Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 1996
Cervical cerclage in the treatment of cervical incompetence in Zambian women.
Over a period of 5 years from January 1989 to October 1994, 207 patients with cervical incompetence were managed with Mac Donald's cervical cerclage at Nkana/Wusikili Mine Hospitals, Kitwe, Zambia. The incidence rate of cervical incompetence in our population was 1.47%. Our results confirmed a success rate of 90.8% as compared to 52.5% in previous pregnancies. ⋯ The possibility of having a mature baby in the group of low number previous abortions was significantly higher as compared to the group with a higher number of habitual abortions. Better pregnancy outcome was seen in low parity group (less than 2 previous deliveries) as compared to higher parity group. Our study confirms that cervical cerclage is a successful way in the treatment of cervical incompetence.
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Fetal death incidence is 5-10 per 1,000 births. About 25% of the women who carry a dead fetus for more than 4 weeks will show significant alterations in their coagulation system. ⋯ We took into consideration the cases ofintrauterine fetal death between the 26th and 40th week before labour. This study is based on a cohort of 57 cases of intrauterine fetal demise from the 24th to the 40th week of pregnancy before spontaneous labour.
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Clin Exp Obstet Gyn · Jan 1992
Comparative Study Clinical Trial Controlled Clinical TrialA comparative study of propofol and thiopental as induction agents for elective caesarean section.
Twenty women for elective caesarean section received either propofol 2.3 mg/kgr or thiopental 4.4 mg/kgr for induction of general anaesthesia. Maintainance was similar for both groups. Mean arterial pressure and heart rate were recorded non-invasively before anaesthesia, during intubation, one and five minutes after intubation. ⋯ During intubation heart rate rose in both groups, but remained increased five minutes after tracheal intubation only in the thiopental treated women (p less than 0.05). There was no significant neonatal depression as assessed by Apgar Scores and blood gas analyses. Propofol appears to be a suitable alternative to thiopental as an induction agent for obstetric anaesthesia.
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Clin Exp Obstet Gyn · Jan 1991
Uterine motility and cervical ripening in second trimester elective abortion by two different PGE analogues.
The clinical effects were studied of two different PGE analogues on the uterine motility and cervical ripening of eighty pregnant women asking for a second trimester elective abortion for fetal abnormalities. Forty women received vaginal suppositories each containing 1 milligram of 16, 16-dimethyl-trans-s2-PGE1 (Gemeprost) every 3 hours (5 mg max). ⋯ The histological and ultrastructural findings of cervical ripening were similar in both groups, while the tocographic patterns showed different characteristics. Side effects occurred in 16 Sulprostone (40%), but only in 9 (22.5%) Gemeprost treated patients, demonstrating that Gemeprost, although equally effective, is better tolerated.
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Clin Exp Obstet Gyn · Jan 1989
Infective-hemorrhagic complications of cesarean section. A case review of 2220 subjects.
The authors consider the hemorrhagic-infective complications associated with cesarean section. The review comprised 2200 subjects undergoing cesarean section from 1983 to 1987 in the Obstetrics and Gynecology Unit (Director: D. ⋯ The incidence of infective complications was 25% of cases and that of major hemorrhage 1%. The authors conclude that the potential complications must be carefully considered whenever contemplating delivery by cesarean section.