ADVANCES IN OBSTETRICS AND GYNECOLOGY

Patients with autosomal dominant long QT syndrome (Romano-Ward syndrome) are at potential risk of syncopal attacks and sudden death from ventricular arrythmia, torsade de pointes or ventricular fibrillation. Therefore, it is crucial to prevent arrythmias in such patients during pregnancy. We report a case of an artificial abortion complicated by this syndrome. The patient was a 17-year-old woman, who had never previously been pregnant and had been found to have this syndrome. Prolongation of the QT interval had been observed previously in her elder sister and younger brother. At admission, the ECG showed a prolonged QTc of 0.58 sec, without other any remarkable features, when the gestational age of the patient's fetus was 16 weeks. An artificial abortion was successfully induced using anti-arrythmic agents, after cervical dilatation with laminaria. It is suggested that such patients should be placed under intensive care throughout the gestational and perioperative period. [Adv Obstet Gynecol 48 (2); 145-148, 1996 (H8.3)]

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An electrolyzed strong acid solution is a harmless and useful disinfectant. We previously reported on the properties and bactericidal effects of such solutions, as well as the lack of notable adverse effects in mice drinking such a solution continually. In this study, we investigated whether an electrolyzed strong acid solution could be used safely for washing the vulval lesions of puerperal women with episiotomies or laceration wounds and hemorrhoids. Vulval lesions of twenty puerperal women after normal term deliveries were washed with an electrolyzed strong acid solution (acid sol. group, n=10) or 0.02% benzarconium chloride (control group, n=10) once a day for six days. Symptoms and local findings were observed every day to determine a vulval score and vaginal discharge was sampled for bacterial analysis on the first and fifth days after delivery. None of the women in the acid sol. group reported any negative effects related to the washing. There was no significant difference in the vulval score between the acid sol. group and the control group (two-way repeated ANOVA). Bacterial analysis revealed no significant difference in positive rates between the acid sol. group and the control group (Fisher Exact method). Pathogenic bacteria were not observed in the vaginal discharge of any patient in either group. These results suggested that an electrolyzed strong acid solution may be used for washing the vulval lesions of puerperal women without any adverse effects. [Adv Obstet Gynecol 48 (2); 149-153, 1996 (H8.3)]

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