European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 2013
Amniotic fluid embolism: 10-year retrospective study in a level III maternity hospital.
To provide updated data on amniotic fluid embolism (AFE) based on our population over a 10 year period, and to propose steps for improving current practice. ⋯ AFE is a rare but extremely serious disease. Some risk factors for AFE have been identified but they do not allow its occurrence to be predicted. The diagnosis may be supported by specific laboratory test results but only a post-mortem examination provides a pathognomonic diagnosis: unfortunately it is always retrospective. Obstetrical and intensive care management is complex and must be adapted to the situation bearing in mind the significant risk of haemorrhage and DIC. Hysterectomy must be performed if there is the least doubt.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 2013
Characteristics of heart, arteries, and veins in low and high cardiac output preeclampsia.
To assess the feasibility of non-invasive measurements of maternal cardiac output in relation to birth weight percentile and cardiovascular physiology in preeclampsia. ⋯ Non-invasive impedance cardiography measurements of maternal cardiac output correlate with birth weight percentile and are associated with different functionality of heart, arteries, and veins in low and high cardiac output preeclampsia.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 2013
Review Practice GuidelineProlonged and post-term pregnancies: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF).
The duration of pregnancy varies between 40(+0) and 41(+3) weeks. Conventionally, and essentially arbitrarily, a pregnancy is considered to be "prolonged" after 41(+0) weeks, but the infant is not considered "post-term" until 42(+0) weeks (Professional consensus). A term birth thus occurs during the period from 37(+0) to 41(+6) weeks. ⋯ In cases of meconium-stained amniotic fluid, pharyngeal aspiration before delivery of the shoulders is not recommended (grade A). The team managing a post-term newborn with meconium-stained amniotic fluid at birth must know how to perform intubation and, if the intubation is not helpful, endotracheal aspiration (grade C) and ventilation with a mask. Routine endotracheal intubation of a vigorous newborn is not recommended (grade A).
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 2013
Randomized Controlled TrialEfficacy of ginger on intraoperative and postoperative nausea and vomiting in elective cesarean section patients.
To evaluate the efficacy of dry powdered ginger, given orally, on nausea and vomiting during and after an elective cesarean section performed under combined spinal epidural anesthesia. ⋯ Ginger given in dry powdered form reduced the number of episodes of intraoperative nausea compared to a placebo, but it had no effect on incidence of nausea, vomiting, or pain during and after an elective cesarean section performed under combined spinal epidural anesthesia.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 2013
Retraction technique for urinary catheterization of women with female genital mutilation.
To evaluate the retraction technique for urinary catheterization of women with Type III female genital mutilation (FGM). ⋯ The retraction technique provides a safe and effective option for urinary catheterization of women with Type III FGM.