bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experience with Lippes Loop and Copper‐T intrauterine devices in rural Bangladesh
Authors: Bhatia Shushum 
Published: April 2004

AbstractExperience with IUD use among rural Bangladeshi women within two programmatic efforts demonstrates that the Copper‐T IUD suited the needs of younger, lower‐parity women better than Lippes Loop. The differential performance by the device was especially marked within the program that offered a broad selection of contraceptive methods and occurred mainly because of lower rates of expulsion and lower rates of discontinuation for bleeding and pain among the Copper‐T users. Nevertheless, the easy availability of a wide choice of methods during the second program successfully encouraged dissatisfied IUD discontinuers to try other methods of contraception.
Hydatidiform mole following successful gonadotropin ovulation induction and donor artificial insemination
Authors: Portuondo JoséA. , Camarero María C. , Matia Juan C. , Roldan Manuel J. 
Published: April 2004

AbstractA case of successful gonadotropins ovulation induction and donor artificial insemination (AID) followed by a complication of hydatidiform mole is presented. A review of the published papers related to this topic are commented. The organization of a world registry of AID depending on the World Health Organization is encouraged.
Automatic detection of fetal movement by Doppler ultrasound during non‐stress testing
Authors: Lauersen Niels H. , Hochberg Howard M. 
Published: April 2004

AbstractA new external fetal monitor, using a defocused, wide‐area ultrasound transducer has been devised in order to obtain a more accurate representation of fetal movement during antepartum non‐stress testing. The fetal activity Doppler signal is easily distinguished from the fetal heart Doppler and provides an automatic record of fetal movement which is objective and reproducible. In several clinical tests, this new monitor was found to be more sensitive and reliable than either reports of fetal movement from the mother or from a physician palpating the abdomen. This method of automatic detection of fetal activity can improve the accuracy of the non‐stress test by providing an additional objective criteria.
Serum uric acid levels as an index of fetal prognosis in pregnancies complicated by pre‐existing hypertension and pre‐eclampsia of pregnancy
Authors: Varma Thankam R. 
Published: April 2004

AbstractThe relation of perinatal mortality to plasma‐urate concentration and blood pressure was studied in 200 patients with pre‐existing hypertension and 200 patients with pre‐eclampsia of pregnancy. Perinatal mortality was markedly increased when maternal plasma‐urate concentrations were raised, generally in association with severe pre‐eclampsia of early onset or superimposed on pre‐existing hypertension. Maternal hypertension, even severe, without hyperuricemia was associated with good prognosis for the fetus. When there was hyperuricemia, the prognosis for the fetus was poor irrespective of the level of blood pressure. Pre‐eclampsia of pregnancy was associated with high perinatal mortality rate when compared with the rate in pre‐existing hypertension. This study suggests that serum urate is a reliable index of fetal welfare when pregnancy is complicated by pre‐eclampsia and pre‐existing hypertension.
Chemotherapy in advanced primary and recurrent cervical carcinoma
Authors: Choo Yew Cheong 
Published: April 2004

AbstractChemotherapy in carcinoma of the cervix continues to be a therapeutic challenge. The diversified treatment programs from one institution and the factors affecting response are analyzed. It is concluded that until more active regimens are available, chemotherapy in advanced and recurrent cervical carcinoma should be confined to patients with good prognostic factors.
Induction of cervical compliance by balloon catheter in late pregnancy
Authors: Semchyshyn Stefan 
Published: April 2004

AbstractBalloon catheter was used for pre‐induction cervical priming and in order to enhance induction of labor in 51 patients. This procedure was found to be a safe and effective adjunct to induction of labor in patients with unripe cervices (mean Bishop score 3.4) with induction of labor to delivery time of 6.5 h.
Malignancy grading and prognosis from a biopsy only in cases of electrocoagulated squamous cell carcinoma of the vulva, stages I and II
Authors: Frankman Olle , Kabulski Zbigniew 
Published: April 2004

AbstractHistologic malignancy grading and prognosis from a biopsy only was retrospectively investigated in 92 cases of stages I and II of cancer of the vulva treated with electrocoagulation. A scoring was made of several histologic variables. The score proved to be a better predictor of survival than any other single factor analysed, including clinical staging. Depth of invasion did not significantly influence survival, thus indicating improper use of “microinvasion”, if defined only by depth of invasion.
The introduction of postpartum intrauterine devices in the People's Republic of China
Authors: Wen Zhou Su , Lin Lung , Laufe Leonard E. , Dixon Beth 
Published: April 2004

