Saline Infusion Sonohysterosalpingography, an Underutilized Technique

Summary: Saline infusion sonohysterography (SIS) is an important gynaecological diagnostic tool which is little used in Australia. We herein report the findings in 60 women referred for SIS, the procedure being uneventfully performed in 55. Forty-nine of the 60 referrals were for investigation of abnormal uterine bleeding. The technique described allows examination of the uterine cavity and the Fallopian tubes. In 26 of the patients information was obtained which improved or altered the diagnosis made on B mode and colour Doppler ultrasound. Unlike hysteroscopy, SIS is always performed as an outpatient procedure, appropriate disinfection procedures are relatively simple to implement (1), and vasovagal reactions are rare. Hysteroscopy was avoided in 11 patients, there were other benefits in 4 patients, and in only 1 of 16 patients did the hysteroscopy findings differ with SIS. If diagnostic pitfalls are avoided by careful attention to detail, SIS offers a powerful new gynaecological investigative tool in the investigation of bleeding disorders (including menorrhagia, intermenstrual and postmenopausal bleeding), uncertain endometrial Findings on vaginal ultrasound, infertility, and in the investigation of congenital and acquired uterine abnormalities.     

Obstetrics services - womens' perspectives

To obtain women's views of obstetric care 400 randomly selected mothers were interviewed postnatally. Since family planning is a constitutional right and all related services free of charge and virtually 100% of pregnant women attend the antenatal clinic, the questions asked were mainly oriented to evaluation of existing obstetric practice. Women were generally satisfied with labor and delivery care (71.2%), but as many as 88.2% of them expressed their dissatisfaction with postnatal care practice. Our women opted for optimal hospital perinatal care — a home-like postnatal care, possibilities for better bonding between mothers and newborn infants and more open, individually oriented communication with medical staff.     

Christmas Island: Indian Ocean Obstetrics in an Isolated Community

The obstetric service provided for the inhabitants of Christmas Island has been outlined and the records of the period 1950 to 1960 have been reviewed, in order to determine the overall pattern of obstetrics and the incidence of complications.     

产科急重症

叙述产科急重症所涉及的范围,并分别介绍产科急症、产科重症的处理原则,以及急重症患者转诊的相关程序和注意事项。     

产科急重症

叙述产科急重症所涉及的范围,并分别介绍产科急症、产科重症的处理原则,以及急重症患者转诊的相关程序和注意事项。     

Multiple pregnancy in the Obstetrics and Perinatology AM in Lublin in 1989-1999

A retrospective analysis of 400 twin and 14 triplet pregnancies at the Department of Obstetrics and Perinatology, University School of Medicine in Lublin, from January 1, 1989 to June 30, 1999 was undertaken. A number increase of multiply pregnancies was observed--from 124 in the period 1989-1992 to 181 in the period 1996-1999. A percentage increase of cesarean sections was observed--from 52.42% to 77.34% respectively. The most frequent indications for the cesarean sections were non-vertex presentation of the first twin, threatened intrauterine infection and threatened intrauterine asphyxia.     

Rural Obstetrics in NSW

Summary: Rural general practitioners are responsible for providing obstetric services to the majority of women living in rural communities. This paper reports a comparison of 5,950 deliveries conducted by rural GPs in NSW during 1990–1991 with all 88,275 deliveries during the same period in NSW. No evidence that obstetric care in accredited rural GP obstetric units is of less than acceptable standards could be found. There is scope to increase the use of rural obstetric units for the training of future rural GP obstetricians.