ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 40, Issue 5
Displaying 1-3 of 3 articles from this issue
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  • Effects of danazol on dysfunctional uterine bleeding
    Masumi SAWADA, Minoru INAGAKI, Yoshikazu HIROTA, Jiro HONGOU, Tetsuo M ...
    1988 Volume 40 Issue 5 Pages 615-621
    Published: September 01, 1988
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.40.615
    JOURNAL FREE ACCESS
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    Twenty eight patients with dysfunctional uterine bleeding were treated with the synthetic steroid, danazol. In 6 patients uterine bleeding stopped within one week. Endometrial biopsy revealed that the hyperplastic endometrium became inactive after treatment with danazol ; i. e., small inactive glands and dense inactive stroma were seen. Cytological examination showed that atypical endometrial cells became normal. The maturation index of the vaginal cells changed so that the intermediate cell type became dominant after treatment with danazol. No remarkable change was found in the serum E2 levels after treatment. Peripheral red blood cells and platelets were increased after treatment.
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  • Hemodynamic Changes Caused by the Administration of Preglandin Vaginal Suppository in Pregnant Woman with Pulmonary Hypertension
    Jun-ichi YOSHIDA, Ryousuke FUJIMOTO, Ryoji ARAKI, Hideki KAMEGAI, Moto ...
    1988 Volume 40 Issue 5 Pages 623-629
    Published: September 01, 1988
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.40.623
    JOURNAL FREE ACCESS
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    The incidence of cardiovascular complication is usually quoted as 1-2 per cent of all pregnancies, especially pulmonary hypertension is very rare. As the maternal mortality is highest, therapeutic abortion usually has been recommended until the second trimester.
    One case of pulmonary hypertension with pregnancy is reported.
    A 40-year-old woman, para 3, gravida 3, was admitted in the 18th week of pregnancy for therapeutic abortion because of pulmonary hypertension. The Preglandin vaginal suppository was elected to induce abortion, and the cardiac cathterization using Swan-Ganz catheter was carried out for hemodynamic monitoring. With administation of Preglandin vaginal suppository every 3 hours, there was no remarkable hemodynamic change through the delivery course. Other than mild palpitation and dyspnea at the time of expulsion, the delivery course was almost uneventful.
    This case suggests that hemodynamic monitoring is helpful to manage safely delivery course of the patient with severe cardiovascular complication.
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  • Rh Isoimmunization during Pregnancy
    Takashi YAMADA, Masaki GOTO, Masatsugu UEDA, Motonobu YOSHIKAWA, Yoshi ...
    1988 Volume 40 Issue 5 Pages 631-636
    Published: September 01, 1988
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.40.631
    JOURNAL FREE ACCESS
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    In a retrospective review of the 116 deliveries in Osaka Medical College Hospital between 1973 and 1987, it was found that the incidence of Rh system incompatibility was 1.6 percent. Six mothers had a positive indirect Coombs' test. Two of them had antibody titers of 1 : 512 or higher, and their infants received blood transfusions or an exchange transfusion. Even after a spontaneous or induced abortion, human anti-D immunoglobulin should be given to Rh (D) negative woman.
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