AbstractIn China, which has a commitment to family planning and, in particular, to the one‐child family, a postpartum IUD should be widely accepted and could have significant impact on the Chinese family planning program. This report presents the introduction of the Delta T and Delta Loop devices, with 200 immediate postpartum insertions. Fifty‐two deliveries were by cesarean section. The 6‐month expulsion rates were 13.3 and 17.2 for the Delta T and Delta Loop, respectively. There was one pregnancy reported. Analysis suggests that the two devices are suitable for use in the postpartum period for Chinese women.
Termination of second trimester pregnancy with a long‐acting vaginal pessary containing 15‐methyl‐PGF2α methyl ester
Authors:   The World Health Organization
Published: April 2004

AbstractThis report summarizes the results of three studies comprising 1147 second trimester patients admitted to 11 different centres for termination of pregnancy. In the first study, mainly early second trimester patients received one long‐acting vaginal pessary containing 3.0 mg 15‐methyl‐PGF2α methyl ester, in the second study the pessary was randomly compared with intraamniotic administration of 2.5 mg 15‐methyl‐PGF2α in late second trimester patients (after the 15th week of gestation), and in the third study the same type of patients received the long‐acting pessary complemented, if necessary at 24 h, with intramuscular injections of 15‐methyl‐PGF2α (0.2–0.4 mg every third hour) for up to 12 h. The efficacy of the long‐acting pessary was related to the duration of pregnancy. In patients 15 weeks or less pregnant, the frequency of abortion was 81.2% within 30 h; in pregnancies greater than 15 weeks duration the success was 73.3% (P < 0.05). Both vaginal administration of the long‐acting pessary containing 15‐methyl‐PGF2α methyl ester and intraamniotic administration of 15‐methyl‐PGF2α were equally effective during the first 24 h following start of therapy. However, within the next 6 h, the intraamniotic administration was found to be significantly superior, especially in patients with a more advanced pregnancy. To achieve an efficacy comparable to the intrauterine treatment, it was necessary to add intramuscular injections of 15‐methyl‐PGF2α. This combined treatment resulted, however, in an increased frequency of cervical laceration. The results of the present study indicate that a treatment with a long‐acting pessary is useful in second trimester pregnancy up to the 15th week of gestation, when puncture of the amniotic sac is difficult. After the 15th week of pregnancy, intraamniotic administration of 15‐methyl‐PGF2α appears to be a more effective method with less side effects despite the invasive route of administration. The long‐acting pessary in conjunction with intramuscular supplement is equally effective if appropriately given.
Variant of pseudo‐Meig's syndrome
Authors: Koutras A. , Fisher S. 
Published: April 2004

AbstractA variant of pseudo‐Meig's syndrome is reported in an 8‐year‐old female patient. The unusual presentation of this new variant (persistent bronchorrhea and absence of hydrothorax) is emphasized. Meig's and pseudo‐Meig's syndromes are discussed with emphasis on the new variant of pseudo‐Meig's syndrome. Attention is directed at the pathophysiologic mechanism and the early surgical intervention to avoid further complications.
Clinicopathologic study of breast carcinoma occurring during pregnancy and lactation
Authors: Aghadiuno P.U. , Ibeziako P.A. 
Published: April 2004

AbstractIn a 16‐year study of 703 cases of female breast carcinomas seen at the University College Hospital, Ibadan, Nigeria, seven cases were found in pregnant women and another seven cases in lactating women. Thus, pregnancy and lactation complicated breast carcinoma about two times per 100 female breast carcinomas. During the same period there were 51,058 deliveries, for a rate of three breast carcinomas per 10,000 deliveries. When women in the most active reproductive age group (20–40 years) were considered, there were 309 cases of female breast carcinomas. Therefore, 5% of women with breast carcinoma in this age group had concurrent pregnancy or lactation. The patients presented late, and the prognosis was generally poor. While the clinical features of inflammatory carcinoma are similar in most countries, the characteristics of some of the histologic types of breast neoplasia encountered in pregnancy and lactation in Nigerian women appear to differ from those reported in most European and American studies.
Level 2 hospital delivery of low birth weight infants 1970–1979
Authors: Mootabar Hamid , Fox Harold E. 
Published: April 2004

