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At least 1,693 records · Page 94Linked to original sources
PubMed2002

[Etiology and diagnostic problems in pregnant women with uterine myomas].

OBJECTIVES: Authors present different aspects of coexistence of uterine myomas with pregnancy. In the article special attention was given to etiology, complications and practical methods of treating pregnant women. DESIGN: The occurrence of uterine myomas is connected with the period of hormonal activity of the ovaries, so with the female reproductive age. Uterine myomas are tumors whose actions are dependent on hormonal action of estrogens which are often characterized by acceleration of growth especially in the first trimester of pregnancy. The dynamics of uterine myomas is specifically different and independent of neither the original size nor localisation of the myomas. During the antenatal period together with the involutional changes of the uterine muscle there is an observed decrease in the size of the myomas. MATERIALS: Based on literature, the effect of uterine myomas on fertility of women, pregnancy follow-up, development of foetus and occurrence of perinatal complications was analysed. The diagnostic methods as well as procedures underwent analysis depending on the localisation of the changes. The effect of nonpharmacological and surgical therapy were compared in pregnant women and those planning to conceive. CONCLUSION: In modern obstetrics, pregnancy complications as a result of uterine myomas is still actual and there is a lot of controversy on this topic. This is because up until now, there is no generalised opinion on therapeutic procedures and ways of resolving pregnancy complicated by the presence of uterine myomas.

Age Factors↗
PubMed2003

Vaginal delivery with intrapartum pubic symphysis separation. A case report.

BACKGROUND: Pubic symphysis separation is an uncommon complication of pregnancy. It can occur during the antepartum, intrapartum and postpartum period. CASE: A 29-year-old woman, gravida 2, para 1, at 39 weeks' pregnancy, experienced regular labor pain and suprapubic pain for 3 hours. Her clinical presentation and physical examination led to the diagnosis of intrapartum pubic symphysis separation. Vaginal delivery was chosen because there was no cephalopelvic disproportion. The obstetric outcome was favorable, with a healthy female infant of 3,150 g. The patient underwent conservative management during the postpartum period. She was doing well at the 6-week follow-up. CONCLUSION: In the absence of obstetric indications for cesarean delivery, vaginal delivery can be achieved in cases of intrapartum pubic symphysis separation. Conservative management usually results in complete recovery.

Adult↗
PubMed2005

Intrapartum coccygeal fracture, a cause for postpartum coccydynia: a case report.

Coccydynia can result from a varying number of causes, parturition being one of them. Although strains and sprains of the ligaments attached to the coccyx have been thought to be the usual cause for coccydynia occurring after childbirth, an intrapartum coccygeal fracture dislocation can result in the same. A 28-year-old female presented to the orthopaedic department 4 weeks after the birth of her first child with the complaint of coccygeal pain. Examination revealed marked local tenderness over the coccyx but no crepitus was felt. Radiographs established the diagnosis of fracture and posterior dislocation between the second and third coccygeal fragments. Conservative treatment in the form of rest, doughnut ring, local heat, and avoidance of direct pressure over the area resulted in considerable improvement over the next 4 weeks. Coccygeal fracture dislocation may result in introital dyspareunia and tension myalgia of the pelvic floor. Pain from this lesion may become recurrently symptomatic. The diagnosis must be established at the outset and appropriate treatment instituted to avoid these complications.

Adult↗
PubMed1984

[Uterine inversion and prolapse in a cat].

Inversion and prolapse of the uterus in cats is a rare complication of parturition. It is usually observed within a few hours after a previously normal birth, though it may also be observed during parturition. Possible complications are discussed. Possible forms of treatment are also reviewed. In simple uncomplicated cases, the manual reposition is to be preferred. In other cases, amputation may also be contemplated, although there are drawbacks to this method. In many cases, particularly when complications have occurred, combined laparotomy and ovariohysterectomy is preferable.

Animals↗
PubMed1980

[Courses of pregnancy and deliveries of 107 women with longstanding desire for children. Comparison with normal group (author's transl)].

