[Lubrication reduces difficulties during sexual intercourse after gynecological surgery].
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Biomedical subjects
Publications and source records attributed to E Picha.
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The management of singleton breech deliveries in a referral hospital of an exclusively rural area is described. Since many cases are referred during labour after an attempted domiciliary delivery a primary vaginal delivery with extended indications for Caesarean Section is the general plan of management. Between 1971 and 1976, one hundred and seventy seven singleton breech deliveries were performed. 50 of these were premature with birth weights of less than 2500 grams. 127 had birth weights over 2500 grams. The Caesarean Section rate was 11.3%. The overall perinatal mortality was 11.92% (21 cases), the perinatal mortality for premature deliveries was 11.29% (20 cases), the perinatal mortality for term singleton breech deliveries was 0.56% (1 case).
A case of Siamese twins is described being especially interesting because of the rare kind of heart malformation. The joint heart shows in particular a reduction of the heart rooms, a defect of the ventricular septum and a transposition of the big vessels in one of the individuals. Moreover a multilobularity of the lungs, a fusion liver and a partly joint portion of the small intestine is to be seen.
A semiquantitative immunological GCG determination was carried out in the urines of 186 patients with the diagnosis abortus imminens. For prognosis of the further course of pregnancy the patients were subdivided into various groups according to the results of the HCG determination. In the group IV with primary positive immunological tests up to titres of 1:8 and higher with constant of even increasing titres in control test 87% of the patients were able to carry to a full term, only in 13% an abortus took place. In the group with the lowest and more over falling titres 100% abortus occurred. No conclusions as to the therapy are drawn on the basis of the here presented results.
Certain obstetric problems which are peculiar to rural districts and are only rarely encountered in urban centres are discussed in this report on the basis of 1184 deliveries at a district hospital. The high age number of grand multiparae are particularly striking findings. Antenatal care is often inadequate-33.3% of all women had not consulted an obstetrician during the entire pregnancy. Attention is drawn to the relatively high incidence of home deliveries and the deplorable lack of information of the rural population with regard to all problems concerning pregnancy and delivery.
In a randomized double-blind study the new effervescent iron tablet Loesferron was tested in 57 postpartum patients. Hgb and red blood count rose significantly with this treatment. It was found that on effervescent tablet daily was sufficient for a satisfactory result of the treatment. No side effects were noted to this well tasting iron beverage. The reason is probably the prior dilution of the iron compound which delivers lower local iron potentials to the gastric mucosa.
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