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[Significance of ultrasound B image diagnosis as a screening method in pregnancy].

Report about the degree of sonographic routine examinations of pregnant women of the town Karl-Marx-Stadt from January 1981 till December 1982. In spite of limited capacity important diagnoses were possible by only one sonography, i.e. malformations, gemini, placental localization and confirmation of duration of pregnancy. One additional examination is necessary to clear term discrepancies or to state fetal growth retardation. A complete and repeated sonographic care of all pregnant women is possible only by formation of locally good alloted examination centres with optimal utilization of equipment.

Congenital Abnormalities↗

[Prognostic significance of risk factors in pregnancy. I. Observations of onset and duration of observed pregnancy risks].

In a prospective study 383 from 712 women attending our antenatal clinic were found on examination to have pregnancy risks. These were followed with regard to the time of first occurrence, duration and time of last occurrence, as well as their relation to other risk factors occurring in both history, examination or during labour. The method of delivery, necessity for postpartal intensive pediatric care and the perinatal mortality were considered. Risks included antepartal haemorrhage in the first trimester (median time of onset 11 weeks); in the second trimester: hypotension (20 weeks), cervical incompetence (21 weeks), anaemia (25,5 weeks), premature labour (29 weeks) and uterus size inappropriate to gestational age (34,5 weeks) in the third trimester. Antepartal haemorrhage tends to be episodic (median duration of bleeding one week). The average duration for a cerclage was 16 weeks. The other risk factors were observed to last between 3 and 8 weeks. The onset and duration of risk factors found on examination considered alone do not present a sufficient criterion to enable their gravidity to be judged.

Anemia↗

[Prognostic significance of risk factors in pregnancy. II. Risk status at onset of labor].

A group of 383 women with pregnancy risks were screened at the onset of labour. 70% of the EPH-Gestosis, 56% of the urinary tract infections and cervical incompetence, 48% of the anaemias, 38,6% of the premature labour, 11% of the hypotension and 4% of the antepartal haemorrhages were found still to be present at the onset of labour. In those women with EPH-Gestosis at the onset of labour, the risk of cesarean section was markedly higher. When the risks premature contractions and cervical incompetence were recorded, the resulting birth weights were lower and the necessity for intensive paediatric care higher than normal. EPH-Gestosis and urinary tract infections which were still present at the onset of labour were of a longer duration. If the risks premature contractions and cervical incompetence were present at the onset of labour one could imply a shorter period of gestation.

Anemia↗

Pregnancy and maternal proximal focal femoral deficiency. A case report.

Proximal focal femoral deficiency is a rare form of disproportionate dwarfism. This case report illustrates the common complications associated with it: ambulatory difficulty, abdominal and back pain and absolute cephalopelvic disproportion. The common findings of pelvic contraction in disproportionate dwarfs generally requires delivery by cesarean section.

Adult↗

[Can simple pelvic osteotomy using the Chiari or Salter technic result in labor complications?].

The simple pelvic osteotomy in the techniques of Chiari and Salter respectively has become a frequently performed operation on the hip joint to improve the acetabulum in congenital hip dysplasia. Both techniques were simulated in a macerated, normally developed, natural female pelvis. Various parameters which indicate the deformation of the pelvis were measured. The results lead to the conclusion that both operations - especially when bilaterally performed - can cause changes of the birth canal which may prevent spontaneous labour.

Biomechanical Phenomena↗