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  • 1
    Electronic Resource
    Electronic Resource
    THE INFLUENCE OF BETAMETHASONE AND ORCIPRENALINE ON THE INCIDENCE OF RESPIRATORY DISTRESS SYNDROME IN THE NEWBORN AFTER PRETERM LABOUR (1980)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 87 (1980), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In a randomized double-blind trial on antenatal corticosteroid treatment for the prevention of respiratory distress syndrome (RDS) a corticosteroid related beneficial effect was found. Possibly of more significance was the finding that the children born within 12 hours of their mother's admission to hospital showed a higher incidence of RDS than those born between 12 hours and one week after admission even in the placebo and untreated groups. Beta-adrenergic drugs seemed to exert no other influence on the occurrence of RDS than can be explained by the delay of delivery. Prolonged ruptured membranes appeared to decrease the incidence of RDS to the same extent as other symptoms of threatened preterm labour.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1980.tb04505.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Coagulation studies in the syndrome of haemolysis, elevated liver enzymes and low platelets (1991)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 98 (1991), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. The presence of disseminated intravascular coagulation (DIC) in the syndrome of haemolysis, elevated liver enzymes and low platelets (HELLP) is debated. We assessed the occurrence of decompensated and compensated DIC (using predefined criteria) in 15 consecutive nulliparous pregnant patients with gestastional hypertension combined with the HELLP syndrome and in 12 consecutive nulliparous controls with pregnancy induced hypertension (PIH) but without the HELLP syndrome. A combination of routine coagulation assays revealed the absence of decompensated DIC in all studied patients. However, using more specific and sensitive coagulation assays, compensated DIC was observed in all HELLP patients and in three patients in the control group. The mean values of antithrombin III, thrombin-antithrombin III complexes and protein C in the HELLP and the control group were 66 vs 87% (P=0.0004), 21 vs 8 ng/ml (P=0.0008) and 57 vs 90% (P=0.0018) respectively. We conclude that HELLP patients show evidence of compensated DIC which may have pathophysiological significance for the observed organ damage.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1991.tb10309.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Risks of midtrimester amniocentesis; assessment in 3000 pregnancies (1985)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 92 (1985), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. The obstetric outcome of 3000 pregnancies with midtrimester amniocentesis was followed in all but one patient. Thirty pregnancies ended in fetal death or abortion within 3 weeks after amniocentesis. Chronologically 23 of these occurred in the first series of 1500 pregnancies and the remaining seven fetal deaths/abortions within 3 weeks after amniocentesis occurred in the second series of 1500 pregnancies. Fetal loss within 3 weeks after amniocentesis was apparently related to the experience of the obstetrician and to the use of modern ultrasound guidance. It is concluded that the risk of fetal death after midtrimester amniocentesis is approximately 0.5%, if only experienced obstetricians using modern techniques are involved.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1985.tb03049.x
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  • 4
    Electronic Resource
    Electronic Resource
    Regional perinatal mortality and regional hospitalization at delivery in The Netherlands (1986)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 93 (1986), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. In The Netherlands 343.5 % of all deliveries still take place at home, but with considerable regional differences. A study was made of the relation between the perinatal mortality rate and the percentage of hospital deliveries in the 11 provinces of The Netherlands, in municipalities divided into groups according to the number of inhabitants, and in the 17 cities with more than 100 000 inhabitants. No relation could be demonstrated between the regional percentage of hospital deliveries and the regional perinatal mortality rate. The proportion of hospital delivery appears not to be a major factor determining the regional perinatal mortality rate in the current system of obstetric care in The Netherlands.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1986.tb08053.x
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Midwifery in the Netherlands. The Wormerveer study; selection, mode of delivery, perinatal mortality and infant morbidity (1989)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 96 (1989), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. Between 1969 and 1983 a group of 7980 pregnant women, booked consecutively at a practice of freestanding midwives in Wormerveer, the Netherlands, was studied. They gave birth to 8055 children. Perinatal mortality in the total group was low (11–1 per 1000) compared with national figures of 14–5 per 1000 betweén 1969 and 1983. The highest mortality (51–7 per 1000) was found in the group of 1430 infants born after maternal referral during pregnancy to a specialist obstetrician. The perinatal mortality in the group selected during pregnancy as low-risk cases was very low (2.3 per 1000). The caesarean section rate in the total group was 1.4% and 0.4% in the selected low-risk group. Of the 5985 infants born alive under sole care of a midwife, 3.8% were admitted to hospital. Emergency admission because of birth asphyxia occurred in 0.4%. Convulsions within 48 h of birth at term occurred in seven (0.9 per 1000) in the total group and in five infants born in the selected group (0.8 per 1000). Selection of pregnant women into groups with high and with low risk is possible with the relatively modest means available to the midwife.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1989.tb03279.x
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Regional perinatal mortality and regional hospitalization at delivery in The Netherlands (1986)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 93 (1986), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. In The Netherlands 34–35 % of all deliveries still take place at home, but with considerable regional differences. A study was made of the relation between the perinatal mortality rate and the percentage of hospital deliveries in the 11 provinces of The Netherlands, in municipalities divided into groups according to the number of inhabitants, and in the 17 cities with more than 100 000 inhabitants. No relation could be demonstrated between the regional percentage of hospital deliveries and the regional perinatal mortality rate. The proportion of hospital delivery appears not to be a major factor determining the regional perinatal mortality rate in the current system of obstetric care in The Netherlands.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1986.tb07967.x
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    Paper (German National Licenses)
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