Maternal / fetal blood gases and PH in anaemic patients during labour

One hundred anaemic women, during labour, with hemoglobin were <10 g/dl, and 20 non-anaemic cases of the same age and parity groups, with hemoglobin > 10 g/d. This study was conducted in Al-Azhar University Hospitals during a period of 18 month starting from March 2000. The effect of maternal anaemia on the maternal fetal blood gases and pH was studied in two groups. The maternal oxygen concentration of the anaemic cases, showed a statistically significant, compared with the oxygen level of the control group, the decreased oxygen level between the 2 groups was clearly manifest during the second stage of labour. Uterine concentration of the second stage of labour result in a significant increase in the maternal PCO[2], HCOO[3] levels among the anaemic cases compared with the control group. The maternal pH value of the anaemic group showed a non significant increase in comparison with the pH level of the control group. The fetal blood gases and pH [O[2], CO[2], HCO[3]] and pH of the neonates of the mildly anaemic mothers showed no significant change when compared with the values of the control neonates

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

Endometrial picture at removal of copper T devices

The endometrial picture at removal of copper T 200 IUD was studied in 100 cases. Abnormal endometrial pattern was present in 64 percent of cases and was not related to age, parity or duration of device use. Abnormal findings were significantly increased in cases presenting pain, vaginal discharge and symptoms of pelvic inflammatory disease [P<0.01]

Comparative efficiency ibuprofen and ethamsylate in the treatment of IUD menorrhagia

One hundred and fifty women with device menorrhagia were the subject of this study. Cases received either Ibuprofen, etamsylate or combined Ibuprofen etamsylate therapy. The duration of menstrual flow, the daily number of towel usage and the hemoglobin concentration before and after the treatment were taken as criteria for estimation of drug efficacy. The results showed that combined Ibuprofen- etamsylate therapy was superior to either Ibuprofen or etamsylate therapy in treating device-related menorrhagia. Seven case [4.7 percent] reported side effects, which were not serious

use of prophylactic ampicillin with copper T devices insertion

The change in the cervical flora, erythrocytic sedimentation rate and leucocytic count [total and differential] were studied as a criteria to asses the effect of ampicillin as a prophylactic antibiotic against IUD induced infection in thirty women. Insertion of copper T device under prophylactic oral ampicillin therapy in a dosage of 250 mg three times daily for 7 days was not associated with a significant change in the cervical flora pattern in the sedimentation rate or in the leucocytic count. It can be concluded that ampicillin use is effective and safe, and could be useful against possible infections associated with device insertion