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K D Salzmann

Publications and source records attributed to K D Salzmann.

6 recordsLinked to original sources

The connection between dystocia and dysmenorrhoea.

Eight hundred and eighty women having their first baby were asked whether they had had dysmenorrhoea; 61 per cent had and 39 per cent had not. Eleven per cent of the former had to have forceps, ventouse or caesarean section, compared with twice as many (20.8 per cent) of the latter (p = 0.001). Those with severe dysmenorrhoea had a greater need for operative interference (not statistically significant). I suggest, after 21 years of observation, that the level of prostaglandin activity may be different in these women, and that a history of no dysmenorrhoea or severe dysmenorrhoea might be considered as a risk factor for a complicated delivery.

Dysmenorrhea↗

A labour-saving manoeuvre.

Slow progress in the first stage of labour was treated in 792 mothers by digital dilatation. This manoeuvre is described. Partial dilatation was converted to complete dilatation in 94.4 per cent of all cases, the incidence of success being 90.0 per cent in primiparae and 96.0 per cent in multiparae. Difficulties are described, but serious complications were conspicuously absent.The manoeuvre was helpful with mothers unable to resist premature bearing down, and especially valuable for reducing delay before applying forceps for fetal distress. The early perinatal loss of 20 (in the first 200 cases) was reduced to 3.3 (in the last 599 births) after a change of technique.

Dilatation↗