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PubMed1980

Management of multiple gestation.

The following perinatal intensive care management protocol is suggested to minimize morbidity and mortality in multiple pregnancy. 1. Early diagnosis is essential, with ultrasound examination regarding as invaluable for all pregnant patients. If ultrasound examination has not been done, multiple pregnancy should be suspected in all patients who have a family history of dizygotic births, are large for dates or anemic, or have a low-grade preeclampsia. 2. Maternal care should be provided at a tertiary care (level III) perinatatl center, which is more fully equipped to manage multiple gestation. 3. Bed rest, if instituted early enough (26-29 weeks) appears to be of value, especially in promoting increased birth weight. 4. A liberal approach to performing cesarean birth is suggested when any abnormal presentation exists. 5. Aggressive management, using tocolytic agents to delay premature labor and steroids to accelerate pulmonary maturity, should be strongly considered. 6. The personnel of a neonatal intensive care unit should employ a team approach to the preparation for and management of multiple preterm births.

Bed Rest↗
PubMed1983

[Monitoring of laborers previously exposed to aromatic amines, in accordance with Circulars No. 46 of 12/6/1979 and No. 61 of 4/6/1981 of the Ministry of Labor].

The present report deal, a year after its beginning, with the results of a programme for health control regarding 592 ex-employees of Società Bergamasca Industrie Chimiche. Azo dyes were obtained from benzidine and beta-naphthylamine in this factory from 1947 to 1968. The report analyses the organizing difficulties and the troubles which caused a scarce performance of the programme at different levels: the subjects interested in the control, the Commission responsible for the district, the doctors in charge, the laboratories, the hospital division. In the end some proposals are advanced referring to the provision of the ministerial circular letter no 46, dated june 12, 1979, about the medical control of workers who leave the hazardous working job.

Amines↗