The records of a selected group of 107 women who became pregnant and delivered, after having been attended to for sterility at the First Obstetric and Gynaecological Department of the Viennese University Hospital, were reviewed and compared to data of a control group which had been selected at random. Mild gestosis was more often recorded from patients who had been treated for sterility (47 per cent), whereas moderate or severe gestosis was more often recorded from the controls. Tocolytic agents were orally administered to 30 per cent of those women who had been treated for sterility. Duration of labour was longer and dystocia more frequent in the sterility treatment group. The percentual rates of surgical delivery and caesarean section were about the same in both groups. SGA was recorded from 30 children of the first but only eleven children in the control group. The average birth weight of babies born to mothers, following treatment for sterility, was 120 g lower than that in the control groups. Particular attention should be given to placental insufficiency in any pregnancy, following treatment for sterility. There was obviously no increased frequency of severe obstetric complications.

Adult↗
PubMed1995

[Statistical study of workload at a birthing unit].

The work consists of a statistical study of the workload on a labour ward. This included a study of the admission/birth frequency and an investigation of the factors that influenced the process of admissions and the time spent on the ward. Also the relation between the number of midwives and women in labour present on the ward was investigated. It was found that the variation in the number of spontaneous admissions/births could be described reasonably well by a Poisson distribution. A simple statistical model was proposed to calculate the number of midwives necessary at any given birth frequency. For a specific choice of parameters the model fitted the actual distribution very well. The relative frequency of complications was highest for women with no previous births and smallest for women with one previous birth. The time spent on the labour ward depended significantly on the number of times the woman had given birth before and on whether the present delivery was complicated.

Delivery Rooms↗
PubMed1994

Incremental increases in oxytocin infusion regimens for induction of labor at term in primigravidas: a randomized controlled trial.

OBJECTIVE: To compare induction of labor by intravenous oxytocin in regimens increasing incrementally at 15- and 30-minute intervals. METHODS: In a randomized controlled trial, 124 primigravidas requiring induction of labor by oxytocin infusion were randomly allocated to incremental increases at 30-minute intervals (62 patients) or 15-minute intervals (62 patients). The main outcomes assessed were mode of delivery, complications of labor and delivery (precipitate labor, hyperstimulation, postpartum hemorrhage, perineal tears, puerperal pyrexia), and number of days in the hospital. RESULTS: The 30-minute incremental regimen resulted in less precipitate labor (odds ratio 0.233, 95% confidence interval [CI] 0.042-0.55, chi 2 = 4.133), less uterine hyperstimulation (odds ratio 0.17, 95% CI 0.015-1.906), and reduced length of stay in the hospital (difference in medians 3 days, 95% CI for difference in medians 2-4 days). The induction-delivery interval was longer with 30 minutes (median 8 hours) than with 15 minutes (median 5 hours) (difference in medians 2 hours, 95% CI for difference in medians 0-3 hours). With the 30-minute interval, there was a reduction in the occurrence of postpartum hemorrhage, perineal tears, and puerperal pyrexia, but these differences did not reach statistical significance. CONCLUSION: For the induction of labor in primigravidas, 30-minute incremental increases in the infusion rate of oxytocin were superior to a 15-minute incremental protocol in reducing the incidence of hyperstimulation and precipitous labor.

Adult↗
PubMed1997

Women's recall of obstetric complications in south Kalimantan, Indonesia.

The search for indicators for monitoring progress toward safe motherhood has prompted research into population-based measures of obstetric morbidity. One possible such measure is based on women's reports of their past childbirth experiences. In this prospective study in three hospitals in South Kalimantan, Indonesia, the accuracy of women's reporting of severe birth-related complications was examined. The findings of this study suggest that poor agreement exists between the way women report their experience of childbirth and the way doctors diagnose obstetric problems, although the degree of agreement varies with the type of complication. Questionnaires relying on women's experience of childbirth will tend to overestimate the prevalence of medically diagnosed obstetric problems such as those associated with excessive vaginal bleeding or dysfunctional labor. Questions suggestive of eclampsia may be more promising, although the small number of eclamptic women in this study precludes firm conclusions.

