The clinical details of 392 patients who were monitored over one year have been compared with those of unmonitored patients (1 569) delivered during this time. Practical problems associated with monitoring are discussed. It has been found that fetal monitoring is a practical procedure on an average labour ward. Clinical management of the mother and fetus based on the results of monitoring has proved safe and has not led to an increase in operative interventions or intrapartum fetal mortality.CONTINUOUS monitoring of the fetal heart rate (FHR) was first introduced at King's College FIG. 3a. Effect of maternal hypoglycaemia on the FHR. (Case 7.) FIG. 3b. Thirty minutes later following the administration of glucose to the mother. (Case 7.)
The results have been compared of 37 McIndoe-Read operations and 39 Williams' operations carried out at the Chelsea Hospital for Women. The Mclndoe-Read procedures comprised 28 primary operations for congenital absence of the vagina, five repeat procedures and four operations for other conditions ; the Williams' procedures comprised 27 primary operations, four operations following the previous vaginoplasty and eight operations following other procedures. The results favoured the Williams' vulvovaginoplasty. Special mention must be made of the dangers of repeating the McIndoe-Read procedure and of the fact that the vagina constructed by the Williams' technique showed no tendency to contract if intercourse did not occur. Simmons, C. A. (1959): Proceedings of the Royal Society of Medicine, 52, 952. Williams, E. A. (1964): Journal of' Obstetrics and Cynaecoiogy of the British Commonwealth, 71, 511.
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