bluuebunny/crossref_metadata_2025_split huggingface dataset:
Laparoscopy on patients with previous lower abdominal surgery: A new technique
Authors: Serour G.I. , Kandil O. , Askalani H. , Younis N. , Hefnawi F. 
Published: April 2004

AbstractDuring the period June 1979–May 1981, 1582 diagnostic and operative laparoscopic procedures were performed at Al‐Azhar University Endoscopy Unit and during field visits to several hospitals in Egypt, Sudan and Mauritania. Ninety‐nine of these had had previous lower abdominal surgery. Laparoscopy was performed on 93 of these patients using a modified technique of laparoscopy. The modified technique involves direct visualization of the previous peritoneal scar with the scope before its careful puncturing with the trocar and cannula. The paper describes the technique, findings, complications, limitations of the procedure and its application.
Simultaneous pregnancy in each cavity of a double uterus. A case report
Authors: Hochner‐Celnikier D. , Yagel S. , Beller U. , Milwidsky A. 
Published: April 2004

AbstractA case of twin pregnancy in an anovulatory woman with uterus didelphys who conceived after ovulation induction is described. The management and possible complications of such cases are discussed.
Preliminary report on a postpartum CuT 200 study, Santiago, Chile
Authors: Lavin Pablo , Waszak Cynthia , Bravo Carmen 
Published: April 2004

AbstractAn analysis is presented of a study of the Copper‐T 200 (CuT 200) intrauterine device at the Barros Luco Hospital in Santiago, Chile. The devices were inserted in 1142 postpartum patients. The expulsion rate was high, 32.1% at 3 months. Of the 372 women who expelled devices, 349 received a replacement CuT 200. The expulsion rate for these reinsertions was 7.7% at 12 months with a continuation rate of 86.4%
Fetal tachycardia and meconium staining: A sign of fetal infection
Authors: Blot P. , Milliez J. , Breart G. , Vige P. , Nessmann C. , Onufryk J.P. , Dendrinos S. , Sureau C. 
Published: April 2004

AbstractA retrospective study was carried out on 72 liveborn babies in whom perinatal infection was suspected. Twenty‐nine of the 72 neonates were effectively infected. Analysis of intrapartum FHR recordings showed that tachycardia (base line FHR above 160 beats/min) during labor, occurred more often among infected babies (P < 0.001). When fetal tachycardia is associated with meconium stained amniotic fluid (MSAF), the relative risk of fetal infection is 51 times as great as in babies without MSAF. Fetal tachycardia is not related to maternal fever nor to prematurity. It is not a sign of limited placental or amniotic fluid infection, but implies infection of the fetus itself. Since most infected babies displayed infectious diarrhea immediately at birth, it is suggested that MSAF may eventually be due to antenatal intestinal infection and intrauterine emission of infected stools. Although great caution is advocated for the management of labor in the presence of fetal tachycardia, MSAF should not be always regarded as a sign of acute fetal distress when antenatal infection of the fetus is suspected.
Velamentous insertion of the umbilical cord and vasa previa
Authors: Paavonen J. , Jouttunpää K. , Kangasluoma P. , Aro P. , Heinonen P.K. 
Published: April 2004

AbstractWe report 31 cases with velamentous insertion of the umbilical cord of whom two had coexistent vasa previa. The prevalence of the former was 0.22% and of the latter 0.014%. Perinatal mortality was low, 3.2%, but there was a high rate of complications during pregnancy, such as threatened abortion, antepartum and intrapartum bleeding, premature delivery and fetal distress. Fifteen patients underwent caesarean section. Four of the term infants were small for gestational age. One infant had congenital malformations. The two cases with vasa previa are described in detail. We conclude that velamentous insertion of the umbilical cord should be kept in mind in the differential diagnosis of fetal distress accompanied with antepartum or intrapartum vaginal bleeding.
Clinical and pathologic evaluation of 342 benign ovarian tumors
Authors: Portuondo JoséA. , Gimenez Borja , Rivera JoséM. , Garriga J. , Alegre Alfonso 
Published: April 2004

