Obstetrics and Gynaecology Forum - Volume 12, Issue 1, 2002
Volume 12, Issue 1, 2002
Is the unsafe use of oxytocin in South Africa contributing to our high prevalence of perinatal asphyxia? : editorialAuthor H. OdendaalSource: Obstetrics and Gynaecology Forum 12 (2002)More Less
Extracted from text ... 1 Is the unsafe use of oxytocin in South Africa contributing to our high prevalence of perinatal asphyxia? H Odendaal Department of Obstetrics and Gynaecology and MRC Perinatal Mortality Research Unit, University of Stellenbosch and Tygerberg Hospital. The use of oxytocin for the augmentation of labour is still controversial, many years after the first report on the active management of labour as an alternative to Caesarean section for dystocia.1 Even two meta-analyses, published in successive years in journals on opposite sides of the Atlantic Ocean differ. The one found a 34 % reduction in the rate of Caesarean section ..
Source: Obstetrics and Gynaecology Forum 12, pp 4 –6 (2002)More Less
Extracted from text ... GUIDELINES 4 Guidelines for the management of the overactive bladder PR De Jong*, CF Heyns** *MB ChB MMed (O&G) FCOG (SA) FRCOG. Department of Gynaecology, University of Cape Town and Groote Schuur Hospital **MB ChB MMed (Urol) PhD FCSSA (Urol). Department of Urology, University of Stellenbosch and Tygerberg Hospital INTRODUCTION The unstable detrusor is one that is shown objectively to contract, spontaneously or on provocation, during the filling phase while the subject is attempting to inhibit micturition. Whilst the sufferer may complain of symptoms including frequency, urgency, urge incontinence (UI) and nocturia, the diagnosis should be established by a ..
Author J. SchoemanSource: Obstetrics and Gynaecology Forum 12, pp 8 –13 (2002)More Less
Extracted from text ... REVIEW ARTICLE 8 Bacterial vaginosis - a literature review J Schoeman Department of Obstetrics and Gynaecology, Stellenbosch University, Tygerberg Hospital INTRODUCTION During the Second International Meeting on Bacterial Vaginosis in 1998, several challenges were acknowledged by the delegates:1 ? Which are the best diagnostic criteria for bacterial vaginosis? ? Do we all refer to the same thing when we talk about bacterial vaginosis? ? Could we interpret treatment outcomes in the same manner? It is in certain aspects quite distressing that after 45 years of intensive research bacterial vaginosis (BV) still remains in many ways a mystery. Little is ..
Source: Obstetrics and Gynaecology Forum 12, pp 14 –20 (2002)More Less
Extracted from text ... REVIEW ARTICLE 14 INTRODUCTION According to the World Health Organization (WHO) only two major global health related causes of death are increasing rapidly - deaths from AIDS and from tobacco. At present, the WHO attributes about 4 million deaths a year to tobacco, and this is expected to rise to 8.4 million deaths annually by 2020.1, 2 Studies have shown that a woman's annual risk for death more than doubles among continuing smokers compared with persons who have never smoked in every age group from 45 to 74 years.3-5 The prevalence patterns of smoking in America over the previous ..
Author D.R. HallSource: Obstetrics and Gynaecology Forum 12, pp 21 –24 (2002)More Less
Extracted from text ... REVIEW ARTICLE 21 INTRODUCTION Although fortunately not common, serious bleeding associated with defective coagulation can arise in several obstetric situations. These conditions may result from obstetric complications or be caused by acquired or inherited defects of haemostasis. Such disorders can at times be life threatening to the patient and fetus. To better understand these situations, the physiology and normal alterations during pregnancy will first be discussed. PHYSIOLOGY OF HAEMOSTASIS Normal haemostasis depends upon normal vasculature, platelets, coagulation factors and fibrinolysis. These act together to confine the circulating blood to the vascular bed and arrest bleeding after trauma. Normal coagulation ..
Source: Obstetrics and Gynaecology Forum 12, pp 25 –27 (2002)More Less
Extracted from text ... ULTRASOUND 25 Consent for early "routine" obstetric ultrasound Howarth GR, Mulder P, Jeffery B. Sometimes it is important to read narratives by patients to gain insight to how they perceive our "care". "From a parent's point of view, when we are given appointments for scanning, particularly the first scan, it is offered in a very positive way. In fact, we're not asked would we like to have a scan, it is done as a matter of course. The mother is told how she will be able to see her baby and its little hands and perfectly formed feet there before ..