Pregnancy hypertension : proceedings of the First Congress of the International Society for the Study of Hypertension in Pregnancy, held at University College, Dublin, on 27-29 September 1978
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書誌事項
Pregnancy hypertension : proceedings of the First Congress of the International Society for the Study of Hypertension in Pregnancy, held at University College, Dublin, on 27-29 September 1978
M.T.P. Press, 1980
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Includes index
内容説明・目次
内容説明
Plasma catecholamines were estimated late in the second stage of labour and before fetal expulsion in three groups of pregnancies: I. Normal pregnancies at term. 2. Pregnancies complicated by severe pre-eclampsia, under medical control in hospital for 2-5 weeks and induced at 37-39 weeks of pregnancy. 3. Pregnancies complicated by severe pre-eclampsia went into labour at term with no previous control to their toxaemias. Plasma catecholamines were determined in the maternal and cord blood, late in the second stage of labour and within 12 hours after delivery. Plasma catecholamines showed a highly significant rise in the maternal blood collected during the second stage of labour, after delivery, and in the cord blood, in pregnancies complicated with severe pre-eclampsia with no previous control when compared to normal pregnancy. The figures for the medically controlled severe pre-eclampsia had also presented a significant rise when correlated with the normal pregnancy. We can say that the adrenal medulla shares in the stress phenomenon during labour. Such stress is worse in pre-eclamptic patients, particularly the uncontrolled pre-eclam psia.
The fetal adrenal also shares in the stress phenomenon in pre-eclampsia.
目次
Inaugural address - Evolution of concepts of eclampsia.- Section I Immunology of Pregnancy-Induced Hypertension.- 1 Immunological studies in severe gestosis.- 2 The HLA system and severe pre-eclampsia.- 3 Serum factors in severe pre-eclamptic toxaemia (PET).- 4 Immune complexes in pre-eclampsia.- 5 Pre-eclampsia and changed paternity.- 6 The influence of coitus on immune response.- Section II Renin-Angiotensin Systems.- 7 A prospective serial study of plasma angiotensin I converting enzyme in pregnancy.- 8 A study of plasma renin activity in normotensive subjects with a previous history of pregnancy-associated hypertension.- 9 The effect of delivery on maternal and fetal plasma renin and dopamine-?-hydroxylase in hypertensive disease of pregnancy.- 10 The effect of a specific All antagonist (Saralasin) on blood pressure in the immediate puerperium.- 11. Post partum changes in the renin-angiotensin system.- 12 Relationship of angiotensin sensitivity to sodium excretion, renin-aldosterone axis and to progesterone in late pregnancy.- 13 Labetalol - a new ?- and ?-adrenoreceptor blocking agent in pregnancy-induced hypertension.- 14 The effect of epidural analgesia on the renin-angiotensin system in pregnancy hypertension.- Section III Vascular Reactivity in Pregnancy.- 15 Circadian variation of blood pressure in pregnancy.- 16 The roll-over test in healthy primagravid subjects.- 17 The lack of relationship between postural differences in blood pressure and pregnancy outcome.- 18 Mechanisms for blood pressure changes in the roll-over test.- 19 Relationship between prolactin secretion and blood pressure behaviour in late pregnancy.- 20 Serum DBH activity in term delivery and newborn.- 21 Ionic basis of vascular smooth muscle contraction.- 22 Plasma epinephrine and norepinephrine in normotensive and pregnancy-induced hypertensive pregnancies.- 23 Plasma catecholamines during labour in normal and pre-eclamptic pregnancies.- 24 Relation between plasma volume and uric acid in the development of hypertension in pregnancy.- 25 Modulation of vascular responsiveness to angiotensin II during human pregnancy.- 26 Evans blue disappearance rate in normal prengancy and pre-eclampsia.- Section IV Uteroplacental Blood Flow, Placental Function and Morphology.- 27 Diameters of uteroplacental arteries.- 28 The ultrastructure of the placenta in maternal pre-eclampsia.- 29 Uteroplacental arteries and hypertensive pregnancy.- 30 Relevance of renal biopsy to the future course of pre-eclamptic women.- 31 Stereologic and autoradiographic studies on the human placenta, relationship to hormonal status and hypertension in pregnancy.