477 research outputs found
Silent Abruption of the Posteriorly Inserted Placenta
Four illustrative cases of severe, but 'silent', abruptio placentae are presented. Apart from variable degrees of vaginal bleeding, low backache was the only other constant symptom. In each instance the abruption was of a posteriorly imbedded placenta. The significance of posterior placental abruption is emphasised and an approach to its clinical management suggested
Gestational Diabetes in General Practice
The role of the general practitioner in the diagnosis and management of the gestational diabetic is defined. Recognition of this condition is important for improving the perinatal mortality; as is advice regarding steroid contraception; and as a means of predicting the development of overt diabetes. Methods of diagnosis are briefly commented upon.S. Afr. Med. J., 48, 417 (1974
The antenatal detection of asymptomatic disease
A prospective study was introduced to establish the role of the antenatal clinic as an 'early detection unit' for the screening of asymptomatic disease not specifically related to pregnancy. Patients were screened for diabetes, iron deficiency, carcinoma of the cervix, asymptomatic urinary tract infection, and vaginal disease. Four racial groups, Black, Coloured, Indian, and White, were studied. In terms of time, cost and practicability, it was found that antenatal visits could be used for screening purposes. Screening for conditions known to be prevalent among certain racial groups increases the rate of detection. Screening for asymptomatic disease during pregnancy, can be introduced easily into private practice with a minimal involvement of cost and time for both patient and doctor. The long-term benefit of the early detection and treatment of disease is discussed.S. Afr. Med. J., 48, 178 (1974)
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