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Biomedical subjects

M Anderer

Publications and source records attributed to M Anderer.

12 recordsLinked to original sources

[Psychological considerations in the wish for refertilization].

51 women asking for refertilization were evaluated by means of a half-standardized questionnaire before laparoscopy. Special attention was directed towards the psychological situation at the time of sterilisation as well as the reasons for refertilization desired. In addition the Giessen-test was performed as standardized psychological personality inventory. In general, the sterilization was initiated by the women because of social, financial or marital difficulties. In 2/3 of the females sterilization was performed in association with other gynecological or obstetrical procedures. Most of the women did not have any kind of adequate psychological or social counseling. The desire for refertilization was mainly caused by changes in the personal situation. 29 of 51 women reported to have a new partner, 27 of them after divorce or separation, two after the previous partner's death. Ten women reported the loss of a child, however, 12 women desired refertilization without any obvious change in their private situation. In conclusion, it appeared that refertilization was desired and experienced as a real need as well as a result of a conflict in the women's self-understanding expressed by a tendency towards depression.

Adaptation, Psychological↗

[Determination of fetal lung maturity using the Shake Test by Clements and the L/S ratio].

By analysing 214 samples of amniotic fluid from the 9th to 44th week of gestation fetal lung maturity was determined by the shake test (Clements) and by the L/S ratio (Gluck). 20 women had repeated amniocenteses. The results of both tests coincided in 73%. In 90 out of 144 newborns the tests took place within 24 hours before delivery. In these cases lung maturity was predicted exactly in 74% by the L/S ratio and in 46% by the shake test. No child with a test result indicating lung maturity developed a respiratory distress syndrome. On the other hand the lung often was mature with a negative test. These false negative results, the cases with respiratory distress syndrome and the test result in a pregnancy with an anencephalic fetus are discussed.

Amniotic Fluid↗

[A new disposable, self-retaining, single-bladed vaginal speculum (author's transl)].

A new, disposable vaginal speculum has been tested clinically. It consists of a thin, elastic plastic sheet which, rolled into the shape of a narrow tube, can be introduced into the vagina. Due to its inherent elasticity, it unfolds and allows examination of the cervix uteri. Of 507 patients investigated using this disposable speculum, cervical examination could be performed in 96%. In a comparative group of 138 patients using the usual metal speculum of Cusco, cervical examination was possible in 100%. The plastic speculum, developed for use in cancer screening tests, is suitable for routine vaginal examination after a little practice in the introduction technique.

Colposcopes↗

Creatinine, urea and uric acid in amniotic fluid, maternal and umbilical cord blood at delivery.

Amniotic fluid, maternal vein serum and umbilical cord serum were obtained almost simultaneously from 31 women after an uneventful course of pregnancy. Specimens of amniotic fluid contaminated by blood or meconium were excluded. Creatinine, urea and uric acid were measured by autoanalyser techniques. The concentrations of creatinine, urea and uric acid in amniotic fluid were significantly higher when compared with the levels in maternal vein serum or umbilical cord serum. Between maternal and umbilical cord serum there were only small or no differences. The linear correlations of creatinine, urea and uric acid between maternal and umbilical cord serum were greater than those between amniotic fluid and maternal serum of amniotic fluid and cord serum. It is suggested that the high levels of creatinine, urea and uric acid in amniotic fluid are primarily determined by fetal urine.

Amniotic Fluid↗