The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Jul 2011
Correlation between the cervical length and the amount of bleeding during cesarean section in placenta previa.
To investigate the association between the amount of bleeding during a cesarean section and the effacement of the uterine cervix in patients with placenta previa. ⋯ This study demonstrated that a short cervical length in cases with placenta previa was associated with massive bleeding during the operation. Short cervical length seems to be one of the warning signs for massive bleeding during the operation for placenta previa.
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J. Obstet. Gynaecol. Res. · Jul 2011
Randomized Controlled Trial Comparative StudyEffect of sublingual misoprostol versus intravenous oxytocin on reducing blood loss at cesarean section in Nigeria: a randomized controlled trial.
The aim of this study was to compare the effectiveness and safety of sublingual misoprostol with i.v. oxytocin infusion administered after delivery in reducing blood loss at cesarean section in Nigeria. ⋯ Sublingual misoprostol was as effective as i.v. oxytocin infusion in reducing blood loss at cesarean section. It offers several advantages over oxytocin, including long shelf life, stability at room temperature, and oral administration, which make it a suitable uterotonic agent in low-resource areas.
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A 35-year-old female with twin gestation diagnosed with severe mitral stenosis and pulmonary hypertension was successfully treated with open heart surgery for mitral valve replacement (MVR). She gave birth to twins with good Apgar scores at 33 weeks of gestation by cesarean section. ⋯ However, there is only a single reported case of MVR following therapeutic abortion of a twin pregnancy in the second trimester. In contrast, we report the first case of mitral valve replacement for severe mitral stenosis and pulmonary hypertension in an ongoing twin pregnancy with successful outcomes.