[Placental circulation in simultaneous beta-stimulation using hexoprenaline and beta-1 blockade with celiprolol]. / Die Plazentadurchströmung bei simultaner beta-Stimulation mit Hexoprenalin und beta 1-Blockade mit Celiprolol.

In a therapy with Hexoprenalin 0.3 microgram/min an additional administration of Celiprolol (3 X 100 micrograms oral) or Placebo did not change significantly the Placenta perfusion. It remains a question, if an additional therapy with beta 1-mimetic agents is necessary, since Hexoprenalin alone did not change the cardiovascular parameters significantly. This results are not transferable to altered dose or to different betamimetic- and beta blocking agents.

[Failures with the tubal ligation with the Bleier-secuclips (author's transl)]. / Versager nach Tubensterilisierungen mit Bleier-Secuclips.

PIP: Tubal ligation by the application of clips, especially the secuclips, is a swift and low risk method. A failure rate of 1.07% due to spontaneous recanalization is unacceptably high when one considers the competing methods of tubal coagulation. All failures occurred from immediate postpartum tubal ligation. Interval tubal ligation showed no failures. Tubal ligation immediately postpartum should be replaced as much as possible by interval tubal ligation. (author's)^ieng

[Experience with EK-birthing chair (author's transl)]. / Erfahrungen mit dem EK-Entbindungsstuhl.

A birthing chair with a rigid plastic seat was tested for usefulness and safety. The birthing chair was evaluated positively by the delivering patients. The obstetric team was convinced of the advantages of the sitting position for delivery at the end of the evaluation. Minor disadvantages such as increased soiling of the chair were accepted for the advantages. The tested birthing chair impedes operative deliveries from the perineal floor. These may become necessary unexpectedly during the second stage of labor. Under these circumstances the patient must be transferred to a conventional delivery table. This is psychologically and from a standpoint of the work load very disadvantageous. Therefore the EK-birthing chair is of limited usefulness in routine obstetrics. An ideal birthing chair in our opinion is a delivery bed which can be changed into a sitting position and into all intermediate positions between sitting and recumbent.

[A survey of infant feeding during the first six months of life (author's transl)]. / Regionale Analyse der Säuglingsernährung im ersten Lebenshalbjahr.

In 1978--1979 a feeding survey was conducted among infants during the first six months of life. 213 question sheets containing numerous items about breast- and artificial feeding and episodes of significant illness were replied to by 213 german-speaking mothers. The following data were especially remarkable: 68% of the newborn babies were initially breast fed, this percentage declining to 19% after the first month of life. Only 10% of all bottle fed infants received humanized milk formula exclusively. Most of the mothers introduced solid foods too early. The comparison of morbidity between breast, mixed-fed and exclusive artificially fed infants came down significantly in favour of the breast fed group. The different findings are discussed and a programme to promote breast-feeding while still in hospital elaborated upon.

[Comparison of nipple care in the Puerperium with powder and ointment (author's transl)]. / Puder- oder Salbenpflege der Brustwarzen im Wochenbett?

Recommendations for the care of the nipple postpartum are numerous and variable. Cracks and fissures in the nipple must be prevented to prevent mastitis. A randomized prospective study shows that it does not matter whether powder or ointments or nothing is placed on the nipples after nursing. The incidence of cracked nipples is not significantly changed by theses measures. For the prevention of mastitis the general measures for the prevention of hospital acquired infections are necessary and more important than modifications of the nipple care.

[The role of the physician in female sexual councelling (author's transl)]. / Die Rolle des Arztes bei weiblichen Sexualitätsproblemen.

In this investigation 100 women were asked by multiple choice questionnaire where they expected help with sexual problems. The female population of the area sees a need for sexual councelling and expects help primarily from physicians and more so from gynaecologists than general practitioners. Physicians are thought to be sufficiently trained and competent for sexual advice by the majority. 25% of the respondents had doubts about the competence and availability of sexual advice from physicians. The majority would seek sexual advice from physicians or husbands. Gynaecologists are preferred for sexual advice because of their specialization and greater anonymity than family physicians. Most patients dislike routine questions on sexuality and would prefer to open the subject themselves. The majority thinks of physicians as having normal sexual adjustment. Sexual councelling does not appear to be available as readily as desirable. Lack of available advice does not appear to be as urgent a problem as depicted in the mass media.

[Problems regarding gasometric analysis when umbilical cord blood specimens are stored (author's transl)]. / Gasanalytische Probleme beim Storing von Nabelschnurblutproben

If, as is often the case in routine practice, the gasometric analysis cannot be conducted immediately after withdrawal of the blood specimen, this does not have important consequences for the clinical. When the blood specimens are stored in open glass tubes, the alterations are all within the demands made of the method for measurement accuracy. As far as the purely clinical problem is concerned, it would even be possible to let the umbilical cord itself set for up to 90 minutes. Discrepancies between the gas status from blood specimens measured late and the Apgar score cannot be explained by storing and, insofar as errors in measurement are not involved, can represent an important piece of informations for the diagnosis of the condition of the newborn.

[Emphysematous colpitis in the late puerperium (author's transl)]. / Colpitis emphysematosa im Spätwochenbett

Two cases of emphysematous colpitis in the late post partum period are reported. The clinical symptoms and signs, the pathogenesis, the causes and the treatment of emphysematous colpitis in the puerperium are described.

[Unusual diffuse capillary-ectasis (venous varicosis) in the total vaginal mucosa in a 5-year-old child]. / Ungewöhnliche diffuse Kapillarektasie (venöse Varikosis) der gesamten Vaginalschleimhaut bei einen 5jährigen Kind

A diffusely reddish and swollen vaginal mucosa from a 5 year old caucasian female, which experienced recurrent haemorrhages since the first year of life, proves to be a venous angiosis or varicosis, representing a congenital vascular malformation. Differential diagnostically considered lesions and their synonyma are reviewed by means of medical literature.