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Biomedical subjects

A Jorde

Publications and source records attributed to A Jorde.

At least 19 recordsLinked to original sources
PubMed1999

[In Process Citation]

OBJECTIVE: The objective of this retrospective analysis was to compare the obstetrical procedures at premature birth and delivery at term. The aim was to show the influence of gestational time on mode of delivery and neonatal state. MATERIAL AND METHODS: 339 births from breech presentation between 1988-1990 were compared with premature births and deliveries at term. RESULTS: Frequency of breech presentation totalled 4.1%. 173 deliveries (51.7%) resulted vaginally, 26 cases (7.8%) with freeing of arms and 4 cases (1.2%) as extraction. Frequency of cesarean sections totalled 48.3%. The number of premature births reached in the group of breech presentation 23.1%. Births at term resulted with 58% predominantly vaginally (abdominally in 42%). Between the 31st and 36th gestational week the number of cesarean sections rose to 67.3%, in the 31st week it even reached 78.9%. The neonatal state was described with the help of Apgar-scores and umbilical cord-pH-values. The share of newborns with optimal Apgar-values after 1 minute (8-10) was in premature births with 36.5% only about half as large as in deliveries at term (77.6%). Only 9.6% of the children showed pH-values below 7.20. Number of newborns with these pH-values totalled in premature births in the 31st week 35.3%, for terms between the 31st and 36th week 15.6%, and declined in mature births to only 6.2%. CONCLUSIONS: Estimating the neonatal state of the group of breech presentations the vaginal birth should keep an equal rank in the delivery plan of a clinic. At the appraisal of the childlike early morbidity of a delivery group the number of premature newborns is decisive.

Journal Article↗
PubMed1991

[Conization and pregnancy--an analysis of various therapeutic measures for the prevention of premature labor].

In the period under review from 1/6/1980 to 31/3/1990 119 women with a state after conisation of the cervix have been delivered. For treatment of a resultant cervical incompetence there were used in 46% a cervical cerclage, in 7% a support pessary, in 20% the combination of cerclage: pessary and in 27% conservative measures. Retrospectively the final gestational week, the proportion prematured rupture of membranes, of prematurity and dates of the fetal outcome have been examined. The results demonstrate that a selection of patients has to be made with state after conisation according to the seriousness of the cervical incompetence giving the adequate indication for a conservative or active (cerclage and/or pessary) treatment referrend to pregnancy length and the uterine cervix findings. A general determination of only one treatment method for prophylaxis of therapy with state after cervix conisation is not advisable, be cause the results of all examined patient groups--after selection--were not significantly different.

Adult↗
PubMed1991

[Obstetric management and results of premature amniotic rupture].

Out of 6957 deliveries of the years 1987 and 1988 (7.2%) pregnant women have been analysed because premature rupture of fetal membranes. In 23.4 per cent symptoms of amniotic infection could be observed. In 31 per cent pathogenic germs could be identified from cervical swabs. In 33.6 per cent gestational period could be prolonged from 2 to 7 days, in 4.2 per cent more than 7 days. We found upon 32nd week of pregnancy a significant reduction of respiratory adaptation disturbances of 22%. Neonatal sepsis had been found at 50% till completion of 32nd week of pregnancy. Reasons for neonatal mortality are sepsis, immaturity and dysontogenesis. Conclusions have been made for practice in diagnostics and treatment.

Bacteremia↗
PubMed1990

[Liver diseases and pregnancy].

221 from 161,674 pregnant women had been hospitalized because of suspicion of virus hepatitis. That is a frequency of 1.4%o. Confirmation of diagnosis was made by histology in 18.5 per cent. The rate of low birth weight infants of 24.2 per cent and the frequency of 13.4 per cent of obstetric operations refer for a diminished placental function. Questions of diagnostics and the course of pregnancy in the combination of liver diseases and pregnancy are discussed.

Carrier State↗
PubMed1983

[Changes in the vaginal flora caused by supporting pessary treatment in pregnancy].

200 pregnant women with supporting pessary treatment because of cervical insufficiency were compared with one of normal pregnancies concerning microbiological findings and puerperal morbidity. -- 5,5% of the women in the supporting pessary group had pathogenic organisms in their cervix before first amnioscopy, compared to 2% in the control group. The different results of cultural microbiologic examinations in both groups depend on type and duration of birth as well as time of amnion rupture. Women with premature rupture of the membranes (31,0%) had more pathogenic organisms than women with rupture (2,5%) in time. There was no higher infection morbidity compared to the control group.

