Showing papers on "Vaginal delivery published in 1976"

Alterations in head shape of newborn infants after caesarean section or vaginal delivery.

Abstract: Alterations of head shape in preterm, small-for-dates, and term normal infants were studied by measuring occipitofrontal circumference (OFC), biparietal diameter (BPD), and occipitofrontal diameter (OFD) at intervals after birth. In 9 preterm infants born by elective caesarean section ther was a 5-2% reduction in BPD and 2-0% reduction in OFC at the age of 7 days. In 18 term infants born by elective caesarean section these changes were 2-4% and 0% respectively in BPD and OFC. In 25 preterm infants born by vertex vaginal delivery there was a significant fall in OFC of 0-7% at the age of 7 days and of 2-4% in BPD, but no significant change in OFD. In 19 small-for-dates infants born vaginally OFC increased 1-0% and OFD 2-7% at 7 days, but BPD decreased 2-5%. After the first week all three measurements increased in both groups of vaginal deliveries. The results show that shrinkage and biparietal flattening of the skull occur during the first week of life in preterm and term infants born by caesarean section and in preterm infants born vaginally. This fact should be borne in mind when comparing the measurements of an infant's head size with published norms.

Vaginal surgical intervention for a sacro-coccygeal teratoma obstructing labor.

Abstract: Congenital sacro-coccygeal teratomas are rare tumors and may cause dystocia. The case presented was managed unusually by incisional drainage of the tumor through the vagina in a course of an obstructed labor, though the vaginal delivery resulted in the birth of a live, healthy infant.

Carcinoma in situ of the cervix uteri in pregnancy.

Abstract: After reviewing the charts of patients at the Tulane Unit of Obstetrics and Gynecology of Charity Hospital between the years 1950 and 1970, 25 patients were noted to have carcinoma in situ of the cervix uteri associated with pregnancy. Twenty-two patients had positive Papanicolaou smears. Subsequently, 20 patients had conization of the cervix uteri to exclude an invasive lesion. Vaginal delivery was accomplished in 17 of the patients. After complete re-evaluation, definite treatment was done six to eight weeks post partum, and there were no recurrences or deaths from the disease.

Concentration of lidocaine hydrochloride in newborn gastric fluid after elective caesarean section and vaginal delivery with epidural analgesia

Abstract: Lidocaine concentrations were measured after vaginal delivery or Caesarean section with epidural anaesthesia in samples of maternal and umbilical blood and in newborn gastric contents. The pH of the gastric aspirate was also determined in a number of neonates. Gastric lidocaine concentrations were higher and the pH was lower after vaginal delivery in comparison to Caesarean section. A significant inverse correlation exists between gastric pH and gastric lidocaine concentration. Neonate gastric lidocaine concentration was significantly higher than in maternal or umbilical venous plasma after vaginal delivery, but not after Caesarean section. Due to these differences, gastric lavage for the treatment of neonatal lidocaine intoxication may be more beneficial in reducing foetal systemic local anaesthetic concentration after vaginal than after elective abdominal delivery.

Case 28-1976

Abstract: Presentation of Case A nine-year-old girl was admitted to the hospital because of congenital heart disease. She was born of the fifth pregnancy of a mother aged 33 years. At two months of gestation rupture of the spleen occurred after minor abdominal trauma, and the mother underwent splenectomy under spinal anesthesia at another hospital. A postoperative wound infection was treated with unknown antibiotics over an interval of several weeks. Vaginal delivery of a breech presentation was induced two weeks early. There was a transient decrease in the fetal heart rate during delivery, but the child cried spontaneously and appeared active . . .

Methoxyflurane biotransformation and renal function following methoxyflurane administration for vaginal delivery or cesarean section.

Abstract: Methoxyflurane (MOF) administration for conscious analgesia during vaginal delivery (range 5 to 70 min, mean 23 min) or for anesthesia following delivery of the infant at cesarean section (range 25 to 70 min, mean 44 min) was studied in 18 healthy parturients. Serum ionic fluoride increased significantly in both groups 2 hours after discontinuing MOF with peak concentrations of 11.2 and 14.1 mumol/L in the vaginal delivery and cesarean section groups, respectively. Individual peak serum ionic fluoride levels in the 2 groups of 21 and 25 mumol/L were well below reported levels for subclinical toxicity. Significant ionic fluoride elevations in fetal umbilical venous blood (mean 5.3 mumol/L) were measured in the vaginal-delivery group. Maternal urinary ionic fluoride and oxalate were elevated 24 and 48 hours postpartum. BUN, creatinine, urine volume, and urine osmolality remained within normal range. These data indicate that hazardous elevations of serum ionic fluoride with subsequent renal dysfunction are unlikely following low-dose MOF administration for vaginal delivery or cesarean section.

Migrating placenta previa.

Abstract: A case of third trimester bleeding from placenta previa is presented in which serial ultrasonograms were obtained from the 30th to the 36th gestational week and confirmed by isotopic scanning. Evidence is presented showing a migration of a placenta previa marginalis away from the cervical os followed by vaginal delivery at term. The concept and mechanism of placental migration are reviewed.

[The optimal caesarean section rate in breech deliveries (author's transl)].

Abstract: A critical review of 535 breech deliveries over 15 years is presented and compared to the present trend to deliver all primigravida breech presentations by Caesarean Section. Management of the labour and delivery in view of a vaginal delivery was started in 84% of the cases. The Caesarean Section rate was 16%. The prenatal mortality compared well to that reported in the literature. The relatively high total morbidity of 3.2% showed the increased risk for the infant of the primigravida (1.9%) and of the multigravida (1.7%). 1.5% of the infants were transferred to the pediatric department because of birth trauma. All children with birth trauma were delivered prior to the increase of the Caesarean Section rate from 9.2% to 21.2%. Since 1969 the fetal morbidity was 0% for breech deliveries.