Search Results
Results 401 - 450 of 772
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Craig S - - 1996
Listeria monocytogenes has been increasingly recognized as a cause of intrauterine sepsis with associated perinatal wastage. The condition is mostly acquired through dietary intake and appropriate advice should be given to all pregnant women. The most common presentations in pregnancy include premature labour, an influenza-like illness and reduced fetal movements. ...
Benor D J - - 1996
Spiritual healing has been reported anecdotally to be of benefit for most of the ills of mankind. Research in the past few decades amply confirms this assertion. This paper discusses the applications of healing for infertility, pregnancy, labour and delivery. Though healers in the UK are forbidden by law to ...
Vanner T - - 1996
Management of labour carries the responsibility of achieving safe delivery of the mother and baby, while avoiding prolonged labour and fetal distress. This requires close attention to uterine activity, which is particularly important in labours in which contractions are stimulated pharmacologically. Whether labour is induced or augmented for slow progress, ...
Laham N - - 1996
In this study, we quantified interleukin-6 (IL-6) concentrations in amniotic fluid at term and preterm labour, and determined the gestational tissue source of IL-6. In addition, aspects of the regulatory mechanisms involved in IL-6 release at the time of term labour and in response to bacterial endotoxin, lipopolysaccharide (LPS), have ...
Low J A - - 1996
Dr Bailey, Director of the National Institute of Neurological Diseases and Blindness, Bethesda, Maryland, introduced the 1956 symposium on 'Neurological and psychological deficits of asphyxia neonatorum' by saying. 'Medical research in regard to cerebral palsy and other neurological disabilities has been relatively neglected. For a truly comprehensive attack on this ...
Hamilton R J - - 1996
NIRS as a technique for intrapartum fetal monitoring is at present only able to be used as an investigative research tool. We feel that it has enormous potential to give access to previously inaccessible information about fetal cerebral haemodynamic and oxygenation changes in labour. The major limitations at present are ...
Trautman M S - - 1996
Using reverse transcriptase-polymerase chain reaction we have established that mRNAs for prostaglandin H synthases 1 and 2 (PGHS-1 and PGHS-2) are present in amnion, chorion and decidua from women both at term before and after the onset of labour and from women at 28-35 weeks of gestation before the onset ...
Lavin J - - 1996
Birth attendants must keep up to date with the recommendations made in good clinical studies, and incorporate these into their practice. There is no justification for routine, liberal use of episiotomy, and when performed it must be a mediolateral incision, not midline. The indications for episiotomy are fetal distress, prolonged ...
Dobbelaere A A Department of Obstetrics and Gynaecology, Kalafong - - 1996
To determine the potential for preventing the delivery and perinatal mortality of low-birth-weight (LBW) babies in a black urban population. Cross-sectional descriptive study. All women delivering babies weighing less than 2,500 g at Kalafong Hospital in a 6-month period (December 1991-May 1992). The primary obstetric reason for delivery; whether the ...
Eberle R L - - 1996
The pain associated with labour can be severe. The ideal labour analgesic does not exist and systemic opioids provide little relief. Nausea, vomiting and sedation are common adverse effects of systemic opioids. Paracervical block can relieve only the pain of the first stage of labour. The duration of analgesia obtained ...
Fligelstone L J - - 1996
Urinary tract calculi presenting during pregnancy are rare, with less than 0.1% of pregnancies being associated with stones, the vast majority being asymptomatic and a chance finding. We outline six cases treated over an 8-year period. They presented with combinations of pain, sepsis and obstruction. Intervention was required in four ...
Ozcan T - - 1996
The umbilical vein administration of oxytocin in saline was compared with umbilical vein saline alone and the traditional management of the third stage of labour. Seventy-two women were randomized to 3 groups. Group 1 received intraumbilical 20 IU of oxytocin diluted to 40 mL with saline. Group 2 received intraumbilical ...
Wong M H - - 1996
Although it is well established that the formation of eicosanoids by ovine intrauterine tissues increases during pregnancy and at the time of labour, the biochemical mechanisms involved remain to be clearly established. In this study, we tested the hypothesis that the gestational and labour-associated increases in eicosanoid formation are associated ...
