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Biomedical subjects

G K Barker

Publications and source records attributed to G K Barker.

6 recordsLinked to original sources
PubMed2001

Successful pregnancy outcome after preterm premature rupture of membranes at < 20 weeks. A report of three cases.

BACKGROUND: Spontaneous preterm premature rupture of the membranes occurring before 20 weeks' gestation carries a perinatal mortality of approximately 82% and potential for considerable morbidity for mother and fetus. This is in contrast to amniotic fluid leakage after second-trimester amniocentesis, when the prognosis is usually good. CASES: We report three cases of spontaneous rupture of the membranes before 20 weeks' gestation, all associated with reaccumulation of amniotic fluid and satisfactory neonatal outcomes. CONCLUSION: Our cases may represent a subgroup with a relatively good prognosis. The existence of such subgroups would better be determined in a prospective, cohort study, and it might need to be a multicenter one. It requires well-defined entry criteria, management protocols and neonatal follow-up as well as information about pregnancies where termination, rather than continuation, is chosen.

Adolescent↗
PubMed1997

Transvaginal sacrospinous colpopexy--a new and easier way.

Sacrospinous colpopexy is an operation which is gaining wide acceptance for suspending the vaginal vault in a women with prolapse who wishes to retain the ability to maintain coitus. However, wider use may be prevented by the technical difficulty of the procedure. This article is a review of 63 cases where the operation was performed using a new 'ENDO STITCH' method which offers advantages both in ease (because it avoids the necessity of direct visualization of the ligament), and possibly safety, (because it avoids the need for retractors).

Adult↗
PubMed1991

Failed suction termination of pregnancy: case reports and review.

This paper presents two case reports of failed suction termination of first trimester pregnancies which occurred at Geelong Hospital over a short period of time and thus drew our attention to this very difficult problem. The international experience with such failed terminations is then reviewed, with discussion of the recognized associations, prevention and management of such cases.

Abortion, Induced↗
PubMedDate not supplied

Influences on adolescent sexuality in Nigeria and Kenya: findings from recent focus-group discussions.

Continuing high rates of adolescent childbearing in sub-Saharan Africa indicate a need for improved understanding of factors affecting adolescent sexuality. As traditional cultural influences on adolescent sexuality in Africa have diminished, peer interaction and modern influences have gained importance. To study peer interaction and societal factors and their impact on adolescent attitudes toward sexuality and contraception, the authors conducted a series of single-sex-focus-group discussions with in-school and out-of-school youth in urban and rural areas of Kenya and Nigeria in 1990. Out-of-school youth generally receive information on sexuality and family planning from peers (and the media), while in-school youth receive information in school, although not necessarily relevant information. Young women interviewed perceived unwanted early childbearing as something that affected them, an important precursor to family planning use. However, young people tended to have better information and more positive attitudes about induced abortion than about family planning.

Abortion, Induced↗