Zentralblatt für Gynäkologie
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The authors report on the modern trends and the pro and contra in treatment of pre-eclampsia and eclampsia. Ambulatory therapy is only allowed in mild preeclampsia by rest, high-protein lowcaloric diet and mild sedation. Also during the stationary therapy diuretics should be commonly avoided. ⋯ For the treatment of eclampsia well tried standardized methods with few drugs as magnesium sulfate and when necessary barbiturates and hydralazine are mentioned, furthermore, the combination with new therapeutic managements as the osmo onco-therapy and the modern anaesthetic technics. There is agreement that in severe preeclampsia induction of labor should be performed before term. The indication for that is facilitated by the modern perinatal diagnostics.
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The authors discuss some controversial aspects of the therapy of chronic hypertension in pregnancy. In cases in whom the blood pressure has been treated before conception the therapy should be continued. But there is no agreement about beginning of the hypotensive therapy during pregnancy. ⋯ As hypotensive agents methyldopa, hydralazine and beta adrenergic substances are recommended, on part of internists also medicaments which are used in nonpregnant patients. In severe chronic hypertension premature induction of labor is necessary. In hypertension III degree and IV degree the pregnancy should be interrupted.
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Historical Article
[100th anniversary of the Zentralblatt für Gynäkologie].
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Comparative Study
[Relief of pain in obstetrics using peridural anesthesia].
It is talked about the technical explanation and the theoretical foundations of the obstetrical peridural anesthesiologica. 250 births done under peridural segmental anaesthesie are compared with a control group by means of clinical dates. It was found out that this method doesn't correspond in some details to the classic de-mands of the obstetrical mitigation. Nevertheless it seems to be without any danger and effective under appropriate conditions.
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154 aspirations of ovary cysts by laparoscopy are reported. 16% of cysts have relapsed after 1 till 7 years. Cytologic investigation and investigation of tissue of cysts are recommended. The advantages of aspiration by laparoscopy over the vaginal blind aspiration are discussed.