All issues
Volume 44 (1992)
- Issue 6 Pages 581-
- Issue 5 Pages 475-
- Issue 4 Pages 351-
- Issue 3 Pages 239-
- Issue 2 Pages 143-
- Issue 1 Pages 1-
Volume 44, Issue 4
Displaying 1-7 of 7 articles from this issue
- |<
- <
- 1
- >
- >|
-
Kazuhiro IWASAKU, Mamoru TOSAKI, Yayoi HIGASHI, Zinsuke YASUDA, Takao ...1992 Volume 44 Issue 4 Pages 351-356
Published: July 01, 1992
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSThe effect of glucose-containing intravenous fluid administered prior to cesarean section on maternal and neonatel blood glucose levels was assessed. Twenty-one pregnant women (ASA 1), free of diabetes or any other complication who were scheduled for cesarian section were divided into two groups : the control group (N =11) and the glucose group (N =10). In both groups, 1000ml of the fluid was administered during as approximately 4-hour period, starting before operation and ending with delivery. Maternal blood before fluid therapy and maternal blood and umbilical venous blood at the time of delivery were examined for glucose, insulin and glucagon levels. Neonatal blood obtained 1, 2, 4 and 6 hours after birth was examined for glucose. Neurobehavioral examination of neonates was carried out by pediatricians. Neonatae bilirubin level was determined 5 days after birth.
1. Maternal blood glucose level at the time of delivery and umbilical venous blood glucose level were significantly higher in the glucose group (166. 2±78.9mg/dl, 135.0±65.6mg/dl) than in the controls (75.7± 14. 3mg/dl, 66. 9 ± 8. 5mg/dl).
2. Neonatal blood glucose level, 1 and 2 hours after birth was slightly lower in the glucose group than in the control group. Hypoglycemia (below 30mg/dl) was observed in 6 neonates in the glucose group, although none of these neonates showed any clinical symptom of hypoglycemia.
3. Umbilical venous blood insulin level was significantly higher in the glucose group (49.1 ± 48.1μU/ml) than in the control group (6. 3 ± 1. 3μU/ml).
4. No neurobehavioral abnormalities were noted in neonates in either group.
According to previous reports, the upper rate limit of carbohydrate administration is 20g/hour. In the present study, its administration at the rate of 12.5g/hour cause no symptoms of hypoglycemia in neonates 1 or 2 hours after birth. However, because neonates are always at a risk of developing hypoglycemia, we consider it better to avoid glucose administration unless it is indispensable. Our results also indicate the necessity of monitoring the maternal blood glucose level before belivery and checking for neonate blood glucose level and signs of hypoglycemia within 1-2 hours after birth if a glucose-containing fluid has been administered.View full abstractDownload PDF (953K) -
Hayato NIWA, Norihiko ADACHI, Manabu SASAKI, Shozou TANADA, Masaki MAN ...1992 Volume 44 Issue 4 Pages 357-360
Published: July 01, 1992
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSSynopsis Many problems of pregnat women, such as Rubella congenital syndrom, may occur during a rubella epidemic period.
Such women were examined by a hemoaglutination inhibition test and rubella antibody 1gM (absorption test), and in 3 cases, high values over a long period of time were noted. So we related the clinical course and added to observation of their origins. The modes of treatment are discussed.
We indicate bliefly how to test and diagnose nervous pregnant women at our patient clinics within 2 weeks following contact with the rubella virus.View full abstractDownload PDF (557K) -
Takahisa USHIROYAMA, Nobuyuki HARUHARA, Yoshiaki OKAMOTO, Osamu SUGIMO ...1992 Volume 44 Issue 4 Pages 361-367
Published: July 01, 1992
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSSixteen pregnancies complicated by matemal cardiac arrhythmias were studied. All cases occurred from 1981 to 1991, and were managed at Osaka Medical College. The incidence rate was 0.35% of the total pregnancies during that time period. While no cardiac failures occurred, miscellaneous ECG abnormalities were observed in six of the sixteen cases (37.5%) during delivery and/or the postpartum period. Case M.K., age 31, was diagnosed with I° AV block before her second pregnancy. Spontaneous labor and birth occurred at 41 weeks and ECG demonstrated PQ interval elongation during labor. Two days postpartum she had atrial fibillation, further complicated with Wenckebach-type AV block on the sventh day postpartum.