AbstractA series of 289 patients who were diagnosed with 342 benign ovarian tumors (BOT) at laparotomy have been reviewed. Mean age was 36.7 years (S.D. ± 13.9), mean parity was 1.5 (S.D. ± 1.6); 236 (81.7%) patients had a single unilateral ovarian tumor; 29 (10%) patients had bilateral ovarian tumors. Benign cyst teratoma was diagnosed in 89 (26%) tumors, and it was the most frequent histological type. In eight patients (2.8%) the post‐operative pathologic report was compatible with malignancy, despite the lack of suspicion at laparotomy. Mean maximal diameter of BOT was 9.1 cm, and almost 60% of the mucinous cystoadenomas were larger than 16 cm. Benign cyst teratoma and serous cytoadenoma had a medium size, about 6–10 cm. Lower abdominal‐pelvic pain was the symptom most frequently reported by patients with BOT. Calcifications were most frequently seen in benign cyst teratoma. Tumors of 11–15 cm in size were the tumors most frequently torsioned. Twenty four (8.3%) patients had their surgical operation done during pregnancy; benign cyst teratoma was the tumor most frequently associated with pregnancy.
Clinical evaluation of intramuscular injection of microencapsulated compound megestrol acetate
Authors: Ziyan Han , Ruiqiu Xiao 
Published: April 2004

AbstractA comparative clinical study was undertaken by the Sichuan Cooperative Research Group for Microencapsulated Contraceptives to assess the efficacy of intramuscular microencapsulated egestrol compound as a long‐acting contraceptive and to find the optimal dosage as regards efficacy, side effects and menstrual irregularities. Eight hundred twenty eight women were divided into four groups and injected monthly with four different dosage combinations that consisted of megestrol acetate and estradiol valerate. In all, 5298 dosage cycles were observed. The investigation indicated that microencapsulation effectively prolonged contraceptive effect of the short‐acting agents, reduced the required dosage and lowered the incidence of side effects. A combination of 15 mg megestrol acetate and 5 mg estradiol valerate, as compared to the other three regimens, was found to be clinically most acceptable because of the lower incidence of menstrual irregularities.
Teh Allen Masters syndrome revisited. Successful treatment by laparoscopy
Authors: Glezerman M. 
Published: April 2004

AbstractThe main underlying pathology of the Allen Masters syndrome is based on lacerations of the broad ligament. This sometimes incapacitating disease is expressed by persistent pelvic pain, dyspareunia and menstrual disturbances. Treatment modes employed hitherto consisted of either suturing the peritoneal defect or of hysterectomy. We have treated four patients by simple fulguration of the peritoneal laceration, performed during laparoscopy. Results were excellent. It is suggested that this treatment mode may replace more extensive surgery.
The challenges of vaginal atresia and stenosis: Nigerian experience
Authors: Unuigbe J.A. , Ojobo S. , Oronsaye A.U. 
Published: April 2004

AbstractFrom July 1973 to December 1980, 6942 patients were admitted to the Gynaecology unit of the University of Benin Teaching Hospital, Benin City, Nigeria. Fifty‐nine patients presented with gynatresia (vaginal atresia and stenosis), an incidence of 8.5 1000. The most common causes of this condition were caustic vaginitis, secondary to local herb pessary insertion, and circumcision. The resulting vaginal adhesions were effectively treated surgically by simple adhesiolysis. There was a low incidence of congenital gynatresia. As the large proportion of cases of acquired gynatresia were preventable, improvement in health education should further reduce incidence of this condition in our community.
Fetal heart rate in maternal hypoglycemic coma
Authors: Confino Edmond , Ismajovich Bernardo , David Menachem P. , Gleicher Norbert 
Published: April 2004

AbstractIn pregnancies complicated by diabetes mellitus fetal heart rate (FHR) monitoring is widely utilized to detect early fetal compromise. Never, however, was the fetal heart rate monitored during a maternal hypoglycemic coma. Such a case is here presented.
Maternal mortality — a world wide problem
Authors: Högberg Ulf 
Published: April 2004

AbstractDeath during pregnancy and delivery is one of the leading causes of death among women in the developing countries. A review of literature, and a comparison of the decline of the maternal mortality in Sweden, concludes that maternal mortality is a sensitive socioeconomic index of health in the society, but also that this death cause is one of the few that it is really possible to prevent by the impact of medical services — antenatal and delivery care.
The role of obstetric factors in perinatal mortality trends
Authors: Iffy Leslie , Bilenki Irene , Apuzzio Joseph J. , Ganesh Vijaya , Sun Shyan C. , Thomas Hermoine , Erian Makram , Kaminetzky Harold A. 
Published: April 2004

