RESUMO
Fifty-five consecutive adolescents, aged sixteen years or under at delivery, were cared for at a special antenatal clinic by one nurse and doctor and educated about pregnancy, health and reproduction. A philosophy of self-care and respect was engendered in these adolescents by the nurse and doctor. The effects of such care on the pregnancy and outcome were compared with a group of 55 consecutive patients (of similar age and background) cared for by the general clinic immediately prior to the introduction of the special care clinic. Urinary tract infection, anaemia, premature labour, fetal distress, operative delivery, primary postpartum haemorrhage, low birth weight infants, infant admission rate to neonatal unit and artificial feeding, were all significantly less common in the special clinic patients who also rarely missed outpatient appointments.
Assuntos
Educação em Saúde , Gravidez na Adolescência , Cuidado Pré-Natal , Adolescente , Aconselhamento , Feminino , Humanos , Recém-Nascido , Nova Zelândia , Avaliação de Processos e Resultados em Cuidados de Saúde , Equipe de Assistência ao Paciente , Gravidez , Complicações na Gravidez/epidemiologia , Cuidado Pré-Natal/normasRESUMO
The total lactic dehydrogenase (LD) content and LD isoenzyme ratios were studied in homogenized rectal mucosa from 31 patients with established non-specific mucosal ulcerative colitis and from 16 normal subjects. The total LD content was found to be significantly increased in patients with active ulcerative colitis when compared with patients with inactive colitis or with normal subjects. There was a similar though not a significant increase in the slow moving isoenzymes of LD in samples of rectal mucosa from patients with active colitis. The LD isoenzyme pattern was in the normal range in two of the three patients with histological premalignant changes in rectal biopsy specimens. There was a statistically significant linear correlation between the total lactic dehydrogenase content of rectal mucosa and the carcino-embryonic antigen levels in whole serum. Both the total content and isoenzyme ratios of LD were increased in neoplastic tissue obtained from patients with carcinoma of the colon and with tissue from benign rectal polyps.
