RESUMO
This is a prospective evaluation of the relationship between the amniotic fluid index (AFI) and perinatal outcome in 55 postdates pregnancies. The gravid abdomen was divided into four quadrants, using real-time ultrasound with a 3.5 mHz transducer, the largest pocket of amniotic fluid in each quandran was measured and their sum totalled to arrive at the amniotic fluid index. AFI in this study ranged from 2.8 cm to 22.6 cm. The mean for 41 weeks was 13.52 ñ 4.6 cm and for 42 weeks, 9.93 ñ 4.37 cm. Oligohydramnios was noted in four patients, AFI less than 5.3 cm. Two of these cases developed intrapartum foetal distress and had caesarean section. All four babies were admitted with meconium aspiration and one died from this complication.
Assuntos
Humanos , Feminino , Gravidez , Gravidez Prolongada , Resultado da Gravidez , Líquido Amniótico , Oligo-Hidrâmnio/complicações , Ultrassonografia Pré-Natal , Idade GestacionalRESUMO
Sixty users of the IUD who complained of abnormal menstural blood loss were evaluated by hysteroscopy, and the findings were compared with a matched group who had this investigation for "missing strings". Submucous fibroids and endometritis were more frequentl in the study group whereas malposition of the IUD was commoner in the controls (p<0.05).
Assuntos
Humanos , Feminino , Doenças Uterinas/diagnóstico , Histeroscopia , Dispositivos Intrauterinos/efeitos adversos , Hemorragia Uterina/diagnóstico , Hemorragia Uterina/etiologiaRESUMO
Nine cases treated by surgery for post-hysterctomy vaginal prolapse are reviewed. The mean time between presentation and the antecedent hysterectomy was 12.8 years. Two patients who had abdominal sacral colpopexy alone developed recurrence of prolapse. Additional culdoplasty and colposuspension improved the cure rate but prolonged the mean operating time. Restoration of vaginal anatomy and function is best achieved with the combination operation.