AbstractIn the Perinatal Unit of the New Jersey Medical School, Newark the combined neonatal mortality and stillbirth rates declined from more than 51 per 1000 to less than 17 per 1000 between 1971 and 1983. This change is comparable to the reduction of perinatal mortality rates nationwide since the Second World War. Because the improvement in the fetal and neonatal survival rates occurred in a static population and against well identifiable changes in the structure, equipment, policies and management patterns of the obstetric unit, it was possible to assess the impact of various factors upon perinatal outcome.In the environment of this institution adherence to conservative concepts of obstetric management, avoidance of manipulative and extraction procedures, an increase of the rate of cesarean sections from about 7 to 15% and emphasis upon infection control appeared to be the crucially important factors. Antepartum sonography and fetal stress and non‐stress testing significantly impacted upon the results. The role of intrapartum electronic monitoring was less clearly definable and seemed to be effective only in the hands of experienced physicians. The results did not seem to be adversely affected by the fact that the program de‐emphasized invasive procedures, including fetal scalp pH sampling.
In‐hospital maternal mortality risk by cesarean and vaginal deliveries in two less developed countries—a descriptive study
Authors: Chi I‐Cheng , Whatley Anne , Wilkens Lynne , Potts Malcolm 
Published: April 2004

AbstractCesarean deliveries are increasing in both developed countries and less developed countries (LDCs). Recent studies in the U.S. have revealed a significantly higher mortality risk for women who delivered abdominally than for those who delivered vaginally, even when the effect of the conditions which necessitated cesarean delivery was taken into account. We chose for study from an international maternity monitoring network, five centers from two LDCs that reported an in‐hospital maternal mortality rate (MMR) of around 10 per 1000 parturient women. The pooled data revealed an MMR of 5.1 per 1000 women with vaginal deliveries. For women with cesarean delivery, the total MMR was 36.2 and the MMR attributable to cesarean section was estimated to be 12.8; both rates were per 1000 procedures. The leading cause of death was eclampsia for the vaginal deliveries and sepsis for the cesarean deliveries. The risk of maternal mortality inherent with the cesarean section procedure per se (not counting the risk associated with the labor and delivery complications that necessitated cesarean section) as well as the practical avoidability of maternal deaths for either mode of delivery in these LDC hospitals are discussed.
Indications and results of metroplasty in uterine malformations
Authors: Kessler I. , Lancet M. , Appelman Z. , Borenstein R. 
Published: April 2004

AbstractDuring 14 years, 430 women with some type of congenital uterine malformation were discovered by different methods, with a rate of 1 in 137 deliveries. In only 17 was metroplasty indicated, because of very poor reproductive performance; out of 42 desired pregnancies, only 14.3% live births resulted. The abortion rate was 65.2%, and there were 13% premature deliveries. The operations performed included the Strassmann type in 13, the Tompkins technique in three and the Jones operation in one. After the metroplasty, out of 27 completed pregnancies the rate of abortions fell in 14.8% (P<0.00003) and the rate of live births rose to 85.2% (P< 0.00003). There is no doubt that when the indication for metroplasty is strictly imposed, the staff is well versed in the different types of operations and the treatment is done in a center which has acquired competence, the improvement in reproductive performance can be quite impressive.
Prognostic value of a malignancy grading system in treatment of recurrent cervical carcinoma
Authors: Sorbe B. , Lannes P. 
Published: April 2004

AbstractA malignancy grading system (MGS) comprising 8 histopathological parameters has been used to evaluate the response rate and prognosis for patients receiving chemotherapy for recurrent cervical carcinoma. Seventy‐two women were treated with an adriamycin‐cyclophosamide‐vincristine (ACO) regimen or bleomycin‐adriamycin‐cisplatin (BAD) regimen. The mean value in the MGS was 16.7 for the primary tumors and 17.4 for the recurrences. Correlations between the individual parameters of the MGS when used on the primary tumors and on the recurrences were low. Only parameters 7 (vascular invasion) and 8 (lymphocytic response) were significantly higher in the recurrences.Responders had significantly longer survival than non‐responders (P < 0.001), but the two groups did not differ regarding the malignancy scores for the 8 individual parameters nor for the MGS sums.There was no correlation between the malignancy scores and survival in this selected series of recurrent cervical carcinomas.
Transient painful osteoporosis of the hip in pregnancy
Authors: Lose Gunnar , Lindholm Per 
Published: April 2004

