ABSTRACT
A marked drop in perinatal mortality at St. Louis City Hospital No. 1 (SLCH) from 1974 to 1975 (39.7 vs 20.6 per 1000 births) prompted a detailed analysis of various factors which might have effected the change. Comparisons were also made between SLCH and St. Mary's Health Center (SMHC), a private hospital affiliated with St. Louis University. The significant drop in perinatal mortality at SLCH in 1975 seems to be due to a combination of various factors: 1) improvement in antepartum care, 2) increase use of cesarean sections, and 3) the influence of intrapartum fetal monitoring.
Subject(s)
Fetal Death/epidemiology , Infant Mortality , Abruptio Placentae/complications , Cerebral Hemorrhage/complications , Cesarean Section , Congenital Abnormalities/complications , Delivery, Obstetric , Erythroblastosis, Fetal/complications , Female , Fetal Death/etiology , Fetal Hypoxia/complications , Hospitals, General , Humans , Infant, Newborn , Missouri , Placenta Previa/complications , Pregnancy , Pregnancy Complications, Infectious , Prenatal Care , Umbilical CordABSTRACT
A case of intra-abdominal rupture of bilateral cystic teratomas in the first trimester of pregnancy is reported. Review of the literature revealed 22 cases of intraperitoneal rupture of benign cystic teratoma (1908 to 1971). In all of these cases only one ovary was involved, and the period of gestation was after the first trimester.
Subject(s)
Dermoid Cyst/diagnosis , Ovarian Neoplasms/diagnosis , Pregnancy Complications/diagnosis , Adolescent , Adult , Dermoid Cyst/surgery , Female , Humans , Ovarian Neoplasms/surgery , Pregnancy , Pregnancy Trimester, First , Rupture, Spontaneous/diagnosisABSTRACT
A rare case of uterine inversion immediately following delivery is reported. The uterus was successfully repositioned by a combined abdominal and vaginal approach.
