The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Dec 2008
Comparative StudyLaparoscopy versus laparotomy for surgical intervention of ovarian torsion.
To review the clinical manifestations of ovarian torsion (OT) and to compare the surgical results between laparoscopy and laparotomy. ⋯ The diagnosis of OT is missed in half of the patients because clinical features are unspecific and objective findings are uncommon. The laparoscopy procedure for ovarian conservation is recommended to treat patients suffering from OT owing to its shorter hospital stay, fewer postoperative complications and ovarian preservation.
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J. Obstet. Gynaecol. Res. · Aug 2008
Case ReportsSuccessful management by recombinant activated factor VII in a case of disseminated intravascular coagulopathy caused by obstetric hemorrhage.
Postpartum hemorrhage (PPH) is a life-threatening emergency in obstetrics. Although recombinant activated factor VII (rFVIIa) has become used for the treatment of some cases of massive hemorrhage, its applications in the field of obstetrics are still limited. We describe a case of successful treatment with rFVIIa for PPH due to placenta accreta. ⋯ The PPH was not controlled by transfusion therapy. On the fourth day after CS, rFVIIa (90 microg/kg x 2) was given because of the persistent PPH. Bleeding decreased and no further transfusion was required from 2 days after administration. rFVIIa was useful in the treatment of this case of obstetric hemorrhage.
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J. Obstet. Gynaecol. Res. · Aug 2008
Case ReportsAcute right lower quadrant abdominal pain as the presenting symptom of ovarian vein thrombosis in pregnancy.
Ovari an vein thrombosis (OVT) is an uncommon, life-threatening complication of pregnancy. OVT clinical presentation is similar to that of acute appendicitis, and the latter is therefore the suspected diagnosis in most cases. We describe a case of a 36-year-old woman experiencing deep vein thrombosis and pulmonary embolism during the course of pregnancy and presenting to the emergency department with sudden pain in the right lower quadrant and severe abdominal pain. This case illustrates the difficulty in diagnosing OVT, which should be considered in any pregnant woman with unexplained lower abdominal pain suggestive of acute appendicitis.
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J. Obstet. Gynaecol. Res. · Jun 2008
Randomized Controlled Trial Comparative StudyA comparison between the effect of oxytocin only and oxytocin plus propranolol on the labor (a double blind randomized trial).
The comparison between the effect of oxytocin alone or in combination with propranolol on labor. ⋯ Propranolol may shorten the induction duration and labor and reduce the amount of necessary oxytocin.
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J. Obstet. Gynaecol. Res. · Jun 2008
Case Reports Comparative StudyDiabetic ketoacidosis in pregnancy tends to occur at lower blood glucose levels: case-control study and a case report of euglycemic diabetic ketoacidosis in pregnancy.
The occurrence of diabetic ketoacidosis (DKA) during pregnancy is considered a medical emergency. The aims of the present study were to evaluate the incidence of DKA in pregnant and non-pregnant women with diabetes; to compare the blood glucose levels at the diagnosis of DKA in pregnant and non-pregnant women; and to show a case of euglycemic DKA in pregnancy. ⋯ DKA in pregnant women with diabetes may occur more frequently, and at lower blood glucose levels than DKA in non-pregnant women with diabetes.