Acta obstetricia et gynecologica Scandinavica
-
Acta Obstet Gynecol Scand · Jan 1989
Maternal deaths related to cesarean section in Sweden, 1951-1980.
During the years 1951-1980 the cesarean section rate in Sweden increased from 1.7% to 11%. In connection with this procedure 103 maternal deaths were reported, of which 49% were related to age as risk factor. ⋯ Half of the deaths were attributed to the surgical procedure. During the 1970s these complications constituted a six-fold risk increase of abdominal over vaginal delivery, and complications attributed to the surgical procedure of abdominal delivery comprised 19% of the maternal mortality during the same period.
-
Acta Obstet Gynecol Scand · Jan 1989
Case ReportsEmergency embolectomy in a patient with massive pulmonary embolism during second trimester pregnancy.
Emergency pulmonary embolectomy was performed successfully on a patient in her second trimester of pregnancy. The patient had severe right ventricular failure due to obstruction of 85% of the pulmonary arterial circulation. ⋯ Thrombolytic therapy during pregnancy imposes considerable risk of bleeding with deleterious effects on both mother and fetus. In our opinion, emergency embolectomy during extracorporeal circulation is the best treatment in case of massive emboli during pregnancy.
-
Acta Obstet Gynecol Scand · Jan 1989
Relief of low back pain in labor by using intracutaneous nerve stimulation (INS) with sterile water papules.
Eighty-three women experiencing low back pain in the 1st stage of labor were given intracutaneous nociceptive stimulation (INS) by means of sterile water papules injected intracutaneously over sacrum. There was instant and complete relief of the low back pain in all but 6 women, this effect lasting in many cases as long as 3 h, after which INS could be repeated. ⋯ The method was well tolerated and 67 of the 83 women said they would like to have INS analgesia for their next delivery. Possible mechanisms behind the analgesic effect of INS are discussed.