J Gynecol Obst Bio R
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J Gynecol Obst Bio R · Sep 2005
Case Reports[Acute pulmonary edema during nicardipine and salbutamol therapy for preterm labor in twin pregnancy].
We report the case of a 38-year-old parturient at 30 weeks 2 days term of a multiple pregnancy who experienced acute pulmonary edema more than 48 hours after tocolytic treatment with nicardipine and salbutamol. The patient was transferred from a level 1 perinatal center to a level 3 perinatal center by the Grenoble mobile intensive care unit in application of the in utero transfer protocol for preterm labor before 33 weeks with twin pregnancy. This case illustrates the risk of tocolytic treatment and potential adverse effects in the event of preterm labor on twin pregnancy. The question of associating a second tocolytic after failure of the first is also raised.
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J Gynecol Obst Bio R · Jun 2005
Review Case Reports[Endometriosis with massive hemorrhagic ascites: a case report and review of the literature].
Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. It generally involves the peritoneum, ovaries and rectovaginal septum. Its characteristic symptoms include dysmenorrhea, pelvic pain, deep dyspareunia and infertility. ⋯ The future treatement will consists of GnRH analog for about six months, which will be relayed by a long term progestative therapy. A diagnosis of endometriosis should always be considered in middle-age women who presents with bloody ascites. Long follow-up is advisable for patients who undergo conservative treatment because of thehigh risk of recurrence.
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J Gynecol Obst Bio R · Apr 2005
[Gestational trophoblastic diseases: a retrospective study from 1997 to 2003].
Trophoblastic diseases correspond to a very heterogeneous group of rare pathology in young women which fertility should be preserved. ⋯ Persistent gestational disease should be managed in a highly specialized centre, as developed in the Lyon University Hospital.
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J Gynecol Obst Bio R · Feb 2005
Review[Air or oxygen for neonatal resuscitation in the delivery room?].
Most of the contemporary guidelines on newborn resuscitation are based on experience but lack scientific evidence. The use of 100% oxygen is one of the more evident. Today, these practices are questioned, particularly for the resuscitation of moderately depressed full term or near term newborns. ⋯ On the basis of these data, air can be the initial gas to use for these babies. Large scale trials, including preterm and cause and/or severity of initial asphyxia, must now be undertaken before the publication of new guidelines for these populations. Particularly severely asphyxiated infants might require supplemental oxygen with titration of oxygen delivery and continuous monitoring of oxygen saturation.
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To determine whether morbidly obese women have an increased risk of pregnancy complications and adverse perinatal outcome. ⋯ Morbid obesity appears to be an independent risk factor for perinatal and gestational complications.