With increasing concern for the study of the fetal aspects of pregnancy and child-birth the availability of normal standards becomes more and more important. It is very difficult to test the functional capacity of the placenta, and for this reason anatomic studies to determine the normal relationship between the placenta and the newborn infant have come to be of considerable importance. Three hundred seventy eight placentas randomly collected in the past three years and ranged of the twenty-fourth gestation week to term which were delivered at Severance Hospital of Yonsei Medical College. These were analysed statistically as to whether there was any correlation between the size of the placentas, weight of newborn, and age and parity of the mother and were studied to see if there was any clinical and statistical significance in the change of the placental coefficients. We have also tried to search for any relationship between the specific gravity and the size of the placenta and the newborn weight. In addition to these factors, clinical complications such as toxemia, anemia, intrauterine fetal death, giant baby and infarction of the placentas were included in this study to seek any relationship with the above mentioned factors. Another purpose was to obtain the proper values for Korean placentas. We have summarized this study briefly as follows. 1. The average weight of the 378 newborns was 3l68 gm and for the 340 normal cases it was 3270 gm. 2. The average weight of 378 placentas was 6l6 gm and for the 340 normal cases it was 621 gm. 3. The average volume of 378 placentas was 588 cc and for normal cases it was 596 cc. 4. The average placental dimensions were 17.9 X 14.2cm. 5. The average surface area of the 340 norma1 cases was 276 cm2. 6. The specific gravity of 340 normal cases was 1.0475 and there was no relationship to the gestation weeks and baby weight. 7. The average placental coefficient of 378 cases was 0.194 and for 340 normal cases it was 0.190 (varying from 0.100 to 0.333). The placental coefficients were greater in toxemia syphilis, intrauterine fetal death, prematurity twin pregnancy and immaturity. However it was lower in placental infarction and in relatively small placentas. In anemia and giant baby it was close to the normal average but in extremely large baby placenta coefficients was greater than Normal averages. (Baby wt. > 4500gm. ). 8. The weight of baby and the size of the placenta showed no demonstrable relationship to the age and parity of the mother. 9. statistically there was a high correlation between the weight of the infants and the weigh of the infants and the weight and volume of the placenta but somewhat low relationship to the surface area of the placenta.
Age Factors ; Anemia/pathology ; Birth Weight* ; Female ; Gestational Age ; Human ; Infant, Newborn ; Organ Weight ; Parity ; Placenta/anatomy & histology* ; Pregnancy ; Pregnancy Complications/pathology ; Sex Factors ; Specific Gravity

Cornual pregnancy is very rare and its diagnosis is very difficult due to the distensibility of the uterus at the cornu. However, tender cystic enlargement at one horn of the uterus is suggestive of this type of ectopic gestation in this case. A case is reported of unruptured cornual pregnancy, diagnosed before operation, with a review of the literatures.
Adult ; Case Report ; Female ; Human ; Pregnancy ; Pregnancy, Ectopic/diagnosis* ; Pregnancy, Ectopic/surgery

Since the volume gives a better comparison of size than thickness, the volume of the zona pellucida was also calcldated by substraction of the volume of the inner zonal cavity from the volume of the total egg and compared with the zona pellucida thickness. All calculations were made by computor (CEIR timesharing computor). The zona pellucida of the tubal ova is thicker than that of the oocyte, with the zona pellucida of the fertilized egg being definite1y thinner when compared with unfertilized eggs. This phenomenon of decreased thickness in the fertilized egg may be associated with the zona reaction. The entry of the first sperm into the egg initiates a reaction in the zona pellucida the effect of which is to predude the entry of additional sperm-Braden, Austin and David (1954) defined this phenomenon as the zona reaction. The results of anatomical changes in the zona pe1lucida may also be a phenomenon such as a "zona reaction".
Animal ; Female ; Fertilization* ; Mice ; Ovulation* ; Ovum/cytology* ; Ovum/growth & development

