Management of vaginal birth after cesarean.

Objective: To raise the success rate of vaginal birth after cesarean (VBAC) without increasing maternal or perinatal morbidity and mortality rates.

Methods: Of 468 women with a prior scar, 365 gave valid informed consent for our management of VBAC at Akashi Municipal Hospital during 1986-1999. Trials of labor (TOL) were attempted in 322 cases principally by waiting for spontaneous labor onset and teaching the patients a breathing method to avoid straining until expulsion by vacuum extraction become possible, controlling the intrauterine pressure.

[Screening for gestational diabetes mellitus based on blood glucose 2hrs value after a 75g oral glucose load].

We examined the relationship between the time of blood collection and the blood glucose value by analyzing blood glucose values around one hour and two hours after a 75g oral glucose load in 50 women who were at 24 to 28 weeks of gestation. We performed a 75g, 2hrs screening test at 16 to 33 weeks of gestation on all 2,570 pregnant women who visited our out patient clinic between May, 1986 and August, 1991. 1.

[Clinical evaluation of pivmecillinam in the maintenance therapy of chronic urinary tract infection (author's transl)].

In order to evaluate the efficacy and safety of pivmecillinam (melysin tablet, PMPC), PMPC was administered to 78 chronic UTI cases in the field of obstetrics and gynecology (posthysterectomy infection, chronic cystitis, chronic pyelonephritis and etc.). In principle, daily 400 mg of PMPC was administered for 2 weeks.