Acta obstetricia et gynecologica Scandinavica. Supplement最新文献

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Pre-pregnancy risk factors of small-for-gestational-age births and perinatal mortality. 小胎龄分娩和围产期死亡率的孕前危险因素。
C V Isaksen, R N Laurini, G Jacobsen
{"title":"Pre-pregnancy risk factors of small-for-gestational-age births and perinatal mortality.","authors":"C V Isaksen,&nbsp;R N Laurini,&nbsp;G Jacobsen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Scandinavian part of the NICHD study of successive small-for-gestational-age (SGA) births included 5722 parous women from Trondheim and Bergen (in Norway) and Uppsala (in Sweden). Study enrollment took place from January 1986 through March 1988. The aim of the main study was to investigate factors associated with inhibited intrauterine growth. This paper reports on the fetal, perinatal, and neonatal deaths among the births in the study in relation to different risk factors. The cause of deaths were analyzed to see if there were any associations with the risk factors. There was a total of 84 deaths, 65 of these were fetal, perinatal or neonatal deaths and included in this analysis. The remaining 19 are for different reasons excluded. Thirty-two (60%) of the autopsies regarded the high risk group who comprised only 42.4% of the total study population. The high risk group was selected using the following risk criteria: a previous low weight birth or perinatal death, maternal low weight (pre-pregnancy weight < 50 kg), the presence of a chronic maternal disease, and smoking at the time of conception. A significant association was found between perinatal mortality and the presence of one or more of the defined risk criteria (relative risk 2.0; 95% CI 1.2, 3.4). Asphyxia and related disorders was the most important single cause of death and was found to be associated with the maternal risk factors (RR 3.9; 95% CI 1.5, 9.8). A significant association was found between maternal risk factors and SGA autopsies (RR 3.9; 95% CI 1.7, 8.9). No association was found between asphyxia and SGA. It is concluded that women with risk factors based on complications in a previous pregnancy are more prone to stillbirths, perinatal, and neonatal deaths, and with asphyxia as the most prominent cause of death.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"165 ","pages":"44-9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20164315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urethral pressure measurement. 尿道压力测量。
G Lose
{"title":"Urethral pressure measurement.","authors":"G Lose","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Urethral pressure measurement is a procedure used for assessment of the urethral sphincter function during storage.</p><p><strong>Methods: </strong>The techniques available are subject to significant pitfalls, interpretation problems and test-retest variation.</p><p><strong>Conclusion: </strong>Urethral pressure profile (UPP) parameters are of limited value in the assessment of the urethral sphincter function. The parameters do not 1) discriminate stress incontinence from other disorders, 2) provide a measure of the severity of the condition and 3) return to normal after successful incontinence surgery. Urethral pressure profile may be useful in disclosing local pathology, in assessment of changes with intervention in the individual patient and in selecting patients with 'low pressure urethra' which may have therapeutic implications. The quality of our techniques of measurement and our concepts of interpretation need to be improved.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"166 ","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20195764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Techniques for imaging bladder support. 膀胱支撑成像技术。
L Mouritsen
{"title":"Techniques for imaging bladder support.","authors":"L Mouritsen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Imaging techniques of bladder support can be of diagnostic value to differ causes of urinary incontinence like misbuilding of the lower urinary tract, hypermobility of the bladderneck and urethral wall pathology, which is valuable prior to surgery for incontinence.</p><p><strong>Method: </strong>Literature about imaging techniques, especially, voiding cystourethrography, ultrasonography and MRI were studied and their diagnostic value evaluated.</p><p><strong>Conclusion: </strong>Dynamic ultrasonography is the first line imaging method for studying bladder support. Bladderneck hypermobility, as a sign of defect in the adjunctive closure forces is better correlated to stress incontinence than bladder morfology, diagnosed during static cystography. Voiding cystography has its place in diagnosing misbuildings of the lower urinary tract. MRI is just at the beginning of its clinical era, and seems relevant for studies of urethral pathology.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"166 ","pages":"48-9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20195766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cell division in placentas of appropriate and small-for-gestational-age infants. A flow cytometry study. 适当和小胎龄婴儿胎盘的细胞分裂。流式细胞术研究。
