Akusherstvo i ginekologii͡a
-
Akush Ginekol (Mosk) · Mar 1989
Historical Article[Evolution of surgical delivery during the past 35 years according to the data of the All-Union Research Center for Maternal and Child Health of the Ministry of Public Health of the USSR].
A distinct evolution of surgical delivery has been demonstrated over the past 35 years. In the past decade, the proportion of surgical deliveries has grown considerably owing to the increasing rate of cesarean sections. ⋯ Perinatal parameters have improved while there has been no clear-cut correlation between the increasing rate of cesarean section and declining perinatal mortality. Further development of rational labor management principles is necessary.
-
Akush Ginekol (Mosk) · Jan 1989
[Clinical and morphological aspects of abruptio placentae with hemorrhagic shock].
Seven histories of deliveries, complicated with abruptio placentae with hemorrhagic shock, and fetal autopsy protocols were examined, while the placentas and the uteri, removed at surgery were studied morphologically. Pregnancy had been complicated by gestosis in all patients. ⋯ Uterine, placental and fetal morphologic changes were qualified as shock-related. It is concluded that progressive abruptio placentae is an indication for abdominal delivery.
-
Possibilities of prenatal echographic diagnosis of nonimmune hydrops fetalis are described. This diagnosis has been made in 16 fetuses between 21 and 40 weeks of gestation. ⋯ It is emphasized that purposive echocardiographic screening to detect congenital heart diseases and arrhythmias is essential in fetuses with nonimmune hydrops. Congenital fetal malformations combined with nonimmune hydrops justify termination of pregnancy, as antenatal or early neonatal death will occur in most such cases.