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10 recordsLinked to original sources
PubMed1988

Anesthesia-related maternal mortality in Michigan, 1972 to 1984.

We reviewed maternal deaths in the state of Michigan occurring from 1972 through 1984. There were 15 maternal deaths in which anesthesia was considered the primary cause and 4 deaths in which anesthesia was a contributory factor. Complications of regional anesthesia were the main cause of death during the early part of the period, whereas the inability to accomplish endotracheal intubation emerged as the principal cause of death in recent years. Eleven of the 15 patients had undergone cesarean section. Obesity was a risk factor in 12 patients, in an equal number of patients the risk factor was the emergent nature of the operation, and hypertensive disease was a risk factor in eight. Thirteen of the 15 deaths occurred in black patients.

Adolescent↗
PubMed1985

The "grand multipara"--is it a problem? A review of 5785 cases.

The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. Having a heterogeneous population, the problem of Grand Multiparity still exists in our country. This study is based on 5785 cases of GM which were treated in our Obstetrical Department during a period of 16 years (1960-1975). We have compared this group to the general obstetrical population in terms of pregnancy and delivery complications. Face and breech presentations as well as transverse lie were twice, brow presentations were three times as frequent in the GM group. Postpartum hemorrhage (P.P.H.) was four times and premature separation of the placenta twice as frequent. Rupture of the uterus was about 20 times more frequent. Forceps delivery and Cesarean section rate were twice, while the vacuum extraction 5-fold more frequent. Though there was no material mortality and perinatal mortality was not higher than in the general population. Even though the percentage of GM in our population has been decreased in the last 10 years, our results suggest that Grand Multiparity is still a high risk obstetrical problem.

Female↗
PubMed1984

Psychosocial stress and its relation to obstetrical complications.

A Greek adaptation of the Schedule of Recent Experience of Holmes and Rahe was employed to study the relationship of psychosocial stress to symptoms during pregnancy, obstetric complications, family planning and breast feeding. An initial experiment with 130 pregnant women in the third trimester indicated that psychosocial stress was not related to education, whether they were from Athens or the provinces, nor age. The second experiment with 103 mothers 3 or 4 days after delivery indicated that high psychosocial stress is related to increased symptom scores during pregnancy and to obstetric complications. Symptoms were not related to obstetric complications, nor were family planning nor breast feeding. Psychosocial stress was also related to family planning and also to whether or not the mother breast fed.

Adaptation, Psychological↗
PubMed2003

[Ultrasound-guided laparoscopic ischemia of uterine leiomyomas].

OBJECTIVE: Implementation of minimally invasive selective ischemization of uterine leiomyomas at fertile age women. DESIGN: Pilot study. SETTINGS: Gynecological institute GynCentrum, Prague. SUBJECT AND METHODS: Ultrasound guided laparoscopic electro-coagulation of myoma's vascular stalk was carried out at consecutive 48 women during June 2000-June 2002. RESULTS: Significant reduction of the original size of the leiomyoma was achieved at 98% of women during 3 months after the surgery. No surgery complications were observed as well as any obstetrical complications at five patients getting pregnant after the procedure. CONCLUSION: In addition to good therapeutic effect this minimally invasive technique brings more rapid recovery, smaller visible incisions and reduced complication, particularly during consequent pregnancy.

Adult↗
PubMed1984

Anal sphincter injury. Management and results of Parks sphincter repair.

The surgical management of a consecutive series of 97 patients with complete division of the anal sphincter musculature is reported. The sphincter damage followed operative, traumatic, or obstetric injury and resulted in frank fecal incontinence or the urgent necessity of a defunctioning colostomy. All patients were treated by delayed sphincter repair using an overlapping technique; in 93 the repair was protected by a temporary defunctioning stoma. There were no deaths. The repair was completely successful in 65 (78%) and partially successful in 11 (13%) of the 83 patients assessed from 4 to 116 months after surgery. Complications occurred in 27 patients but did not usually affect the eventual clinical outcome. Provided there has been no major neurological damage to the sphincter complex, surgical reconstruction can be expected to restore continence in most patients.

Adolescent↗
PubMed1980

Prognostic significance of age in stage I carcinoma of the cervix.

Controversy exists as to the influence of age on the prognosis of patients with carcinoma of the cervix. We present a series of patients with International Federation of Gynecology and Obstetrics (FIGO) stage I squamous cell carcinoma of the cervix, who were treated at a single institution with uniform radiation technics or radical surgery. A multifactorial analysis showed that age above or below 40 was not of prognostic significance after adjusting for race, substage, and treatment. Equal five-year survival was obtained by either radiation therapy or radical surgery. Complications in patients treated with radiation therapy appeared to be more serious than those in the surgical group. Theoretical reasons are advanced to favor surgical management in younger patients.

Adult↗
PubMed2003

[Laparoscopy in the diagnosis and treatment of pathologic lesions of the genitourinary tract].

OBJECTIVE: The objective of this article is retrospective analysis of laparoscopic surgery that were performed from January 2002 to December 2001 in I Ward of Gynaecology and Obstetrics of Gynaecology and Obstetrics Hospital in Warsaw. MATERIAL AND METHOD: 464 laparoscopies that were performed from January 2000 till December 2002 were analysed. Evaluation was made on the basis of: indications for surgery, kind of surgery procedure that was performed, blood loss during surgery, complications and hospitalisation period. RESULTS: The most common indication (39.86%) was non-malignant tumors of cases. Another pathologies of cases: ectopic pregnancy, endometriosis and infertility were respectively 11.21%, 3.02% and 10.34% cases diagnosed before surgery. Many procedures that have been done recently by laparotomy are now performed by laparoscopy, that is: enucleation of a cyst of adnexa, removal of an ectopic pregnancy, hysterectomy. The blood loss during surgery was evaluated on the basis of change of haemoglobin concentration in serum before and after surgery. The average blood loss was 1.2 g%. There were 39 cases of conversion of laparoscopy to laparotomy. The most common reason of conversion (16 cases out of 39) was insufficient hemostasis in the operative area or bleeding in the wound after trocar. We had noted the small amount of infections (4.5%). The average hospitalisation period after laparoscopy was 2.62 days. CONCLUSIONS: Laparoscopic procedures can be widely used in gynaecology, have the small number of complications, short hospitalisation period and allow to avoid the big postoperative wound of abdominal segments.

Female↗
PubMed1996

[Obstetrical hysterectomy. Retrospective study over the past 3 years. General Hospital of Mexico].

A retrospective, observational and analytical study about Obstetric-Hysterectomy on Hospital General of Mexico patients during a period of 3 years of study. The mean objective was to analyze the Hysterectomy in the pregnant puerperal stage (Obstetric-Hysterectomy), during the resolution of the problems that the pregnancy, delivery and puerperium determinate, as soon as the association of the complications during the pregnant puerperal stage that condition on the realization of this procedure, so that we can diminish the morbimortality of this procedure. We analyzed the following variables: age, ginecobstetric history, surgery indication, diagnostic omission, surgeons, surgery time, the turn when it was made, reintervention, surgery complications, the use of blood and antibiotics, days at hospital and mortality. We concluded the necessity of a national incidence, to know the most frequent indications and the morbimortality set the example to determine the diminution of the complications, the mortality and know the guides to follow in this procedure.

Adult↗