Archives of gynecology and obstetrics
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The objective was to review all emergency peripartum hysterectomies performed at a tertiary hospital in London, UK, and to identify the risk factors for emergency peripartum hysterectomy. ⋯ Caesarean deliveries, especially repeat caesareans in women with placenta praevia, significantly increase the risk of emergency peripartum hysterectomy.
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Arch. Gynecol. Obstet. · Jan 2005
Review Case ReportsGanglioneuroma mimicking ovarian tumor: a report of a case and review of the ganglioneuromas.
Ganglioneuroma is the most common tumor of the sympathetic nervous system in the adults. It occurs most commonly in the mediastinum and retroperitoneum and are almost always benign tumors in nature. ⋯ Here, we report a case of the retroperitoneal ganglioneuroma mimicking an ovarian tumor in a 20 years old female patient.
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Arch. Gynecol. Obstet. · Jan 2005
ReviewLabor analgesia for the tobacco and ethanol abusing pregnant patient: a routine management?
Illicit substance use in pregnancy has received significant media attention over the past 25 years. However, far too little attention has been given to the consequences of the use/misuse of social drugs such as tobacco and ethanol, which are by far the most commonly used/misused substances in pregnancy. ⋯ While the deleterious effects of amphetamines or cocaine on the mother and the fetus are more pronounced and easier to detect, the addiction to tobacco and ethanol is usually subtle and more difficult to diagnose. As a result, recreational use of tobacco and alcohol in pregnancy may continue undetected, significantly impacting pregnancy outcome and the peripartum management of these patients.
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Arch. Gynecol. Obstet. · Jan 2005
The value of uterine artery Doppler ultrasound in the prediction of severe complications in a risk population.
The aim of this prospective study was to assess the role of uterine artery color Doppler waveform analysis in the prediction of adverse pregnancy outcome such as preeclampsia, intrauterine growth retardation, placental abruption or a combination of outcome parameters in risk pregnancies (n=52). ⋯ The results of this study suggest that Doppler ultrasound of the uterine artery in the second trimester of gestation is a useful method to predict abnormal outcomes in risk pregnancies, with high negative predictive values.
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Arch. Gynecol. Obstet. · Dec 2004
Case ReportsPeripartum cardiomyopathy and cesarean section: report of two cases and literature review.
The anesthetic management of labor and delivery in patients with peripartum cardiomyopathy is not well defined. Using continuous spinal anesthesia with bupivacaine or combined spinal epidural anesthesia with ropivacaine in such rare clinical situations has not been previously reported. ⋯ We present two cases in which parturients with the diagnosis of peripartum cardiomyopathy presented in congestive heart failure for emergent Cesarean section. Continuous spinal anesthesia and combined spinal-epidural anesthesia were successfully employed as the anesthetic techniques for the procedures. Both patients remained hemodynamically stable during surgery and were discharged home on postoperative days 5 and 4 respectively.