Relation to the fetal outcome in pregnancy toxaemia to maternal blood levels of uric acid and lactic acid

Plasma uric acid and blood lactic acid levels were measured in 30 full-term delivering primigravidae, they were included in 3 groups [10 cases each] of normal, mild preeclampsia and severe preeclampsia. After their delivery, the fetal birth weight and Apgar-scoring of the fetus after one and ten minutes were determined. It was found that, when the maternal uric and lactic acid increased, the fetal birth weight and the Apgar-scoring were diminished. Thus it could be concluded that plasma uric acid and blood lactic acid levels could be used as an index for the prognosis of fetal outcome in preeclamptic patients

Relation of hyperuricaemia and hyperlactacidaemia in maternal to cord blood in the pre-eclamptic toxaemia

Maternal and cord blood uric and lactic acids were determined in 30 full-term delivering primigravidae, they were included in three groups of 10 cases each [normal pregnancy, mild and severe preeclampsia]. There were hyperuricemia and hyperlactacidemia in maternal and cord blood among toxemic cases with definite relation to its degree. There was no difference between maternal and cord blood uric acid and lactic acid. There was a positive correlation between uric acid and lactic acid levels and the degree of toxemia

Serum levels of some trace elements in normal pregnancy and in preeclamptic toxaemia

Serum levels of copper and zinc were estimated by atomic absorption spectrophotometry in 100 females categorized into three groups namely a non-pregnant control group, a normal pregnant group and a third pregnant group complicated with preeclamptic toxaemia. Hypercupremia was demonstrated during normal pregnancy and a further elevation was found in the preeclamptic group. The hypercupremia of pregnancy may be attributed to the hormonal changes of pregnancy and to mobilization of copper from the maternal tissue. The high serum copper level in the preeclamptic cases may reflect intrinsic degenerative process on the cellular level and to the subclinical hepatic damage in such cases. Plasma volume expansion during pregnancy may explain the low serum zinc level observed during pregnancy in this study

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