Serum bilirubin level in newborn of diabetic and hypertensive mothers

A total number of 140 newborn infants were studied for bilirubin levels. They were divided to forty infants of diabetic mothers [20 oxytocin induced labour and 20 oxytocin augmented], 40 infants of hypertensive mothers [20 oxytocin induced and 20 augmented labours] and 60 controls [20 induced, 20 augmented and 20 with no oxytocin given]. It was found that total and unconjugated bilirubin levels were higher in infants delivered after induction of labour, whether they were diabetic, hypertensive or not, than in infants of non induced labours. Bilirubin levels were also mildly high in infants of augmented diabetics after delivery which was nullified after 24 hours. These results suggest that the increased bilirubin levels are related to induced labours rather than to the medical problem of the mothers, provided that the newborns are of average weight

Effect of some recent analgesics on labour pain and materno-fetal blood cases and pH

This studs attempts to determine the analgesic property of nalbuphine hydrochloride, pentazocine lactate and butorphanol tartarate during labour, and their potential effects on materno-fetal blood gases and pit. The analgesic efficacy of the tested drugs was assessed by Steinhouse scoring systern [1964]. Butorphanol analgesia was superior to either nalbuphine or pentazocine in relieving labour pains. The studied analgesics caused significant maternal respiratory acidosis and fetal metabolic acidosis. These acidotic changes were more marked in the pentazocine, moderate in the nalbupitine and minimal in the butorphanol group

Post-pill ovulation resumption

The return of ovulation after discontinuation of oral contraceptives was studied in 247 pill users. Ovulation resumption was determined by studying the cervical mucus changes at mid cycle and first day endometrial biopsy. Ovulation was resumed in approximately 81 percent and 96 percent at second and fourth months respectively, after cessation of contraceptive pills. By 6 months, 99.5 percent of the pill users had ovulated. The pregnancy rate after 6 months of pill discontinuation was about 27.5 percent. The ovulation and pregnancy resumption, after pill discontinuation, was affected by the age, the duration of pill use. It was not affected by parity