Corticosteroids in pregnancy and osteonecrosis of the femoral head.
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Biomedical subjects
Publications and source records attributed to N Rafla.
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In a prospective study we proposed to identify the relationship between the level of lupus anticoagulant activity in pre-eclampsia and in growth retardation among 88 pregnant women. In 23 women suffering from severe pre-eclampsia (PET), and 22 women with fetal growth retardation, the mean anticardiolipin binding index was significantly higher than 43 controls (P less than 0.01 and P less than 0.005, respectively). The mean kaolin cephalin clotting time (KCCT) was significantly higher in patients with severe PET than in the control group (P less than 0.05). In intra-uterine growth retardation (IUGR), patients with 610-2452 g infants had significantly higher anticardiolipin binding index than those with 2500-3200 g infants (P less than 0.05). The Caesarean section rate was 46% in the patients with intra-uterine growth retardation (IUGR), 43% in the PET patients, and 2% in the control group.
We present a case of vaginismus in which Cusco's bivalve speculum was used to exclude vaginal and cervical warts and to obtain the first cervical smear for this patient. This procedure has resulted in bilateral vaginal tears and a blood loss of 1,000 ml.
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