The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · May 2014
Anterior placentation as a risk factor for massive hemorrhage during cesarean section in patients with placenta previa.
In placenta previa (PP), anterior placentation, compared with posterior placentation, is reported to more frequently cause massive hemorrhage during cesarean section (CS). Whether this is due to the high incidence of placenta accreta, previous CS, or a transplacental approach in anterior placenta is unclear. We attempted to clarify this issue. ⋯ Anterior placentation, namely, the placenta with a longer os-placental edge distance in the anterior wall than in the posterior wall, was a risk of massive hemorrhage during CS for PP.
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J. Obstet. Gynaecol. Res. · Apr 2014
Multicenter Study Comparative StudyReduction of tobacco smoke exposure for pregnant passive smokers using feedback of urinary cotinine test results.
Our objective was to evaluate the level of pregnant women's exposure to tobacco smoke by urinary cotinine testing at prenatal examinations, and to examine the effects of disclosing the results of urinary cotinine tests to pregnant women and their families on their smoking activities. ⋯ The feedback of the urinary cotinine test results at prenatal examinations decreased the level of exposure of pregnant passive smokers and non-smokers to tobacco smoke.
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J. Obstet. Gynaecol. Res. · Mar 2014
Randomized Controlled Trial Comparative StudyTramadol versus fentanyl during propofol-based deep sedation for uterine dilatation and curettage: a prospective study.
Dilatation and curettage (D&C) is a common day-care procedure in obstetrics and gynecology, with patients discharged after a brief hospital stay on the same day of the surgery. Although it has a short duration, severe pain occurs during the procedure. Therefore, this surgical procedure requires an anesthetic to provide adequate analgesia, rapid onset, and rapid recovery. The main objective of the present study was to compare the analgesic effectiveness and safety of tramadol with those of fentanyl during D&C. ⋯ Tramadol provides similar analgesic efficacy to fentanyl. Furthermore, tramadol may provide better respiratory stability in patients undergoing a D&C procedure.
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J. Obstet. Gynaecol. Res. · Mar 2014
Case ReportsDelayed intravesical mesh erosion in a midurethral sling following further mesh-augmented pelvic prolapse surgery.
Intravesical mesh erosion and extrusion have been reported as devastating late complications of synthetic suburethral sling placement for the treatment of stress urinary incontinence. We report a case of a female patient with intravesical mesh erosion from a sling suspension that developed 4 years after primary prolapse surgery with mesh reinforcement. Intravesical mesh erosion was observed ultrasonographically and confirmed through cystoscopy. ⋯ Anti-incontinence surgery followed by primary prolapse surgery could potentially jeopardize the former. Complications may arise several years later so long-term follow-up is essential. Ultrasonography is an effective tool in evaluating mesh morphology and detecting intravesical mesh erosion.
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J. Obstet. Gynaecol. Res. · Mar 2014
Case ReportsDemonstration of the route of embryo migration in retroperitoneal ectopic pregnancy using contrast-enhanced computed tomography.
Retroperitoneal abdominal pregnancy is exceptionally rare. An unusual retroperitoneal pregnancy has a high risk of severe bleeding. ⋯ A case of retroperitoneal ectopic pregnancy located very close to large retroperitoneal blood vessels and treated with resection is presented. Many unusual features of retroperitoneal ectopic pregnancy were highlighted as providing further evidence in support of the main proposed embryo migration mechanism via lymphatic vessels.