Female↗
PubMed1979

[Experience with nuclear medical placenta perfusion diagnosis].

Report about evaluation of placenta perfusion studies in 105 females with pregnancies in risk. They were aged between 17 and 48 years and examined during the 27. to 42. week of gestation. Placenta was located after preinjection of 0.1 mCi 113mIn chloride. Examination was performed with a gamma camera, Type NC-HP, and a computing system PDP 11/10 (Gamma 11) on line. Sequential scintigraphy after slow injection of 1.5 mCi 113mIn chloride with 2-seconds-frames over a period of 3 minutes. Performance of histogramm after ROI-contouring of placenta. Half time of the ascending limb of placenta curve is the criterion of perfusion. The mathematical formalism was developed assuming an one-compartment model by Lorenz and Ostertag. Analyzing on the screen by hand we received normal values of half time: 19 +/- 3.4 seconds; using automatical analysis for suitable e-functions developed by Potschwadek we received normal values of half time: 11 less than 1.8 sec.

Female↗
PubMed1978

[A cubical support pessary within the scope of complex therapy of threatening prematurity].

Report about experience with a cubic supperting pessary for the prophylaxis and therapy in cervixinsufficiency or inpending premature delivery. The indication, selection, evaluation of riscfactors and the application of a complex therapy are discussed.--Information on therapeutic results and a first conclusion concerning the longtime incorporation of pessaries during pregnancy and the questions related to this. For the period under review, in which intensive prophylactic measures were carried out, a considerable decrease in premature deliveries could be achieved in the territory of pregnancy care center attached to our hospital.

Abortion, Threatened↗
PubMed1977

[Modification of the rate of complications in the inflammatory adnexa process and pregnancy interruption].

On account of the case histories of the obstetrics and gynaecological klinic of the States Klinicum Berlin-Buch, the influencing of the complications rate by chronic adnex processes among the pregnant women who came for interruption, was examined. In 1974 and 1975 about 3118 interruptions with vacuum exhaustion and after-curettage, were carried out. During the stationary treatment, there were a total of 195 cases (6,2%) with complications, which later increased by 286 cases (19,1%), within 3 months after the interruption of their pregnancies. The complication's rates post interruption by patients with chronic recidive adnex-process are 27 cases (10,4%) only a little higher than those by the women with clear anamnesis (102 cases=8,2%). Therefore chronic adnex processes do not constitute contraindications for pregnancy interruptions.

Abortion, Induced↗
PubMed1976

[Clinical experiences with percutaneous digitoxin therapy in pregnant women with varicose veins].

It is reported on the clinical recommendations in a cutaneous treatment with "Digitoxinpasta" in varicose veins of pregnant women. The patients' arrangement in groups and the valuation of the result of the treatment was done after clinical aspects. The rate of failures (12%) ranges in tolerable limits. Neither a "Digitoxinbradycardy" or signs of overdosage were found in the electrocardiogram.

Administration, Topical↗
PubMed1976

[Comparative colposcopic, cytological and histological studies of the uterine cervix during pregnancy].

The suspected findings, of colposcopic and cytologic cervix uteri in the pregravidity, was reported. Among 5852 patients, who primarily were directed in the clinic for interruption, 63 of them were examined because of their suspected colposcopic results and 3 cases of them were examined because of their suspected cytologic results, at the same time a detailed histological clarifications of their portio during the interruption were made. About 30,8% of the cases were in preinvasive or invasive stages, which were histologically clarified and precarcinogenic treatment of the patients was carried out. On the evidence of the results, we recommend, that by all suspected colposcopic cases -- taken into consideration of the cytologic results -- an early histologic clarification be made.

Abortion, Induced↗
PubMed1975

[Medical evaluation and rehabilitation following intensive therapy of malignomas in the female genitalia and breast].

The selective therapy of malignant tumours of the female genital tract has led to the abandonment of radical procedures in the treatment of early stages of carcinomas. The histological diagnosis, including tumour localisation, tumour grading, applied therapy, early and late complications are criterion to be taken into consideration in laying down the degree of infirmity. In the light of functional gynaecology, principles for such patients care are laid down, taking into account the time of disablement as well as problems of rehabilitation, not only for patients with malignant tumours of the female genitals but for those with mammary tumours as well.

Aftercare↗