The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Jun 2011
Clinical manifestations in women with isolated fallopian tubal torsion; a rare but important entity.
The diagnosis of adnexal torsion can be difficult to make, especially in isolated fallopian tube torsion (FTT). Only small series and several case reports on isolated FTT have been published in the literature. ⋯ The diagnosis of isolated FTT is often not made before surgical intervention because clinical features are non-specific. However, it needs to be considered in women with acute lower abdominal pain with a unilateral cystic adnexal mass.
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Aust N Z J Obstet Gynaecol · Jun 2011
Emergency peripartum hysterectomy: a 10-year review at the Royal Hospital for Women, Sydney.
There appears to be a rise in the rate of emergency peripartum hysterectomy (EPH) in the developed world. ⋯ In our series, abnormal placentation causing severe haemorrhage was the commonest indication for EPH. Previous CS is a risk factor for abnormal placentation and particularly for morbid adherence of the placenta. The morbidity associated with EPH is considerable.
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Aust N Z J Obstet Gynaecol · Jun 2011
Emergency department presentations for problems in early pregnancy.
Many women with problems in early pregnancy such as vaginal bleeding or abdominal pain present to the emergency department (ED). ⋯ The findings of this research may be useful for hospitals and clinicians to review and improve their current service delivery models for women who present to the ED with a problem in early pregnancy.
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Aust N Z J Obstet Gynaecol · Jun 2011
Obstetric admissions to an integrated general intensive care unit in a quaternary maternity facility.
Monash Medical Centre (MMC) is a university-affiliated tertiary referral hospital in Melbourne, Victoria, Australia. The hospital has a large obstetric service and is the only quarternary obstetric unit in Victoria. The intensive care unit (ICU) is a busy 21-bed general unit with a broad casemix. While there is no designated state service obstetric ICU in Victoria, MMC ICU has increasingly tried to accept all obstetric patients referred, from both MMC and externally. ⋯ Critically ill obstetric patients can be managed successfully in a general ICU with obstetric input. It may be sensible to cluster these patients into units that are best equipped to deal with them, especially in the ante- and peripartum period.
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Aust N Z J Obstet Gynaecol · Apr 2011
Maternal and perinatal health outcomes by body mass index category.
To determine the effect of increasing maternal body mass index (BMI) during pregnancy on maternal and infant health outcomes. ⋯ There is a well-documented increased risk of maternal and perinatal health complications for women who are overweight or obese during pregnancy.