RESUMO
A retrospective study of the survival of babies born below 35 weeks of gestation over a period of five years from 1987 to 1991 at Queen Elizabeth Hospital was analyzed. The births of 433 were evaluated taking into consideration the birth weights, periods of gestation and mode of delivery. The fetal outcome in relation to these parameters were examined. Twin pregnancies were excluded. A poor outcome was noted in babies below 1000 g. Increasing survival rates were observed with increasing birth weight and increasing period of gestation. Babies below 30 weeks gestation had a poor survival rate. Caesarean section was found to be better than vaginal delivery for a favourable outcome when all 425 births were considered. (AU)
Assuntos
Feminino , Humanos , Masculino , Recém-Nascido , Doenças do Prematuro/mortalidade , Complicações na Gravidez/epidemiologia , Resultado da Gravidez/epidemiologia , Barbados/epidemiologia , Peso ao Nascer , Parto Obstétrico , Países em Desenvolvimento , Idade Gestacional , Gravidez , Complicações na Gravidez/etnologia , Resultado da Gravidez/etnologia , Estudos Retrospectivos , Fatores de Risco , Análise de Sobrevida , Taxa de SobrevidaRESUMO
A retrospective study of the survival of babies born below 35 weeks of gestation over a period of five years from 1987 to 1991 at Queen Elizabeth Hospital was analysed. The births of 433 were evaluated taking into consideration the birth weights, periods of gestation and mode of delivery. The fetal outcome in relation to these parameters were examined. Twin pregnancies were excluded. A poor outcome was noted in babies below 1000 g. Increasing survival rates were observed with increasing birth weight and increasing period of gestation. Babies below 30 weeks gestation had a poor survival rate. Caesarian section was found to be better than a vaginal delivery for a favourable outcome when all 425 births were considered.
Assuntos
Doenças do Prematuro/mortalidade , Complicações na Gravidez/epidemiologia , Resultado da Gravidez/epidemiologia , Barbados/epidemiologia , Peso ao Nascer , Parto Obstétrico , Países em Desenvolvimento , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Masculino , Gravidez , Complicações na Gravidez/etnologia , Resultado da Gravidez/etnologia , Estudos Retrospectivos , Fatores de Risco , Análise de Sobrevida , Taxa de SobrevidaRESUMO
A prospective study to determine the prevalence of asymptomatic female genital tract Chlamydia trachomatis infection was performed on 167 women at the Queen Elizabeth Hospital, Barbados, West Indies and at a private clinic. The ELISA (Microtrak, chlamydia EIA, Syva, CA) method was used to detect Chlamydia trachomatis antigen. Nineteen (11.4% 95% CI 6.5-16.3) women were found positive. The efficacy of a single 1 gram dose of azithromycin given orally to 18 patients was tested after 4 weeks. One patient who was pregnant was given 500 mg erythromycin four times daily orally for 1 week. Only six patients (including the pregnant patient) reported for follow up. All six repeat swabs were negative for C. trachomatis antigen. The prevalence of 11.4% asymptomatic chlamydial infection in endocervical swabs in Barbadian women is in agreement with a previous study which reported a prevalence of 18.4% +/7.8%. Patient compliance was assured, using a single dose of azithromycin. It was found to be as effective as doxycyline and ciprofloxacin as reported by other workers.
RESUMO
Endometrial cancer is one of the most common malignancies seen in postmenopausal females. It is classically described in nulliparous women, who may be overweight, diabetic, hypertensive or have had a late onset of the menopause. In order to examine whether these risk factors applied in Barbadian women, a retrospective study was undertaken of 137 cases of endometrial malignancy diagnosed in Barbados over a 11 year period, January, 1985 to December 1995. The average age of patients at clinical presentation was 67 years. The population incidence was 13 per 100,000 women. Of the patients, 14 percent were nulliparous, and 40 percent were grandmultiparas (ie, 80 Kg or more). 78 percent of the patients were found to have had an onset of menopause at 50 years or older, with the average age at menopause of 52 years. 34 percent of the patients had diabetes mellitus, while 58 percent had systemic hypertension. Histopathology examination showed that there were 86.7 percent adenocarcinomas, 9.5 mixed Mullerian tumors, 5.1 percent undifferential tumors and 0.7 percent sarcomas. The study shows that the basic demographic characteristics were in keeping with published data. However, there is a higher incidence of grandmultiparas and a later age of presentation than in the published literature.(AU)
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Idoso , Neoplasias do Endométrio/epidemiologia , Barbados/epidemiologia , Estudos RetrospectivosRESUMO
Abdominal pain is a common symptom in pregnancy. Its etiology is diverse and diagnosis often poses a problem. Inflammatory disorders of extra-uterine origin such as appendicitis should always be considered as a possible cause. Three cases of appendicitis complicating pregnancy managed at the Queen Elizabeth Hospital, Barbados during the year 1993 are documented. Two presented in the antenatal period and the third postpartum. The clinical manifestations and the difficulties encountered in diagnosis are emphasised. (AU)
Assuntos
Adulto , Relatos de Casos , Feminino , Humanos , Gravidez , Apendicite/cirurgia , Complicações na Gravidez/cirurgia , Resultado da Gravidez , Apendicectomia , Apendicite/diagnóstico , Diagnóstico Diferencial , Complicações na Gravidez/diagnósticoRESUMO
Two cases of abdominal pregnancy are reported: one from the Castle Street Hospital for Women, Colombo, Sri-Lanka and the other from the Queen Elizabeth Hospital, Barbados, West Indies. The clinical manifestations, diagnosis and management are described. A review of the literature is presented. (AU)