American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Dec 2011
Association between preterm delivery and subsequent C-reactive protein: a retrospective cohort study.
We sought to determine whether giving birth preterm is associated with raised maternal C-reactive protein (CRP) in later life and whether the association is specific to indicated or spontaneous delivery. ⋯ Women who undergo indicated preterm delivery are at increased risk of raised CRP in later life.
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Am. J. Obstet. Gynecol. · Dec 2011
ReviewCutting-edge advances in the medical management of obstetrical hemorrhage.
Hemorrhagic shock is the most common form of shock encountered in obstetric practice. Interventions that may limit transfusion requirements include normovolemic hemodilution, use of recombinant activated factor VII, selective embolization of pelvic vessels by interventional radiology, and the use of the cell saver intraoperatively. Current understanding of the mechanisms of acute coagulopathy calls into question the current transfusion guidelines, leading to a tendency to apply massive transfusion protocols based on hemostatic resuscitation despite lack of prospective data.
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Placental mesenchymal dysplasia is a benign condition that can be confused with a molar pregnancy by ultrasound scanning and gross examination. Conservative management should be considered with a normal-appearing singleton fetus and a cystic-appearing placenta. We present a case of placental mesenchymal dysplasia with a favorable outcome.