RESUMO
A considerable number of women continue to have proliferative vaginal smears indicating a certain level of endogenous estrogen production. Some correlates of this were studied. No significant correlation was found with age since menopause or with overweight. No correlation was found between the proliferation of the vaginal smear and climacteric complaints, circulatory or nervous. The implications of a proliferative smear for the postmenopausal woman and of the postmenopausal estrone production are briefly discussed. They appear at least to be ambiguous, because, although they protect against some facets of the estrogen deficiency syndrome, the factors which are correlated to a high level of endogenous estrone production are known as risk factors, predisposing for a higher incidence of uterine bleedings and perhaps malignant degeneration of some target cell tissues.
Assuntos
Menopausa , Vagina/citologia , Peso Corporal , Estrona/biossíntese , Feminino , Humanos , Fatores de TempoRESUMO
In of 707 pregnant women in the last five weeks of pregnancy a total of 1025 Oxytocin-Challenge Tests (OCT) were performed. Perinatal mortality in the toral material was 16,8% crude and 14,2% corrected. The results of the test were classified into three patterns: normal, borderline (or prepathological) and pathological. The main characteristics of these three patterns are described. Normal OCT was found in 84.9% of the tests and 83,7% of the cases. Borderline OCT was present in 8% of the tests and 7,7% of the cases. Finally pathological profiles were present in 7% and 8,4% respectively. The results of the OCT were compared with the perinatal mortality in the three groups and with the percentage of fetal distress intra partum. It is concluded that the OCT is perhaps the most accurate method to ascertain acute placental insufficiency pre partum. Even the more controversial borderline cases, have a clinical significance.
