Subject(s)
Abdominal Pain/etiology , Kidney/abnormalities , Uterus/abnormalities , Vagina/abnormalities , Adolescent , Female , Humans , Vagina/surgeryABSTRACT
A study was undertaken to assess the need for a separate chart of symphysis-fundus measurements for the large Asian population of Bradford. 129 measurements from 47 pregnant Asian patients were compared with 193 measurements from 87 pregnant Caucasian patients. There was insufficient evidence to support the production of a separate chart for the Asian population.
Subject(s)
Cross-Cultural Comparison , Fetal Growth Retardation/diagnosis , Pelvimetry/methods , Asia/ethnology , Birth Weight , England , Female , Gestational Age , Humans , Pregnancy , Pubic Symphysis , Uterus , WalesABSTRACT
In order to determine the most effective regimen for the prevention of infection after elective hysterectomy, 300 patients were randomly assigned to receive three perioperative doses of either amoxycillin-clavulanic acid (1.2 g intravenous) or metronidazole (1 g suppository). Of the 280 patients who were assessable 138 were given amoxycillin-clavulanic acid and 142 received metronidazole; 268 underwent abdominal hysterectomy and 12 had vaginal hysterectomy. Patients in the amoxycillin-clavulanic acid group had significantly less infectious morbidity (13.8%) than those in the metronidazole group (33.1%). There were also statistically significant differences in favour of amoxycillin-clavulanic acid with respect to operative site infection, duration of hospital stay, need for postoperative antimicrobials, and surgery for operative site infection. But for one isolate of Bacteroides fragilis, all pathogens isolated from wound infections in the metronidazole group were aerobes. No anaerobes were isolated from patients in the amoxycillin-clavulanic acid group. The results suggest that prophylaxis for hysterectomy should consist of an agent, or combination of agents, with activity against both aerobic and anaerobic bacteria. Amoxycillin-clavulanic acid fulfils this criterion and appears to be effective and safe.
Subject(s)
Amoxicillin/therapeutic use , Clavulanic Acids/therapeutic use , Hysterectomy , Metronidazole/therapeutic use , Premedication , Surgical Wound Infection/prevention & control , Adult , Aged , Aged, 80 and over , Amoxicillin-Potassium Clavulanate Combination , Clinical Trials as Topic , Drug Combinations/therapeutic use , Female , Humans , Middle Aged , Prospective Studies , Random Allocation , Surgical Wound Infection/microbiologySubject(s)
Ovary/anatomy & histology , Ovulation , Ultrasonography/methods , Adult , Cervix Mucus/physiology , Female , Humans , Ovulation Detection/methodsABSTRACT
Umbilical cord vein and artery blood samples were taken at birth from 26 cases of breech presentation delivered vaginally or by caesarean section. All babies were full term and there were no congenital abnormalities. The blood samples were analysed for pH level and progesterone concentration. The cord artery pH was found to correlate strongly with the cord vein progesterone concentration. The cord vein progesterone correlated strongly with the cord artery concentration, showing fetal abstraction of progesterone.
