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PubMedDate not supplied

[Course of pregnancy and labor following in vitro fertilization. A retrospective study of 246 deliveries].

This record concerns the statistical registration and analysis of the courses and developments having taken place in 246 pregnancies and births after in-vitro-fertilization. The cases were registered retrospectively, the degree of registration being 77.2% approximately; the scientific evaluation was carried out on the basis of the BPE 1987. It can be shown that there is an increased incidence of the EPH-gestosis, the clinically relevant placenta insufficiency syndrome, the intrauterine death of fetus, the abruptio placentae and prematurity. As predisposing factors must primarily be seen and discussed the ovarian hyperstimulation being--in most cases--connected with IVF and the higher age of the patients; it can be supposed that the method of fertilization in vitro itself is of minor importance. Its importance in the pathogenesis of abruptio placentae, however, cannot be exactly evaluated so far. The frequency of multiple pregnancies represents a special problem. Though the rate is lower in the examined group than in comparable--that is due to the limited number of collected oocytes--it should be aimed at a further lowering of multiple pregnancy rates.

Adult↗
PubMed1989

[Pregnancy and labor in adolescent patients].

During the investigation period from 1978 to 1986 the adolescents had been compared with two control groups. When comparing obstetrical parameters such as pre-eclampsia, prematurity, operative delivery, Apgar under 4, acidosis with a pH-value of blood under 7.10, malformation and perinatal death significant differences could not been proved. The statistically guaranteed high quota of perinatal mortality in prematurities under 2.500 g gives occasion to pay attention to predisposing factors in the prenatal care as well as focusing the good neonatal management. The investigations exhibit the delivery in adolescents as a small side group, which portion shows a falling tendency in the whole delivery group. They must be cared for attentively in fundamental prenatal care, whereas there is no higher obstetrical risk for adolescent primipara. The comparatively higher portion of primigravida teenagers in the whole interruptio group points out the problems in applying contraceptional measures at this age.

Abortion, Induced↗
PubMed1986

Adolescent obstetrics.

Adolescent pregnancies are associated with a poorer outcome. These adverse outcomes may be correctable to some extent through social programs. When special efforts are made to meet the needs of a special group, better outcomes are noted. The adolescent is at greater risk for preeclampsia. Correction of this risk is doubtful until the etiology of preeclampsia is discovered. This condition gives the adolescent a greater risk of prematurity and low birthweight in her infant. Most of the other medical risks that have been noted seem to be minimally affected by age.

Abortion, Induced↗
PubMed1986

[Course of pregnancy and labor following treatment of sterility].

Based on the pregnancy and delivery courses of 374 women having sterility histories, special features of the risk factor "state after sterility treatment" have been pointed out. A comparison with 2,474 primarily fertile women shows that the risk group is affected with the more frequent occurrence of impending abortion, gestosis and multiple pregnancy. 21.4% of pregnancies of previously sterile women had to be operatively terminated, while this figure in the control group was only 5.4%. Perinatal findings in the risk group showed a three-times higher rate of premature births, a more frequent occurrence of intra-uterine retardation and higher perinatal mortality. Gravidae after sterility treatment represent an inhomogeneous group of patients, individual care schemes are required for each patient.

Abortion, Spontaneous↗
PubMed1986

[10 years' obstetric medicine at a district hospital. Methods and results].

Between July 1st, 1975 and June 30th, 1985 9669 deliveries seen were evaluated according to parameters of obstetric efficiency, particular risk factors, perinatological proceedings including a trend analysis. A significant diminuation of perinatal mortality and morbidity could be registered. Since there has been an obvious augmentation of cases with higher obstetrical risks in the time mentioned, these results may be underlined positively. After all, the high taint of the results by preterm deliveries still remains an unsolved problem.

Austria↗
PubMed1986

Amniocentesis and the management of premature labor.

Two applications of amniocentesis for the evaluation of the patient in idiopathic premature labor, fetal lung maturity testing, and detection of occult intraamniotic infection were evaluated in a review of 59 cases. Seven patients (12%) had positive amniotic fluid cultures despite the absence of clinical signs of infection. This group presented at earlier gestational ages (29 + 2.3 versus 32 + 2.0 weeks, P less than .005) and were more likely to rupture membranes while on tocolytic therapy (four of seven versus two of 52, P less than .001) than patients whose cultures were negative. All seven patients with a positive culture delivered within 48 hours of admission, whereas 44 of 52 patients with negative cultures delivered after 48 hours (P less than .001). Increase in maternal and neonatal morbidity seemed to be related primarily to a higher cesarean section rate and earlier gestational ages at delivery in this group. Lecithin/sphingomyelin ratio was predictive of fetal lung maturity as expected. More than one-half of patients greater than 33 weeks and one-third of patients at 31 to 32 weeks demonstrated fetal lung maturity. The authors conclude that amniocentesis is an important tool in evaluating patients in preterm labor, especially with respect to making appropriate management decisions regarding tocolytic and/or corticosteroid therapy.

Adrenal Cortex Hormones↗
PubMed1985

[Effect of prenatal care in general practice and in the clinic on the course of pregnancy and labor].

The computerized case histories of 6666 children who were born during the years 1977 and 1981 at the 2nd Department of Obstetrics and Gynecology, Univ. of Vienna have been evaluated for the clinical and social data of the mothers, the duration of pregnancy and the well being of the infants at delivery and during the perinatal period. A comparison of three groups according to prenatal care (I no prenatal care; II "Mutter-Kind-Pass" program; III "Mutter-Kind-Pass" program plus clinical care) showed that a complete perinatal care (group III) leads to significantly less preterm deliveries, better Apgar-scores and lower perinatal mortality. The differences between groups I and II were minimal. The prenatal care therefore can only be judged as optimal if in addiction to the "Mutter-Kind-Pass" program the diagnostic abilities of a clinic are taken advantage of on time and if the gap between the 28th and 35th week of pregnancy can be covered by additional check ups.

Adult↗
PubMed1985

[Bladder exstrophy and pregnancy. Apropos of 2 cases].

The authors report two cases of pregnant women suffering from exstrophy of the bladder. One of the patients had been operated on in childhood for reconstruction of the bladder, and the other had undergone Coffey's operation, so that both were able to lead practically normal lives in adulthood. Three children were born by prophylactic cesarean. Exstrophy of the bladder is often associated with other urological, genital or, on occasion, orthopedic, malformations. This article analyzes the consequences of these malformations on the course of pregnancy and delivery, and the consequences of pregnancy on the urinary tract or on the different types of surgical reconstruction. The indications for the type of delivery (natural passages or cesarean section) are discussed in the light of the author's personal experience and a review of the literature.

Abortion, Spontaneous↗