Norman J - - 1996
Nitric oxide (NO) is a potent smooth muscle relaxant in blood vessels, the gastrointestinal tract and the respiratory system. Recent evidence has shown that NO has a relaxant (tocolytic) effect on myometrium. NO is produced within the female genital tract during pregnancy, and a reduction in NO synthesis may be ...
Senden I P - - 1996
The management of threatened preterm labour is hampered by an inability to differentiate accurately true from false labour at an early stage. We compared the performance of vaginal assessment, fetal breathing movements and the detection of fetal fibronectin (Ffn) in the prediction of true preterm labour among 25 singleton pregnancies ...
Rezapour M - - 1996
The purpose of this study was to investigate the elemental composition of myometrial cells from term parturient women with normal and dysfunctional labour. Myometrial biopsies were obtained from forty-four term pregnant women undergoing Cesarean section. The patients were categorized according to uterine activity as follows: before labour, normal labour, labour ...
Gülmezoglu A M - - 1996
The objective of this study was to investigate any relationships between maternal and fetal catecholamine levels and clinical labour outcomes. Patients were a subgroup of healthy primigravid women who were enrolled for a randomized controlled trial of labour companionship and who had blood samples for catecholamines at delivery. Norepinephrine, epinephrine ...
MacArthur C - - 1996
Anaesthetic casenotes of 4700 women who had epidural anaesthesia for deliveries between 1978-1985 were examined to look for associations between various epidural characteristics and subsequently reported long-term backache. The data on long-term backache came from a postal questionnaire sent to the women. The only clear predictor of the occurrence of ...
Eddleston J M - - 1996
Ropivacaine is a new aminoamide local anaesthetic. Compared with bupivacaine, ropivacaine possesses a higher threshold for systemic toxicity and a high selectivity for sensory fibres. We have compared prospectively these two agents in a concentration of 0.25% for extradural analgesia in labour. A total of 104 parturients requesting extradural analgesia ...
Fairley C J - - 1995
The physiological changes occurring during pregnancy and labour may reveal or exacerbate the symptoms of hypertrophic obstructive cardiomyopathy (HOCM). We describe the management of labour in a patient with severe HOCM during which esmolol, a short-acting beta adrenergic antagonist, was used together with extradural analgesia and invasive cardiovascular monitoring to ...
van Niekerk A - - 1995
The aim of this article is to establish whether there is anything intrinsically immoral about surrogacy arrangements from the perspective of the surrogate mother herself. Specific attention is paid to the claim that surrogacy is similar to prostitution in that it reduces women's reproductive labour to a form of alienated ...
Katz T - - 1995
The problematic effects of many conventional medications indicated during pregnancy have prompted some women to turn to homoeopathy, as a safe and effective treatment option for pregnancy-related symptoms. Homoeopaths take into account both physical and mental symptoms in case-taking; and use medicines which have been clinically tested on healthy human ...
Parratt J R - - 1995
The contractile pattern of uterine smooth muscle is markedly altered by even modest manipulations of intracellular pH (pHi); an acidification can abolish contractions, while alkalinization increases contractility. As at the end of gestation the uterus changes from being relatively quiescent to highly contractile, we investigated whether pHi changes with pregnancy ...
Gourgoulianis K I - - 1995
The conditions of labour appear to favour the development of pleural effusion. The frequency of postpartum pleural effusion was investigated in this study using thoracic ultrasonography. Thirty one postpartum and 22 healthy nonpregnant women of the same age-group were examined, both supine and seated, via an intercostal approach. Seven of ...
Miyazaki K - - 1995
Adenylyl cyclase activity was studied in human decidua and myometrium in early pregnancy and at term before and after the onset of labour. Decidual basal, prostaglandin-, catecholamine- and forskolin-stimulated adenylyl cyclase activities at term before the onset of labour were significantly lower than those in early pregnancy. After the onset ...
