Obstetrics and gynecology
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Obstetrics and gynecology · Nov 2001
Cerebrovascular reactivity in normal pregnancy and preeclampsia.
To compare cerebrovascular reactivity in normotensive and preeclamptic pregnant women. ⋯ Normotensive pregnant women had normal middle cerebral artery responses to both 5% CO2 inhalation and isometric hand-grip test. Preeclamptic patients had elevated baseline cerebral perfusion pressure and reduced vasodilatory responses to both tests. These findings are consistent with a state of vasoconstriction in preeclamptic women that is unresponsive to stimuli that under normal circumstances result in vasodilation.
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Obstetrics and gynecology · Nov 2001
Labor epidural analgesia and intrapartum maternal hyperthermia.
To determine if women receiving continuous epidural analgesia are more likely to develop intrapartum fever and related neonatal effects. ⋯ The use of labor epidural analgesia is associated with a clinically significant increase in the incidence of intrapartum fever.
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Obstetrics and gynecology · Nov 2001
Review Case ReportsSuccessful digoxin therapy of fetal supraventricular tachycardia in a triplet pregnancy.
Fetal supraventricular tachycardia is a rare complication of pregnancy associated with cardiac failure, hydrops, and fetal death. If no underlying cardiac defects are present, medical management with digoxin has been successful. ⋯ Digoxin might be used safely and successfully to treat fetal supraventricular tachycardia in multifetal pregnancies.
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Obstetrics and gynecology · Nov 2001
Case ReportsRuptured degenerated uterine fibroid diagnosed by imaging.
We report a ruptured uterine leiomyoma presenting as an acute abdomen. We document computed tomography and magnetic resonance imaging features of a ruptured uterine fibroid. ⋯ This is a report of a ruptured degenerated fibroid causing acute abdomen outside of pregnancy. Computed tomography and magnetic resonance imaging aided in correctly establishing the diagnosis and optimizing the management of this patient.
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Obstetrics and gynecology · Nov 2001
Estimating menstrual blood loss in women with normal and excessive menstrual fluid volume.
To examine the relationship between total fluid volume at menstruation and the volume of blood loss, and to assess the feasibility of using total fluid volume to estimate menstrual blood loss. ⋯ If total fluid volume is measured carefully, the estimate of actual blood loss is sufficiently accurate for clinical purposes. This simple technique has considerable clinical potential, and inexpensive commercial packs for this purpose could easily be developed.