The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Aug 2011
Case ReportsSuccessful recovery from delayed amniotic fluid embolism with prolonged cardiac resuscitation.
Amniotic fluid embolisms (AFE) are one of the most fatal complications of pregnancy. We describe a case of AFE that occurred 2 h after vaginal delivery at 41 weeks of gestation. The diagnosis of AFE was made by symptoms of dyspnea, coagulopathy, and severe hypotension. ⋯ Primary resuscitation was performed with airway management and aggressive fluid management, including infusion of 33 units of red cell concentrates and 57 units of fresh frozen plasma. The patient recovered without any aftereffects. This case report warrants that AFE should be considered when coagulopathy and dyspnea are observed during the postpartum period.
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To investigate the incidence, causes and delivery methods of iatrogenic preterm births. ⋯ Iatrogenic preterm birth has become the main reason for preterm births and no recorded indications have become one cause of it. Cesarean delivery was the main delivery method among iatrogenic preterm births. Obstetricians should choose the delivery method strictly.
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J. Obstet. Gynaecol. Res. · Aug 2011
Emergency peripartum hysterectomy in a tertiary obstetric center: nine years evaluation.
The aim of this study was to estimate the incidence, indications, risk factors, complications, and maternal morbidity and mortality associated with obstetric hysterectomy performed at the Zeynep Kamil Gynecologic and Pediatric Training and Research Hospital between January 2000 and January 2008. ⋯ Emergency peripartum hysterectomy is significantly related to CS in index or previous pregnancy. Placenta accreta is the most common indication to perform peripartum hysterectomy. EPH is associated with a high incidence of maternal morbidity and mortality.
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J. Obstet. Gynaecol. Res. · Aug 2011
Case ReportsA pregnant woman with clinical and radiological findings compatible with posterior reversible encephalopathy syndrome in early pregnancy without discernable underlying disorders: atypical type of this syndrome?
Posterior reversible encephalopathy syndrome, if it occurs in late pregnancy, requires pregnancy termination. Here, we report a woman without a discernable underlying condition who developed neurological deficits at 14 weeks of pregnancy. ⋯ Neurological symptoms ameliorated spontaneously and she continued her pregnancy to term. A decision to terminate pregnancy based on only neurological and magnetic resonance imaging findings should be avoided.
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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.