Fractured long bones in a term infant delivered by cesarian section.

A term infant was delivered uneventfully by repeat Cesarian section. At the age of 1 week there was clinical and radiographic evidence of fractures of the left tibia and right radius. The fractures most likely occurred during the cesarian section. Birth trauma should not be excluded on the basis of Cesarian section delivery.

[Early insertion of the IUD soon after childbirth]. / L'inserzione precoce dell'I.U.D. subito dopo il parto.

PIP: 400 women from the Outpatient Clinic had 5410 months of experience with the IUD following postpartum insertion. The earlier in the postpartum period that insertion is done, the longer was the menstrual flow and cycle length. The expulsion rate after the 1st IUD insertions was 8.0/100 women-years; following reinsertion, 5.4/100 women-years was the figure. Both have shown higher incidence of expulsion than in the 3rd group where insertion took place 6-8 weeks postpartum. Our results have shown that immediate postpartum insertion of an IUD is impractical and ineffective, a view which concurs with the views of Ishihama and Lippes. In comparison, insertions 6-8 weeks postpartum, when the puerperal period has ended and the uterus has returned to normal size, seems more beneficial. (author's)^ieng

The endometrial bacterial flora following insertion of intrauterine contraceptive device.

Bacteriological cultures of material were collected from the endometrium and cervix of 150 women using the IUD, 75 control women and transfundally from 20 uteri of women who had undergone abdominal hysterectomy. The results show that the IUD does not alter the endometrial flora unless it is left in situ for a period exceeding two years. The transfundal cultures yielded the lowest positive cultures. The relationship of positive culture to the cycle and the period of insertion of IUD is discussed.

Vaginal surgical intervention for a sacro-coccygeal teratoma obstructing labor.

Congenital sacro-coccygeal teratomas are rare tumors and may cause dystocia. The case presented was managed unusually by incisional drainage of the tumor through the vagina in a course of an obstructed labor, though the vaginal delivery resulted in the birth of a live, healthy infant.

Prevention of premature delivery in a unicornuate uterus by cervical cerclage.

A 26-year-old woman had two premature deliveries when 6 months pregnant. Neither produced a living child. A hysterosalpingogram was done, confirming a diagnosis of unicornuate uterus. When the patient became pregnant again, a third and fourth time, cervical cerclage was done in both cases. Pregnancies were terminated by cesarean section because of breech presentation and malformation of the uterus and in each case a healthy living child was delivered. In our view, in order to prevent premature deliveries, when a diagnosis of uterus malformations has been confirmed, a cerclage should be performed.

[The endometrial bacterial flora following insertion of an intrauterine contraceptive device]. / La flore bactérienne endométriale après la pose d'un contraceptif intra-utérin.

Bacteriological cultures of material collected on the cervix uteri and endometrium of 75 controls, 150 women using an intrauterine contraceptive device and 20 women who had undergone abdominal hysterectomy, have been studied by the authors. Positive cultures were found in all three groups of women. The difference in percentage of positive cultures in users and non-users of intrauterine contraceptive devices was not significant and this has lead the authors to conclude that the intrauterine contraceptive device does not alter endometrial flora, unless it is left in situ for a period exceeding two years and during the first two weeks of the cycle. In this study, the cultures made on the material collected on hysterectomy specimens of patients that had never used intrauterine contraceptive devices yielded the lowest percentage of positive cultures.