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Biomedical subjects

H Elser

Publications and source records attributed to H Elser.

29 records · Page 2Linked to original sources
PubMed1981

[Purpose and usefulness of the present day risk catalog (author's transl)].

Risk catalogs have proved to be an important instrument of preventive medicine for the identification of pregnancies at risk. Their purpose and usefulness is beyond all doubt. Nevertheless problems of principle are attached to them since they deflect the attention from the living reality of the individual case to statistically formed collectives. The importance of the problems for risk catalogs changes according to the social change and the constantly improved perinatal results. Age, parity and socioeconomic risks reflect such trends in development most clearly. Future tasks lie in the quantification of risks by differentiating the degrees of severity. A certain intrinsic dynamism of the present risk catalogs leads, e. g. to a constantly increasing incidence of sections. For this reason a constant feedback must exist between risk catalog and statistics.

Adolescent↗
PubMed1981

[Pregnancy and birth after jejunoileostomy because of adiposity (author's transl)].

Five pregnancies in two patients after jejunoileal bypass because of adiposity are reported. One pregnancy ended with a spontaneous abortion of two dystrophic children one died postpartum after a pregnancy complicated by cholecystectomy, cholangitis and pancreatitis. The extent of postoperative weight loss acquires a certain importance in assessing the risk of dystrophy to the child.

Adult↗
PubMed1980

[Time sequence of risks. a new approach to weighting perinatal perils (author's transl)].

In the Munich area from 1975 to 1977 37.3% of 55089 women came to birth without any risk, 7.4% with anamnestic risks (i.e. existing before pregnancy), 12.1% with gestational risks acquired during pregnancy, 4,0% with anamnestic and gestational risks. In 17,0% risks were developed at first during delivery. 4.0% of the pregnant women had anamnestic and birth risks, 12.6% gestational and birth risks, and 5.5% anamnestic and gestational and birth risks. There were remarkable interrelationships between the combination of risks, obstetrical management and outcome (perinatal mortality and infant transferral rate as a crude measure of neonatal morbidity). Anamnestic risks are followed by gestational risks with a chance of 50%. If pregnancy began without risks the probability of gestational risks is approximately 33%. Some distinct anamnestic risks considerably contribute to cesarean section rate. Risks solely occurring during pregnancy have a rather low perinatal mortality (6%o compared to 2%o of riskfree pregnancies). The combination of gestational and birth risks increases perinatal mortality and neonatal morbidity by a factor of 10. This increase is due to some "mortgage-risks", i.e. impairments which are still present at birth. Among those risks conditions most often associated with threatening preterm delivery predominate. Pregnant women who develop such persisting risks should be transferred to a perinatal center.

Cesarean Section↗
PubMed1976

[Observations concerning the moment of delivery in 144 gestational diabetics (author's transl)].

Report is made, in a comparative examination, about infant mortality and early morbidity, as well as about several further perinatal criteria in gestational diabetics, 85 of whom were delivered before/on the calculated date and 59 after the term. With the exception of weight and length of the newborn, no significant differences are occurring in any of the symptoms selected. The same situation appears in a control group consisting of people with healthy metabolism. Conclusion is made thereof that gestational diabetes per se does not represent an indication to terminate pregnancy at any rate on the calculated date.

Birth Weight↗
PubMed1976

[Ultrasound diagnoses and cardiotocography in case of full-time carried intraligamentous gravidity (author's transl)].

Description of the course of disease concerning an intraligamentous pregnancy carried to full term, but diagnosed only during operation. Subsequent evaluation of the ultrasonic and cardiotocologic graphs. Constantly rectilinear pressure curves without uterine activities are interpreted as characteristic tocographic criteria of an advanced ectopic gravidity.

Adnexa Uteri↗
PubMed1975

[Influence of hormonal contraceptives upon carbohydrate metabolism in women with abnormal glucose assimilation during previous pregnancy (author's transl)].

Carbohydrate metabolism was examined--by means of the 100-gm-glucose standard tolerance test--in 23 patients showing a decrease in glucose tolerance during pregnancy; the examinations were carried out postpartum and after a three months' intake of a hormonal contraceptive (compound preparation: mestranol 0.1 mg, lynestrenol 1.0 mg). The peak values and the two-hour-values, being statistically significant, showed a normalization after delivery, and furthermore again a deterioration of glucose tolerance during the intake of the preparation. A remarkable increase in weight, as a possible cause for the dysbolism during contraception, was not observed.

Adult↗
PubMedDate not supplied

[Prognostic significance of risk factors in pregnancy. I. Observations of onset and duration of observed pregnancy risks].

In a prospective study 383 from 712 women attending our antenatal clinic were found on examination to have pregnancy risks. These were followed with regard to the time of first occurrence, duration and time of last occurrence, as well as their relation to other risk factors occurring in both history, examination or during labour. The method of delivery, necessity for postpartal intensive pediatric care and the perinatal mortality were considered. Risks included antepartal haemorrhage in the first trimester (median time of onset 11 weeks); in the second trimester: hypotension (20 weeks), cervical incompetence (21 weeks), anaemia (25,5 weeks), premature labour (29 weeks) and uterus size inappropriate to gestational age (34,5 weeks) in the third trimester. Antepartal haemorrhage tends to be episodic (median duration of bleeding one week). The average duration for a cerclage was 16 weeks. The other risk factors were observed to last between 3 and 8 weeks. The onset and duration of risk factors found on examination considered alone do not present a sufficient criterion to enable their gravidity to be judged.

Anemia↗
PubMedDate not supplied

[Prognostic significance of risk factors in pregnancy. II. Risk status at onset of labor].

A group of 383 women with pregnancy risks were screened at the onset of labour. 70% of the EPH-Gestosis, 56% of the urinary tract infections and cervical incompetence, 48% of the anaemias, 38,6% of the premature labour, 11% of the hypotension and 4% of the antepartal haemorrhages were found still to be present at the onset of labour. In those women with EPH-Gestosis at the onset of labour, the risk of cesarean section was markedly higher. When the risks premature contractions and cervical incompetence were recorded, the resulting birth weights were lower and the necessity for intensive paediatric care higher than normal. EPH-Gestosis and urinary tract infections which were still present at the onset of labour were of a longer duration. If the risks premature contractions and cervical incompetence were present at the onset of labour one could imply a shorter period of gestation.

Anemia↗