ABSTRACT
Cortical blindness without retinal changes is a rare complication in preeclampsia. We report two patients, both of whom developed cortical blindness one and two days post partum. In one of these patients, the blindness occurred following eclamptic seizure. In both patients the total blindness recovered fully after two and three days respectively following treatment for hypertension and cerebral edema. Spasm of small vessels in the occipital cortex is assumed to be the cause of this complication.
Subject(s)
Blindness/etiology , Pre-Eclampsia/complications , Adult , Female , Humans , Postpartum Period , PregnancySubject(s)
Edema/complications , Fetal Diseases/etiology , Tachycardia/etiology , Ascites/etiology , Female , Humans , Pregnancy , UltrasonographySubject(s)
Abnormalities, Drug-Induced/etiology , Animals , Female , History, 16th Century , History, 17th Century , History, 18th Century , History, 19th Century , History, 20th Century , History, Ancient , Humans , Illicit Drugs/adverse effects , Infant, Newborn , Male , Mercury/adverse effects , Pregnancy , Salicylates/adverse effects , Thalidomide/adverse effectsABSTRACT
From 1978 to 1980, 3300 patients had their delivery terms prospectively determined by ultrasonic measuring the first half of pregnancy. - 18.4% had a pregnancy of 281-293 days. Post-terms were found in 1.5%. - Care during pregnancy followed a standardised scheme, beginning on the 281st day. Statistical evaluation of all delivery terms shows an asymmetrical Gaussian distribution. In pregnancies up to 293 days abnormal CTG was found in 7.7%, a prepathological, resp. pathological oxytocin sensitivity test observed in 1.5%. With frequent parallel CTG-checks, amnioscopy is of lesser clinical relevance. Deliveries by forceps or vacuum extraction as well as caesarian sections were not more frequent than in a 280-days-term population. No higher perinatal mortality was observed. - In post-terms meconium was found sub partu in 31.4%. The rate of caesarian sections in post-terms shows an increase to 19.6%, but only to 10.5% in prolonged terms. 1 min. post partum the newborns show a slightly accentuated clinical depression (Apgar 4-6) compared with the control group. However, 5 min. post partum Apgar figures as well as umbilical arterial ph indicate no significant difference. No occurrence of perinatal mortality was registered. With appropriate control (resp. CTG) and management of delivery, higher risks are not to be anticipated for mothers and newborns.
Subject(s)
Pregnancy, Prolonged , Apgar Score , Cesarean Section , Female , Fetal Distress/etiology , Humans , Infant, Newborn , Labor, Induced , Pregnancy , Prospective Studies , Risk , UltrasonographyABSTRACT
The article reports on a controlled, randomized double-blind study by which the effect of intracervically applied Prostaglandin in F2 alpha Gel was examined with regard to the cervix during immature vaginal situation. 124 patients were included in the study. 4 of these had to be dropped because of documentation errors. Age, duration of pregnancy and percentage share of primiparae were approximately equal in both groups. The results show that administration of Prostaglandin Gel via the intracervical route can provoke birth within the next 36 hours in more than 75% of the cases. Only 12.8% of the cases belonged to this category in the control group. Results are somewhat poorer in primiparae. Coarser side effects did not occur in our group, and there is also no higher incidence of surgical deliveries. No negative influence on newborn is to be expected. Results are presented, discussed and compared with those communicated in the available literature.
Subject(s)
Cervix Uteri/drug effects , Labor, Induced/methods , Prostaglandins F, Synthetic/administration & dosage , Adult , Female , Gestational Age , Humans , Pregnancy , Uterine Contraction/drug effectsABSTRACT
Epidemiological data of 338 preterm deliveries (excluding multiple gestations) were compared with the same number of term deliveries. Both groups were matched for age and parity. In one third of the cases only, possible organic factors could be attented to preterm delivery. In the remaining patients the etiology was unknown e.g. "idiopathic". These results confirm the difficulty to identify the patient at risk for preterm delivery, especially in the nullipara.