AbstractWe have reviewed the outcome for low birth weight infants in a designated Level 2 hospital. In New York City, hospitals are classified as Level 1, Level 2 and Level 3; the latter being the large tertiary center. St. Luke's‐Roosevelt Hospital Center, Roosevelt Division is a Level 2 institution modified by components of Level 3 expertise. The data presented spans 10 years comparing results before (Level 2) and after (Level 2+) upgrading of services. The survival of very low birth weight infants improved as a result of the change and is comparable to the tertiary center. The factors are discussed. It is concluded that an institution can decide on the lowest gestational age and/or birth weight to be managed within its perinatal service.
Congenital cardiac fibroma associated with fetal arrhythmia
Authors: Gonen R. , Degani S. , Samberg I. , Sharf M. , Grishkan A. , Abend M. 
Published: April 2004

AbstractA congenital cardiac fibroma presented itself, antenatally by bursts of extrasystoles which were detected by the cardiotocograph during labor. Congenital cardiac tumors are extremely rare. The symptomatology of such tumors consists mainly of hemodynamic disturbances and various arrhythmias. Most of the reported cases were diagnosed in neonates or infants, usually in autopsies, none were diagnosed in utero. It seems logical to assume that some of the arrhythmias may have been present but not diagnosed antepartum. To the best of our knowledge the association of congenital cardiac tumor and fetal arrhythmia (FA) has not been reported yet.
Induction of labor with vaginal prostaglandin E2 pessaries
Authors: Varma T.R. , Norman Jacqueline , Cowell Lynne 
Published: April 2004

AbstractProstaglandin E2 vaginal pessaries (3 mg) were compared with conventional amniotomy and oxytocin infusion as a method of induction of labor in 160 patients in the study group compared with 160 in the control group. Each group consisted of 100 primigravidae and 60 multigravidae. When the features of labor, delivery and fetal status were analyzed for the study and the control groups, the patients who received PGE2 pessaries had a better outcome. The difference was more significant for those patients with a low Bishop score. Compared with controls, the PGE2‐treated patients had fewer cesarean sections either for failed induction or fetal distress (P < 0.01); the incidence of infants with low Apgar score was significantly less (P < 0.05) and there were fewer postpartum haemorrhages (P < 0.01)
Induction of labor with oral prostaglandin E2 tablets in high‐parity patients
Authors: Rahman M.S. , Rahman J. , Farrag O.A.M. 
Published: April 2004

AbstractLabor was induced with two low‐dose regimens of prostaglandin E2 (PGE2) tablets in 46 high‐parity women at term who had singleton pregnancies with a success rate of 97.8%. Of the successfully induced patients, 42 had vaginal delivery and three were dilivered by cesarean section for cephalopelvic disproportion. There was one failure of induction. Both dose regimens (0.5 mg and 0.75 mg hourly) were equally effective in inducing labor. The pattern of labor and mean induction‐delivery interval of 5.8 h was similar to a comparable group of high‐parity patients with spontaneous labor. It appears from this study that induction of labor with PGE2 tablets is safe in high‐parity patients.
Fetal pulmonary maturity: Relationship between optical density (650 nm) to the lecithin/sphingomyelin ratio and phosphatidylglycerol in amniotic fluid
Authors: Moodley Sangithan , Liu James H. , Cherkis Richard C. , Miller Richard K. , Allen Merritt T. , Whalen Lorraine E. 
Published: April 2004

AbstractAn optical density value ⩾0.15 at A650 nm of amniotic fluid obtained through transabdominal amniocentesis from a high risk obstetrical population, which excluded diabetes mellitus, isoimmunization, and amniotic fluid infection, correlated 98.6% with a mature lecithin to sphingomyelin ratio (L/S) ⩾ 2.0% and 41.6% with the presence of phosphatidylglycerol (PG). The corresponding false positive rates were 1.4% and 16.8%, respectively. In 30 infants delivered within 48 h of testing, A650 nm ⩾0.15 correlated 100% with absence of respiratory distress syndrome. A650 nm is not recommended for Rhesus immunized gestations, diabetic pregnancies and amniotic fluid infection due to a high false positive rate with A650 nm compared to L/S and PG.
Contractile responses of uterine smooth muscle to acetylcholine and marihuana extract
Authors: Murthy N.V.A. , Melville G.N. , Wynter Hugh H. 
Published: April 2004

