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Abortion.

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Abortion, Incomplete↗

Value of ultrasound as a presurgical diagnostic tool in Obstetrics and Gynecology.

Although relatively new, diagnostic ultrasound is an important part of the surgeon's armamentarium in preoperative diagnosis and patient preparation. In the field of gynecology, it is possible to differentiate between solid and cystic tumors, measure the extent of tumors in the pelvis and abdomen, define normal structures in relationship to pathologic changes and diagnose and follow patients with malignant disease. In obstetrics, ultrasound has proved effective in the evaluation of the fetus and detection of obstetric problems such as estimation of fetal weight and gestational age, diagnosis of placenta previa, hydatidiform mole and missed and incomplete abortions.

Ascites↗

Paracervical block in obstetrics and gynecology.

Paracervical block anesthesia in the practice of obstetrics and gynecology is being used more and more often. It is accepted as a simple, safe and effective method. The author and his associates have used it in their private practice in more than three thousand patients. In almost all cases it completely relieves the pain of the first stage of labor, although additional anesthesia must be given for delivery. It is ideal for dilatation and curettage in poor risk patients and in patients with an incomplete abortion.

Anesthesia, Conduction↗

[Cervical pregnancy (case report)].

In a 28-year-old patient, without menstruation for 2 months, curettage was performed on suspicion of an incomplete abortion. Owing to a profuse bleeding, cervical pregnancy was suspected and the patient was at once operated on, abdominal hysterectomy was applied, and cervical pregnancy was confirmed histologically. In the uterine corpus adenomyosis was revealed. This might have aggravated a normal nidation of the ova and contributed to the development of cervical pregnancy.

Adult↗

Hyperbaric exposure during pregnancy in sheep: staged and rapid decompression.

Hyperbaric exposure during pregnancy in sheep: staged and rapid decompression. Undersea Biomed Res 1983; 10(1): 11-15. --Twelve sheep with dated pregnancies were exposed for 20 min to hyperbaric pressure comparable to 165 feet of sea water weekly between the 49th and 133rd days of pregnancy. Six were decompressed in stages and six directly without decompression stops. Those that were decompressed gradually delivered normally at or near term. One lamb was abnormal, but the relationship to pressurization is unclear. Three of those decompressed rapidly aborted dead fetuses, and two others delivered mature, but affected, lambs. Under the conditions of this study staged decompression after repeated hyperbaric exposures protected the fetuses from the destructive effects of rapid decompression. Hyperbaric pressure did not alter gross anatomic development.

Abortion, Incomplete↗

Clinical test for placenta in 300 consecutive menstrual aspirations.

Results of menstrual aspirations in 300 consecutive patients were analyzed. The infection rate (1.4%) and incomplete abortion rate (1.4%) were acceptably low. Results support previous recommendations that pregnancy tests be positive before aspiration, and that it should be restricted to women with 7 or fewer weeks of amenorrhea. A method is described of grossly assessing the aspirate for placenta along with a microscopic method when the gross test is questionable or negative. When hemorrhage occurs 3 to 6 days after aspiration, provided that the placenta was recognized grossly, curettage is usually unnecessary. With bed rest, bleeding subsides in 12 to 24 hours. The placental tests were found to by nearly 100% reliable and their use improves not only the practice of early abortion but also the diagnosis and management of suspected ectopic pregnancy and problematic situations in which tissue is passed vaginally.

Abortion, Induced↗