the 37th week. These influences of parity on these 2 data are described. The relationship between a low placenta and breech presentation is mentioned. These results are discussed.
A computerized documentation system for the main perinatal data of the newborn is presented. The information about pregnancy and birth are recorded on two optic mark reader forms. They can be used as a part of the conventional patient's history and as a transport document. The forms are recorded by simple pencil marking without further clerical effort for the staff. A direct data processing of the marked informations is possible with a computer. After two years' use of the new documentation system our information about the admitted newborns had markedly improved. An early regstration of pre- and pernatal risk factors is possible.
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