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J Delmis

Publications and source records attributed to J Delmis.

20 records · Page 2Linked to original sources

[Treatment of pre-eclampsia and eclampsia].

From 1964 to 1984 (a 21-year period), out of 102.277 deliveries, there were 80 cases (0.8%) of eclampsia and 443 cases (4.3%) of pre-eclampsia. One patient (1.25%) with eclampsia died after delivery. Out of 539 children from mothers with pre-eclampsia and eclampsia, 44 (8.2%) died after birth. The delivery of the greatest number of women with pre-eclampsia and eclampsia was terminated vaginally (81.5% and 77.5% respectively). In the prevention and treatment of convulsions the authors use Diazepam and also the antihypertensive drug Diazoxide, along with the administration of diuretics (Furosemide) if necessary. For the reconstitution of fluid, they apply plasma expanders, electrolyte solutions, and 10% glucose infusions. All patients with eclampsia should be delivered by the vaginal induction of labour or by caesarean section as soon as the convulsions are under control.

Adult↗

[Fetal growth in pregnant women with chronic hypertension].

This study represents a retrospective analysis of pregnancies with chronic arterial hypertension and their outcomes. The aim was to evaluate the influence of arterial hypertension on 101 essential and 109 cases of secondary hypertension in comparison to the control group consisting of 499 normotensive pregnancies. According to the obtained data, 27.7% of the women with chronic hypertension had proteinuria, 61% had bacteriuria and 58.6% had superimposed EPH gestosis. The occurrence of EPH gestosis among the controls was 5.6%, that is significantly less than in the experimental group (X2 = 282.8%; p < 0.001). The outcomes of pregnancies associated with chronic hypertension were: 19% preterm deliveries compared to the controls in which only 9.2% preterm deliveries occurred (X2 = 14.4; p < 0.001). Newborns from pregnancies with essential hypertension were significantly heavier, weighing 3177 +/- 734 g, than those from pregnancies with secondary hypertension, which weighted 2578 +/- 932 g. Perinatal mortality was higher in the study group and significantly higher in the pregnancies with associated secondary hypertension (30.3%) than in pregnancies associated with essential hypertension (15.8%).

Adult↗