Amniotic fluid creatinine in normal and abnormal pregnancy

Creatinine, an important constituent of the amniotic fluid that was recently used in clinical obstetrics to assess the foetal maturity in uterois it was found to increase progressively as pregnancy advances. To study the effect of hypertensive toxaemia of pregnancy on the amniotic fluid creatinine, 135 pregnant patients in their last trimester were included in this work: 35 cases of normal pregnancy and 100 cases of hypertensive toxaemia. All have had abdominal amniocentesis, and the creatinine content was estimated by the Coleman Junior spectrophotometer using the alkaline picrate method of Bonsnes and Tausky

glycoprotein, seromucoid in tumours of the genital tract

A specific glycoprotein, the seromucoid was studied in one hundred and four women. In patients with fibroid uterus it showed a highly significant statistical increase in its mean than that of the control group. In the malignant group of patients its level was more marked than that of fibroid cases. It was shown to be of value in the follow up of malignant cases after treatment

Serum protein-bound fucose in tumours of the genital tract

Serum protein-bound fucose was estimated in one hundred and four women. In patients with fibroid uterus there was a highly statistically significant increase in its level. This increase was more in small-sized than in big-sized fibroid. The malignant group showed a highly statistically significant increase in its level

Serum protein-bound hexose in tumours of the female genital tract

Serum protein-bound hexose was estimated in one hundred and four women. In patients with fibroid uterus no change was detected. A highly statistically significant increase was shown in malignant tumours. This increase was more in late inoperable cases which suggested its use in evaluating the extent of malignancy

Indications and complications of amniocentesis

In a total of 289 cases, amniocentesis was successfully carried out in 98% of the patients. Both abdominal and vaginal routes proved to be easy and safe. The procedure is useful to monitor foetal condition in utero. Minor side effects as sangenous taps or maternal syncope were rate but serious complications as intra-uterine, injection and premature labour were not encountered in this group

New experience with uterine vacuum aspiration

Uterine evacuation by vacuum aspiration was carried out in Shatby Maternity Hospital for 1005 cases of therapeutic, inevitable, incomplete, septic and missed abortion and hydatidiform mole. The operation was performed without anaesthesia in most of the cases. Paracervical block was needed in those cases requiring cervival dilatation by means of "vibrodilator". Curettage was done after vacuum aspiration to delect incomplete evacuation "failure of method". The patients are discharged on the next day