Publications by authors named "H A Krone"

Objective: This study was undertaken to identify the main causes of maternal mortality within a developed country to refocus and enhance the delivery of obstetric services.

Study Design: From January 1, 1983, to December 31, 2000, 309 maternal deaths occurring in Bavaria were documented and classified in a prospective observational study. The data sources were the civil registry, confidential reports by members of the Bavarian Society of Obstetrics and Gynecology, and public information.

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Article Synopsis
  • From 1983 to 1992, Bavaria recorded 150 maternal deaths, with 10% caused by preeclampsia during the puerperal period.
  • Out of the women who died from preeclampsia, 14 showed evidence of HELLP syndrome, prompting the need for high-risk criteria in maternal care.
  • To improve outcomes for patients with HELLP syndrome, early diagnosis, immediate delivery, and careful monitoring of liver enzymes and platelets are crucial, especially when right upper abdominal pain occurs in late pregnancy.
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A study was conducted on the collection of stillbirths occurring during the last 23 years in the Gynaecological Hospital in Bamberg. The data were taken from the birth reports and the recorded course of each pregnancy. The results of the first 22 years were divided into 2 groups, the first 11 years and the subsequent 11 years, to enable better judgement of trend changes.

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A 39-year-old primigravida was admitted to the hospital in the 33rd week of pregnancy due to fetal retardation and placental insufficiency, malnutrition, decreased cutaneous turgor, and cardiotocographic (CTG) fetal distress. Body weight had increased subnormally through the 29th week of gestation and had since decreased by 2.5 kg.

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In the period between 1965-1986 with a collective sum of 5369 gynecological laparotomies, the appendix was removed as a preventive measure in 1718 cases (32%). In all these cases, the recovery period proceeded without any complications. The results of the histological studies on the appendices showed an acute appendicitis in 136 cases (7.

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