Biomedical subjects
A J Haslam
Publications and source records attributed to A J Haslam.
Outcome of diabetic pregnancies in Waikato: five year experience.
The outcome of diabetic pregnancies in Waikato Hospital from 1979-1984 was reviewed. Overall perinatal mortality in the 61 deliveries was 69/1000 births but in the 38 deliveries whose antenatal care included close diabetic control, the perinatal mortality was 26/1000 births. The national perinatal mortality has improved from 12.2/1000 births in 1979 to 9.6/1000 in 1983 (provisional) with an overall rate of 11.0/1000 births. Improved outcome of diabetic pregnancies both in terms of reduced perinatal mortality and reduced neonatal and maternal complications depends on meticulous blood glucose control throughout pregnancy.
The transient nephrotic syndrome of pregnancy.
The transient nephrotic syndrome was observed in 24 pregnancies in 23 patients, over a five-year period, in a base hospital obstetric unit. The clinical and biochemical features of this syndrome were similar to the nephrotic syndrome observed in non-pregnant patients. In only half the episodes was the patient a primigravida. In three multigravida patients, previous pregnancies were normal. In 10 of the 24 pregnancies, a perinatal death occurred. A bad fetal prognosis was associated with an early onset of the nephrotic syndrome. Of 11 pregnancies in nine patients occurring after the pregnancy complicated by the transient nephrotic syndrome, seven were normal. One pregnancy was complicated by heavy proteinuria, one by hypertension and intra-uterine death, one by an hydatidiform mole, and one was terminated.