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Biomedical subjects

G Scholtes

Publications and source records attributed to G Scholtes.

At least 19 recordsLinked to original sources
PubMed1985

[Thrombocytopenia in pregnancy].

The rare occurrence of thrombocytopenia in pregnancy is reported. Our own procedure in pregnancy and delivery is described in detail. The differential diagnostic considerations are emphasized. The present situation with regard to therapy is discussed with reference to the available literature.

Adult↗
PubMed1977

[Management and monitoring of multiple pregnancies (author's transl)].

The fetal prognosis in multiple pregnancies can be improved by a multifaceted antenatal program which includes early diagnosis prior to 28 weeks gestation, follow-up of multiple pregnancies in the high risk antenatal clinic, early discontinuation of work, treatment of pre-eclampsia, bed rest in hospital between 28 and 33 weeks and sometimes cerclage, prophylactic and therapeutic administration of labour inhibiting drugs, speedy delivery of the second twin and immediate pediatric care. Bed rest and administration of labour inhibiting drugs are the most important points of this program. With this combination, the utero-placental perfusion can be improved. The gestation can be prolonged and the incidence of small weight neonates and the incidence of the perinatal mortality can be reduced. Since even a large antenatal clinic only cares for a small number of multiple pregnancies, a multicentre study to determine the optimal management of multiple pregnancies is urgently required. Multiple pregnancies had too little attention in modern perinatal medicine and deserve all our attention for an improvement of their outcome.

Adrenergic beta-Agonists↗
PubMed1976

[Deliveries in foreign women (author's transl)].

The question is to be answered whether the delivery in foreign women has in any case to be valued as riskful birth. The development of deliveries in 1941 foreign women from 1968-1973 is therefore analysed and compared with 9009 deliveries in German women. The share of deliveries in foreign women increased from 3% in 1968 to 32% in 1973. Wifes from Turkey and Jugoslavia are prevailing (68,1% and 19,5%). A significant moving of parity to a higher number of children can be noticed in foreign women. The incidence of operative deliveries in foreign women amounting to 12,5% was 5% lower than in German women. The incidence of sectio amounted to 9.4% in German women and to 7.5% in foreign women. The rate of premature births in foreign women figured up to 9,5% surpassed the rate of premature births in German women by 1%. The comparison of uncleared as well as of cleared perinatal mortality did not show any statistically significant difference. Merely the mortality of sectio-children amounting to 6.9% was significantly higher in foreign women than in German women with 3.7% - owing to the accumulation of vital indications in caesarean sections. Authors come to the conclusion that based on their material examined deliveries in foreign women cannot be juged as riskful births. Particularities in foreign deliveries are specially indicated.

Cesarean Section↗
PubMed1975

[Changes in indication for caesarean section analysis of 1241 caesarean sections (author's transl)].

On the basis of a large schema of indications (tab. 1, 2) 1241 Caesarean sections during 1966-1973 are analysed. The following points can be summarized: 1) The percentage rose from 6.4% (1966) to 10.75% (1973) (Fig. 1). 2) The percentage of Caesarean sections decided on for the sake of the child rose from 54% (1966/67) to 63.9 (1972/73) (tab. 3). 3) Vital indications fell due to increasingly preventive obstetrics from 71.7% (1966) to between 30% and 41.3% (1973) (tab. 4). 4) Perinatal mortality of 1258 children delivered by Caesarean section was 4.05% (tab. 5). Of Children delivered surgically for vital indications 6.1% died, of those delivered surgically for preventive indications only 0.9% died in the perinatal period (tab. 6). 5) This shift from the vital towards preventive indication is particularly pronounced for repeated Caesarean section (tab. 7) and for breech presentation (tab. 8). 6) Maternal mortality after Caesarean section reached 3.2%, after spontaneous delivery only 0.16%. This great difference in the maternal risk between those treated with Caesarean section and those with spontaneous delivery emphasizes the need for indications for Caesarean section which are critical, conscious of the responsibility and not too generous.

Age Factors↗