Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Feb 2010
Case ReportsRight lower quadrant pain and postpartum ovarian vein thrombosis. Uncommon but not forgotten.
Ovarian vein thrombosis (OVT) is an uncommon, life-threatening complication of the postpartum period. Symptoms of OVT include lower abdominal and flank pain associated with fever, tachycardia, and nausea and vomiting. ⋯ The clinical presentation of OVT can be very similar to that of acute appendicitis and should always be included in the differential diagnosis of right lower quadrant pain in the female patient. Modern imaging techniques enable confirmation of the diagnosis when OVT is suspected.
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Arch. Gynecol. Obstet. · Feb 2010
Fetal distress evaluation using and analyzing the variables of antepartum computerized cardiotocography.
In this study, we tried to establish cut-off values for more than one parameters of computerized cardiotocography (c CTG) in the prediction of fetal distress during labor, using a group of pregnant women with low-risk pregnancies. ⋯ In conclusion, we believe that not only STV but also other components of the cCTG, mainly the presence and the number of episodes of high variation, are related to pregnancy's outcome as measured by an umbilical artery pH.
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Arch. Gynecol. Obstet. · Jan 2010
Review Case ReportsHIV in pregnancy: a case of Pneumocystis (carinii) jiroveci pneumonia.
This review highlights the rising prevalence of HIV in pregnancy both in the developed and developing world. It focuses on the challenges of diagnosis and management of Pneumocystis (carinii) jiroveci pneumonia in an HIV-positive pregnant woman. Public health efforts need to continue addressing testing at the earliest opportunity, the psychosocial issues which impact negatively on the care of HIV-positive individuals and ways to reduce stigmatisation associated with this viral illness.
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Group A Streptococci infection during antenatal period as well as postnally can be very serious and would require intense management-both surgical and medical. Many authors believe the incidence is rising. High index of clinical suspicion is necessary in order to early intervention.
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Arch. Gynecol. Obstet. · Dec 2009
ReviewRunning an obstetric anesthesia training program: words of wisdom.
Obstetric anesthesia, by definition, is a subspecialty of anesthesia dedicated (devoted) to peripartum, perioperative, pain and anesthetic management of women during pregnancy and the puerperium. Today, obstetric anesthesia has become a recognized subspecialty of anesthesiology and an integral part of practice of most anesthesiologists. ⋯ Communication skills and exchange of information in ever changing environment of labor and delivery is essential for perfect outcome, which is always expected when providing safe passage for both the mother and her fetus from antepartum to postpartum period. The anesthesiologist's unique skills in acute resuscitation combined with experience in critical care make members of this subspecialty of anesthesiology particularly valuable in peripartum care of the high-risk patients, extending the anesthesiologist's role well beyond the routine provision of intrapartum anesthesia or analgesia.