AbstractMarihuana extract (ME) is known to influence smooth muscle activity. This study was designed to investigate the effect of crude ME on rat uterine muscle and to explain the mechanism of action using antagonists such as atropine, ergometrine and propranolol. The contractions and the electrical activity were recorded on isolated superfused rat uteri. It is speculated that ME by its uterine stimulatory action compromise uterine blood and may affect oxygen/nutrient transfer. The implication of this to the fetus is discussed.
Aerobic urethral flora of women with infertility and gynecologic problems
Authors: Elegbe I.A. , Adefioye A.A. , Elegbe I. 
Published: April 2004

AbstractOne hundred eighty‐five urine specimens were collected from an unselected group of non‐gravid Nigerian women patients attending the infertility and gynaecologic clinics in Ile‐Ife, Nigeria to investigate the aerobic urethral microflora. The specimens revealed that 25.9% of the total collected and processed contained bacteria flora. The most common aerobes isolated were Escherichia coli, P. mirabilis and S. epidermidis, in that order. The study has shown that there are changes in the urethral microflora from one physiologic age group to the other and that colonization of the urethral and urinogenital tract is important in the development of urinary tract infections.
Epidemiologic analysis of fetal death in utero in Singapore
Authors: Tan K.C. , Karim S.M.M. , Ratnam S.S. , Kottegoda S.R. 
Published: April 2004

AbstractRecords on 1777 cases of missed abortion and 1001 cases of intrauterine fetal death in three major maternity hospitals in Singapore between 1976 and 1980 were analyzed. The overall incidence of these two conditions was 10.35 and 5.82 per 1000 births, respectively. During the 5‐year period, the incidence of missed abortion increased consistently, from 8.05 to 12.76 per 1000 births. In contrast, during the same period, the incidence of intrauterine fetal death declined steadily from 6.44 to 4.68 per 1000 births. Missed abortions occurred more frequently in the early part of the year, especially in the months of March, April and May. The incidence of missed abortion and its correlation with possible environmental factors are discussed.
Previous experience of induced abortion as a risk factor for fetal death and preterm delivery
Authors: Park Tai Keun , Strauss Lilo T. , Hogue Carol J. Rowland , Kim Il Soon 
Published: April 2004

AbstractAs part of a community‐based study in Korea to evaluate the effects of previous induced abortion on length of gestation and pregnancy outcome of subsequent pregnancies, we analyzed data obtained from January 1979 to December 1981 on pregnancies reported to family health workers in Kang Hwa Island, Korea. The preterm, live‐birth rates were not significantly associated with previous induced abortion. Overall, the life table‐estimated fetal death rate for women enrolled at the eighth or earlier weeks of gestation was 13.7%, 10.2% for women with no previous induced abortion and 28.9% for women with previous induced abortion. The relative risk for fetal death for women who had undergone a previous abortion was 2.8; relative risk for parous women compared to nulliparous women was 3.4. After controlling for parity, previous induced abortion was not a significant variable for fetal death rate.
Blood viscosity and erythrocyte deformability in gestational diabetes
Authors: Kaibara Manabu , Marumoto Yuriko , Kobayashi Takuro 
Published: April 2004

AbstractHemorheological properties were investigated in 15 gestational diabetics and compared with those in 20 normal pregnant patients at 37 weeks gestation. Whole blood viscosity in gestational diabetes was increased significantly. Erythrocyte deformability measured by a filtration method was decreased significantly in gestational diabetes. A hypothesis that placental hypertrophy observed in gestational diabetes might be produced as a compensatory reaction to hypoxia caused by intervillous microcirculatory disturbance due to the abnormal hemorheology was proposed.
Meperidine and normeperidine metabolism in the rhesus monkey
Authors: Morrison John C. , Douvas Stavros G. , Rhodes Philip G. , Christie Russell J. , Bucovaz Edsel T. , Wiser Winfred L. 
Published: April 2004

