The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Jun 2003
Randomized Controlled Trial Clinical TrialEffects of methylergometrine and oxytocin on thoracic epidural pressure during cesarean section.
The effects of oxytocics on thoracic epidural pressure during cesarean section were studied in 60 parturients, (American Society of Anesthesiologist physical status, class I or II) after obtaining informed consent. ⋯ We conclude that there is an increase in thoracic epidural pressure after fetal delivery, which appears to be associated with uterine contraction.
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J. Obstet. Gynaecol. Res. · Apr 2003
Randomized Controlled Trial Comparative Study Clinical TrialA randomized controlled study of three targets of propofol plasma concentration in patients undergoing uterine dilation and curettage.
To compare the efficacy and the complications of three target levels of propofol plasma concentration in patients undergoing uterine dilation and curettage. ⋯ Propofol infusion at the target concentration of 5 microg/mL was recommended for uterine dilation and curettage when it was administered with fentanyl 1 microg/kg and nitrous oxide 66% under close monitoring and appropriate respiratory management.
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J. Obstet. Gynaecol. Res. · Oct 2002
Case ReportsThromboprophylaxis with low molecular weight heparin in thrombophilia-complicated pregnancy.
We treated three thrombophilia-complicated pregnant women (two antiphospholipid antibody syndrome, one protein C deficiency) with low molecular weight heparin (dalteparin). All three pregnancies including one twin pregnancy ended in live births without a decrease in bone mineral density. This treatment modality was effective and safe preventing thrombosis during their pregnancies.
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J. Obstet. Gynaecol. Res. · Oct 2002
Case ReportsA case of successful management of maternal septic shock with multiple organ failure following amniocentesis at midgestation.
Maternal sepsis is an unusual but catastrophic complication of amniocentesis. We report a case of successful treatment of maternal septic shock and multiple organ failure following amniocentesis at midgestation, possibly due to needle puncture of the sigmoid colon, which was tightly adherent to the anterior surface of the pregnant uterus.
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J. Obstet. Gynaecol. Res. · Oct 2001
Case ReportsPrenatal diagnosis of isolated anorectal atresia with colonic perforation.
We report here a case of prenatal diagnosis of isolated anorectal atresia with intrauterine colonic perforation at 34 weeks of gestation, characterized by the presence of a bilobed cystic pelvic mass with a V-shape appearance separated from the bladder with changing features during observation. Mild ascites was also visualized. Other structures were normal on detailed ultrasound. ⋯ Autopsy revealed isolated anorectal atresia, and high (supraelevator) lesions. In conclusion, the findings of bilobed cystic pelvic mass with a V-shape were useful to diagnose anorectal atresia in this case. Prenatal ultrasound can facilitate early diagnosis and treatment.