Subject(s)
Heroin Dependence/therapy , Methadone/therapeutic use , Pregnancy Complications/therapy , Contraindications , Counseling , Drug Overdose/therapy , Female , Heroin Dependence/drug therapy , Heroin Dependence/psychology , Humans , Infant, Newborn , Neonatal Abstinence Syndrome/therapy , Pregnancy , Social Support , Substance Withdrawal Syndrome/therapySubject(s)
Life Style , Pregnancy Complications/psychology , Substance-Related Disorders/psychology , Female , Heroin Dependence/psychology , Humans , Labor, Obstetric/psychology , Neurotic Disorders/complications , Personality , Physician-Patient Relations , Postpartum Period/psychology , Pregnancy , Sex Work , Single Person/psychologyABSTRACT
We report on a 22-year old patient with an ectopic ureter ending in the vestibulum of the vagina without genital malformations. Generally, the diagnosis of this anomaly will have already been made in childhood, because of enuresis uretica and therapy-resistant vaginal discharge. The methods of diagnosis leading to this anomaly, which is rare at that age, and the therapeutic requirements are shown.
Subject(s)
Abdominal Pain/etiology , Leukorrhea/etiology , Ureter/abnormalities , Vagina/abnormalities , Adult , Diagnosis, Differential , Enuresis/etiology , Female , Humans , Laparoscopy , Pyelonephritis/etiologyABSTRACT
The influence of maternal participation in a methadone detoxification program as compared to street drug use on intrauterine growth and neonatal morbidity was analysed in 75 newborns. -58 of 75 pregnant addicts joined the methadone program; in 17 women with successful prepartal detoxification, we found a longer course of pregnancy as well as normalized birth weight, head circumference and respiratory status of the neonates. The HIV-status showed no influence on prenatal growth. 63% of all infants developed a neonatal abstinence syndrome; this incidence was lower after maternal participation in the methadone detoxification program: 55 vs. 88%, p less than 0.05. Postnatal respiratory insufficiency occurred more frequently after methadone exposure than after heroin exposure before birth (p less than 0.05).