AbstractMeperidine and its principle metabolite, normeperidine, were given intravenously to four non‐human primates prior to cesarean delivery in an equivalent dose for human parturients. The status of the infants regarding neonatal depression was assessed at delivery. Repeated blood samples from both the mother and the neonate were obtained over a period of 4 days. The levels of meperidine and normeperidine were analyzed. The results showed that the metabolism of meperidine and normeperidine in the non‐human primate was essentially the same as that observed in the human parturient. In addition, normeperidine appeared to be more toxic than meperidine to the neonate. Finally, there does not appear to be an evidence for neonatal metabolism of meperidine to normeperidine.
Use of in vitro method to predict response of human ovarian carcinoma cells to chemotherapeutic agents
Authors: Buckshee K. , Roy P.K. , Chapekar T.N. 
Published: April 2004

AbstractIn vitro tissue culture and sensitivity tests were carried out on 16 cases of ovarian cancer to select the right anticancer drug(s) on an individual basis. The predictive accuracy of the in vitro drug sensitivity tests were 81.8%. The drug(s) suggested by in vitro tests did not reveal any correlation to the type of ovarian cancer. The drug sensitivity of cells from primary growth was different from that of secondary growth. The in vitro screening test also provided the choice of the next best drug(s), once the tumor had become resistant to a particular drug(s). Thus, the overall prognosis of patients at an advanced stage of malignancy could be improved with the help of in vitro predictive tests.
A misplaced intrauterine device: A case report
Authors: Nguma Monganza , Ntabona Bagalwa C. , Rahma‐Tozin Rachid , Lusanga Nkwey 
Published: April 2004

AbstractA 26‐year‐old woman consulted our Family Planning Unit because she could not locate the thread of her intrauterine device (IUD), which was placed 16 months earlier. Attempts to remove the IUD under fluoroscopy failed. A hysterography showed the IUD to be in the pelvis away from the uterus. At laparotomy, the IUD was found hidden in the omentum and its removal was done by resection of a piece of the omentum. The patient became pregnant three months later and gave birth to a healthy baby at term.
Therapeutic insemination with fresh semen
Authors: Pereira De Carvalho Waldemar Diniz 
Published: April 2004

AbstractInt J Gynaecol Obstet 22: 281–285, 1984 were studied. Every female patient presented normal ovulation, tubal patency and morphologic and functional integrity of her genital tract. Their husbands presented normal spermogram in 45 cases (23.4%), oligospermy in 145 (75.5%) and azoospermy in 2 (0.96%). The number of the inseminations ranged from 1 to 10 series, in each of which a daily trial was attempted, three times every other day in the ovulatory period. The insemination technique included vaginal, intracervical and intra‐uterine deposition of homologous fresh semen. The results expressed in terms of pregnancy achieved rates of 28.12% with 24.07% abortions.
Sexually transmitted diseases and infertility
Authors: Kramer Dorine G. , Brown Stuart T. 
Published: April 2004

AbstractIn the past decade, involuntary childlessness has become a major problem in many areas of the world. At the same time evidence confirms a link between sexually transmitted diseases (STDs) and the burgeoning infertility problem. STDs can adversely affect fertility by three primary mechanisms: (1) pregnancy wastage; (2) neonatal deaths; and (3) obstruction of either male or female reporductive ducts. STD control programs have been effective in preventing sequelae of disease, including infertility. The first step in developing such a program is to identify the magnitude and distribution of the problem, and to identify the specific agents most commonly involved. Subsequently, an STD control program emphasizing the prevention of infertility, can be incorporated into the existing health care system whenever STDs are an important cause of infertility.
Ambulatory removal of cervical polyps under colposcopy
Authors: Abramovici Haim , Bornstein Jacob , Pascal Bruno 
Published: April 2004

AbstractHospitalization, polypectomy, and D&C under general anesthesia, are the usual way to treat a cervical polyp. This article describes a simple, ambulatory way of performing polypectomy under colposcopic vision, with no need for hospitalization and general anesthesia. The paper summarizes our experience with this method in 96 patients. Our conclusion is that this simple procedure spares the patient general anesthesia, D&C, and unnecessary hospitalization with attendant expense.