Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Mar 2008
Caesarean or vaginal delivery for preterm very-low-birth weight (< or =1,250 g) infant: experience from a district general hospital in UK.
To determine whether delivery by caesarean is associated with a better neuro-developmental outcome at two years for preterm infants born weighing 1,250 g or less. ⋯ Despite the increasing tendency to deliver extremely preterm babies by caesarean, we did not find that it was associated with either reduced mortality or neuro-disability at two years of age. Therefore the method of delivery of very-low-birth weight premature infants should be based on obstetric or maternal indications rather than the perceived outcome of the baby.
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Arch. Gynecol. Obstet. · Mar 2008
Case ReportsAcute promyelocytic leukemia: an unusual cause showing prolonged disseminated intravascular coagulation after placental abruption.
Disseminated intravascular coagulation (DIC) caused by placental abruption usually improves rapidly after prompt delivery and adequate anti-DIC treatment. ⋯ APL should be added to the list of differential diagnosis when DIC persists even after prompt delivery and appropriate anti-DIC treatment after placental abruption.
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Arch. Gynecol. Obstet. · Jan 2008
Case ReportsSudden cardiac arrest during cesarean section due to epidural anaesthesia using ropivacaine: a case report.
Sudden cardiac arrest occurred subsequent to epidural anaesthesia in the patient of elective cesarean section. During cardio-pulmonary resuscitation, immediate section saved the infant and the mother recovered completely. Serial ropivacaine concentrations in maternal serum evaluated potential risk of epidural anaesthesia with ropivacaine. ⋯ Both mother and neonate were discharged from hospital at 11th day without sequare. Ropivacaine was proved to be a cardio-toxic agent in the case. However, immediate resuscitation and operative delivery served good prognosis for mother and neonate.
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Arch. Gynecol. Obstet. · Jan 2008
Case ReportsThe ex utero intrapartum treatment procedure: anesthetic considerations.
The ex-utero intrapartum treatment (EXIT) procedure is an uncommon operation indicated for fetal lesions with the potential to cause life-threatening airway obstruction immediately after delivery. By maintaining utero-placental circulation, the fetal airway can be evaluated and secured prior to delivery. The anesthetic goals for the EXIT procedure differ significantly from a cesarean delivery and include profound uterine relaxation, fetal anesthesia and maintenance of the maternal-fetal circulation. We present a case of an uneventful EXIT procedure and include a discussion of the anesthetic goals for this operation.
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Arch. Gynecol. Obstet. · Dec 2007
Case ReportsTriple synchronous primary cervical, endometrial and ovarian cancer with four different histologic patterns.
Double synchronous primary cancers of gynecological cancers is a common event. However, triple synchronous primary gynecological cancers is an extremely rare event. ⋯ The occurrence of triple synchronous gynecological cancers is a rare and unique event deserving further studies.