PubMed Health⌕ Search

Biomedical subjects

V H Jongen

Publications and source records attributed to V H Jongen.

14 recordsLinked to original sources
PubMed2000

Vaginal delivery after lung transplantation.

Lung transplantation is accepted as an effective treatment for patients with end-stage pulmonary disease. With gaining experience worldwide and more favorable outcomes after lung transplantation, increasing numbers of pregnancies among lung transplant recipients are expected to occur. Most of the knowledge on the outcome of pregnancies in women with organ allografts is obtained from kidney recipients. However, in the literature few reports exist to support and guide obstetric management regarding outcome of pregnancy and mode of delivery after a preceding lung transplantation (1-4). To our knowledge, we describe the first case of successful spontaneous vaginal delivery near term after a single lung transplantation.

Adult↗
PubMed1999

Comparison of the modified Pereyra procedure using permanent suture material and Burch urethropexy.

OBJECTIVE: To evaluate the results of the modified Pereyra procedure, using permanent suture, and Burch urethropexy. STUDY DESIGN: In 49 women undergoing modified Pereyra procedure and 48 women undergoing Burch urethropexy between January 1990 and January 1996 results were evaluated using questionnaire based outcomes analysis. RESULTS: Follow up of all women undergoing needle suspension and Burch urethropexy showed that patient satisfaction was achieved in 86% and 81% respectively. Complete cure was achieved in 65% and 63% respectively. CONCLUSIONS: Patient satisfaction in both procedures appeared not totally dependent on the presence or absence of complete cure. The study supports the hypothesis that the modified Pereyra needle suspension using permanent suture is well suited for the treatment of uncomplicated stress urinary incontinence, when compared to Burch urethropexy after a follow up of 1 to 6 years. The results support the impression that permanent suture should be used in the modified Pereyra procedure.

Adult↗
PubMed1998

Vaginal delivery after previous caesarean section for failure of second stage of labour.

OBJECTIVE: To determine the outcome of subsequent labour in primiparous women after a caesarean section for delay in descent in the second stage of labour in cephalic presentations with or without trial of instrumental vaginal delivery. DESIGN: Retrospective follow up study. SETTING: Medical Centre Leeuwarden, The Netherlands. PARTICIPANTS: All primiparous parturients who delivered after prior caesarean section during the second stage of labour in the period 19861998. METHODS: Data concerning the outcome of the first subsequent delivery were gathered from delivery notes and patients charts. The group of women was subdivided into those with or without trial of instrumental vaginal delivery during the previous labour. RESULTS: Of 132 women, 29 (22%) underwent a planned repeat caesarean section. Of the 103 women who were allowed a trial of labour, 82 (80%) were successful in having a vaginal delivery, and 21 (20%) had a second caesarean section. Of the 74 women with a failed trial of instrumental delivery during the previous labour, 19 had a planned repeat caesarean section and 41 of the remaining 55 (75%) had a successful trial of labour. CONCLUSIONS: In women with a cephalic presentation who had an arrest of descent in the second stage of labour during their first delivery, the chances of vaginal delivery in their next pregnancy are high, even after a failed instrumented vaginal delivery, and a trial of labour can usually be pursued.

Apgar Score↗
PubMed1997

Complications of cervical cerclage in rural areas.

OBJECTIVE: To determine whether the outcome of pregnancies following cervical cerclage in rural Tanzania justifies its application in remote areas. METHOD: Retrospective review of 16 singleton pregnancies in 13 women, who underwent cervical cerclage in a rural hospital in Tanzania during 1990-1995. RESULTS: Ten (62.5%) live children were born. Seven women (43.8%) delivered after a gestational age of 37 weeks. Severe maternal complications were encountered 5 times (31.3%): 4 severe cervical lacerations and 1 uterine rupture. CONCLUSION: One should be reluctant to apply cervical cerclage in remote rural areas due to the high rate of maternal complications, as patients' delay in reaching the hospital may be considerable in cases of preterm birth.

Adult↗
PubMed1997

Pitfalls in the diagnosis of complete hydatidiform mole with coexistent live fetus.

Complete hydatidiform mole with coexisting live fetus is rare, causing specific difficulties in diagnosis and management. These aspects are illustrated in 2 cases that presented with antepartum haemorrhage. Fetal heart sounds and body parts or uncertainty over the duration of amenorrhoea may delay early diagnosis in the absence of ultrasonography.

Adult↗
PubMed1997

Autotransfusion and ectopic pregnancy: an experience from Tanzania.

Intraoperative autotransfusion was performed in 48 of 90 women with ectopic pregnancy, seen between 1990 and 1995. Autotransfusion was performed more frequently in the presence of hypovolaemic shock and more severe haemoperitoneum. The procedure appeared safe and useful. Contraindications and complications are discussed.

Blood Transfusion, Autologous↗
PubMed1997

Tick-borne relapsing fever and pregnancy outcome in rural Tanzania.

OBJECTIVE: To assess the impact of tick-borne relapsing fever (TBRF) on the outcome of pregnancy. DESIGN: Case control study of 137 pregnant women (cases) and 120 non-pregnant women (controls) with TBRF between 1985 and 1995. SETTING: A rural hospital in Tabora Region, Tanzania. RESULTS: Risk of birth during the attack of TBRF was 58.0%, with an extremely high perinatal mortality of 436 per 1000 births. The total loss of pregnancies including abortions was 475. per 1000. Case-fatality rate in pregnant women was 1.5%, compared to 1.7% in the non-pregnant women. A Jarisch-Herxheimer reaction was seen in 1.5% of the cases and in 1.7% of controls. Relapse rate was 3.6%, compared to 1.7% in non-pregnant women. Pregnant women with TBRF show higher densities of spirochetes than non-pregnant women (p < 0.001). The risk of delivery during the attack was positively correlated to increasing density of the spirochetemia (p < 0.001) and to gestational age (p < 0.001). Perinatal death was related to low birthweight (p < 0.001) and low gestational age (p < 0.001) and not to degree of spirochetemia. CONCLUSIONS: The extremely high perinatal mortality rate during an attack asks for prevention and early effective management of TBRF. This is a challenge where access to health services in rural areas of developing countries is hampered by many factors.

Adult↗
PubMed1995

Alternative external fixation for open fractures of the lower leg.

A locally made cheap external skeletal fixator using wood and its use in seven patients with an open fracture of the lower leg together with soft-tissue injury are described. The application of the external fixator in such fractures is a good example of appropriate technology and facilitates the daily hygienic nursing care of wounds.

Adolescent↗