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- South African Journal of Obstetrics and Gynaecology
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- Volume 15, Issue 2, 2009
South African Journal of Obstetrics and Gynaecology - Volume 15, Issue 2, 2009
Volume 15, Issue 2, 2009
Source: South African Journal of Obstetrics and Gynaecology 15 (2009)More Less
The women of South Africa deserve a far better deal as far as the services provided by the state are concerned. From contraception and fertility aspirations through to proper obstetric and gynaecological care, we must keep seeking ways of persuading those who have been voted into power of the needs of our women patients.
Source: South African Journal of Obstetrics and Gynaecology 15, pp 48 –53 (2009)More Less
Source: South African Journal of Obstetrics and Gynaecology 15, pp 54 –56 (2009)More Less
Objective. To verify whether postnatal results for newborns can be improved if the abdominal mode of delivery is used for all cases of umbilical cord loops diagnosed ante partum.
Method. We compared the obstetric results for two groups of births: 344 vaginal deliveries in which nuchal cord was diagnosed during the second stage of labour, and 48 cases in which the diagnosis was made with an ultrasound scan ante partum and delivery was by caesarean section (CS). All were singleton term pregnancies with a cephalic presentation, and with no other significant associated pathology.
Results. There were no significant obstetric differences between the group with a prenatal diagnosis of umbilical cord loop who delivered by CS and the group with a post partum diagnosis of umbilical cord loop who delivered vaginally.
Conclusion. We concluded that ante partum ultrasound diagnosis of nuchal cord is not in itself an indication for CS delivery.
Assessing the preference of women for different methods of monitoring the fetal heart in labour : research articleSource: South African Journal of Obstetrics and Gynaecology 15, pp 58 –59 (2009)More Less
Objective. To assess which of three different methods of monitoring the fetal heart in labour was preferred by labouring women.
Method. Ninety-nine women in the first stage of labour were enrolled into a prospective clinical study to compare their preference for fetal monitoring with a Pinard fetal stethoscope, an innovative wind-up Doppler ultrasound fetal heart rate monitor, and cardiotocography.
Result. Significantly more women preferred the fetal heart rate monitor to the other two methods (p=0.001).
Conclusion. Intermittent auscultation of the fetal heart during labour with a fetal monitor is more acceptable to labouring women than monitoring with a Pinard fetal stethoscope or a cardiotocograph.
Author Pieter W.J. Van DongenSource: South African Journal of Obstetrics and Gynaecology 15, pp 62 –66 (2009)More Less
The expression caesarean section (CS) is most probably creative etymology and not derived from the CS allegedly performed on the mother of Julius Caesar. Mythology and legends emphasise the importance of being 'superhuman' if delivered by CS, and therefore avoid mentioning normal vaginal delivery. Many religions describe procedures to be followed after death as a result of CS.
The first reliable account of a CS was in 1610 in Germany. The first successful CSs, i.e. proven survival of mother and child, were described in The Netherlands (1792), South Africa (1826), UK (1834), USA (1835) and Germany (1841). Maternal mortality decreased rapidly in the last quarter of the 19th century owing to new techniques, such as closing the uterine wound, drainage, asepsis, anti-sepsis, and elective CS.