T Markestad, P Lossius, H Maartmann-Moe, O E Iversen, R T Lie, P Bergsjø, G Jacobsen, H J Hoffman, L S Bakketeig
{"title":"Cell division in placentas of appropriate and small-for-gestational-age infants. A flow cytometry study.","authors":"T Markestad,&nbsp;P Lossius,&nbsp;H Maartmann-Moe,&nbsp;O E Iversen,&nbsp;R T Lie,&nbsp;P Bergsjø,&nbsp;G Jacobsen,&nbsp;H J Hoffman,&nbsp;L S Bakketeig","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to examine if placentas of small- for-gestational-age (SGA) and non-SGA infants differ with respect to proliferative cell activity.</p><p><strong>Method: </strong>Cell cycle distribution was studied in placentas from 181 SGA (birthweight < 10th percentile) and 528 non-SGA births by flow cytometry measurements of relative DNA content.</p><p><strong>Results: </strong>The fraction of cells in various cell cycle phases (G1-, S- and G2-phases) did not differ with gestational age from 30 to 43 weeks in either of the groups. The placentas of the SGA infants had a significantly lower mean (+/-1 SEM) growth fraction than placentas of non-SGA infants (S-phase 5.2 +/- 0.2 vs 5.5 +/- 0.1, p = 0.05, and G2-fraction 5.4 +/- 0.2 vs 6.3 +/- 0.1, p < 0.001), but the overlaps of the distributions were large. Thus sensitivity, specificity and predictive values of low fractions did not differ substantially-from a purely random prediction of SGA.</p><p><strong>Conclusions: </strong>Cell division in the placenta is maintained until and beyond term. Placentas of SGA infants have on average, lower proliferative activity than placentas of non-SGA infants, but the difference is too small to be of predictive value in identifying intrauterine growth retardation.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"165 ","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20164240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why are some children stunted at birth, and do they catch up with their peers in infancy? 为什么有些孩子出生时发育迟缓,他们在婴儿期就能赶上同龄人吗?
P Bergsjø
{"title":"Why are some children stunted at birth, and do they catch up with their peers in infancy?","authors":"P Bergsjø","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"165 ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20164459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of sexually transmitted diseases in the Baltic countries. 波罗的海国家性传播疾病的流行病学。
G Lazdane, M Bukovskis
{"title":"Epidemiology of sexually transmitted diseases in the Baltic countries.","authors":"G Lazdane,&nbsp;M Bukovskis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>According to the UN definition the Baltic countries belong to the group of countries whose economy is in transition. This transition period has created changes in life-style, priorities and living standards. The objective of this study was to determine the incidence, distribution and control of sexually transmitted diseases (STDs) in the Baltic countries and to draw some comparisons with data from Scandinavia. We have compared the official statistical data concerning STDs from 1991-94 in all three Baltic countries and have attempted to obtain information about the way these reports are collected. We have come to the following conclusions: -the incidence rate of STD in the Baltic countries is increasing, -the average age of patients suffering from STDs is decreasing, -the specificity of the diagnostic methods used for STDs (especially Chlamydia trachomatis) needs to be improved. Facilities for diagnosing HSV and HPV should be made available.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"164 ","pages":"128-31"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20170043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Induced abortion--a global health problem. 人工流产——一个全球性的健康问题。
V Odlind
{"title":"Induced abortion--a global health problem.","authors":"V Odlind","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Every year around 500,000 women are estimated to die from pregnancy-related causes, the majority in the developing world and many as a consequence of unsafe abortion. Around 25 per cent of maternal deaths in Asia and 30-50 per cent of maternal deaths in Africa and Latin America occur as a result of induced abortion. Data on abortion related maternal morbidity is less reliable than mortality but suggests that for every maternal death 10-15 women suffer significant pregnancy-related morbidity, i.e. infertility, genito-urinary problems and/or chronic pain. Induced abortion occurs in practically every society in the world but only 40 per cent of the women in the world live in countries where abortion is legally free. A permissive legislation is an important prerequisite for medically safe and early abortion. Oppositely, with a restrictive law, abortion is difficult to obtain, costly and possibly unsafe, in particular to the least affluent women in the society. Induced abortion in a developed country with legal and easy access to services is a safe procedure with hardly any mortality and very low morbidity. The best strategy to reduce the number of unsafe abortions is prevention of unwanted pregnancy. The consequences of unsafe abortion on women's health need to be acknowledged by everybody in the society in order to improve abortion care. It is necessary to adjust legal and other barriers to medically safe abortion in order to follow the declaration at the UN conference on population in Cairo, 1994, which stated that abortion, wherever legal, should be safe. It is also necessary to introduce preventive measures where abortions are performed, i.e. good and easily accessible family planning services.