European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Sep 1999
Elevated soluble adhesion molecules in women with pre-eclampsia. Do cytokines like tumour necrosis factor-alpha and interleukin-1beta cause endothelial activation.
The purpose of the present study was to evaluate the clinical significance of tumour necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta) for endothelial cell activation in pre-eclampsia. Therefore, we determined and compared the correlations between these cytokines and circulating adhesion molecules in the sera of pre-eclamptic pregnant women, normotensive pregnant women and nonpregnant women. ⋯ In contrast to in vitro investigations on cultured umbilical vein endothelium, our experimental results indicate that the cytokines TNF-alpha and IL-1beta can not explain endothelial cell activation, and that their measurement in serum is not useful for the detection of pre-eclampsia.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Apr 1999
Measurement of sacroiliac joint stiffness in peripartum pelvic pain patients with Doppler imaging of vibrations (DIV).
The research question of the present study was: are sacroiliac joint stiffness levels of peripartum pelvic pain patients different from those of healthy subjects? ⋯ A diagnostic tool which can possibly be developed in the future could demonstrate an objective finding among women with peripartum pelvic pain. DIV is easy to apply and non-invasive. Asymmetric stiffness of the sacroiliac joints seems to be more directly related to low back pain and pelvic pain, not the stiffness level of a single sacroiliac joint.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 1998
Prediction of patients with higher order multifetal pregnancy at risk for postpartum pulmonary edema.
This retrospective study aims to verify the factors for the development of maternal pulmonary edema in higher order multifetal pregnancy. ⋯ These findings demonstrate that patients in whom the perioperative FLI is >0 may have a much higher risk for postoperative pulmonary edema, suggesting the predictive role of the perioperative FLI value.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 1998
Fetal cardiotocography and acid-base status during cesarean section.
To assess the fetal well-being during cesarean section, in relation to the previous fetal condition. ⋯ Silent tracings appearing during cesarean section usually do not indicate fetal distress. Poor intracesarean fetal heart tracings were associated with worse indicators of neonatal well-being. Although umbilical pH were lower than scalp values, when the correction described in the literature was applied, the difference was of little clinical relevance. It is concluded that anesthesic, pharmacological and surgical events have slight repercussion in fetal well being. However, in a few cases fetal heart monitoring during cesarean section could detect otherwise undiagnosed cases of transient acidemia or depression in the fetus.