[Successful treatment of drug refractory uterine atony by fundus compression sutures]. / Erfolgreiche Behandlung einer medikamentös refraktären Uterusatonie durch Funduskompressionsnähte.

Postpartum atony remains the most common cause life-threatening haemorrhage in obstetrics. In a case of postpartum atony unresponsive to medical treatment after Caesarean section haemorrhage was controlled and satisfactory uterine tonus was achieved by inverted sutures of the uterine fundus. Imminent hysterectomy could thus be avoided.

[Early premature rupture of fetal membranes and risk of lung hypoplasia in the fetus. Case report from the 22d week of pregnancy with delivery in the 30th week of pregnancy]. / Früher vorzeitiger Blasensprung und Risiko einer Lungenhypoplasie beim Feten. Fallbericht aus der 22. Schwangerschaftswoche mit Entbindung in der 30. Schwangerschaftswoche.

We report on a case of ruptured foetal membranes in the 22nd week of pregnancy. A possible risk is pulmonary hypoplasia. Although factors exist that predispose to the occurrence of pulmonary hypoplasia, the diagnosis cannot be predicted prenatally. As pulmonary hypoplasia is associated with a high neonatal mortality rate, prenatal detection would be helpful in the clinical management of early premature rupture of the membranes.

[Adenosarcoma of the uterus]. / Das Adenosarkom des Uterus.

A case of a 67-year old woman with adenosarcoma of the uterus is reported. Adenosarcoma is a mixed mesodermal tumour with a low malignant potential. It is characterised by a benign glandular and a malignant stromal component. Adenosarcomas are usually treated by hysterectomy with bilateral salpingo-oophorectomy. Patients with myometrial invasion have an increased risk of recurrence. It may be appropriate, to consider adjuvant chemotherapy or radiation treatment for these patients.

[Lung hypoplasia as a complication of prolonged, premature rupture of fetal membranes in the 24th week of pregnancy]. / Die Lungenhypoplasie als Komplikation beim prolongierten, vorzeitigen Blasensprung vor der 24. Schwangerschaftswoche.

We examined 4 gravidae with rupture of membranes before the 24th week of gestation. In contrast to pathophysiological models we observed fetal respiratory movements and a reduced amount of amniotic fluid in all patients.

[Maternal pulmonary edema as an anesthesia complication after intravenous tocolysis and stimulating of lung maturation]. / Mütterliches Lungenödem als Narkosekomplikation bei Status nach intravenöser Tokolyse und Lungenreifungsstimulation.

Maternal lung edema due to the use of beta-mimetic tocolytic agents is a well-documented complication. The risk increases if several other factors are present: infectious diseases, the use of inhaled anesthetics, EPH gestosis, hydramnios, twin gestation and preexisting cardiovascular disease. The complications induced by beta-mimetic tocolytic agents can be reduced by remembering their side effects and contraindications and restricting fluid intake. During obstetric general anesthesia in patients undergoing tocolysis, the infusion of large amounts of saline, as is widely practised today, is strictly contraindicated.