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PubMed1985

Concomitant and repeated happenings of complications of the third stage of labour.

Complications of the third stage of vaginal delivery have been studied among 36 312 women in Aberdeen between 1967 and 1981. There was no change in the incidence of retained placenta (RP), but there was a secular increase in postpartum haemorrhage (PPH). Postpartum haemorrhage was three times more common when there was a retained placenta. PPH was commoner in primiparae and after induced labour. The main focus of this paper is on the analysis of the risks of repetition among 6615 women with two or three live births between 1967 and 1980. A history of PPH and/or RP increased the relative risks of PPH and/or RP in a subsequent birth by between two and four times compared with women without such a history. The risk of repetition was increased if the subsequent birth was induced, or if there was an intervening abortion. Nevertheless, only a minority of the multiparae who experienced a third stage complication had a previous history of such a complication.

Abortion, Spontaneous↗
PubMed2004

[Gaubius' description of the first parturition of Wilhelmina of Prussia in 1769; 'The unlucky birth of the princess mijne gemaelinne'].

In the archives of the Dutch royal family there is a hitherto unknown report of a childbirth by the Leiden court physician Prof. H.D. Gaubius, in which he provides a detailed description, in French, of the first, prolonged and unfortunate parturition, in 1769, of Wilhelmina of Prussia, the wife of the hereditary stadholder Willem V. There was apparently a discrepancy between the presenting head and the size of the birth canal. Initially, an expectant policy was followed in the hope that the natural course of events would prevail, but ultimately and after due consideration it was decided to terminate the expulsion by means of a Van Roonhuysen lever, the vectis; this procedure was carried out by the Amsterdam obstetrician Albertus Titsingh. It turned out that the infant had died during delivery. Following the spontaneous delivery of the placenta, the puerperium proceeded without complications.

Adult↗
PubMed1986

[Uterine ruptures--diagnostic problems following previous cesarean sections].

There are 16 ruptures of the uterus in a total of 28,391 deliveries, adequate a frequency of 0.59% or one rupture in 1774 cases. Whereas the fetal mortality is 43.7%, the maternal one amounts to 0%. Previous cesarean sections could be observed in 56.2%. The problems of ruptures of cicatrical uterus without symptoms and the complications will be referred to.

Adult↗
PubMed1997

[Prenatal diagnosis of fetal thrombocytopenia].

A case of maternal idiopathic thrombocytopenic purpura complicated by severe fetal thrombocytopenia is reported. Fetal thrombocytopenia was diagnosed by scalp blood-sampling during labour. With discussion of the relevant literature, the authors recommend the use of their method in thrombocytopenic patients in labour. In cases of fetal thrombocytopenia Caesarean section in recommended to prevent trauma and subsequent neonatal haemorrhagic complications.

Female↗