Burrows A - - 1995
A review of the syndrome of amniotic fluid embolism (AFE) was carried out over a 10 year period, 1984-1993, at the Royal Women's Hospital, Brisbane. There were 9 patients with AFE, of whom 2 died--this gave an incidence of fatal AFE of 3.37 per 100,000 pregnancies at the hospital, in ...
McNamara H - - 1995
OBJECTIVE: To find out what happens to fetal arteriolar oxygen saturation during a uterine contraction. DESIGN: Prospective observational study. SETTING: Labour ward, St James's University Hospital, Leeds. SUBJECTS: Eighteen women in normal labour monitored with a fetal scalp surface pulse oximetry sensor, an intrauterine pressure catheter, and a head to ...
Samlaska S - - 1995
Intercostal neuralgia is one of many possible neurological disorders associated with pregnancy. A woman presented in the 34th week of her 4th pregnancy with progressing right-sided pain and hypoesthesia in the ribs, right upper quadrant of the abdomen, and mid-thoracic area of her back. With a clinical diagnosis of pregnancy-related ...
Crawford R A - - 1995
OBJECTIVE: To investigate the association between fetal distress (abnormal cardiotocograph tracing and/or a low fetal pH) and the levels of fetal IGFBP-1. DESIGN: Prospective comparative study. SUBJECTS AND METHODS: Twenty-two women in labour with evidence of fetal distress defined by FIGO criteria and 19 women in uncomplicated labour. The gestation ...
Hirabayashi Y - - 1995
To assess the changes in the curvature of the spinal column in the supine position during pregnancy, we studied seven pregnant (32-37 weeks of pregnancy) and seven non-pregnant women using magnetic resonance imaging. T1-weighted sagittal midline magnetic resonance images of the spinal column were obtained with subjects in the supine ...
Collis R E - - 1995
Epidural analgesia has a well-established role in labour, but has the drawbacks of delayed onset and motor blockade. The combined spinal-epidural technique may overcome these drawbacks. We carried out a randomised observational study to assess maternal satisfaction with the standard and combined techniques among 197 women in labour. For combined ...
Facchinetti F - - 1995
The aim of this study is the evaluation of predictive factors in the onset of labour after pre-induction cervical ripening with prostaglandins. We enrolled 112 consecutive singleton term pregnancies (37-42.3 weeks) with unfavourable cervix and intact membranes, requiring induction of labour because prolonged pregnancy (59%) or maternal/fetal complications (41%). Treatment ...
Scherer R - - 1995
Epidural analgesia is a frequently used method to reduce the pain of child-bearing. Concerns regarding the safety and potential hazards still persist in the medical community. This review intends to examine how epidural analgesia determines the various factors of fetal and neonatal well-being. Placental drug transfer of opiates like morphine, ...
Goeree R - - 1995
OBJECTIVE: To determine the cost-effectiveness of induction of labour versus serial fetal monitoring while awaiting spontaneous labour in postterm pregnancies. DESIGN: Cost-effectiveness and cost-minimization analyses conducted as part of a Canadian multicentre randomized clinical trial. SETTING: Twenty-two Canadian hospitals, of which 19 were teaching hospitals and 3 were community hospitals. ...
Rice G E - - 1995
The aim of this study was to establish the gestational- and labour-associated variation in the relative abundance of prostaglandin synthase-1 (PGHS-1) and prostaglandin synthase-2 (PGHS-2) mRNA in ovine placenta (cotyledons). Cotyledons were collected from non-labouring ewes at 40-145 days of gestation (n = 25) and from ewes in active labour ...
López Bernal A - - 1995
Preterm labour is a major cause of perinatal mortality and morbidity, but its prevention is difficult because most of the available drugs lack uterine selectivity and have potentially serious side-effects for the mother or the foetus. In this article, Andrés López Bernal and colleagues discuss new evidence that shows pregnancy ...
Wasserstrum N - - 1995
Maternal hypothyroidism may be associated with a variety of pregnancy complications. OBJECTIVE: We have evaluated the perinatal consequences of maternal hypothyroidism in early and late gestation. DESIGN: Retrospective study of pregnant women, with quasi-experimental design comparing different subjects. SUBJECTS: Forty-three pregnancies in 42 women with hypothyroidism--either biochemically hypothyroid or with ...
