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Biomedical subjects

M Gillieson

Publications and source records attributed to M Gillieson.

6 recordsLinked to original sources

The lost IUD.

Ultrasonic B-scanning is a convenient method of confirming the presence of an IUD within the endometrial cavity. The acoustic properties of each device from normal uterine tissue are demonstrated according to the particular type of device used. These produce easily recognizable patterns. The value of ultrasonic scanning the the event of malposition, expulsion, perforation, and unplanned pregnancy with an IUD in situ are discussed. Ultrasonic scanning is a safe, noninvasive method of locating an IUD within the uterine cavity and thereby assessing correct placement. Difficulties encountered in localization of the IUD within the uterine cavity are also discussed. Methods of management of a misplaced IUD are further presented.

Contraception↗

Placental site, parity, and date of quickening.

The influence of placental site and parity on the date of quickening was studied in 112 gravidas. With placental site on the anterior uterine wall, quickening occurred at a mean gestational age of 19 weeks in primigravidas, and 17 weeks, five days in multiparas. With placental site on the posterior uterine wall, quickening occurred at a mean gestational age of 18 weeks in primigravidas, and 16 weeks, one day in multiparas. It is concluded that placental site influences quickening independent of parity and that it is a major factor in determining the stage at which fetal movements are first felt.

Female↗

Myomas of the uterus in pregnancy: ultrasonographic follow-up.

A review was made of the medical records of pregnant patients who had myomas that were documented by ultrasonographic studies. Only 42% of the myomas were diagnosed by physical examination. In most instances the clinical diagnosis was made when the neoplasm was large. However, when the myoma was 3 cm to 5 cm in diameter, the rate of detection on physical examination was only 12.5%. The relationship between the location of the myomas and the placental site emerged as a significant prognostic clue to the outcome of the pregnancy. Ten of 13 patients in whom there was contact between the two presented with complications of pregnancy, mainly antepartum bleeding and premature rupture of membranes. A prospective study is currently in progress.

Adult↗