PubMed Health⌕ Search

Biomedical subjects

J Babenerd

Publications and source records attributed to J Babenerd.

At least 19 recordsLinked to original sources

[Perforation of the uterus by intrauterine pessaries (author's transl)].

This study presents 4 cases of perforation of the uterus caused by intrauterine devices. The marked complications and frequent difficulty in relocating the I.U.D. are also described. Three devices had to be removed by laparotomy because adhesions made non-invasive removal impossible. In these three cases, the intestine was perforated spontaneously. The last pessary is still within the uterine wall at the present time. To lower the complication rate, intrauterine devices should only be inserted by physicians experienced in gynecological techniques.

Adult↗

[Tubal sterilization with the tupla-clip per laparoscopiam (author's transl)].

This study refers about a newly developed plastic clip which has been used with good results for the past three years in tubal sterilization. By applying this method, heat or thermal injuries are avoided and a greater possibility of refertilization is indicated. This clinical evaluation consists of experimental data of 243 women who underwent sterilization in the local OB/GYN clinics at Fulda and at Bremerhaven. 59 women were sterilized during puerperium, and 184 were sterilized irrespective of pregnancy. As complications, 2 pregnancies were observed, further 3 hematomae within the broad ligament; 11 clips dropped into the free adbominal cavity while 5 clips broke during application. After the initial difficulties, the authors of this study recommend a sterilization with this tubal clip as an alternative to the usual methods of sterilization.

Adult↗

[Prevention of premature delivery with acetylsalicylic acid].

In 52 cases acetylsalicylic acid was used to prevent labor when symptomatic tocolysis with beta-adrenergic substances showed insufficient results. By applying this method, 48 children were carried to full viability. Upon admission, all pregnancies were below 36 weeks of gestation. Upon delivery, 15 were between the 34th und 36th week, and 31 beyond the 36th week of gestation. We succeeded fully in 32 cases, 15 incomplete cases were observed and 5 failures. In addition to tocolysis, therapy with acetylsalicylic acid appears promising in preventing premature delivery.

Adult↗

Pregnancy in a patient with Raynaud's disease.

We report a patient who, at the time of her third pregnancy at the age of 35, had had Raynaud's disease for 18 years. Her first pregnancy (during which she took Marcumar, an anticoagulant) ended in a miscarriage at three months gestation. The second pregnancy ended in fetal death due to placental insufficiency. The third pregnancy was also complicated by placental insufficiency which became evident during the second trimester. The patient was observed carefully and allowed to continue to 37 weeks gestation when a Caesarean section was done for late fetal heart rate decelerations during early labour of spontaneous onset. The baby had a low birth weight but developed normally. The placenta showed certain abnormalities which are described.

Adult↗

[Early and late complications after tubal ligations with the tupla-clip (author's transl)].

Following three years of the use of the tupla-clip we were able to send questionnaires to 115 women. The mean age was 33 years with 2--3 children. 57% of the tubal sterilizations were done for medical reasons, 7% for social reasons and 56% for personal reasons. 15% of the sterilizations were done concommitant to pregnancy. Among 243 tupla-clip sterilizations 2 pregnancies occured as early complications. The 115 women were asked regarding somatic complaints, psychic side effects, and social difficulties. The personal evaluation of this sterilization method was reported as good by 68%, doubtful by 26%, and negative by 6% of the patients. Technically this method of tubal sterilization is secure, fast, and the complication rate is low.

Adolescent↗

[Experience with the tupla-clip for tubal sterilization by laparoscopy (author's transl)].

For the last 18 months a plastic clip made of polyoxymethylene was used for tubal sterilization by laparoscopy. The clip was used in 140 cases. This report reviews 106 cases. One pregnancy occurred early in this series. There were no other complications. The advantages of the method are the short operating time and the elimination of intra-abdominal damage by heat. Reversibility of the method has not yet been assessed.

Adult↗