AbstractA 35‐year‐old paitent is presented with transient painful osteoporosis of the hip during the last trimester of pregnancy. This syndrome, which was first described in 1959, is characterized by mechanical pain in one or both hips and profund osteoporosis occurring shortly before or during the third trimester of pregnancy. The clinical course is spontaneous recovery within a few weeks to several months postpartum. There seem to be no specific laboratory findings. The treatment is symptomatic including bedrest.Awareness of this syndrome should help to state the right diagnosis, to choose a proper treatment and to obviate unnecessary invasive investigations.
beta‐1‐Glycoprotein determination in normal and disturbed pregnancy
Authors: Sterzik K. , Wenske C. , Rossmanith W. , Benz R. 
Published: April 2004

Abstractbeta‐1‐Glycoprotein (SP1) concentration of 170 women with undisturbed pregnancy under 18th week were taken as reference. SP1 levels of 72 patients with threatening abortion but favorable outcome were compared with those of 70 patients with threatening abortion and subsequent miscarriage. Decreased SP1 levels were determined in most (88%) patients who aborted, whereas 88.8% of patients with favorable outcome had SP1 levels within normal range. The predictive value of SP1 determination in early pregnancies is emphasized.
The impact of early medical technology on maternal mortality in late 19th century Sweden
Authors: Högberg U. , Wall S. , Broström G. 
Published: April 2004

AbstractThe prevention of fatal complications of childbirth is a priority of health care in the developing countries. This historical study of maternal deaths in Sweden analyses the decline in mortality between 1751–1900 and during this years maternal mortality was reduced by 76% whereas the female mortality dropped only by 33% The decline was especially pronounced during the period 1861–1900, when maternal mortality declined from 567 to 227 per 100,000 live births. The potential impact of medical technology was analysed by epidemiological methods for the period 1861–1900. The introduction of antiseptic technique was estimated to reduce septic maternal mortality 25‐fold in lying‐in hospitals and 2.7‐fold in rural home deliveries, implying that 49% of the septic maternal deaths were thus “prevented”. In addition, licensed midwives assisting at home deliveries were estimated to reduce non‐septic mortality 5‐fold, thus “preventing” 46% of the non‐septic maternal deaths. This could be one explanation why Sweden had a lower maternal mortality than the U.S. and the U.K. in the beginning of the 20th century.
Preliminary experiment with computerized anamnesis in gynecology and reproductive health
Authors: Diaz J. , Miranda O.M.Z. , Faúndes A. , Pinotti J.A. 
Published: April 2004

AbstractThe Hospital of the Faculty of Medical Sciences of the State University of Campinas is implementing an Integrated Health Care Programme, whose objectives are early detection of risk factors of several diseases and the evaluation of the patient's reproductive health at the moment of the first visit to the Hospital.The initial results of this program encouraged us to try to apply it all to our own clientele. The present lack of material resources and qualified manpower leads us to concentrate all our attention on the patient's immediate complaints. This situation indicated to us that the only way to implement the program should be by means of a computerized questionnaire able to detect diseases and risk factors early.This paper presents the preliminary results of the application of computerized questionnaires to evaluate health risks.The authors conclude:

(1) The application of a computerized questionnaire met with very favorable reception by the clientele;
(2) In some segments of the population, the questionnaire can be answered by the patients in direct interaction with the computer;
(3) Programmes which evaluate risk factors need to be carefully revised before being put to use;
(3) The system operates on a relatively low cost basis, which could bring undeniable benefits to primary health care.
Metabolic effects of depot‐medroxyprogesterone acetate in long‐term users: A cross‐sectional study
Authors: Virutamasen P. , Wongsrichanalai C. , Tangkeo P. , Nitichai Y. , Rienprayoon D. 
Published: April 2004

AbstractOral glucose tolerance test and determination of insulin, cholesterol, triglycerides, total bilirubin, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), alkaline phosphatase and cortisol in blood were performed on 57 Thai women who had used depot‐medroxyprogesterone acetate (DMPA) for 5 years or more and 24 healthy non‐DMPA users. Plasma insulin, alkaline phosphatase and morning cortisol levels were significantly higher in the DMPA users than in the non‐users. There were no significant differences for other laboratory tests. The findings suggest some effects of DMPA on carbohydrate metabolism and liver function in long‐term users.
Ripening of the cervix with prostaglandin E2‐gel. A randomized study with a new ready‐to‐use compound of triacetin‐prostaglandin‐E2‐gel
Authors: Kristoffersen M. , Sande H.A. , Sande O.S. 
Published: April 2004

