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A Roztocil

Publications and source records attributed to A Roztocil.

48 records · Page 3Linked to original sources
PubMed1992

[The effect of self-monitoring on perinatal outcome in insulin therapy of diabetic women during pregnancy].

The authors compare perinatal results in insulin treated diabetic women who were followed up in the out-patient department of the Second Gynaecological and Obstetric Clinic of the Masaryk University in Brno. In 1980-1984 148 pregnant diabetic women were followed up and in 1985-1991 when self-monitoring has become part of comprehensive treatment of pregnant diabetics in our department, 279 women were followed up. The patients were monitored during pregnancy by a diabetologist and gynaecologist. Other members of the team are a paediatrician, geneticist, psychologist, dietitian, and educational nurse. As to laboratory parameters, short-term and long-term compensation of diabetes were monitored. Systematic preconception preparation of diabetic patients, with an attempt to achieve normal blood sugar levels and genetic examination of both partners from part of comprehensive care. The results achieved in our department revealed a statistically significant decline of the incidence of foetopathies in neonates at the 5% level of significance and a decline of hypoglycaemia in foetuses at the 0.1% level.

Adult↗
PubMed1992

[Prenatal preparation--a part of the care of young female diabetic patients].

In the Second Gynaecological and Obstetric Clinic in Brno there has been for more than 15 years a specialized department for treatment of diabetes during pregnancy. The department monitors and treats pregnant diabetics from approximately two thirds of the former South Moravian region, i.e. patients with diabetes assessed before pregnancy as well as those where an impaired carbohydrate metabolism was detected during pregnancy. The authors submit an account of the organization of team work in their out-patient department.

Adolescent↗
PubMed1992

[Delivery of neonates with a birth weight of less than 1500 grams. Perinatal results during a 6-year period and possibilities of affecting them].

The authors evaluated the perinatal mortality and condition on delivery of 167 neonates with a birth weight under 1500 g who were delivered and hospitalized at the 2nd Department of Gynecology and Obstetrics in Brno between Jan. 1, 1985 and Dec. 31, 1990. The perinatal mortality of neonates with a birth weight below 1000 g was 73.1%, of those with a birth weight 1000 g-1500 g it was 25.9%. Early neonatal mortality was not influenced by the patient's age exceeding 30 years, occupation, environment, status, number of interrupted pregnancies, spontaneous abortions and previous spontaneous and induced deliveries, administration of tocolysis, corticoids, the position of the foetus, transport in utero, way of delivery, indication for Caesarean section and sex. Early neonatal mortality was influenced by the mother's age less than 20 years, administration of antibiotics, multiple pregnancy, grade of asphyxia, presence of RDS, necessity of respiratory support, incidence of intracerebral haemorrhage and birth trauma. In the discussion the authors mention possible ways of reducing the perinatal morbidity and early neonatal morbidity in the mentioned range of birth weights.

Adult↗
PubMed1990

[Personal experience with labor induction using oxytocin from 1982 to 1987].

The authors made a retrospective investigation of 584 induced childbirth during the period between Jan. 1, 1982 and June 30 1987. In group I, i.e. induction by drop infusion of oxytocin without primary disruption of the sac they were successful in 59.2%. In group II, i.e. induction by oxytocin infusion 24 hours after escape of amniotic fluid without uterine activity or after previous disruption of the amniotic sac they were successful in 83.3%. Oxytocin was administered in doses of 3.5 million units/min. and increased after 15-minute intervals till regular uterine contractions were recorded. When the portion of the uterine cervix is mature, in group II success in 85% can be foreseen.

Adult↗
PubMed1990

[Personal experience with labor induction using prostaglandins 1985-1987].

The authors evaluate 56 Labors induced with Enzaprost and 141 with Prostin. The main indication for induction was a postdate pregnancy (33%), rupture of the amniotic sac 24 hours previously without contractions (24.5%) and a planned confinement (23%). An initial dose of 1 microgram of Enzaprost per min. was administered or 1 tablet of Prostin in increasing doses after 30 mins. up to three tablets. There were 87.5% successful Enzaprost inductions and 96.5% successful Prostin inductions. The difference is significant at the 5% level.

Administration, Oral↗
PubMed1990

[Labor induction using extra-amniotic administration of PGE2].

The authors induced 105 deliveries by extraamniotic administration of PGE2 (prostin Upjohn). The initial dose was 1-2 tablets, depending on the maturity of the portio uteri. If the contractions did not start within two hours, the dose was repeated. The sac was disrupted when the contractions were regular and the os uteri was larger than 2 cm. If necessary uterine activity was stimulated by small doses of Oxytocin (in 29%). Indication for induction was a programmed delivery (44.7%), protraced pregnancy (31.5%), diabetes mellitus (10.5%), a period of more than 24 hours after drainage of amniotic fluid without contractions (5.7%), hypertension or renal disease during gestation (4.8%) and hypotrophy of the foetus (2.8%). Inductions were successful in 96.2% of the patients. The parity of the patients influenced the interval between the onset of induction and the onset of uterine contractions, the duration of the first and second stage of labour and the consumption of Prostin tablets. The age of the patient, occupation, obesity and operation on the uterus did not affect the success of induction. There were no serious pathological findings during the third stage of labour, nor serious side-effects. The condition of the neonates was satisfactory.

Administration, Intravaginal↗
PubMed1989

[Induction of labor with peroral tablets of PGE2-Prostin Upjohn].

In the course of 12 months 141 deliveries were induced with peroral tablets of Prostin. Only patients with cervix score greater than or equal to 5 were induced after previous rupture of membranes Tablets were administered in the scheme of 1-2-3 in the intervals of 30 minutes. Further doses were applied according to the onset of uterine contractions and the development of side effects. The single dosis of 3 tablets was never exceeded. Successful induction was reached in 136 cases (96.5%), unsuccessful one in 5 cases (3.5%). Vomiting occurred in 15 cases. Neither uterine hyperstimulation nor any other serious side effects were recorded. The average consumption for successful induction was 12 tablets.

Administration, Oral↗