Subject(s)
Neonatal Nursing/methods , Suction/instrumentation , Extraction, Obstetrical/instrumentation , Female , Humans , Infant, Newborn , Pregnancy , VacuumSubject(s)
Family Planning Services , Population , Social Conditions , Abortion, Legal , Birth Rate , Female , Government , Humans , Minority Groups , Population Control , Population Density , Population Dynamics , Population Growth , Pregnancy , Sex EducationABSTRACT
PIP: The reported incidence of IUD perforation ranges from .05/1000-8.7/1000 insertions and probably occurs at the time of insertion. Perforation is more frequent in cases of extreme antiflexion or retroflexion of the cervical canal and is more likely to occur in the presence of a tight cervical os. In diagnosis it is necessary to distin guish between unnoticed expulsion, ascent of the tail into the cavity, and perforation. Pregnancy may exist in any of these conditions. Biman ual palpation may allow detection of the ectopic IUD. Exploration of the cavity with a uterine sound or electrical amplification is the next step. If the device is still undetected, radiography with a uterine sound in place following the instillation of radioopaque dyes, or following the insertion of a 2nd device, is recommended. Removal of the device may be done by colpotomy, laparotomy, or laparoscopy and may be accompanied by abortion or sterilization. A case report of a 30-year-old nulligravida inserted with a Lippes loop who had a subsequent pregnancy is reported. At the time of therapeutic abortion the IUD was absent from the uterine cavity. X-rays revealed the loop superior to the uterine corpus. Under general anesthesia a laparoscopy was performed and the IUD located lying on the fundus with the nylon tail buried in the myometrium.^ieng
Subject(s)
Foreign Bodies/diagnosis , Intrauterine Devices/adverse effects , Uterus/injuries , Adult , Colposcopy , Female , Humans , Hysterosalpingography , Laparoscopy , LaparotomySubject(s)
Climacteric , Puberty , Uterine Hemorrhage , Adolescent , Child , Contraceptives, Oral/therapeutic use , Curettage , Endocrine System Diseases/complications , Estrogens/therapeutic use , Female , Follicle Stimulating Hormone/metabolism , Humans , Infections/complications , Luteinizing Hormone/metabolism , Menopause , Menstruation , Middle Aged , Neoplasms/complications , Ovulation , Pituitary Gland/metabolism , Progesterone/therapeutic use , Thyroid Diseases/complications , Uterine Diseases/complications , Uterine Hemorrhage/drug therapy , Uterine Hemorrhage/etiology , Uterine Hemorrhage/surgerySubject(s)
Anesthesia, Conduction , Anesthesia, Obstetrical , Genital Diseases, Female/surgery , Female , HumansABSTRACT
Paracervical block anesthesia was used for dilatation and curettage in 37 patients in situations where general anesthesia or sophisticated forms of conduction anesthesia were either unavailable or contraindicated. Ten millilitres of either 1% xylocaine or procaine or 5 ml. of 2% xylocaine was placed into each lateral fornix with a standard 6-inch, 20-gauge needle at a depth of six to 12 millimetres. The block's effect was good in 34 cases and fair in three; there were no failures. No significant complications occurred. The necessity of guarding against and/or being prepared to treat local anesthetic sensitivity is recognized. Paracervical block proved to be a convenient, safe, simple and effective anesthetic technique for dilatation and curettage, including when other anesthetic techniques were contraindicated.
Subject(s)
Anesthesia, Local , Anesthesia, Obstetrical , Cervix Uteri , Curettage , Delayed-Action Preparations , Labor, Obstetric , Female , PregnancyABSTRACT
The efficacy and safety of paracervical block anesthesia were studied in 153 patients in the first stage of labour. Transient decrease in uterine activity was noted in 77 patients. There was no acceleration in cervical dilatation following the block. The duration of action of the block in 80 primiparas was 31 to 120 minutes in 69, and over 120 minutes in five. In the 73 multiparas, 53 of the blocks lasted 31 to 90 minutes, eight from 90 to 120 minutes, and two over 120 minutes. The results were good in 66 primiparas and 54 multiparas. The blocks failed in four primiparas and six multiparas. Twenty-six infants had low Apgar scores, but in none could this be related to the paracervical block. There were no significant fetal or maternal complications.
