J Gynecol Obst Bio R
-
J Gynecol Obst Bio R · May 2009
Review Case Reports[Boerhaave syndrome and pregnancy. A case report and review of the literature].
The syndrome of Boerhaave is a rare affection, corresponding to a spontaneous rupture of the oesophagus, the prognosis of which depends on the precocity of cares. Clinically, it is characterized by a set of three: efforts of vomitings, thoracic pain and subcutaneous emphysema. We report the first case of spontaneous rupture of the oesophagus in a 3-month pregnant woman, further to incoercible vomiting. ⋯ The surgery as a matter of urgency, usually indicated in this pathology, was not realized in this context of pregnancy. The obstetric and neonatal future was favorable. We discuss the diagnostic difficulties, the modalities of cares as well as the prognosis of such a pathology.
-
J Gynecol Obst Bio R · Apr 2009
Review Case Reports[Abdominal migration of a levonorgestrel-releasing intrauterine device. Case report and review of the literature].
We report the case of a 27-year-old woman in amenorrhea after the installation of a levonorgestrel releasing intra-uterine device, 3 years previously. In front of pelvic continuing pains, paraclinic explorations diagnosed the DIU-LNG in intra-abdominal situation. An exploratory laparoscopy was realized and allowed its ablation. The authors discuss the systemic distribution of the levonorgestrel and the impact of the DIU-LNG in intra-abdominal situation by a review of the literature.
-
J Gynecol Obst Bio R · Oct 2008
Review[Complications and monitoring of the latency period after a preterm premature rupture of the fetal membranes: literature review].
Preterm premature rupture of the membranes (PPROM) begins a high-risk period for both mother and fetus. This literature review updates the knowledge on latency-period complications and proposed monitoring strategies. Four latency-period complications are described: spontaneous onset of labor, infection (chorioamnionitis), abruptio placentae, and fetal, distress which can be linked to umbilical cord prolapse. ⋯ The prediction of infection seems to be essential; classical markers, such as blood count and reactive C protein are not very effective. New markers have been tested, with IL-6 appearing to be one of the best infection markers. Fetal pulmonary maturity can be evaluated with a rapid screening test and can yield arguments for the management strategy.
-
J Gynecol Obst Bio R · Oct 2008
Review Case Reports[Postpartum-urinary retention. A report of two cases and a review of literature].
The urinary retention is rather banal during the postpartum: 0.45 to 17.9% and now we know the main risk factors: duration of labour, epidural, episiotomy. Diagnosed on time, the postpartum-urinary retention will not have any consequence; on the other hand, a delay in care can lead to a persisting urinary retention with possible long-term urinary sequels. This article, based on two cases reports and a literature review, shows the heterogeneity in medical care of the postpartum-urinary retention.
-
J Gynecol Obst Bio R · Feb 2008
Review[Modality of fetal heart monitoring during labor (continuous or intermittent), telemetry and central fetal monitoring].
Fetal heart monitoring during labor is almost systematic today. Continuous monitoring decreases neonatal convulsions, but increases caesarean section and forceps deliveries without impact on long term neonatal prognosis. Overall, there is no proved impact of cardiac fetal monitoring (continuous or intermittent) on perinatal mortality. ⋯ Telemetry has been poorly evaluated to date but experiences are currently undertaken. Central fetal monitoring does not improve neonatal issue but could increase caesarean section rate. Central of fetal monitoring could help in the organisation and the conservation of fetal heart monitoring.