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Biomedical subjects

O B Rasmussen

Publications and source records attributed to O B Rasmussen.

13 recordsLinked to original sources
PubMed2000

Stratified rates of cesarean sections and spontaneous vaginal deliveries. Data from five labor wards in Denmark--1996.

BACKGROUND: A fundamental point when auditing labor management is to ensure present and stratified process data. METHOD: Stratification of deliveries into ten mutually exclusive groups enabled comparisons of rates of cesarean sections and rates of spontaneous vaginal deliveries between labor wards. RESULTS: Data from five labor wards in Denmark in 1996 were included in the study comprising a total of 11,287 women. The overall cesarean section rates were between 13.2 and 15.2% which was not a significant difference, whereas cesarean section rates in several of the ten groups and the rates of spontaneous vaginal delivery in group 1 and 3 were significantly different between the labor wards. DISCUSSION: The method presented here is simple and can be used as an integrated part of the daily work and quality assurance. We advocate that stratification of the delivering women into ten groups should take place in every labor ward with focus on both the cesarean section rate and the rate of spontaneous vaginal delivery. Stratification provides data for periodical evaluation of the outcome within a department and for comparison between departments with different populations and policy.

Cesarean Section↗
PubMed1996

[Sick leave for pregnant women in the municipality of Fjend 1987-1990].

All of 417 pregnancies in 1987-1990 in a rural community were retrospectively evaluated with emphasis on age, parity, previous spontaneous or induced abortion, occupation during pregnancy and sick leave from work. No difference was found in prevalence of sick leave between the employed women and the unemployed. Thirty-five percent of the women experienced sick leave at some time during pregnancy. The greatest single diagnostic group was pelvic insufficiency, which accounted for 33.5% of all days of sick leave up to the 32nd week of gestation. The incidence of pelvic insufficiency was high: 76 in 1000 deliveries. This may in part be due to a change in diagnostic criteria. Logistic regression analysis revealed that being a multipara was associated with a significantly higher risk of sick leave in the present pregnancy. Furthermore, being employed as a nurse, a shop assistant, a seamstress or a factory worker was associated with a significantly higher risk of sick leave during pregnancy in comparison with employment as a secretary. When investigating relationships between occupational conditions and the outcome of pregnancy, sick leave during pregnancy because of the same conditions may interfere significantly.

Adult↗
PubMed1993

[Psoas abscesses--still a current problem in Denmark].

Two cases of secondary, non-tuberculous psoas abscesses are presented, stressing that psoas abscesses are not restricted to tuberculous diseases of the spine (Pott's disease). In one case, the aetiology was diverticulitis with perforation located to the left colonic flexure. The patient was treated by a two-step operative procedure creating drainage and a primary anastomosis, which in the post-operative course was leaking. The patient died because of recurrent abscess formation and sepsis. The other patient received an aorto-bifemoral prosthesis two years prior to the current hospitalisation, and a bilateral psoas abscess appeared in the presence of this prosthesis. In both cases, the psoas abscesses presented below the inguinal ligament before diagnosis was made and even in the latter case with a delay of several months.

Aged↗
PubMed1993

[Pulmonary edema during terbutaline infusion against threatened premature labor].

A case of pulmonary oedema during tocolytic therapy with terbutaline infusion is reported. Although a cardiogenic cause for this type of pulmonary oedema has never been proven, it is believed that physiologic changes in pregnancy aggravated by beta-2 stimulation together with fluid overload constitute the pathophysiologic background to this serious complication.

Adult↗
PubMed1992

[Total uterine rupture of a cesarean section scar during attempted vaginal delivery under epidural analgesia].

A case of complete uterine rupture and abruptio placentae during an attempt of vaginal delivery under epidural analgesia in a woman with previous caesarean section is described and discussed. When using epidural analgesia for such a patient during vaginal delivery it is imperative that newly developed pain should be ascribed to the uterine scar and the diagnosis of threatening uterine rupture be made immediately.

Abruptio Placentae↗
PubMed1992

[Toxic shock syndrome after Cesarean section].

A case of toxic shock syndrome (TSS) after caesarean section is reported. Strains Staphylococcus aureus (phage type 80/42E/81/83A--mixed type) producing toxic shock syndrome toxin-1 in very great grantities amounts were isolated from the surgical wound. The diagnosis is often difficult in non-menstrual cases in which TSS is not expected.

Adult↗
PubMed1992

Puerperal inversion of the uterus.

Puerperal inversion of the uterus is very rare but dramatic and life-threatening. Prompt treatment is necessary. A case is reported and the literature reviewed.

Adult↗
PubMed1986

Recurrent cerebral embolism in cardiac amyloidosis.

Cardiac involvement is common in systemic amyloidosis. The most frequent cardiovascular manifestations are congestive heart failure and arrhythmias. Embolic complications often occur after the onset of these symptoms. We report a 46-year-old woman with systemic amyloidosis, who sustained two middle cerebral artery strokes and shortly after developed symptoms of cardiac and renal failure with a rapid fatal course. Postmortem findings revealed mural thrombi in the left atrium as the source of embolism to the brain, to the spleen, and to the left kidney. As no evidence of congestive heart failure or arrhythmias was found in the beginning, the mechanism of mural thrombosis was probably an alteration in the thrombogenicity of the endocardium itself.

Amyloidosis↗
PubMed1985

Hypoglycaemic coma in severe primary hypothyroidism.

A 76-year-old woman was admitted to the hospital in comatose condition. Her blood glucose was 1.7 mM. Immediately after intravenous glucose treatment she attained normal consciousness. The diagnosis of severe primary hypothyroidism was subsequently made and no sign of other diseases was detected. After thyroid replacement therapy fasting blood glucose levels rose to normal and no further hypoglycaemic episodes occurred. It is emphasized, that hypoglycaemia may be the direct cause of severely impaired consciousness in hypothyroidism requiring immediate and specific therapy.

Aged↗