Biomedical subjects
Publications and source records attributed to C Muhlstein.
A real-time program for obstetrical and neonatal data was developed in June 1986 at the maternity hospital in Haguenau. Used routinely, this program has raised comments and controversy. With investigative questionnaires, we have attempted to evaluate how the introduction of computer sciences was perceived by the personnel as well as the patients.
Ovarian pregnancies usually are diagnosed by the trophoblast which has gone into the ovarian tissue being found histologically. These pregnancies usually suggest haemorrhage from the corpus luteum or a rupture of ovarian cysts. The average age at which they appear is 29, just as it is the age for tubal pregnancies, but they do differ because there are few signs of infection and of infertility, and there are more multipara and women who are wearing an IUD. Two-thirds of ovarian pregnancies are on the peritoneal surface or in the hilum, away from the corpus luteum, and one-third are situated on the scar of the follicular ostium and have later infiltrated into the follicle. Most of these cases can be explained by reflux of the oocyte into the peritoneum.
The authors report a comparative study between the maturing and induction technique by prostaglandins F2 alpha and pitocin, and a reference population in spontaneous labor in extended pregnancies after 41 weeks and more of complete amenorrhea. It appears from this study that the severe fetal pathology linked to post-maturity has completely disappeared, but at the price of a higher rate of cesarean sections no matter which technique was used: pitocin or prostaglandins.
The authors recall the various techniques proposed from ancient times till to day and emphasize in this review, the privileged indications in the XIXth century in order to attempt by-passing pelvic atresiae.
Three methods deserve mentioning: on the one hand, administration of pitocin and prostaglandins, on the other hand, artificial rupture of the membranes. The authors are proposing a practical plan of these various indications.