Eklampsie mit Hämolyse und Anurie

Severe Unwanted Effects Associated with Betasympathomimetics when used in the Treatment of Premature Labour: Causes, Incidence and Preventative Measures

“…He also reported a further death in his own unit where the patient was found to have an underlying congenital cardiomyopathy, and all the cases he reported had also received corticosteroids. A further unpublished case was reported by Kubli (1980) 1 of a death in the late post‐partum period due to myocardial failure — again on the basis of histological evidence the diagnosis of pre‐existing cardiomyopathy seemed to be most likely. Bender (1977) 16 reported two patients with post‐partum pulmonary oedema and shock syndrome not associated with corticosteroids, one of whom died; and Curtius (1980) 17 one fatal case of pulmonary oedema where betamethasone and acetylsalicylic acid was administered.…”

“…Since the first observations on serious complications were made in 1976 1 sufficient data has now been published to enable a review to be made of the possible causes, the incidence and the preventive measures that may be taken.…”

The Application, Value, and Limitations of Amnioscopy

“…Absence of Iiquor amnii or the presence of meconium when the fetus was alive, were indications for immediate artificial rupture of the membranes, and stimulation of uterine activity by oxytocin infusion as recommended by Kubli and Berg (1965). Amnioscopy was only performed by senior members of the resident staff of the hospital so as to produce the least possible observer error.…”

Problems of Foetal Blood Sampling

“…THE importance of assessing the acid-base state of foetal blood as a guide to hypoxia during labour has been stressed by several authors (Saling, 1963(Saling, , 1964(Saling, , 1965Huntingford, 1964;Kubli and Berg, 1965;Morris and Beard, 1965). In the original technique, which was introduced by Saling (1963), a few drops of foetal blood were aspirated from a small incision in the foetal scalp into a length of transparent polyvinyl chloride tubing of 1 mm.…”