RESUMO
Laminaria tents were used to ripen the unfavorable cervices of 45 nulliparas prior to induction of labor. Successful induction of labor was significantly more frequent in this group than in matched controls in whom induction was attempted without prior laminaria application.
PIP: Based on favorable results from a pilot study, this study evaluated cervical ripening by laminaria tents previous to induction in nulliparous patients with unfavorable Bishop scores. 91 nulliparas were studied; 46 were study patients and 45 were maternal age- and gestational age-matched controls. In the study group, 3 or 4 laminaria were inserted beyond the internal cervical os and were removed 12 hours later, at which time Bishop scores were reassessed. Before laminaria treatment, Bishop scores in the 2 groups were not significantly different. After treatment, Bishop scores of the study group changed significantly from 3.3+ or -1.2 before to 6.5+ or -2.2 (P .0005) after laminaria removal. 33 patients were successfully induced in the study group compared with 5 in the control group. 31 of the 33 could deliver vaginally. 4 of the 5 control patients delivered vaginally.
Assuntos
Colo do Útero/fisiologia , Trabalho de Parto Induzido/métodos , Laminaria , Alga Marinha , Feminino , Humanos , Paridade , GravidezRESUMO
Reports on primary tumors of the jaw in children are infrequent. This article reports 24 cases of primary tumors and tumor-like conditions of the jaws in children. All varieties of odontogenic and nonodontogenic tumors are seen in the jaw; fibro-osseous lesions are the most common. A possible explanation for the high incidence of mesenchymal lesions in children may be related to the shedding and eruption of teeth. The differences between childhood and adult types of ameloblastomas are highlighted.
Assuntos
Neoplasias Maxilomandibulares/patologia , Adolescente , Ameloblastoma/patologia , Criança , Pré-Escolar , Feminino , Fibroma/patologia , Granuloma de Células Gigantes/patologia , Humanos , Doenças Maxilomandibulares/patologia , Masculino , Tumores Odontogênicos/patologia , Sarcoma de Ewing/patologiaRESUMO
Laminaria tents were used to ripen the cervix in cases where induction of labor was indicated and the Bishop score was less than or equal to 5. Induction of labor was significantly more successful in these cases as compared with a matched control group where the cervix had not been ripened.