Mouse follicular oocytes, denuded and intact, were cultured in pyruvate salt sol and glutamine salt sol supplemented bovine serum albumin to compare the maturation rate. Glutamine has no effect on maturation of the denuded mouse oocyte but has an effect on maturation of the intact oocyte by increasing the maturation rate, depending on the increased concentration of glutamine (0.4 mM to 2 mM). Changes in osmolarity of the operation medium from 280 mOsm to 310 mOsm has no discernible effect on the oocyte maturation. A high frequency of abnormal 1st polar bodies was observed in pyruvate salt sol. and this may be due to the increased energy source in the cytoplasm of the 1st polar body when the po1ar body was extruded into the perivitelline space after the 1st meiosis.
Animal ; Cell Division ; Female ; Glutamine/metabolism ; In Vitro ; Mice ; Oocytes/cytology ; Oocytes/metabolism* ; Ovum/metabolism* ; Pyruvates/metabolism

Mouse follicular oocytes, denuded and intact, were cultured in pyruvate salt sol and glutamine salt sol supplemented bovine serum albumin to compare the maturation rate. Glutamine has no effect on maturation of the denuded mouse oocyte but has an effect on maturation of the intact oocyte by increasing the maturation rate, depending on the increased concentration of glutamine (0.4 mM to 2 mM). Changes in osmolarity of the operation medium from 280 mOsm to 310 mOsm has no discernible effect on the oocyte maturation. A high frequency of abnormal 1st polar bodies was observed in pyruvate salt sol. and this may be due to the increased energy source in the cytoplasm of the 1st polar body when the po1ar body was extruded into the perivitelline space after the 1st meiosis.
Animal ; Cell Division ; Female ; Glutamine/metabolism ; In Vitro ; Mice ; Oocytes/cytology ; Oocytes/metabolism* ; Ovum/metabolism* ; Pyruvates/metabolism

The mouse eggs in the various stages, of the development prior to implantation were collected and measurements were made on both the largest and smallest diameters of the vitellus, inner and outer surface of the zona pellucida. The various stages of development used were ovarian oocytes (germinal vesiA®e stage), ovulated but unfertilized egg, ovulated and fertilized egg, the 2-cell embryo on the second day of pregnancy, 4-8-cell embryo on the third day of pregnancy and morulablastocyst on the fourth day of pregnancy, A further comparative study on unfertilized and fertilized tubal eggs was made, The time of l2 hours after H.C.G. injection was chosen as the starting point from which to follow the collection of eggs every 3 hours for 24 hours. Since the volume gives a better comparison of size than diameter, the volume of the total eggs, intrazonal cavity, perivitelline space and the various were calculated for the various preimplantation stages of mouse egg. The volume of zona pellucida was also calsulated by subtraction of the volume of the inner zonal cavity from the volume of total egg and compared with the zona pellucida thickness. All calculations were made by computor(CEIR Time-sharing Computor). The diameter and volume of the vitellus in the ovarian oocyte is the largest one of any stage during the preimplantation stages of development, while the total volume of the entire egg as determined from the diameter of outer surface of the zona pellucida of the ovarian cocyte is the smallest one of any stage during development. The diameter and total volume of the entire egg increases from the ovarian oocytes to the first day of pregnancy and then gradually decreases until the third day of pregnancy. An increase in these parameters again takes place on the fourth day of pregnancy. The zona pellucida of the tubal ova is thicker than that of the oocyte, with the zona pellucida of the fertilized egg being definitely thinner when compared with unfertilized eggs. This phenomenon of decreased thickness in fertilized egg may be associated with zona reaction. The perivitelline space between the vitellus and zona pellucida thus formed following ovulation occupied approximately 40 percent of the total volume enclosed by the inner surface of the zona pellucida (intrazonal cavity) in the 1-cell tubal ova. Neither the cause of the rapid accumulation of fluid after ovulation which resulted in the production of the perivitelline space nor the actual time of the formation of the perivitelline space are known. Some possible reasons for the formation or origin of the perivitelline space are discussed. The size and shape of the vitellus undergo compartive reduction during preimplantation stages of development. The possible reason for the reduction of vitelline volume are discussed.
Animal ; Blastocyst ; Embryo/cytology* ; Embryo Implantation ; Embryo and Fetal Development ; Female ; Fertilization ; Mice ; Ovulation ; Ovum/cytology ; Ovum/growth & development ; Temperature ; Time Factors

No abstract available.

