Another phenocopy for chondrodysplasia punctata in addition to warfarin embryopathy?
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Biomedical subjects
Publications and source records attributed to A van der Walt.
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Furosemide, in combination with breast binding and milk fluid restriction, seems to inhibit postpartum lactation effectively, but has no effect in reducing serum prolactin levels. Inhibition of milk secretion must therefore be mediated by other mechanisms.
A case of pressure necrosis of a caesarean section scar with protrusion of the gravid uterus through the wound is described. We can find no mention of a similar case in the literature. The management during the pregnancy presented some alarming problems, all of which were overcome, and the pregnancy was terminated by caesarean hysterectomy at 38 weeks. A healthy baby was delivered and the mother recovered.
A regimen of fursemide and moderate restriction of fluid intake was followed in 120 postpartum women to suppress lactation. The methods and results are presented, and possible mechanisms whereby furosemide may suppress lactation are discussed.
Case records of 206 pregnant patients who had not had a viable pregnancy for 10 years or more, are presented. In the antenatal period, 59.7% of patients went through their pregnancy with no complications. The commonest complications were pre-eclampsia and non-proteinuric hypertension. Labour was essentially normal in the majority of cases, and of the 183 patients who were allowed to labour, 171 (93.4%) were delivered vaginally. Caesarean section was performed in 17% of cases, which is 3 times the over-all Caesarean section rate for the hospital during the same period. The indications for Caesarean section are appreciably less restricted in these patients. There was a two-fold increase in the incidence of breech presentation. This may be partly explained by the higher incidence of premature births found in this group of patients. The over-all risk to the infant is increased, mainly because of prematurity, but also owing to a slight increase in the number of congenital abnormalities.