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  • 1
    Electronic Resource
    Electronic Resource
    Reproductive outcome of 32 patients with primary or secondary infertility and uterine pathology (2000)
    Springer
    Archives of gynecology and obstetrics 264 (2000), S. 24-26 
    Details
    ISSN: 1432-0711
    Keywords: Key words Uterus ; Infertility ; Laparoscopy ; Hysteroscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  We did a retrospective study on 102 patients who had a laparoscopy and a hysteroscopy during investigations for primary or secondary infertility. 32 of the 102 patients had uterine pathology. Seven of them had septate uteri, eight had uterine synechiae, another six had uterine fibroids, four had a bicornuated uterus, while the remaining had either a combination of all or other uterine anomalies. After surgical treatment of these conditions ten women conceived and five pregnancies including one twin pregnancy resulted in term deliveries.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00007477
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  • 2
    Electronic Resource
    Electronic Resource
    Cardiac and extracardiac complications in infants of diabetic mothers and their relation to parameters of carbohydrate metabolism (1997)
    Springer
    European journal of pediatrics 156 (1997), S. 262-265 
    Details
    ISSN: 1432-1076
    Keywords: Key words Diabetic pregnancy  ;  Myocardial hypertrophy  ;  Glycosylated haemoglobin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Despite the current improvement of diabetes care in pregnancy, neonatal complications are still more frequent than in the general population. Even in fetuses of well controlled diabetic mothers, myocardial hypertrophy can be demonstrated although it is not related to maternal metabolic control. The objective of this study was to determine perinatal complications and the course of myocardial hypertrophy in newborns who had been prenatally monitored and to relate the findings to neonatal parameters of carbohydrate metabolism. Perinatal complications and echocardiographic evidence of myocardial hypertrophy were determined in 104 neonates of closely followed diabetic mothers. Cord blood was obtained for determination of insulin, C-peptide and glycosylated fetal haemoglobin (HbF1c). In cases of myocardial hypertrophy, the echocardiographic examinations were repeated until normalisation of the myocardial wall thickness. The most striking finding was myocardial hypertrophy in 25% of the 104 neonates, which predominantly involved the interventricular septum. This is in contrast to the prenatal symmetrical hypertrophy of the ventricular walls and may be explained by perinatal changings of ventricular geometry. There was no sign of outflow tract obstruction, and myocardial hypertrophy resolved within 6 months. Insulin and C-peptide were elevated in the majority of the newborns, whereas HbF1c was significantly decreased. Neither the maternal type of diabetes nor neonatal metabolic data were related to the somatic findings. Conclusion Myocardial hypertrophy still occurs in infants of diabetic mothers despite their good met abolic control reflected by the decreased fraction of glycosylated fetal hemoglobin which points to low fetal blood sugar levels during the last intra-uterine weeks.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310050596
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  • 3
    Electronic Resource
    Electronic Resource
    Perinatale Problematik bei kindlicher Makrosomie und ihre Beziehung zum mütterlichen HbA1C (1989)
    Springer
    Archives of gynecology and obstetrics 245 (1989), S. 282-283 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Sowohl die mütterliche wie auch die kindliche perinatale Problematik ist bei Schwangerschaften mit überschweren Kindern erhöht und korreliert mit dem mütterlichen HbA1C als Ausdruck einer Glucosetoleranzstörung. Nur ein Screening mittels des oGT kann diese Risiken vermindern.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02417276
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  • 4
    Electronic Resource
    Electronic Resource
    Pränatale Diagnose der Myokardhypertrophie und Qualität der mütterlichen Diabeteseinstellung (1993)
    Springer
    Archives of gynecology and obstetrics 254 (1993), S. 1250-1251 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02266387
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  • 5
    Electronic Resource
    Electronic Resource
    Bietet die Sensortechnik genügend Sicherheit bei der Selbstkontrolle der schwangeren Diabetikerin? (1993)
    Springer
    Archives of gynecology and obstetrics 254 (1993), S. 1414-1416 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02266453
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  • 6
    Electronic Resource
    Electronic Resource
    Therapie der wachstumsretardierung (1983)
    Springer
    Archives of gynecology and obstetrics 235 (1983), S. 559-609 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02428786
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  • 7
    Electronic Resource
    Electronic Resource
