RESUMO
OBJECTIVE: To determine the predictive factors for genital prolapse. STUDY DESIGN: We studied 85 young (< or = 45 year old) women who had been operated on for genital prolapse. The control group consisted of women of the same age operated on for benign ovarian tumor. RESULTS: In the study group the number of deliveries was higher and the babies were heavier than in the control group. However, the study group had not had more instrumental deliveries. In addition, the women with prolapses more often had operations of abdominal hernias and also had more chronic pulmonary disease, e.g. asthma. The incidence of preterm delivery was the same in the women with genital prolapse as in the controls. Familial incidence of genital prolapse was about 30%. CONCLUSION: Our study confirms that there are both acquired and congenital factors that predispose women to genital prolapse.
Assuntos
Prolapso Uterino/etiologia , Adulto , Fatores Etários , Animais , Peso ao Nascer , Índice de Massa Corporal , Peso Corporal , Estudos de Casos e Controles , Parto Obstétrico , Feminino , Humanos , Obesidade , Neoplasias Ovarianas/cirurgia , Paridade , Inquéritos e Questionários , Prolapso Uterino/cirurgia , Útero/cirurgiaRESUMO
A 31 year old woman in whom subarachnoid and intracerebral haemorrhage occurred during the second trimester of pregnancy was sustained in intensive care with a respirator for 10 weeks. Computed tomography of the brain showed bilateral intraventricular haemorrhages. Because of drug resistant hypotonic episodes at 31 weeks' gestation caesarean section was performed, and a boy was delivered. The woman died of spontaneous cardiac arrest two days after caesarean section, and the boy showed normal development. Life support can be continued for several weeks in a modern intensive care unit after fatal insult to the brain even in a pregnant woman without affecting the fetus.