ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 54, Issue 4
Displaying 1-20 of 20 articles from this issue
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ARTICLES
Clinical report
  • Effect of patient-controlled analgesia on postoperative pain after cesarean section
    Shirou OHTSUKA, Kiyoshi KOIZUMI, Takekazu TERAI, Masuji TANAKA
    Article type: Clinical report
    Subject area: ARTICLES
    2002 Volume 54 Issue 4 Pages 291-296
    Published: 2002
    Released on J-STAGE: February 05, 2003
    DOIhttps://doi.org/10.11437/sanpunosinpo.54.291
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    We examined the effect of patient-controlled analgesia (PCA) on postoperative pain after cesarean section. In non-PCA group (n=20), cesarean section was performed under spinal anesthesia and dicrofenac suppository and pentazocine were administered for postoperative analgesia. In PCA group (n=20), epidural catheter was inserted at L1-2 before spinal anesthesia for cesarean section. Morphine 2mg was epidurally administered just after the baby was delivered. After the operation a Coopdech Syrinjector PCA system® was connected to the epidural catheter. The continuous epidural infusion was started at the rate of 0.125% bupivacaine 2ml/hr and morphine 0.1mg/hr, and reduced in the half dose from the next morning. Bolus dose of PCA was 3ml of 0.25% bupivacaine and lockout time was 30 minutes. PCA group had significantly less use of additional analgesics than non-PCA group in 24 hours after the operation (p<0.01) and between 24-48 hours after the operation (p<0.05). PCA is effective method for postoperative pain control after cesarean section. [Adv. Obstet. Gynecol., 54 (4) : 291-296, 2002 (H. 14. 7)]
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  • A woman with congenital antithrombin deficiency suffered deep venous thrombosis (DVT) at 4th-day puerperium(case report)
    Tatsuo MORI, Toshiaki TATUMI, Shozo TAIRA, Shinji KOMORI, Koji KOYAMA
    Article type: Clinical report
    Subject area: ARTICLES
    2002 Volume 54 Issue 4 Pages 297-301
    Published: 2002
    Released on J-STAGE: February 05, 2003
    DOIhttps://doi.org/10.11437/sanpunosinpo.54.297
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    Pregnancy associated deep venous thrombosis (DVT) is a major risk factor for pulmonary embolism and is a major cause for maternal death. In this case report, we experienced a patient with DVT appeared at 4th-day puerperium. She was a 28-year-old primipara and complained of sudden pain and swelling in her left leg. Because the symptoms became severe and the redness of skin of left leg and Homans sign were also appeared at 5-th day puerperium, a CT scan was performed and its results indicated thrombosis in the left femoral vein. Therefore, a diagnosed of DVT was made. She was initially treated with intravenous administration of urokinase following by heparin. Since the results of coagulation activity tests indicated the low antigenic titier (55%) of antithrombin, the administration of antithrombin was also performed. After the initial treatment was completed and her symptoms were improved, oral anticoagulant therapy with warfarin sodium was started at 17-th day puerperium. The laboratory data of the same day indicated that antithrombin activity and antigenic titer were still lower (66%) than normal range. Her mother also showed low antithrombin activity and a relative of hers had had a pulumonary embolism. On the basis of these data, a diagnosis of congenital antithrombin deficiency was finally made. She fortunately did not suffer a pulmonary embolism and improved after treatment.[Adv.Obstet.Gynecol.,54 (4) : 297-301, 2002 (H. 14. 7)]
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  • Daily vaginally-administered urinary trypsin inhibitor (5000 units) tampon for preventing preterm labor
    Ryuji HIRAI, Koji KUMAGAI, Daisuke AKISE, Ko SAKUMA, Hekiko SOEN, Masa ...
    Article type: Clinical report
    Subject area: ARTICLES
    2002 Volume 54 Issue 4 Pages 302-307
    Published: 2002
    Released on J-STAGE: February 05, 2003
    DOIhttps://doi.org/10.11437/sanpunosinpo.54.302
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    This study examined the effect of daily vaginally-administered urinary trypsin inhibitor (UTI) tampon on the prevention of preterm labor. Thirty-five pregnant women at risk for preterm labor were treated with two kinds of therapy: UTI group (n=15), ritodrine hydrochloride plus daily vaginally-administered UTI (5000 units) tampon therapy; non-UTI group (historical control, n=20), ritodrine hydrochloride therapy alone. Use of magnesium sulfate was not prohibited in either group. There was no significant difference in the length of hospital stay or in the incidence of preterm labor between these two groups. The dose of ritodrine hydrochloride and magnesium sulfate per day was significantly decreased in the UTI group compared with that in the non-UTI group. These results suggest that combination therapy with ritodrine hydrochloride plus daily vaginally-administered UTI tampon may be helpful for preventing preterm labor. [Adv.Obstet.Gynecol.,54 (4) : 302-307, 2002 (H. 14. 7)]
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OPINIONS
Clinical view
Current topic
TRANSACTIONS of SECTIONAL MEETINGS
Perinatology (in the 105th Meeting of the OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN)
Drug therapy during pregnancy -effectiveness, preventive use, side effect etc.-
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