Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Jan 2012
Associated anomalies and outcome of fetal aberrant right subclavian artery.
To determine the frequency of aberrant right subclavian artery among the low-risk fetuses and to evaluate its association with chromosomal abnormalities and the other congenital heart diseases. ⋯ These findings suggest that aberrant right subclavian may be an isolated finding in trisomy 21. The visualization of subclavian artery should be a part of fetal echocardiographic examination as it may be a valuable marker for Down syndrome.
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Arch. Gynecol. Obstet. · Jan 2012
Case ReportsSinus venous thrombosis: a differential diagnosis of postpartum headache.
In this report, we describe a patient who developed severe headache following epidural analgesia for labor and delivery. Although the epidural puncture had been reported to be uneventful, headache was initially suspected to result from an accidental dural puncture. After the headache worsened, a sinus venous thrombosis was suspected and subsequently confirmed by magnetic resonance imaging. This case highlights the difficulty of differential diagnosis of headache in the postnatal period in patients after EDA and stresses the necessity of considering alternative pathologies.
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Arch. Gynecol. Obstet. · Dec 2011
Randomized Controlled Trial Comparative StudyCarbetocin versus syntometrine in the management of third stage of labor following vaginal delivery.
To assess and compare the efficacy and safety of a single intramuscular dose of carbetocin to a single intramuscular dose of syntometrine in managing the third stage of labor following vaginal delivery among women with low risk factors for postpartum hemorrhage. ⋯ Single dose of intramuscular carbetocin 100 μg may be more effective as compared to a single intramuscular dose of syntometrine in reducing postpartum blood loss with a smaller drop in hemoglobin levels and less adverse effects.
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Arch. Gynecol. Obstet. · Dec 2011
Diagnostic performance of urgent referrals for suspected gynaecological malignancies.
The objective of this study was to investigate the outcome of the urgent referrals with suspected gynaecological malignancy. ⋯ The overall predictive value of two-week wait referrals for suspected gynaecological malignancies is low. Refinement of the current referral guidelines is required with particular emphasis in the premenopausal women where the diagnostic performance of the urgent referrals is significantly poorer.
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Arch. Gynecol. Obstet. · Dec 2011
Randomized Controlled TrialThe effects of preoperative intravenous acetaminophen in patients undergoing abdominal hysterectomy.
Although intravenous acetaminophen is commonly used for the management of postoperative pain, very limited evidence supports the usefulness of preoperative administration. The aim of this study was to determine the analgesic effect of preoperative acetaminophen on opioid consumption, pain scores, and side effects in patients receiving an elective abdominal hysterectomy. ⋯ Premedication with acetaminophen reduced hydromorphone consumption and opioid-related side effect in patients undergoing abdominal hysterectomy, but did not significantly reduce pain intensity.