- 32 Data of placenta morphology in a prospective clinical study on hypertension in pregnancy.- 33 The development of a new method for monitoring the fetal placental circulation.- 34 Early endocrine investigation of placental function and preventive measures in pregnancy-induced hypertension.- 35 Plasma prolactin in pregnancy-induced hypertension.- 36 Assessment of uteroplacental haemodynamics in pre-eclampsia.- 37 Studies of uterine haemodynamics and the effects of ritodrine.- 38 Placental metabolism in pre-eclampic toxaemia of pregnancy.- 39 The Newton's iteration, a satisfying method to evaluate placenta perfusion curves.- Section V Renal Function and Mineralocorticoid Metabolism.- 40 Renal handling of sodium and electrolytes in pre-eclamptic patients on strict bed-rest and in upright activity.- 41 The effect of hypertension and oedema on birthweight.- 42 The value of laboratory assessment of the severity of pre-eclampsia.- 43 'Pre-hypertensive' abnormalities of the intrarenal circulation following complicated pregnancies.- 44 The relation of renal disease and symptomatology in pregnancy.- 45 A biopsy study of hypertension in pregnancy.- 46 ?-Glutamyl transferase and ?-microglobulin studies in pregnancy.- 47 Maternal and fetal aldosterone levels at delivery in normo- and hypertensive pregnancy.- 48 The frequency of asympt matic significant bacteriuria in hypertensive pregnant women.- Section VI Blood Coagulation, Fibrinolysis and Platelets.- 49 Fibrinogen degradation products and factor VIII consumption in normal pregnancy and pre-elcampsia: role of the placenta.- 50 Sequential studies in pre-eclampsia using plasma fibrinogen chromatography.- 51 Soluble fibrinogen-fibrin complexes in pre-eclampsia.- 52 Factor VIII related antigen/factor VIII ratio and pre-kallikrein activity in monitoring the hypertensive diseases of pregnancy.- 53 Plasma fibrinogen in pregnancy.- 54 Abnormal platelet function in pre-eclampsia.- 55 Abnormalities of renal platelet localization and fibrinolysis following PAH : the value of prophylactic use of anticoagulants.- 56 Eclampsia and intravascular coagulation.- 57 Factor VII-related antigen and factor VII coagulant activity in normal pregnancy, pre-eclampsia and abruptio placentae.- Section VII Animal Models.- 58 Comparative immunology of human and baboon placenta.- 59 Analysis of blood pressure control in normotensive and hypertensive animals with normal and reduced renal mass.- 60 Experimental toxaemia in the pregnant dog and the aetiology of toxaemia.- 61 Blood pressure and blood flow changes produced by pregnancy, indomethacin and angiotensin II.- Section VIII Clinical and Epidemiological Aspects of Pregnancy-Induced Hypertension.- 62 Propranolol in hypertension during pregnancy : ten cases.- 63 Mortality in eclampsia in relation to treatment modalities: a 10-year review.- 64 Is eclampsia preventable ?.- 65 Prognostic significance of biochemical parameters pre-eclampsia.- 66 Pregnancy-induced hypertension and proteinuria in diabetic and multiple pregnancies.- 67 Biochemical studies and delayed post-partum convulsion in Nigeria.- 68 Acute renal failure in pregnancy.- 69 Experience with diazoxide in the treatment of acute severe toxaemia of pregnancy.- 70 Pre-eclamptic toxaemia : a conservative approach to drug therapy.- 71 Clinical indices of perinatal problems related to hypertension in pregnancy.- 72 Hypertension in pregnancy and poor intrauterine fetal growth (PIFG).- 73 The influence of continuous epidural block on uteroplacental blood flow.- 74 Swan-Ganz catheterization as a guide in therapy and an investigative aid in the management of severe pre-eclamptic toxaemia of pregnancy.- 75 Cigarette smoking and pregnancy-induced hypertension.- 76 Epidural analgesia during labour in patients with severe pre-eclampsia.- 77 Cigarette smoking and the fetus with special reference to blood pressure level.- 78 The influence of hypertension in pregnancy on the maternal serum alpha fetoprotein concentration.- 79 Some psychosomatic aspects of the hypertensions of pregnancy.- 80 Controlled study of subcutaneous heparin and dipyridamole in women at high risk to fetal growth retardation.- 81 Neurofibromatosis in hypertension and pregnancy.- 82 Recurrent pregnancy-induced hypertension successfully treated by heparin.
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