J Gynecol Obst Bio R
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J Gynecol Obst Bio R · Jan 1979
[Hormonal tests of pregnancy and congenital malformations (author's transl)].
I. N. S. ⋯ The first test, which was carried out on 12,764 women, had shown no overall association between the use of hormonal tests for the diagnosis of pregnancy (oestrogens-progestogens) and congenital malformation in the infant. The second study, which was carried out on 3,451 women who were questioned in the same way, shows that there is an excessive number of newborn babies with malformations when the mothers took certain products (oestrogens-progestogens when the progestogen was a derivative of testosterone). The problem of a methodological bias is discussed and the results are interpreted in the light of epidemiological studies that have recently been carried out abroad.
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J Gynecol Obst Bio R · Dec 1978
[Obstetrical anaesthesia. Their place in the conduct of labour (author's transl)].
After having made an historical study of the principal works coming from the School in Toulouse concerning obstetrical anaesthesia, one can make an account of the criteria for fetal risk. These have been established by comparing with a standard that determines the physical and biological parameters found in normal labour. The fetal risk has been studied for four types of anaesthesia progressively. ⋯ The same has been done for maternal risk. After having completed this study we have come to the conclusion that there is no single anaesthetic that should particularly be recommended, and that for every phase of labour : before labour starts and after labour has been confirmed, and at the end of the first stage of labour, a different form of anaesthesia may well be indicated. Above all, the skill of the anaesthetist and of the obstetrician influence the efficiency of the anaesthetic.
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The effect of diazepam has been watched and studied by continuing monitoring of the heart rate of the mother, the fetus and the newborn, as well as by studying the acid-base balance of the mother and the fetus and the newborn after doses of 20 mg of diazepam had been given to 40 normal labouring women. A good calming effect was found in 87 p. % of women and the remainder had an acceptable result. ⋯ These two alterations were statistically significant (p less than 0.01) and appeared very soon after the administration of the diazepam. Later, no other effects could be found in the mother, the fetus or the newborn.
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J Gynecol Obst Bio R · Jun 1975
[Forceps delivery under local-regional anesthesia in current obstetrical practice. Apropos of 400 cases].
We herewith report 400 cases of forceps delivery under local regional block anesthesia of the internal pudental nerves. They were carried out together with routine episiotomy. ⋯ There were very few maternal complications. So long as some precautious are taken we have in our hands an excellent method for extracting a baby with instruments and it should not have come into disrepute as it has (in comparison with the vacuum extractor).