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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

2013

Jennifer R Niebyl

Adolescent

Articles 1 - 8 of 8

Full-Text Articles in Medicine and Health Sciences

Experience With An Adolescent Pregnancy Program. A Preliminary Report, D. Youngs, Jennifer Niebyl, D. Blake, D. Shipp, J. Stanley, T. King May 2013

Experience With An Adolescent Pregnancy Program. A Preliminary Report, D. Youngs, Jennifer Niebyl, D. Blake, D. Shipp, J. Stanley, T. King

Jennifer R Niebyl

A program has been designed to give comprehensive health care services to pregnant adolescents. The program components include community liason, patient education, counseling and social services, a nurse "on call" program for labor and delivery, and pediatric nurse-practitioner followup. In addition, a drug use identification component screens the patients by interview and urinalysis. Hypertensive disorders of pregnancy occurred in 10% of the first 202 patients. Forty-three percent had anemia (hematocrit less than 35%), and screening cervical cultures for gonorrhea were positive in 3.5%. Cigarettes, alcohol, and marijuana constituted the most common nonmedical drugs used, and aspirin the most common medical …


The Effect Of Magnesium Sulfate On Fetal Heart Rate Baseline Variability, A. Babaknia, Jennifer Niebyl May 2013

The Effect Of Magnesium Sulfate On Fetal Heart Rate Baseline Variability, A. Babaknia, Jennifer Niebyl

Jennifer R Niebyl

Variability of the baseline fetal heart rate is correlated with good fetal outcome, and loss of baseline variability has been observed as a sign of fetal distress. Central nervous system depressing drugs may also decrease fetal heart rate variability, and thus recognition of the effect of medication on the baseline fetal heart rate is important for accurate interpretation of fetal monitor tracings. In the cases reported, marked decrease in fetal heart rate variability was observed within 4 minutes of intravenous administration of magnesium sulfate, and fetal outcome was good in all cases.


The Influence Of Aspirin On The Course Of Induced Midtrimester Abortion, Jennifer Niebyl, D. Blake, L. Burnett, T. King May 2013

The Influence Of Aspirin On The Course Of Induced Midtrimester Abortion, Jennifer Niebyl, D. Blake, L. Burnett, T. King

Jennifer R Niebyl

Prostaglandins appear to mediate the uterine contractions of abortion and labor, and aspirin has been shown to be an inhibitor of prostaglandin synthesis. In this double-blind, placebo-controlled, prospective, and randomized study, aspirin was administered orally in doses of 600 mg. every 6 hours to patients undergoing induced midtrimester abortions with hyperosmolar urea and oxytocin augmentation. The mean injection-abortion interval was significantly prolonged by aspirin in nulliparous patients (aspirin 32.3 +/- 3.3 hr. vs. placebo 21.5 +/- 3.5 hr.) and no aspirin-treated nullipara aborted in less than 18 hours. There was no significant difference between treatment groups in the mean injection-abortion …


Reproducibility Of The Diagnosis Of Cervicitis In Pregnancy, J. Repke, L. Berlin, M. Spence, J. Horn, Jennifer Niebyl, S. Kanchanaraksa, E. Mackenzie, R. Nugent, B. Polk May 2013

Reproducibility Of The Diagnosis Of Cervicitis In Pregnancy, J. Repke, L. Berlin, M. Spence, J. Horn, Jennifer Niebyl, S. Kanchanaraksa, E. Mackenzie, R. Nugent, B. Polk

Jennifer R Niebyl

Cervicitis has been associated with several infections of the female genital tract. Criteria have been established for making the diagnosis of cervicitis in gynecologic populations but there are no well-established criteria for diagnosing cervicitis in obstetrical populations. Because of the association of the cervicitis and sexually transmitted diseases, and because of the association of sexually transmitted diseases and adverse pregnancy outcome, the present study was undertaken in an attempt to establish criteria for the diagnosis of cervicitis in pregnancy. We also attempted to determine the reproducibility of that diagnosis with respect to intra- and interobserver variability. We concluded that intraobserver …


Cornual Contraction Ring With Retained Placenta In Midtrimester Abortion, Jennifer Niebyl, A. Montague, A. Tapper, T. Horrigan May 2013

Cornual Contraction Ring With Retained Placenta In Midtrimester Abortion, Jennifer Niebyl, A. Montague, A. Tapper, T. Horrigan

Jennifer R Niebyl

No abstract provided.


Adolescent Pregnancy And Abortion, D. Youngs, Jennifer Niebyl May 2013

Adolescent Pregnancy And Abortion, D. Youngs, Jennifer Niebyl

Jennifer R Niebyl

No abstract provided.


Doppler Ultrasound And Maternal Erythrocyte Fragility, G. Bause, Jennifer Niebyl, R. Sanders May 2013

Doppler Ultrasound And Maternal Erythrocyte Fragility, G. Bause, Jennifer Niebyl, R. Sanders

Jennifer R Niebyl

Maternal erythrocyte fragility was studied in eight controls and in 16 women exposed to Doppler ultrasound monitoring during labor. Blood samples were taken before and after Doppler monitoring and no significant change in erythrocyte fragility was seen, although there was a trend toward increased fragility in patients exposed continuously for more than seven hours.


Teenage Pregnancy, D. Youngs, Jennifer Niebyl May 2013

Teenage Pregnancy, D. Youngs, Jennifer Niebyl

Jennifer R Niebyl

No abstract provided.