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Results for “Obstetric Labor Complications”

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At least 19 recordsLinked to original sources
PubMed1975

The Cape Town obstetric flying squad.

The number and nature of the calls received by the Cape Town Flying Squad Service during 1972 are compared with those received from 1954 to 1960. A threefold increase in the total number of calls received per year is related to a fall from 74% to 30% in calls connected with postpartum complications. Reasons for these changes are suggested.

Delivery, Obstetric↗
PubMed1979

[Results and consequences using Prechtl's concept of optimal conditions. Obstetrical and Postnatal complications (author's transl)].

An extended list of Prechtl's list of optimal obstetric conditions was used to describe the history of 200 newborns, randomly chosen from a defined population born in 1972. Differences between the population from Groningen (Prechtl's) and Tübingen, and different definitions of the items used in the list are discussed. Reduced optimal conditions in the history of the mother effectively reduced the optimal conditions in the newborn aswell. This was particularly so in case of: Preterm deliveries and miscarriages, bleedings in the first trimester, preterm onset of labour, operative deliveries, less than 38 weeks of gestational age, and an Apgar score below 7.

Abortion, Spontaneous↗
PubMed1976

[Influence of abortions and interruptions of pregnancies on subsequent deliveries. II. Course of labor].

In continuation of information about complications in pregnancy the complications of first and second stage of labour were analysed. Preceded abortions and interruptions do not influence the duration of first both stages. Against that we found an increase of rupture of amniotic membrane and laceration of cervix in birth after interruption. The frequency of premature birth is extraordinary increases at I-parae (21%) and II-parae (15%) after interruption. The Apgar-score showed lower values. The causes of these complications were discussed.

Abortion, Induced↗
PubMed1976

Patients at high risk for low-birth-weight delivery.

A retrospective analysis of 8,839 singleton deliveries was undertaken to determine the relationships of maternal age, maternal hemoglobin concentrations, and past obstetric performance to the incidence of low-birth-weight (LBC) delivery. Patients under 19 years of age and patients with hemoglobin values less than 9.0 Gm. per 100 ml. were found to have significantly higher incidences of LBW deliveries. In addition, the incidence of LBW delivery was found to vary in proportion to the number of previous LBW deliveries and inversely with the number of previous term deliveries.

Abortion, Spontaneous↗
PubMed1976

Low serum zinc concentrations in pregnancy, results of investigations and treatment.

Twenty gravidae in whom the serum zinc concentration was less than 11.5 mumol/1 were investigated. Haemoglobin, serum vitamin B-12, serum folate, serum copper, and bone marrow smears were assessed. Thirteen showed haemoglobin concentrations below 110 g/1 and in 7 of them the cause of this anaemia was not found. Histological investigations indicated increased intramedullary cell destruction. Eight women selected at random were referred for further investigation including tests of renal and hepatic function, serum protein analyses, tests of haemolysis, and estimation of zinc and oestriol excretion in urine. The low serum zinc concentrations received no probable explanation other than zinc deficiency. Seven gravidae were treated with 90 mg Zn2+ daily as zinc sulphate by mouth during the latter part of pregnancy. Zinc excretion in urine was low and increased significantly (p less than 0.005) after one week's therapy. The serum zinc also increased (p less than 0.05). Zinc therapy gave no reticulocytosis within 8-12 days. Three women reported spontaneously an improvement in sense of taste. Five of 20 gravidae had dysmature infants. Heavy bleeding occurred at delivery in 6 cases, possibly secondary to impaired uterine contractility. Seven women who received zinc therapy had all normal deliveries, but labour was prolonged in one. No side effects of zinc therapy were noted except for nausea in one case. Further trials of zinc supplementation in larger series of women with low serum zinc concentrations during pregnancy seem to be justified.

Adolescent↗
PubMed1979

[Labor and delivery, fetal and maternal risk following cerclage. A comparative study (author's transl)].

In a comparative study of the course of pregnancy and delivery of 357 patients who delivered live infants between 1966-1976 following cerclage operation were compared to a control group of 380 without cerclage who were matched in age, parity and delivery time to the group under study. The high prematurity rate in the pregnancies preceeding the cerclage of 28.4% decreased following the cerclage to 16.8% (p less than 0.001). The perinatal mortality was reduced from 21.5% to 5.6% (p less than 0.001). This effect was especially achieved by the lower incidence of deliveries of infants with a birth weight of less than 1500 grams (p less than 0.05). The difference to the controls regarding prematurity (8.2%) and perinatal mortality (1.6%) remained significant (p less than 0.001). An increased rate of malformations in the cerclage children was not noticed. The maternal risk is low and consists mainly of a increase of cervical lacerations (4.9%) and problems of wound healing (2.2%). The duration of labor and type of delivery, the type of third stage of labor, and the post-partum course were not different from the control group.

Birth Weight↗
PubMed1975

[The valence of genetics and exogenous factors in epilepsies of childhood (author's transl)].

Exogenous and genetic factors must be taken into consideration in the etiology of epilepsy. Exogenous lesions may arise pre-, peri- or postnatally. The effect of genetics on the etiology has previously been suggested by a markedly increased familial occurrence of epileptic patients with seizures, investigations of twins and the occurrence of attacks in demyelinating diseases and congenital metabolic disorders. A modern method of examination in epileptic patients is the electroencephalographic family investigation. The results obtained in examinations by this method are described.

Adolescent↗
PubMed1975

Cortisol levels in fetal scalp, maternal, and umbilical cord plasma.

The purpose of this study was to investigate cortisol levels in the fetal circulation prior to delivery. Fetal scalp plasma cortisol levels during labor were significantly lower than those in maternal peripheral plasma but significantly higher than those in cord plasma at delivery. Cortisol levels in fetal scalp plasma did not correlate significantly with those in either maternal or cord plasma. The greater cortisol concentrations in fetal scalp plasma relative to those in cord plasma could have been transient increases caused by fetal adrenal response to the stress of the scalp sampling procedure. There was a significant correlation between cortisol levels in maternal and cord plasma, which may mean that a considerable part of the cortisol in the fetal circulation at delivery is of maternal origin.

Apgar Score↗