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V Zahn

Publications and source records attributed to V Zahn.

38 records · Page 3Linked to original sources

[The Cerviport--a device for the continuous measurement of the dilatation of the ostium uteri during labor].

In the past few years obstetrics has experienced substantial improvements due to the apparatus supervision of the fetus. What remained an unsolved problem was the continuous measuring of the dilatation of the cervix in labor, although various methods have been developed. The forceps given by Richardson et al. 1978 have been further developed by us. These cervical forceps are attached to the cervix at 3 and 9 o'clock. The patulousness of the cervix corresponds to the angular aperture of the forceps and is directly converted into an electric signal by means of a dilatation-measuring strip attached to the branches of the forceps and said signal is continuously recorded by a compensation writer which is synchronized with the cardiotocograph. 110 women between the 34th and the 41st week of pregnancy were examined. In the course of the measurements carried out, the application of the cervical forceps became easier for the obstetrician, because he acquired more and more routine in applying such forceps. The indication for cervical measuring includes delayed labor, premature rupture of the fetal membranes, the fetus letalis ante partum as well as the attempt of a spontaneous partus after a Caesarean section in combination with measuring the intrauterine pressure. Because no increased danger of infection was observed, cervical measuring is considered to be an enrichment in the field of obstetrics. The inconveniences caused to the patient by applying the cervical forceps are by far made good for by the absence of manual examinations. Hence, one can assume that cervical measuring in the case of risk patients during pregnancy constitutes a useful additional measure.

Adult↗

[Circadian rhythm of pregnancy contractions].

Continuous measurement of normal contractions in 57 primiparae and multiparae showed a minimum in the mornings and a marked peaking of frequency between 8:30 PM and 2:00 AM. This could be due to a periodic fluctuation in the parameters influencing uterine motility. At night, motility-enhancing factors such as estrogens and prostaglandins predominate. These results suggest that in cases at high risk for premature delivery, with high pelvic scores, therapy should be continued at night. In addition, the time when the contractions were recorded should be taken into account when assessing their frequency, and the measurement repeated if necessary.

Circadian Rhythm↗