Fetal Assessment in Pregnancy (Indication and Methodology for Fetal Monitoring in a low-risk Population). Guideline of the DGGG, DEGUM, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/089, February 2023).

Purpose:  The aim of this guideline was to find evidence on whether carrying out Doppler examinations and CTGs in low-risk cohorts of pregnant women improves outcomes.

Methods:  First, a systematic search for guidelines was carried out. Identified guidelines were evaluated using the DELPHI instrument of the AWMF.

Psychosocial Risk Factors for Child Welfare among Postpartum Mothers with a History of Childhood Maltreatment and Neglect.

Childhood maltreatment (CM) can increase the risk of psychosocial risk factors in adulthood (e. g. intimate partner violence, financial problems, substance abuse or medical problems).

Prospective study into the value of the automated Elecsys antimüllerian hormone assay for the assessment of the ovarian growing follicle pool.

Objective: To evaluate a new fully automated assay measuring antimüllerian hormone (AMH; Roche Elecsys) against antral follicle count in women of reproductive age.

Design: Prospective cohort study.

Setting: Hospital infertility clinics and academic centers.

[Breech presentation - more than just caesarean vs. spontaneous birth].

The cesarean section rate and the associated complications are still rising in Germany. An important indication is term breech in singletons. Not significant data concerning a higher morbidity or mortality in vaginal breech birth indicate the cesarean but a deficit in education and experience.

[Adjuvant therapy with trastuzumab (Herceptin) in primary breast cancer].

The results of four randomized international multicentric trials evaluating the therapeutic benefit of Herceptin in the adjuvant treatment of HER2-neu positive primary breast cancer have been reported. These reports showed that even after short term follow up one year of Herceptin resulted in improved disease free, metastases free and overall survival. Design and results of these four studies and the recommendations of national and international societies for the use of Herceptin in the adjuvant setting will be discussed.

[Septic ovarian vein thrombosis after cesarean section].

Report of a case of septic ovarian vein thrombosis after cesarean section and premature rupture of membranes. The clinical signs were first to suspect the thrombotic complication. Although antibiotics were given immediately after the cesarean section, heparin administration was too late to prevent the right ovarian vein from being occluded by a large thombus.

[Placental morphometry in pregnancies with reversed enddiastolic flow in the umbilical artery or fetal aorta].

Background: Fetuses with a reversed enddiastolic flow in the umbilical artery and/or aorta are at risk pregnancies and show a higher incidence of perinatal morbidity and mortality. The aim of this study was to evaluate the pathological changes in the terminal villous tree in fetuses with a reverse flow in the fetal aorta or umbilical artery.

Materials And Methods: In this retrospective study, 16 cases with a reverse flow in the fetal aorta or umbilical artery (Gr.

[Genital infections and their diagnosis in general practice].

Infections are among the frequent disorders which cause patients to consult a gynaecologist. The spectrum of microorganisms in this area is broad, but only few pathogens are capable of causing an inflammatory infection without previous damage of the epithelium. A-Streptococci are the most dangerous pathogens in the genital area, especially in pregnancy and can only be detected by means of bacteriological culture.

Differential expression of MUC2 and MUC5AC in benign and malignant glandular lesions of the cervix uteri.

The expression of mucin genes in the normal glandular epithelium of the endocervix has been well characterized. However, mucin gene expression in neoplastic or particular non-neoplastic glandular cervical lesions has not been addressed. This immunohistochemical study was carried out to analyze the expression of MUC2 and MUC5AC in neoplastic and non-neoplastic glandular lesions of the cervix.

[Puerperal uterine inversion with covered uterine rupture].

Uterine inversion is a rare complication of the postpartum period which can occur in various degrees. The three key symptoms for diagnosis are pain, cardiovascular shock and vaginal bleeding combined with corresponding vaginal and uterine signs of an inversion. Early diagnosis is one of the most important factors determining the outcome of disease.

[Companionship for women dying of AIDS].

This report reflects the experience of accompanying HIV-infected women during the process of dying using their curriculi vitae as examples of different modes of dealing with fatal illness. The text contains paintings of past and contemporary art concerning death and eros and poetry as a form of therapy.

[Meaning of assimilation pelvis according to Kirchhoff in modern obstetrics].

Objective: To what extent is the cesarean section indication "arrest of labour" due to pathological forms of the pelvis and what is the meaning of the assimilation pelvis in modern obstetrics.

Patients: NMR-pelvimetries were performed in 166 post partum women from June 1993 to August 1995. The patients were divided into 4 groups.

[Episiotomy and its complications].

1. Many benefits claimed for episiotomy are not sufficiently proven. In recent literature, some of them are questioned and some have been disproven.

[Expectations of obstetrics in a large city: prepartum survey].

In recent years, obstetrics has been facing ever greater expectations on the part of its patients. An increasing number of women show a marked interest in experiencing pregnancy and delivery in a more aware and, above all, active manner. The study at hand presents the results of a survey conducted at seven obstetric departments in Vienna in which a total of 431 primiparous women were questioned with regard to their knowledge, their wishes and expectations, as well as their preparations in view of the imminent delivery.