Adult↗
PubMedDate not supplied

[Pregnancy and labor associated with encephalopathy in neonates during the early neonatal period].

Pregnancy complications, drugs and surgical interventions during pregnancy, fetal growth, medications and interventions during labor, labor complications as well as fetal heart activity during labor in a group of 114 term infants without malformations, but with signs of central nervous system (CNS) damage throughout early neonatal period are compared with paired group of term healthy infants born in the same presentation and mode of delivery. Among prelabor factors only maternal hypertension (found in 16.7% of encephalopathy children versus 0.8% in a control group) was significantly correlated with CNS damage. Fetal growth retardation and long term ritodrine administration were found more frequent in encephalopathy than in healthy group of infants, although statistical significance between the groups could not be demonstrated. A prolonged second stage of labor, high oxytocin dosage, too frequent uterine contractions and vacuum extractions were found significantly correlated with neonatal encephalopathy. CTG pattern during labor was normal in only 28.9% of children, with encepalopathy prepathologic in 46.4% and pathologic in 24.7%. The respective percentages for healthy newborns were: 82.5%, 16.25% and 1.2%. All differences between the groups were statistically significant. Mean duration of prepathologic CTG score in the group of infants with encephalopathy (78.8 minutes) as well as of pathologic score (51.7 minutes) was significantly longer than in healthy infants (23.7 minutes prepathologic and 7 minutes pathologic).(ABSTRACT TRUNCATED AT 250 WORDS)

Brain Diseases↗
PubMed1989

Delivery of the second twin.

The course of twin pregnancy is most amenable to positive intervention during the antepartal period. However, once a laboring woman arrives on the labor floor, there is still opportunity to influence outcome. The management of multiple gestation is best accomplished through use of a multidisciplinary team. Intrapartal events are handled with greater confidence when each member of the team is aware not only of his or her specific role, but also of all the tasks that need to be accomplished. Rehearsal prior to the delivery and communication during the delivery are essential. Each team member can positively affect the outcome in twin delivery through the use of unique skills. The preceding review of the literature regarding multiple gestation during labor portrays the dilemmas and controversies surrounding management. It is incumbent on all maternity staff to become acquainted with the issues and acquire the skills necessary to render safe care. Every complication of labor and delivery, including preterm labor, uterine dysfunction, abnormal presentation, prolapse of the umbilical cord, premature separation of the placenta, and immediate postpartum hemorrhage, occurs with greater frequency with multiple gestation. Therefore, the conduct of labor and delivery with twins is an excellent challenge to the skills of the team that provides care for the patient and her fetuses.

Delivery, Obstetric↗
PubMed1992

[Studies of diet management and insulin resistance in obese pregnant women].

In an attempt to determine the principles of diet management in obese pregnant women, the association between maternal weight gain during pregnancy (Group I; weight reduction, Group II; +0-4 kg, Group III; +5-9 kg, Group IV; +10 kg-) and the incidence of the complications was investigated in 151 obese pregnant women. Studies on glucose tolerance and insulin binding to erythrocytes were also undertaken. 1) In Group I, the incidences of C/S, forceps delivery, prolonged labor and complication of PIH were lower than those of other groups. There were no heavy-for-dates and light-for-dates babies in Group I, differing from the other three groups. 2) Plasma levels of glucose and insulin were high in obese pregnant women on 75 g OGTT in the second trimester. The binding sites of insulin to erythrocytes were significantly decreased in obese pregnant women. In conclusion, the risks of pregnancy complicated by obesity were high. Insulin resistance was a characteristic of obese pregnant women. The results of this study suggested that the nutritional requirements for very obese pregnant women should be restricted to maintaining the same weight or losing weight during the course of pregnancy to minimize maternal and perinatal risks.

Blood Glucose↗