Vos M A - - 1995
It has been well established that antiarrhythmic drugs can also have proarrhythmic effects such as torsade de pointes (TdP) arrhythmias. It was the purpose of this study to create an animal model with a high incidence of reproducible TdP that occurs under clinically relevant circumstances. Experiments were performed in anesthetized ...
Wlodek M E - - 1995
To establish the changes associated with gestational age and labour status in parathyroid hormone-related protein (PTHrP) concentrations in the amniotic fluid, human amniotic fluid was collected from non-labouring and labouring women at < 37 weeks of gestation (preterm) and at term (> or = 37 weeks). PTHrP was assayed by ...
Newbold S - - 1995
The aim of this study was to establish whether the T/QRS ratio of the fetal electrocardiogram (ECG) was influenced by uterine contractions. Data was collected from 55 women during labour using a purpose built computer which also measured background noise. The T/QRS ratio was measured on individual complexes and the ...
Causio F - - 1995
The aim of this study was to analyse the experience of IVF multiple pregnancies, in relation to the maternal morbidity and the neonatal morbidity and mortality. We considered 48 multiple pregnancies: 36 twins (group A), 8 triplets (group B), 2 quadruplets (group C), and 2 quintuplets (group D). The mean ...
Divers M J - - 1995
Our objective was to determine, in an immunohistochemical study, the distribution of cyclo-oxygenase in placental and decidual tissues before and after labour at varying gestations. Subjects were pregnant women undergoing singleton delivery after idiopathic preterm labour at less than 34 weeks' gestation (n = 13); spontaneous term labour at 37-42 ...
Kilarski W M - - 1995
In human myometrium, at various stages of labour and in correlation with the concentration of progesterone and estradiol in maternal blood the formation of gap junctions has been described previously by electron microscopy and laser confocal microscopy of immunohistochemically stained myometrial sections. The present investigation focused on the effect of ...
Groves E R - - 1995
Ebstein's anomaly is an uncommon congenital cardiac defect which is associated with cyanosis and arrhythmias. There have been very few previous reported cases of successful outcome in pregnancy in women with this disorder. We describe the successful analgesic management of an obstetric patient who had been known to have Ebstein's ...
Divers M J - - 1995
The aetiology of idiopathic preterm labour remains obscure. The hypothesis that a stress response induced by low-grade bacterial infection in utero-placental tissues was investigated. Distribution of cognate and inducible isoforms of heat shock proteins (HSP) 70 kD, HSP 60 kD and HSP 90 kD were investigated in an immunohistochemical study ...
Zarcone R - - 1994
The importance of magnesium in pregnancy has been emphasised by several studies. Magnesium is considered a membrane-stabilizing ion and a permeability regulator acting at an intracellular level which intervenes in the oxidative phosphorylation and oxidation reduction processes as well as in enzymatic synthesis and activity. The authors performed a double-blind ...
Gyte G M - - 1994
In their comprehensive review of controlled trials, Prendiville and Elbourne (1989) used the technique of meta-analysis to study the effects, on both mother and baby, of various aspects of third stage management, acknowledging some of the shortcomings of the trials used. This paper questions some of the conclusions which these ...
Carbonne B - - 1994
Arterial oxygen saturation of the fetus during labour (SPO2) measured with a fetal pulse oximeter was compared to the neonatal condition measured by umbilical vein pH and Apgar score. Changes in oxygen saturation (index of desaturation) during the second stage of labour were also compared to neonatal outcome. Fifty-five patients ...
Parsons C - - 1994
Early in pregnancy it is useful to encourage the mother to do some gentle exercise to offset some of the mechanical strain that will arise with postural changes. Manipulation of the lumbar spine and pelvic joints is possible until the sixth month for primigravidae and the fourth or fifth month ...
Gerrits D D - - 1994
In a group of 1272 primiparous women, who delivered spontaneously at the University Hospital of Leiden between 1 January 1988 and 31 December 1991, the relationship between the use of an episiotomy and the professional training of the delivery attendant has been studied, using multiple logistic regression (a random effects ...
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