Rabbit follicular oocytes were cultured in a medium supplemented with various elements such as bovine serum(RS), bovine serum albumin(BSA), amino acids and chorionic gonadotrophic hormone(HCG) in order to find which factors among them were most effective for oocyte maturation. The presence of BSA in the basic medium (modified Krebs-Ringer bicarbonate) did not elevate the proportion of oocyte maturation. When BS alone was added to the medium, only a few oocytes could reach to metaphase I and most of them were in degeneration. This implies that BS may act as an inhibitory or a toxic agent to the rabbit oocytes. It was found that the medium supplemented with 0.4% BSA and amino acids together raised the proportion of the oocyte maturation (54-62%). Especially the presence of proline, or of both proline and glutamine, gave a more favourable condition for the initiation of meiotic division than other amino acids. Addition of HCG to the medium did not promote the proportion of the oocyte maturation. As a consequence, it is apparent that amino acids in the medium are the most essential factors in inducing oocyte meiotic division.
Amino Acids/pharmacology* ; Animal ; Chorionic Gonadotropin/pharmacology ; Culture Media* ; Female ; Growth ; Oocytes/physiology* ; Ovum/physiology* ; Rabbits ; Serum Albumin, Bovine/pharmacology

The accuracy of Kato's self smear Kit was studied in screening a relatively unselected population group for cervical cancer. Routine cervicovaginal smears taken periodically would be the ideal method but would be unrealistic in view of the physician's time involved when considered on a large population scale. Three hundred patients were randomly selected at the Out Patient Clinic of Yonsei Medical Center and 26 cases grossly of cervical cancer were included in this group. We have here summarized the results briefly as follows. 1. Among 300 women examined in our OPD, 256 (85.3%) were classified as Pap. Class I or II, 9(0.3%) as a 'Defferred' group (Class II, Repeat), 18(6%) as Class III and 17(5.7%) as Class IV or V. 2. Fifteen of the total cases had insufficient material for evaluation (poor quality) and the major causes of the poor smears were vaginal douche within 24 hours, technical problems and cell degeneration. 3. The rate of agreement between the Self Smear Kit and cervicovaginal smear was as follows: a. The rate of complete agreement was 93.2% (280/300) b. The rate of complete or partial agreement was 96.7% (290/300). 4. The diagnostic accuracy of the Self Smear Kit was as follows: a. If we assumed the 'Deferred' group to be detection failures for uterine cancer, the diagnostic accuracy would be 82.4%. b. If we assumed the 'Deferred' group to be detection successes, the diagnostic accuracy would be 94.1%. 5. The quality of self smears was superior when taken by an aid nurse rather than by the patient herself. 6. Optimal time for good preservation with the Self Smear Kit prior to pap. stain under the following temperatures was proven experimentally to be as follows; a. At 5 degrees C: 3 days after smear b. At 15 degrees C: 3 days after smear c. At 30 degrees C: 2 days after smear
Adult ; Cervix Neoplasms/prevention & control* ; Female ; Human ; Mass Screening/methods* ; Middle Age ; Vaginal Smears/instrumentation ; Vaginal Smears/methods*

Estriol excreation was studied in 216 normal and 61 pathologic pregnancies. The 95% fiducial limits of the normal excretion of estriol, within which 95% out of 100 future determinations in normal pregnancies are expected to fall, were established. The estriol curve in normal pregnancy in this study agrees well in its general shape with those presented by previous investigators who used different chemical methods of determination. The estriol values in pathologic pregnancies with preeclampsia. intrauterine fetal death and antepartum hemorrage have been analyzed. The clinical significance of estriol determinations during pregnancy was discussed.
Estriol/urine* ; Female ; Fetal Death/urine ; Human ; Pre-Eclampsia/urine ; Pregnancy* ; Pregnancy Complications/urine* ; Uterine Hemorrhage/urine