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Biomedical subjects

V P de Villiers

Publications and source records attributed to V P de Villiers.

17 recordsLinked to original sources
PubMed1994

GP anaesthetists.

Explore the source record for details and available documents.

Anesthesiology↗
PubMed1991

[Sex education of teenagers in Paarl].

Over a 24-month period, 209 pregnant girls 16 years and younger were interviewed at the Paarl East Teenage Pregnancy Clinic. Only 60 (28.71%) had received some sex education at home and 108 (51.67%) had received some information at school. Fifty-seven girls (27.2%) had received no instruction at all. This lack of sex education partly explains the high incidence of teenage pregnancy at Paarl--once reported as the highest in the world. Eradication of this teenage catastrophe afflicting South Africa must involve improved school education and the total community, including the business sector. Teenage instruction should start at junior school and should be repeated at frequent intervals from as early as Standard 2.

Adolescent↗
PubMed1989

[Teenage pregnancy and routine colposcopy].

The superiority of colposcopy over cytology is clearly demonstrated by the finding of an atypical transformation zone in 42.7% of routine consecutive colposcopies performed on 206 pregnant teenagers 16 years and younger at Paarl Hospital; in only 1.46% of these girls did cervical cytology show atypia or dysplasia. Complete colposcopy was possible in 97.6% of cases whereas cytology was incomplete in 28.2%, with no endocervical cells shown. The colposcopical findings are very similar to those of a concurrent West German study which links these findings to the human papillomavirus notoriously missed by cytology. Colposcopy should be part of the routine evaluation of every teenage pregnancy as cytological examination alone is not only incomplete but also much less sensitive in detecting abnormal change of the cervix.

Adolescent↗
PubMed1988

Barton's forceps deliveries at Paarl Hospital.

Experience in using Barton's forceps for mid-pelvic arrest of the fetal head in 348 cases has proved that this instrument is both easy to apply and safe for the baby, provided rigid adherence to safety criteria are observed. As modern obstetric practice is favourably disposed towards mid-pelvic forceps vaginal delivery, the particular advantages of Barton's forceps should be more widely extolled. Their use is an invaluable addition to the obstetrician's armamentarium. Training in their use should, however, be thorough and extensive and under the guidance of a skilled senior obstetrician.

Extraction, Obstetrical↗
PubMed1987

Postpartum sterilisation by the Irving technique. A report of 200 cases at Paarl Hospital, CP.

Sterilisation by the Irving procedure accompanying caesarean section was the favoured form of sterilisation at Paarl Hospital from 1971 to 1985. No subsequent pregnancies have been reported from the 200 cases and this success is compared with sterilisation failure rates of 1.35% with the Pomeroy method, 1.27% with the total fimbriectomy method, 0.41% with the Vienna or modified Pritchard method, and 0.89% with the Filshie-clip method: Irving sterilisation is accordingly advised as the method of choice at the time of caesarean section.

Female↗
PubMed1986

Postpartum sterilization by mini-incision at Paarl, CP. A multicentre international comparison.

Postpartum sterilization at Paarl Hospital, CP, is compared with the situation obtaining in Thailand, India, Cuba, Chile, the Philippines, Australia and Singapore. This international study depoliticizes the issue and emphasizes that voluntary sterilization is a basic service which should be available everywhere. A transumbilical minilaparotomy is a fast and safe procedure, which should be carried out within hours of delivery--even on Saturdays and Sundays. Caesarean section when sterilization is the only indication is completely unjustified.

Chile↗
PubMed1985

[Epidural block pain relief in labor by obstetricians at Paarl Hospital].

The experience of obstetricians at Paarl Hospital with 2 251 epidural blocks for pain relief in labour is recorded. The incidence of 10,93% among the 20 590 mothers delivered can only be justified if adequate after-care is possible. The one maternal death recorded was avoidable and related to the performance of a procedure when adequate supervision was impossible. An epidural block should be performed only when such supervision is available for a minimum of 30 minutes.

Anesthesia, Epidural↗
PubMed1985

[Teenage pregnancies in the Paarl hospital].

Of the 20 590 mothers delivered at the Paarl Hospital from the beginning of 1973 to the end of 1983, teenagers numbered 6 284 (30,51%). About 5% of all mothers were 16 years old or younger. No other country has such an alarming incidence of young teenage mothers, and no country can afford the vicious circle of socio-economic demands that will be generated by this catastrophe. Worst of all, the babies born are often defective at birth, with little chance of holding their own in life because of their subsequent inferior intellectual and somatic development. The demographic consequences are formidable.

Adolescent↗