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Biomedical subjects

B R Marshall

Publications and source records attributed to B R Marshall.

9 recordsLinked to original sources

Sporadic puerperal mastitis. An infection that need not interrupt lactation.

Sporadic (nonepidemic) acute puerperal mastitis was diagnosed 65 times over a period of 26 months in 2.5% of mothers who elected to nurse their infants. Staphylococcus auereus was cultured from the milk of 23 of 48 infected breasts, but from only one breast of 19 normal mothers. Forty-one women with mastitis continued to nurse without difficulty for an average of 13 weeks, although mastitis recurred in four women. Three breast abscesses resulted from the 65 infections (4.6%).

Abscess↗

Maternal serum heat-stable alkaline phosphatase. In normal and high-risk pregnancies.

To evaluate its specificity as an indicator of placental function or fetal status, maternal serum heat-stable alkaline phosphatase (HSAP) was measured serially in 76 normal and 161 high-risk pregnancies (1272 determinations). The previously reported curvilinear HSAP rise starting at about 28 gestational weeks was noted. No relation was seen between HSAP levels and milk or moderate hypertension, gestational diabetes, nontoxemic placental insufficiency, or maternal blood group. HSAP levels were mostly above normal in proteinuric hypertension and were low normal in pregnant insulin-dependent diabetics. Two neonatal deaths were associated with normal HSAP levels. Of 4 intrauterine deaths, 1 was associated with high, 1 with low, and 2 with rising values in the normal range. Serial maternal HSAP values are apparently not a specific indicator of placental function or fetal status.

Adult↗