Taiwanese journal of obstetrics & gynecology
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Taiwan J Obstet Gynecol · Jan 2019
Case ReportsLive birth after perimortem cesarean delivery in a 36-year-old out-of-hospital cardiac arrest nulliparous woman.
The aim of this study is to share a valuable experience of perimortem Cesarean delivery (PMCD) when no signs of spontaneous circulation were detected after 4 min of resuscitation. The time interval between maternal cardiac arrest and neonatal delivery was evaluated and reviewed. ⋯ Contrary to previous studies and case reports, maternal and neonatal outcomes seem to be better when performing PMCD within 10 min. Multidisciplinary teamwork is the key for optimal outcomes in such situations.
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Taiwan J Obstet Gynecol · Jan 2019
Analysis of prophylactic Bakri balloon tamponade failure in patients with placenta previa.
Recently, Bakri balloon (BBT) was effective for women with placenta previa to reduce hemorrhage. However, about 10% of women needed to receive an invasive strategy. Thus, the identification of risk factors and the development of additional measurements for BBT failure was needed. The aim of our study is to investigate the cause and measurements of failing prophylactic BBT in women with placenta previa. ⋯ The major cause of BBT failure was balloon prolapse. It could be treated with non-invasive methods; however, patients with placental retention could not avoid invasive treatment to stop the hemorrhage.