Pregnancy and delivery in women with arrhythmias is possidle, and their outcome is not different from that of normal, healthy women in most circumstances. However, cases with life-threatening arrhythmias carry an increased risk and should therefore be carefully monitored during pregnancy, delivery, and especially within two weeks postpartum.View full abstractDownload PDF (1191K) -
Akinori ONO1992 Volume 44 Issue 4 Pages 368-373
Published: July 01, 1992
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSThe technique of in vitro fertilization/embryo transfer (IVF/ET) requires morphologically good quality embryos at least at the time their transfer to the uterus. I assessed the morphological quality of embryos 45-50 hours after insemination by video recording according to 5 standards and calculated the rates of transfer of good quality embryos in 51 cycles as no. of good quality embryos (GQE) classified 45-50 hours after insemination/no, of cleaved embryos x 100. Results were as follows, I the GQE frequency rate seemed to depend closely on a high level of serum LH level in the mid-follicle phase (r=-0.3126), but nor on the age of patients, the oocyte retrieval date in the menstrual cycle, the differrence between the maximum E2value and that on HCG administration, the HMG-HCG interval or the fertilization rate. These frindings suggest that the most effective schedule for GnRHa (Buserelin) administration varies in individual cases. II Administration of FSH followed with HMG stimulation under down-regulation by Buserlin appears to be better than other methods. Follicle stimulation in five groups were studied by the Kruskal-Wallis H test (H =9. 9644).III On transplantation of good quality embryos into the uterus, pregnancy rate was only 25%View full abstractDownload PDF (749K) -
Kiyoshi YAMADA, Takefumi BESSHO, Masaharu MURAKAMI, Jiro MACHIDA, Masa ...1992 Volume 44 Issue 4 Pages 374-379
Published: July 01, 1992
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSThe Romano-Ward syndrome is characterized by hereditary Q-T interval prolongation and syncopal attacks which may occasionally lead to sudden death. We report a case of pregnancy complicated by this syndrome. The Patient was a 29-year-old gravida 1, papa 1, who had been found to have this syndrome after her former delivery. In her family history, Q-T interval prolongation was observed in her first child, sister and mother as well.
At the first examination of 6 week's gestation, there were no remarkable symptoms and change on the echocardiogram except for slight prolongation of Q-T intervals. The course of pregnancy had been uneventful until the 20th week of gestation, when she underwent a cervical cerclage. After being admitted for premature labour at 28 weeks of gestation she kept bed rest until delivery. She was delivered of a female infant by cesarean section at 36 weeks of gestation, whose birth weight was 2518gms and Apgar scores were 9. The neonate showed slight prolongation of Q-T intervals. There were no symptoms of the disease in the mother and infant after the delivery and ther were discharged without any remarkable events.View full abstractDownload PDF (970K) -
A case reportHiroshi TSUDA, Motoharu IMANAKA, Sachio OGITA, Haruo SHINTAKU1992 Volume 44 Issue 4 Pages 380-384
Published: July 01, 1992
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSWe recently experienced a case of atypical fetal polycystic kidney disease (IPKD). This case showed reduced amniotic fluid and fetal urine production at 30 weeks of gestation. The mother was admitted to our hospital. During admission, the sonographic findings for the fetus demonstrated a normal appearing bladder, oligohydramnios, bilateral hyperechoic kidney (not enlarged), and reduced fetal urine production.
These findings suggested a diagnosis of atypical fetal polycystic kidney disease. Cesarean section was performed at 40weeks of gestation due to fetal distress. The male newborn, who weighed 2770 grams, had an Apgar score of four at 1 min and five at 5 min. Bilateral pneumothorax occurred in the newborn immediately after birth, and there was a marked reduction in renal function from day 7 after birth. USG demonstrated many polycystic regions (5-10mm), and the medulla was poorly separated from the renal sinus in the bilateral kidneys. Accordingly, the newborn was diagnosed as having IPKD. At present, 2 years after birth, the infant, who has been undergoing chronic hemodialysis, is well.View full abstractDownload PDF (3105K) -
1992 Volume 44 Issue 4 Pages 420-447
Published: July 01, 1992
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSDownload PDF (8721K)
- |<
- <
- 1
- >
- >|