Pethidine and the rate of cervical dilatation

This study comprised 141 cases [87 controls and 54 receiving pethidine], all matched in age, parity, presentation, and mode of delivery. Both controls and the studied cases were divided into two groups: A primigravid and a para 1 group. Pethidine was given only at the outset of active labor, intravenously, in a dose of 100 mg diluted in 10 cc saline. The rate of cervical dilatation was recorded for each patient. The results were evaluated statistically by the Student's test. Rates of cervical dilatation of the pethidine treated group were significantly higher than the control group [P <0.001]. This applied for primigravid [P <0.005] as well as para 1 patients [P <0.002]. It is recommended to give pethidine intravenously during the start of the active phase of labor, more specially in primigravid parturients

anticardiolipin antibodies in pregnancy induced hypertension

Forty preeclamptic patients with variable degrees of severity, were assessed for the presence of anticardiolipin antibodies. This study aimed at correlating the obtained values, with the severity of the disease process, as well as the occurrence of complications [fetal loss and/or eclampsia]. Mild, severe, and noncomplicated cases showed levels that were not statistically different from the control cases. However, the values obtained in cases complicated with fetal loss had unequivocally high anticardiolipin antibody levels. The difference from other noncomplicated and control patients was highly significant [P <0.001]. Thus, it was concluded that anticardiolipin antibody measurement in preeclamptic patients is of value in predicting fetal loss, while its predictive power regarding the course of the disease is unclear

significance of anticardiolipin antibodies in recurrent abortion

The levels of anticardiolipin antibodies were investigated in the sera of 40 women with recurrent spontaneous unexplained abortion, coming for antenatal care. The difference in AC values between patients and control was statistically insignificant. Also, no difference of significance was observed between primary and secondary aborters. However, the incidence of AC positivity rose as the number of abortions increased, a finding of statistical significance [r = 309, P < 02]. Platelet counts tended to be lower in the patients group irrespectively to category, yet without statistical significance. AC positivity was exclusive to the GPL fraction of anticardiolipins. The significance of AC antibodies in recurrent unexplained abortion is further confirmed, with assertion of the importance of GPL over MPL

luteinized unruptured follicle syndrome: a reevaluation

59 women with unexplained infertility [study group], and 15 cases presenting AIH [control group], formed the material for this work. Estrogen, progesterone, and luteinizing hormone were measured from days 12-17 of cycle, along with ultrasound folliculometry, for biochemical and sonographic evidences of ovulation, respectively. The low incidence of luteinized unrupted follicle [LUF] in the study group, and the conception of one of the LUF cases in the control group, makes further assessment of the real role of LUF in unexplained infertility necessary. Furthermore, ultrasonography demonstrated ability to substitute, invasive and expensive hormone assays, for a assessment of the functional integrity of the ovulatory process

benign causes of post menopausal bleeding

A retrospective study of all cases of PMB admitted to the Ob/Gyn. Dept. of Kasr El-Aini Hospital during the period of 1973-1983 was conducted. Thirty-six cases showed different malignant lesions of the female genital tract, while 116 cases proved to have a benign cause of PMB. Benign and malignant causes of PMB were tabulated against the duration of the menopausal period, patient's age and parity; and were tested for statistical significance by the Chi square test. The importance of the patient's characteristics [i.e. age and duration of menopause] is stressed in the evaluation of the condition. The fact that benign causes of PMB are by far more common than the malignant ones should not lead to reluctance or procrastination in the management of the condition