ABSTRACT
For dystoctic deliveries peridural analgesia with bupivacaine 0.25% was compared with bupivacaine 0.375%, without adrenalin. Shortening of the delivery time in cases of stagnation of dilatation, was obtained with bupivacaine 0.375%: 181 mn in the average instead of 276 mn with bupivacaine 0.25% (p = 0.05). In the case of a cervical spasm, there was release of the contraction with return of a normal dilatation leading to a shorter labour: 188 mn in the average against 340 mn (p = 0.02) with the 0.25% solution. Apgar scores were similar in both series.
Subject(s)
Anesthesia, Epidural , Anesthesia, Obstetrical/methods , Bupivacaine/administration & dosage , Dystocia/therapy , Adult , Apgar Score , Delivery, Obstetric , Drug Combinations , Epinephrine/administration & dosage , Female , Humans , Infant, Newborn , Parity , Pregnancy , Time FactorsABSTRACT
This study describes a 5-year survey of activity in a single institution, and the effects of a change of policy for prevention of preterm birth in twin pregnancies. The results show the advantages and drawbacks from the financial and medical viewpoints.
Subject(s)
Obstetric Labor, Premature/prevention & control , Pregnancy, Multiple , Female , France , Hospitalization/economics , Humans , Infant, Newborn , Intensive Care Units, Neonatal/economics , Obstetric Labor, Premature/economics , Physical Exertion , Pregnancy , Prenatal Care/economics , Risk , TwinsABSTRACT
The best time for twin delivery is at 38 or 39 weeks gestation. Systematic Caesarean section or induction is decided upon during these weeks. Thanks to this policy, the good results formerly obtained have been maintained and an important decrease in emergency. Caesarean sections has been noted thus reducing the risks inherent in this method. However, a randomized trial is necessary to confirm these results.
Subject(s)
Labor, Induced , Labor, Obstetric , Pregnancy, Multiple , Cesarean Section , Female , Gestational Age , Humans , Pregnancy , Pregnancy Trimester, Third , TwinsSubject(s)
Islets of Langerhans/pathology , Sudden Infant Death/etiology , Humans , Hypertrophy , Infant , MaleABSTRACT
Lysozyme content of 47 A.F. collected at different stages of pregnancy has been measured. At the same time creatinine concentrations of 33 of those A.F. have been measured. Lysozyme content increases with the progress of the pregnancy. A similar increase is apparent when lysozyme concentration is correlated with A.F. creatinine.
Subject(s)
Amniotic Fluid/enzymology , Creatinine/analysis , Muramidase/analysis , Pregnancy , Amniotic Fluid/analysis , Anti-Infective Agents/analysis , Female , Gestational Age , HumansABSTRACT
Sexually transmissible diseases affect adolescents as well as the rest of the French population. It is difficult to estimate their frequency from official statistics since not all cases are reported. However, the recrudescence of these diseases is certain, with adolescents representing 10 to 50 0/00 of all cases. These diseases threaten the obstetrical and gynecologic future of adolescents and cost society a great deal of money. In the combat against them, prevention and public education are as important as early screening.
Subject(s)
Adolescent , Sexually Transmitted Diseases/epidemiology , Female , France , Humans , Male , Sexually Transmitted Diseases/transmissionABSTRACT
The number of pregnancies in adolescents is increasing in most countries and represents a public health problem. Teenage pregnancies are in the high-risk group. However, early recognition and correct management make them as safe as those of older women except for two complications which seem to be peculiar to them: toxemia of pregnancy and premature delivery. In addition, a higher frequency of congenital defects of unknown etiology was observed in our study.
Subject(s)
Pregnancy in Adolescence , Adolescent , Birth Weight , Child , Female , France , Humans , Infant, Newborn , Pregnancy , Pregnancy Complications , Socioeconomic FactorsABSTRACT
The fact that 20% of the abortion requests at Antoine-Béclère Maternity Hospital in 1978 came from women under 20 years of age makes it clear that teenagers are insufficiently informed and familiar with contraception and makes it obvious that a change is necessary. The different types of contraception and the conditions of choice and application are briefly described.
Subject(s)
Adolescent , Contraception , Family Planning Services , Adult , Female , France , Health Education , HumansSubject(s)
Hemostatic Techniques , Iliac Artery , Ligation/methods , Cesarean Section , Female , Humans , PregnancyABSTRACT
Preliminary observations fail to indicate a higher risk to the twin babies as a result of labor induction or Cesarian section, so that a systematic clinical trial will now be possible.
Subject(s)
Delivery, Obstetric , Pregnancy, Multiple , Birth Injuries/epidemiology , Cesarean Section , Female , Humans , Infant, Newborn , Labor Presentation , Labor, Induced , Obstetric Labor Complications , Pregnancy , Pregnancy Complications , Risk , TwinsABSTRACT
Early diagnosis and subsequent management of twin pregnancy resulted in a considerable reduction of preterm deliveries (26% vs 61% for late diagnoses).
Subject(s)
Obstetric Labor, Premature/prevention & control , Pregnancy, Multiple , Diagnosis , Female , Humans , Pregnancy , TwinsABSTRACT
In this study of 300 breech deliveries in continuity, the authors after a review of the principal attitudes and of the results of other publications; bring their attitude and their results, by a more detailed analysis of cases and specially the small for date--the preterm deliveries and the breech associated with multiple pregnancy, because these associated risks are the most important. Systematic casarian section must not be systematic on term breechs if obstetrical explorations are normal--in these cases 60 0/0 of trials labor perform well with a minimal morbidity and with mortality no account. In the other hand, in cases where risk increase cesarian section is the best solution.
