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PubMed1979

[Labor and delivery, fetal and maternal risk following cerclage. A comparative study (author's transl)].

In a comparative study of the course of pregnancy and delivery of 357 patients who delivered live infants between 1966-1976 following cerclage operation were compared to a control group of 380 without cerclage who were matched in age, parity and delivery time to the group under study. The high prematurity rate in the pregnancies preceeding the cerclage of 28.4% decreased following the cerclage to 16.8% (p less than 0.001). The perinatal mortality was reduced from 21.5% to 5.6% (p less than 0.001). This effect was especially achieved by the lower incidence of deliveries of infants with a birth weight of less than 1500 grams (p less than 0.05). The difference to the controls regarding prematurity (8.2%) and perinatal mortality (1.6%) remained significant (p less than 0.001). An increased rate of malformations in the cerclage children was not noticed. The maternal risk is low and consists mainly of a increase of cervical lacerations (4.9%) and problems of wound healing (2.2%). The duration of labor and type of delivery, the type of third stage of labor, and the post-partum course were not different from the control group.

Birth Weight↗
PubMed1983

[Importance of systematic research of urinary infection in pregnant women and the cost of its detection. Proposal for a practical approach].

The first part consisted of a prospective study dealing with a series of 170 pregnancies during which cyto-bacteriological examination of urine was carried out in the 3rd, 5th, 7th and 9th months of pregnancy. Whenever bacteriuria was found it was treated. Those women found to be infected in pregnancy were re-examined bacteriologically and radiologically after delivery. A control series consisted of 200 pregnant women whose urines were not examined in this way unless they had clinical signs. In the first series 39 out of 170 women had at least one positive cyto-bacteriological test. 56 out of 638 examinations were abnormal. 50 had asymptomatic bacteriuria. No patient had any sign of acute pyelonephritis. In the control series 16 of the women had at least one positive cyto-bacteriological test. In all 21 tests were carried out (18 before signs of cystitis developed and 3 before symptoms of acute pyelonephritis). Treating asymptomatic bacteriuria is worth while because it helps to lower the incidence of pyelonephritis. There did not seem to be any relationship between premature labour, fetal mortality and maternal urinary pathology. Tests carried out at two definite intervals in pregnancy would seem to be a sufficient screening for preventing pyelonephritis and would be acceptable from the cost angle.

Bacteriuria↗