ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 48, Issue 5
Displaying 1-3 of 3 articles from this issue
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  • Retrospective analysis of recurrent spontaneous abortion during the last 5 years at Osaka Medical College
    Shogo TSUBOKURA, Takahisa USHIROYANIA, Chiharu INOKI, Masahiro SAKAI, ...
    1996 Volume 48 Issue 5 Pages 529-534
    Published: September 01, 1996
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.48.529
    JOURNAL FREE ACCESS
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    To elucidate causes and treatment for recurrent spontaneous abortion, factors involved in habitual abortion (uterine abnormalities, infectious diseases, endocrinological factors, chromosomal abnormalities and autoimmune factors) in 150 patients with a history of more than two consecutive spontaneous abortion were evaluated. Patients were diagnosed with the following disorders: 32 uterine abnormalities, 8 positive for chlamydia antibody, 26 endocrinological disorders, 6 chromosomal abnormalities, 98 autoimmune abnormalities, 74idiopathic (including many overlapping cases). The number of successfully having liveborn neonates after treatment were as follows: 13 uterine abnormalities, 6 endocrinological disorders, 4 chromosomal abnormalities, 14 autoimmune abnormalities. In the 74 idiopathic cases, immunotherapy was undertaken and 31 responded well. The present study suggests that aggressive therapies are available for cases of repeated abortion and habitual abortion, especially immunotherapy for idiopathic cases. [Adv Obstet Gynecol 48 (5): 529-534, 1996 (H8.9)]
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  • Prenatal diagnosis and management of meconium peritonitis
    Yoichiro FUJIWARA, Katsumi TSUKAMOTO, Masaaki FUKUOKA, Naoko ORINO, Hi ...
    1996 Volume 48 Issue 5 Pages 535-542
    Published: September 01, 1996
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.48.535
    JOURNAL FREE ACCESS
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    Four cases of meconium peritonitis (MP), which were diagnosed during pregnancy, were reported and its prenatal diagnosis and management were discussed. Three new born babies survived (mortality 25%) and intestinal obstruction was verified in one baby and needed surgical treatment, but no intestinal obstruction was identified in other two babies. When MP is diagnosed by its characteristic ultrasonographic findings and squamous cells are identified in fetal ascites, we suggest the amniofetography in order to determine wheather it is obstructive type or non -obstructive type, which typing is very important in the postnatal management. And also chromosomal and other anomalies should be detected. In the management of MP, appropriate aspiration of amniotic fluid and fetal ascites during pregnancy are sometimes needed and important to prevent preterm labor and fetal cardiac failure till fetus will maturate enough. [Adv Obstet Gynecol 48 (5); 535--542, 1996 (H8.9)]
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  • Clinical analysis of pregnant women with prior cesarean section retrospective analysis of 268 cases during the past 10 years
    Shinichiro SUZUKI, Kentaro SHIMURA, Toshizo KOBAYASHI, Tamaki HIROSE, ...
    1996 Volume 48 Issue 5 Pages 543-549
    Published: September 01, 1996
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.48.543
    JOURNAL FREE ACCESS
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    We investigated the outcome of labor in pregnant women who had previously undergone cesarean section during the past 10 years at our hospital, and compared them to those in the control group. The rates of trial of Iabor (TOL) and vaginal birth after cesarean section (VBAC) were similar to those at other institutions (Kobayashi, 1994). In TOL cases, the success rate of VBAC was high, 81.7%. There were no significant differences in age or week of gestation between the VBAC group and the emergent cesarean section group. In patients who demonstrated cephalopelvic disproportion (CPD) during a previous labor, both the rate of TOL and the success rate of VBAC were low, suggesting that the success or failure of VBAC is closely associated with previous indications for cesarean section. Furthermore, there were no differences in volume of hemorrhage in labor between the VBAC group and the group experiencing vaginal birth on primiparity, or between the emergent cesarean section group and the selective cesarean section group. Therefore, the safety of TOL at our hospital was demonstrated. [Adv Obstet Gynecol 48 (5)543-54594, 9, 1996 (H8.9)]
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