Bailliere's clinical obstetrics and gynaecology最新文献_第5页

Index 指数

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-03-01 DOI: 10.1016/S0950-3552(98)80046-1

引用次数: 0

5 Prevention of preterm birth in multiple pregnancy 5预防多胎妊娠早产

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-03-01 DOI: 10.1016/S0950-3552(98)80040-0

MD, CMFM, FRACOG, FRCOG Caroline A. Crowther (Senior Lecturer)

引用次数: 10

4 Prediction of preterm labour in multiple pregnancies 4多胎妊娠早产的预测

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-03-01 DOI: 10.1016/S0950-3552(98)80039-4

MRCOG, MRCPI Fiona Ní Chuileannáin (Clinical Research Fellow), BA, MBBS, BMedSci(Hons), DPhil(Oxon), FRACOG Shaun Brennecke (Professor and Director)

{"title":"4 Prediction of preterm labour in multiple pregnancies","authors":"MRCOG, MRCPI Fiona Ní Chuileannáin (Clinical Research Fellow), BA, MBBS, BMedSci(Hons), DPhil(Oxon), FRACOG Shaun Brennecke (Professor and Director)","doi":"10.1016/S0950-3552(98)80039-4","DOIUrl":"10.1016/S0950-3552(98)80039-4","url":null,"abstract":"<div><p>Various methods of predicting preterm labour in both singleton and multiple pregnancies have been studied including risk scoring systems, home uterine activity monitoring, cervical assessment and biochemical methods. In practice, risk scoring systems for preterm delivery perform poorly. Consensus in the literature regarding the usefulness of home uterine activity monitoring is lacking and well designed randomized controlled trials are required. Transvaginal ultrasound assessment of the cervix appears to have a role to play in the prediction of preterm labour. The presence of IFN in cervicovaginal fluid in the late second and early third trimesters is an important risk factor for preterm labour in asymptomatic women with multiple pregnancies. Preterm labour may be mediated in part by inflammatory cytokines. The measurement of these inflammatory cytokines in cervical secretions may also prove helpful in the prediction of preterm labour. It is anticipated that an improved ability to predict preterm labour in both singleton and multiple pregnancies will depend on increasing understanding of the condition's pathophysiology</p></div>","PeriodicalId":77031,"journal":{"name":"Bailliere's clinical obstetrics and gynaecology","volume":"12 1","pages":"Pages 53-66"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3552(98)80039-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20835986","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: 10

10 Multifetal pregnancy reduction 10 .减少多胎妊娠

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-03-01 DOI: 10.1016/S0950-3552(98)80045-X

MD Mark I. Evans (Charlotte B. Failing Professor and Vice Chairman), MD Roderick F. Hume Jr, MD Yuval Yaron, MD Ralph L. Kramer (Instructor), MD Mark P. Johnson (Assistant Professor)

引用次数: 14

Pathology of uterine fibroids. 子宫肌瘤的病理。

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-01-01 DOI: 10.1097/00000441-190405000-00057

J. Crow

引用次数: 7

Complications of ovarian stimulation. 卵巢刺激的并发症。

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-01-01 DOI: 10.1201/b16081-21

H. Jacobs, R. Agrawal

{"title":"Complications of ovarian stimulation.","authors":"H. Jacobs, R. Agrawal","doi":"10.1201/b16081-21","DOIUrl":"https://doi.org/10.1201/b16081-21","url":null,"abstract":"We review three complications of ovarian stimulation, namely ovarian hyperstimulation syndrome, thromboembolic disease in relation to fertility treatment and multiple pregnancy. Current views on the ovarian hyperstimulation syndrome emphasize its association with the presence of polycystic ovaries. We review here the pathophysiological background of this association and focus on the central role of vascular endothelial growth factor (VEGF). Overexpression of VEGF in the polycystic ovary is thought to contribute to its characteristic multifollicular response to gonadotrophic stimulation. Release of large amounts of VEGF into the circulation is thought to account for the development of the clinical syndrome of ovarian hyperstimulation. The implications of this understanding are explored and the clinical features of the condition and its management are described. Thromboembolic disease is increasingly recognized as a serious if rare complication of infertility treatment. The subject is reviewed here with special reference to two recently published and important papers. The most concerning complication of infertility treatment is multiple pregnancy. Few doctors seem to be aware of the dire statistics: every index of obstetric outcome is adversely affected. The survival, health and family circumstances of children born as the result of multifetal gestation are all impaired. Infertility patients need a clear understanding of the risks involved so that they can appreciate the need for intensive monitoring of ovarian stimulation. In our opinion a knowledge of the rate of multiple pregnancy is quite as important as knowing the clinic's 'success' rate.","PeriodicalId":77031,"journal":{"name":"Bailliere's clinical obstetrics and gynaecology","volume":"35 1","pages":"565-79"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85785918","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: 19

