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At least 775 records · Page 43Linked to original sources
PubMed1975

[Hypoxia and acidosis--morbidity (author's transl)].

A critical study based on 3291 analyses of blood from the umbilical cord, and the consequences. In routine analyses acidosis (pH 7.10) was found in 2.03%. This percentage is considered too high. Protracted labor carries special risks. Conventional and intensive care supervision, when risks are foreseen, are often ineffective, since 48.8% of acidoses were recognized only post partum. More general intensive observation with internal cardiotocography and microinvestigations of blood appears to be the only way in which the frequency of acidosis could be decisively reduced.

Acidosis, Respiratory↗
PubMedDate not supplied

[Special obstetric problems in managing labor following cesarean section].

The prevalence of primary repeat cesareans in the 37th and 38th weeks of gestation and the highest rate of premature births explain the shorter duration of pregnancy associated with this mode of delivery. In cases where ecbolics were administered labour was prolonged and the rate of secondary repeat cesareans was higher. Late rupture of the amniotic sac seems to increase the chances of successful vaginal delivery. Biparietal cranial diameter had no influence on the mode of delivery; significantly higher values were found only in cases of cranial-pelvic incongruity. The frequency of primary repeat cesareans increased in proportion to the age of the mother. The time interval since the previous cesarean delivery is of no importance. Birth weights were lower in the group of elective repeat cesareans owing to lower gestational age. It does not always appear justified to rule out a vaginal birth in cases of twins. Regional anesthesia is not a contraindication.

Adult↗
PubMed1989

[Comparative evaluation of the system of hemostasis in term and premature labor].

The performance of hemostasis system followed up in 40 females in timely and preterm labor as well as in early afterbirth stage was comparatively assessed. Both pregnancies and labors of the studied females were uneventful. All females demonstrated raised hemostatic potentials, accelerated hemocoagulation, platelet activation, fibrinolytic inhibition, activation of intravascular coagulation equally varying in time. But the authors stated that females in premature labor had less pronounced elevation of factors determining the structural properties of fibrinous clots, which indicated the prematurity of the hemostasis system for a reliable arrest of hemorrhages in premature labor. The author suggested that insufficient hemostatic potential could be a risk-factor for the development of hemorrhages in premature labor.

Blood Coagulation↗
PubMed1986

Problems in labor.

Explore the source record for details and available documents.

Cesarean Section↗
PubMed1987

[Hysterectomy within the scope of cesarean section].

In this paper 19 cases of caesarean hysterectomy were analysed with regard to indications, choosing the method of operation, post-surgery procedure and management in cases of surgical complications. In period 1975-1985 in Ist Clinic of Obstetrics and Gynecology in Bytom we had 2,961 sections. Caesarean hysterectomy occurred in 0.07% of normal deliveries and in 0.64% of caesarean sections. The most frequent indication for caesarean section followed hysterectomy was placenta praevia (28%) and the most frequent indication for hysterectomy was atony and coagulopathy (32%). In all cases a total abdominal hysterectomy has been made. Mortality rate was 10.5% and the most frequent complications were lesions of urinary bladder (10.5%). The results obtained have been compared with the data from world literature.

Adult↗
PubMed1986

[Rare or little known syndromes in gynecology and obstetrics].

The author presents fourty-three years' experience of rare syndromes or those which he considers are poorly understood in the area of gynecologic obstetrics. He briefly reviews: spontaneous post-cesarian perforation of the cecum, post-partum paralysis of the external popliteal sciatic, carpal canal syndrome in pregnacy, meralgia paresthetica in pregnant women, diaphragmatic hernia and its complications during pregnancy and labor, post-mortem cesarian, the "molar lung", early pregnancy and late pregnancy, fulguration and electroshock in pregnant women, the "acrobatic fetus", the rupture of an aneurysm of the splenic artery, geophagia or "pica", extramucous ruptures of the uterus, "virtually pure" type XX familial gonadic dysgenesis with deaf-muteness, gynecologic pathomimesis, genital perihepatitis or Fitz-Hugh-Curtis syndrome, vulvar mammary ectopism, post-hysterectomic pregnancy, recurrent hydramnios, locoregional ecchymatosis.

Cesarean Section↗
PubMed1986

[Results of various anesthesia procedures in cesarean section].

Between 1979 and 1985, 1170 anaesthetics have been used for caesarean sections. The frequency of caesarean sections ranged from 11.9% to 14%. Since 1979, the use of general anaesthesia for caesarean sections has continually decreased from 76% to 11% in favour of regional anaesthesia, and the decrease in general anaesthesia has been most obvious since 1981. The sudden increase in the use of regional anaesthesia was caused by a fatal complication during general anaesthesia. Since 1982, peridural anaesthesia has been used most often (about 60%), followed by spinal anaesthesia (about 30%) and general anaesthesia (about 10%). Regarding peridural anaesthesia, in 94% of the cases the analgesic level was at T 3-8. In spinal anaesthesia, in 90% of the cases the analgesic level ranged from T 3 to T 8. In the latter, segments T 3-4 were reached more frequently. The analgesic effect of peridural anaesthesia was often regarded as being "as good" as the analgesic effect of spinal anaesthesia. A comparison of the anaesthetic techniques in emergency and nonemergency situations revealed that until 1981 in only 30% of the cases was regional anaesthesia performed. After 1981, there was an increase in regional anaesthesia to about 88%. An emergency indication for caesarean section existed in 75% of the cases. Regarding general anaesthesia, the most frequent secondary effects were said to be tachycardia, hypotension and ventricular extrasystoles. Serious complications rarely occurred; nevertheless, when they occurred, they were a threat to life under certain circumstances. Regarding regional anaesthesia, the most frequent secondary effects proved to be vomiting, hypotension and tachycardia.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Conduction↗
PubMed1985

Score systems in perinatal medicine.

Details of some common scoring systems in use for perinatal medicine are outlined. Their advantages and limitations are briefly discussed.

Apgar Score↗