Abnormal "low grade" transformation zone: current diagnostic gold standard

The aim of this work was to examine different methods of investigation in the diagnosis of the abnormal "low grade" transformation zone of the portio. Over a period of one year 41 patients subjected to colposcopic examination underwent exo-endocervical sampling for oncologic evaluation and for detection of viral and bacterial infections (HPV, HSV. adenovirus, mycoplasmas and chlamydia trachomatis), as well as portio biopsy. A 65.8% correlation was found between cytology and the HPV-DNA test results. while histology and the presence of the HPV virus agreed in 51.4% of cases. In those cases in which minimal histological alterations were found (koilocytosis) a high percentage of HPV negativity was found. In discordant negative cytologic tests that were however positive for HPV by PCR. the genotypes identified were always 6 and 11

Biofeedback ed elettrostimolazione funzionale dei pavimento pelvico nel trattamento dell'incontinenza urinaria femminile.

Ed. Luigi Pozz

Ten year survey of the deliveries of immigrant women residing in Rome

In order to evaluate the obstetric attitude towards immigrant women, we analyzed the clinical data of 544 immigrant women who delivered at the 2nd Institute of Obstetrics and Gynaecology, University of Rome ‘La Sapienza’, between 1983 and 1993. The ages of the women ranged from 15 to 47 years with an average of 27.6 years; 36.5% and 34% came from Africa and Eastern Europe, respectively, and 23.2% and 6.3% came from Asia and South America, respectively. Most of the births (84.2%) occurred within the normal gestation period; 15.8% of the patients gave birth prematurely. Normal deliveries accounted for 75% of the total; operative deliveries were subdivided as follows: cesarean section 22.2%, vacuum extraction 1.3% and forceps 1.1%. The neonatal mortality rate was 1.1% of all births. Maternal complications in the postpartum and the puerperium period were rare: one incident of thrombophlebitis of the lower limbs and two cases of retained placenta. The most serious complication was a metrorrhagia associated with widespread intravascular coagulation