    The development of the placental villus during normal pregnancy: Morphometric data base (1988)
    Springer
    Archives of gynecology and obstetrics 244 (1988), S. 23-32 
    Details
    ISSN: 1432-0711
    Keywords: Placentra ; Morphometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The morphological structures of the terminal villus of the normal human placenta were evaluated morphometrically throughout pregnancy. The Videoplan (Kontron) system was used to measure a total of 6000 villi. The cross-sectional surface and circumference of the villus decrease continuously until the 28th week and remain stable thereafter. The cross-sectional surface, number, and circumference of villous vessels only increase until the 20th week. The relative degree of vascularization, however, increases further until 28th week together with a continuous decrease in villous size. Epithelial plates start to appear in the 18th to 20th week, and their development is essentially completed by the 28th week. According to the data presented, the development and differentiation of the placental villus are completed by the 28th week of gestation. Any further increase in nutritional capacity can only be provided by an increase in the number of villi and not their individual maturation. These results represent a morphometric data base for the quantification of retarded placental development in placental insufficiency.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00931399
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  • 8
    Electronic Resource
    Electronic Resource
    Diabetes Screening in der Schwangerschaft: nur nach Risiko-Selektion oder generell notwendig? (1991)
    Springer
    Archives of gynecology and obstetrics 250 (1991), S. 504-525 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02372883
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  • 9
    Electronic Resource
    Electronic Resource
    Diagnostik und Therapie des Gestationsdiabetes – aktueller Stand (1998)
    Springer
    Der Gynäkologe 31 (1998), S. 7-11 
    Details
    ISSN: 1433-0393
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zum Thema Der Gestationsdiabetes ist die häufigste echte Stoffwechselerkrankung in der Schwangerschaft. Gleichzeitig ist er die dritthäufigste Ursache für einen intrauterinen Fruchttod. Als Gestationsdiabetes wird per definitionem eine KH-Stoffwechselstörung bezeichnet, die erstmals in der Schwangerschaft aufgetreten bzw. diagnostiziert worden ist. In der Gravidität besteht durch erhöhte periphere Insulinresistenz und beschleunigten Insulinabbau eine diabetogene Stoffwechsellage. Diese wird bei normal funktionierendem Pankreas durch erhöhte Insulinausschüttung ausgeglichen. Bei Funktionsstörungen entsteht ein relativer Insulinmangel mit entsprechend erhöhten Blutglukosewerten. Die plazentagängige Glukose induziert beim Feten einen Hyperinsulinismus, der u. a. zur Makrosomie mit der entsprechenden geburtshilflichen Problematik führt. Wenn die Diagnose eines Gestationsdiabetes gestellt wird, ist eine Aufklärung der Patientin und Beratung zur diätetischen Einstellung und das intensive fetale Monitoring mit engmaschigen Sonographie- und CTG-Kontrollen erforderlich.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00003082
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  • 10
    Electronic Resource
    Electronic Resource
    Laparoscopic management of ovarian tumors (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 1326-1333 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopy — Ovarian tumors — Ovarian carcinoma — Borderline tumors — Vaginal ultrasound
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Laparoscopy can be used with minimal operative morbidity to evaluate adnexal masses. We report our experience with the endoscopic approach to the diagnosis and treatment of ovarian tumors. In particular, we describe 11 patients who incidentally underwent laparoscopy and in whom the ovarian masses were found to be malignant. Methods: Between September 1994 and September 1996, 292 patients with 316 ovarian tumors were treated laparoscopically in the Department of Obstetrics–Gynaecology, University of Ulm. We assessed vaginal ultrasonography, clinical assessment, the tumor marker CA 12-5, and the intraoperative low-power magnification for their value in predicting the final diagnosis in all laparoscopically treated ovarian tumors. Results: From a total of 292 patients with ovarian tumors, 11 were diagnosed, intraoperatively or after final histologic examination, as having a malignant or borderline ovarian tumor. All applied pre- and intraoperative diagnostic procedures were by themselves too unreliable to exclude early stages of ovarian carcinoma exactly. Conclusions: On the basis of the present findings, we are tempted to conclude that laparoscopic surgery is justified in the management of ovarian tumors. Even with an accurate preoperative selection of suitable patients for laparoscopic surgery, the presence of an undetected ovarian carcinoma cannot be entirely excluded.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900850
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