2 Clinical value of tests for assessing male infertility 2男性不育症检测的临床价值

Bailliere's clinical obstetrics and gynaecology Pub Date : 1997-12-01 DOI: 10.1016/S0950-3552(97)80004-1

PhD Phillip L. Matson (Scientific Director)

引用次数: 19

8b The genetics of male infertility in relation to cystic fibrosis 8b男性不育与囊性纤维化的遗传学关系

Bailliere's clinical obstetrics and gynaecology Pub Date : 1997-12-01 DOI: 10.1016/S0950-3552(97)80014-4

PhD Willy Lissens (Head, Laboratory of Molecular Genetics), MD, PhD Inge Liebaers (Director)

{"title":"8b The genetics of male infertility in relation to cystic fibrosis","authors":"PhD Willy Lissens (Head, Laboratory of Molecular Genetics), MD, PhD Inge Liebaers (Director)","doi":"10.1016/S0950-3552(97)80014-4","DOIUrl":"10.1016/S0950-3552(97)80014-4","url":null,"abstract":"<div><p>Absence, dysfunction or low levels of cystic fibrosis (CF) transmembrane conductance regulator (CFTR) protein result in a broad range of clinical manifestations with CF with pancreatic insufficiency at the severe end of the phenotypic spectrum and, at the other end, relatively mild clinical conditions, including several forms of male infertility. The condition of congenital bilateral absence of the vas deferens (CBAVD) is in 75–80% of the patients associated with defects in the <em>CFTR</em> gene. In the remaining patients, CBAVD is also associated with urinary tract malformations, and this form of CBAVD is not related to CF. Congenital unilateral absence of the vas deferens also seems to be associated with CF except when associated with renal abnormalities at the ipsilateral side of the absent vas. A possible role of the CFTR protein in the aetiology of infertility due to defects in sperm production and maturation has also been suggested recently. In contrast, Young's syndrome is probably not related to CF.</p><p>The relation between some conditions of male infertility and CF implies appropriate clinical examination of the patients, <em>CFTR</em> mutation analysis and genetic counselling. Because infertility can now in many cases be treated by artificial reproductive technology couples have an increased risk of having children with CF or infertility if the female partner is also a carrier of a <em>CFTR</em> mutation. Couples should be well informed about these risks and risk prevention including pre-implantation diagnosis. Follow-up studies of children born to these couples are mandatory, whether male infertility is linked to CF or not.</p></div>","PeriodicalId":77031,"journal":{"name":"Bailliere's clinical obstetrics and gynaecology","volume":"11 4","pages":"Pages 797-817"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3552(97)80014-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20608513","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: 24

4 Medical treatment for idiopathic male infertility: is it curative or palliative? 特发性男性不育症的医学治疗:是治愈性的还是姑息性的?

Bailliere's clinical obstetrics and gynaecology Pub Date : 1997-12-01 DOI: 10.1016/S0950-3552(97)80006-5

MD, PhD, FRACP H.W. Gordon Baker (Senior Research Fellow)

引用次数: 17

7b Use of testicular sperm for the treatment of male infertility 用睾丸精子治疗男性不育症

Bailliere's clinical obstetrics and gynaecology Pub Date : 1997-12-01 DOI: 10.1016/S0950-3552(97)80011-9

MD, PhD Herman Tournaye (Lecturer and Clinical Consultant)

{"title":"7b Use of testicular sperm for the treatment of male infertility","authors":"MD, PhD Herman Tournaye (Lecturer and Clinical Consultant)","doi":"10.1016/S0950-3552(97)80011-9","DOIUrl":"10.1016/S0950-3552(97)80011-9","url":null,"abstract":"<div><p>Testicular biopsy has been widely used for the diagnosis of male infertility. Since the introduction of intracytoplasmic sperm injection (ICSI), sperm recovered from a testicular biopsy specimen can be successfully used for establishing pregnancies. Testicular spermatozoa may be recovered from testicular tissue in patients with excretory azoospermia but also in many patients with secretory azoospermia. In the latter patients spermatozoa may be recovered only after multiple excisional testicular biopsies, irrespective of follicle-stimulating hormone level, testicular size or medical history. Less invasive techniques such as percutaneous fine-needle aspiration have been introduced and may yield comparable success rates in patients with normal testicular function. The use of cryopreserved testicular spermatozoa may become an alternative to repeated surgery for obtaining testicular tissue for subsequent ICSI treatment cycles if larger series confirm the preliminary case reports. The introduction of the use of testicular spermatozoa for ICSI has raised new concerns because potentially genetically immature germ cells are being used from patients who may carry genetic defects causing their infertility problems.</p></div>","PeriodicalId":77031,"journal":{"name":"Bailliere's clinical obstetrics and gynaecology","volume":"11 4","pages":"Pages 753-762"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3552(97)80011-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20608510","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: 15