Elective cesarean hysterectomy for uterine fibroids.
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Biomedical subjects
Publications and source records attributed to S Ramsewak.
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A 22 year old primigravida with previously undiagnosed congenital complete heart block and a twin gestation is described. Early diagnosis of both problems and cardiac consultation allowed a temporary pacemaker to be inserted early in the third trimester. The patient was delivered by caesarean section at 36 weeks following spontaneous rupture of membranes. Maternal and fetal outcomes were excellent.
The rare condition of strings of a missing intrauterine contraceptive device presenting at the anus is described. Partial removal was achieved via the rectum and this was followed by a normal uncomplicated pregnancy and delivery.
The reproductive performance of primigravidae aged 30 years and over was compared with that of a group of younger primigravidae. Other patients were at greater risk for antepartum complications such as pre-eclampsia and uterine fibroids. Induction of labour was undertaken more frequently, and the Caesarean Section rate was higher but there was no worsening of perinatal mortality.
A postmortem study of the degree of displacement of the tracheal tube was performed on 13 neonates of varying birthweights. There was significant movement of the tube on flexion and extension of the neck, and on opening the infant's mouth. Our findings lend support to certain techniques of tracheal tube placement; the ultimate aim is to position it accurately.
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The mean birth weight in women with the sickle-cell trait (Hb-AS) was less than in a matched population (Hb-AA), and the difference was statistically significant. Ultrasonic fetal biparietal diameter measurements in 30 patients with Hb-AS fell within normal limits, but mean femur lengths were found to be reduced at each gestational period when compared with similar measurements in patients with normal hemoglobin.
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