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"164 ","pages":"43-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20170159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laparoscopic surgery in ectopic pregnancy. 异位妊娠的腹腔镜手术。
P Lundorff
{"title":"Laparoscopic surgery in ectopic pregnancy.","authors":"P Lundorff","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>A randomized, prospective clinical trial was conducted to compare the efficacy of laparoscopic treatment versus conventional conservative abdominal surgery for tubal pregnancy.</p><p><strong>Methods: </strong>Patients were stratified for age and risk determinants for ectopic pregnancy (EP). Forty-eight patients were treated by laparoscopy and 57 by laparotomy. Entry criteria were: size of the ectopic gestation < 4 cm, hemodynamic stability, accessibility for laparoscopic treatment and a trained laparoscopist on duty.</p><p><strong>Results: </strong>There was no difference between the groups regarding gestational duration, size and location of the ectopic gestation, and the mean preoperative hCG values. The groups did differ with respect to total operation time (73 min in the laparoscopy group vs. 88 min in the laparotomy group), hospital stay (2.2 days vs. 5.4 days) and convalescence period (11 days vs. 24 days). The rates of elimination of hCG were similar in the two groups, and there was no statistical difference in the rate of second intervention.</p><p><strong>Conclusions: </strong>Patients treated by laparoscopy had a shorter hospital stay and a shorter convalescence than patients from the laparotomy group.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"164 ","pages":"81-4"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20170653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Subtotal versus total laparoscopic hysterectomy. 腹腔镜子宫次全切除术与全子宫切除术。
L Mettler, K Semm
{"title":"Subtotal versus total laparoscopic hysterectomy.","authors":"L Mettler,&nbsp;K Semm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between 1993 and 1994, 368 women underwent hysterectomy for benign disorders at the University of Kiel. Of these operations, 58.7% were performed either by pelviscopic or by laparotomic Classic Intrafascial Supracervical Hysterectomy, subtotal hysterectomy with coring of the inner cervix. Of the remainder, 14.8% were performed by total abdominal hysterectomy, 13.6% by Intrafascial Vaginal Hysterectomy, 12.2% by vaginal hysterectomy, and only 0.05% by Laparoscopic Assisted Vaginal Hysterectomy. Comparative data of these six surgical techniques concerning patients' characteristics, indications for operation, histological features, blood loss, operating time, hospital stay, uterine weights and postoperatively used analgesics are described.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"164 ","pages":"88-93"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20170656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical neurophysiological methods for investigating the lower urinary tract in patients with micturition disorders. 研究排尿障碍患者下尿路的临床神经生理学方法。
R Flink
{"title":"Clinical neurophysiological methods for investigating the lower urinary tract in patients with micturition disorders.","authors":"R Flink","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Methods: </strong>Different clinical neurophysiological methods used in the investigation of patients with micturition disorders are summarized in a short critical review. The techniques of measuring nerve conduction velocities, sacral reflex latencies, cortical evoked potentials, sensory thresholds, concentric needle EMG and single fibre EMG are described and the clinical applications of the different methods are reported.</p><p><strong>Conclusion: </strong>It is concluded that the neurophysiological tests are mainly useful in establishing the integrity of the peripheral innervation of the pelvic floor and in case of neurogenic lesions, the combination of different methods might show the level of the lesion.</p>","PeriodicalId":75400,"journal":{"name":"Acta obstetricia et gynecologica Scandinavica. Supplement","volume":"166 ","pages":"50-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20195767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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