J Gynecol Obst Bio R
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J Gynecol Obst Bio R · Jan 1994
Review Case Reports[Non-steroidal anti-inflammatory agents and pregnancy. A study of renal and digestive toxicity of niflumic acid in the perinatal period].
We report a case of intrauterine exposure to niflumic acid in a preterm neonate (35 weeks of gestation). The mother received niflumic acid (750 mg daily) during the last four days of gestation. Severe oligohydramnios was present. ⋯ It is important that the nephrotoxicity of this vasoactive drug be known. Maternal administration of niflumic acid during the last days of gestation can induce fetal and neonatal adverse effects, especially renal failure. Prescription of all nonsteroidal anti-inflammatory drugs must be very cautious during pregnancy.
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J Gynecol Obst Bio R · Jan 1994
[Bereavement evolution in mothers and families after perinatal death].
Semi-structured interviews were conducted with 33 mothers one to 9 years after the death of a child in the perinatal period: 15/33 mothers (45.5%) are dissatisfied with care givers attitudes, 8/33 (24.2%) showed pathological grief reactions, 11/29 (37.9%) had established a pathological relationship with at least one of their living children, 5/29 (17.2%) were in disagreement with the child's father. Univariable analysis of interviews and obstetrical data showed that some factors where significantly correlated with pathological evolution. ⋯ Pathological grief was more frequent amongst foreign culture mothers (RR 5.25, p < 0.01). Pathological mother-child relationships were increased by negative attitudes (RR 8.13, p < 0.05), by dissatisfaction (RR 4.82, p 0.01), by another bereavement (RR 2.86, p < 0.05) and decreased by seeing the dead baby (RR 0.35, p < 0.05) and understanding the cause of the death (RR 0.35, p < 0.05).
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J Gynecol Obst Bio R · Jan 1994
Case Reports[Subcapsular liver hematoma, a HELLP syndrome complication].
The authors report a case of unruptured subcapsular haematoma of the liver in a 31-year-old woman, para 2, in the 34th week of pregnancy, complicated by preeclampsia. Clinical signs of preeclampsia were associated with pain in the right hypocondrium and laboratory findings consistent with a true HELLP syndrome. ⋯ Regular X-ray follow-ups showed the regression of the hepatic lesion. This case confirms recent reports that patients with unruptured capsular haematoma should be treated conservatively but should receive careful monitoring.
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J Gynecol Obst Bio R · Jan 1994
Clinical Trial Controlled Clinical Trial[Home care services and postnatal care. The experience in Grenoble (1985-1993)].