AbstractA randomized study with a group of patients treated with a new ready‐to‐use triacetin‐prostaglandin E2‐gel compared to a non‐treated group was conducted. The gel‐treated group showed a distinct difference in cervical score after 12 h and ten patients were delivered during this period without further inductim attempt compared to none in the control group. There was a significantly lower need for oxytocinstimulation in the treated group (P < 0.0005), but there was no difference in the cesarean section rate or instrumental delivery rate. No side‐effects were seen. This new gel seems effective and safe.
Emergency hysterectomy in obstetric practice: Five year review
Authors: Aboelmagd M.S. , Kasrawi R. , Hathout H. 
Published: April 2004

AbstractFrom January 1980 to December 1984, there were 86 483 deliveries and 25 emergency obstetric hysterectomies at the Maternity Hospital, Kuwait. The indications for hysterectomy were placental disorders (64%), uterine rupture (28%), and extension of the lower uterine scar during cesarean section (8%). The incidence of emergency hysterectomy increased with age and parity. Post‐operative morbidity was higher with subtotal than with total hysterectomy. The commonest post‐operative complication was urinary tract infection. There was one maternal death from consumptive coagulopathy associated with intra‐uterine fetal death.
Plasma fibronectin levels in normal pregnancy and pre‐eclampsia: A preliminary report
Authors: Thurnau G.R. , Morgan M.A. , Brubaker D. , Romine M. , Blackshaw C. , Fishburne J.I. , Fishburne I. 
Published: April 2004

AbstractFibronectin, a major component of the extracellular matrix and basement membranes throughout the body, is thought to maintain the integrity of both the reticulo‐endothelial system and microvasculature. In this study, plasma fibronectin levels were assayed by nephelometry in nine pre‐eclamptic gravid women, nine normotensive gravid women and ten non‐gravid women. The mean plasma fibronectin level (±S.E.M.) in pre‐eclamptic gravidas (1687 ± 101 μg/ml) is significantly higher than that of either normotensive gravidae (1129 ± 99 μg/ml) or non‐gravid women (897 ± 60 μg/ml). Although the mechanism for elevated levels of plasma fibronectin in patients with pre‐eclampsia is not clear, it may serve as an early biochemical marker for this disorder.
Combined intrauterine and extrauterine gestation: A report of case history and review
Authors: Varma T.R. , Patel R.H. 
Published: April 2004

AbstractCombined intrauterine and extrauterine gestation is very rare. There is a higher maternal morbidity and fetal loss, due to delayed or missed diagnosis. We present a patient who was treated for primary infertility with ovulation induction agents, who presented later with combined intra‐ and extra‐uterine gestation with successful outcome following delivery of a healthy male infant at 38 weeks gestation.
Endometriosis in the groin
Authors: Clausen I. , Nielsen K.T. 
Published: April 2004

AbstractRecently we found one case of endometriosis in the extraperitoneal part of the round ligament (EERL). We found 30 cases previously described in the literature. A comparison showed that 90% were right‐sided and often associated with an inguinal hernia. Fertility seemed to be below normal. In four of the cases a laporotomy was done. All had intraperitoneal endometriosis. In cases of EERL and claimed sterility therefore, the presence of intraperitoneal endometriosis should also be considered.
Hepatitis B vaccine in pregnancy: Immunogenicity, safety and transfer of antibodies to infants
Authors: Ayoola E.A. , Johnson A.O.K. 
Published: April 2004

AbstractTo determine the safety and immunogenicity of hepatitis B vaccine in pregnancy, 72 pregnant Nigerians who were negative for markers of hepatitis B virus (HBV) were given two intramuscular doses of vaccine (Heptavax, Merck) in the third trimester. One month after the second dose (at T2), 84% were anti HBs positive. No significant effect was observed in the mothers or their newborns. Passive transfer of anti HBs occurred in 59% of the newborns. The antibodies disappeared rapidly in these infants and by 3 months only 23% had detectable antibodies. No HBsAg carrier status developed in this group. In contrast, the infants born to HbsAg positive mothers had a cummulative rate of HBV events of 20%. It is concluded that HBV vaccine is safe and immunogenic in pregnant females. The passive immunity conferred on the infants is of short duration. Therefore, infants in endemic areas should be vaccinated early, preferably within 3 months of birth. Vaccination of pregnant mothers may provide adequate protection before the child is vaccinated.