J Reprod Med
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Case Reports
Intrathecal morphine analgesia for vaginal delivery in a woman with a single ventricle. A case report.
In a pregnant woman with a single cardiac ventricle, the coexisting cardiac anomalies provided a means of compensation. For vaginal delivery, intrathecal morphine was used for analgesia.
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Patients presenting with hydatidiform mole are at risk of developing trophoblastic deportation. This clinical syndrome is seen more frequently in patients with uteri greater than 16 weeks in size and/or larger than expected for the gestational age. A pulmonary artery catheter was inserted in a patient, demonstrating the recovery of trophoblast from the pulmonary artery. This invasive technique can aid in the differential diagnosis and precise administration of intravenous fluid in this clinical situation.
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Case Reports
Successful cesarean section in a gravida with the thrombocytopenia with absent radius syndrome. A case report.
A 20-year-old primigravida with the autosomal recessive thrombocytopenia with absent radius (TAR) syndrome was followed in her third trimester of pregnancy. Although the platelet counts ranged from 8,000 to 30,000/microL, the patient had minimal symptoms of peripatellar ecchymoses. She presented at term with spontaneous rupture of the membranes and a double footling breech presentation. ⋯ Antenatal ultrasonography demonstrated normal fetal extremities. Review of the literature revealed this to be the first report of cesarean section in a TAR syndrome patient. Management of coagulation problems should be individualized according to the severity of the disease.