Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2006
Randomized Controlled TrialFour percent intrauterine lidocaine infusion for pain management in first-trimester abortions.
To study the effects of a 4% intrauterine lidocaine infusion on perceived patient pain in first-trimester abortions. ⋯ I.
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Obstetrics and gynecology · Feb 2006
Case ReportsBaking soda pica: a case of hypokalemic metabolic alkalosis and rhabdomyolysis in pregnancy.
We report a case of baking soda pica in a woman at 31 weeks of pregnancy causing severe hypokalemic metabolic alkalosis and rhabdomyolysis. ⋯ Pica is a common but often overlooked practice that can potentially lead to life-threatening disorders. A thorough evaluation of a patient's dietary intake is extremely important, especially in the setting of atypical presentations of disease in pregnancy.
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Obstetrics and gynecology · Feb 2006
Review Case ReportsExtracorporeal membrane oxygenation therapy for circulatory arrest due to postpartum hemorrhage.
Cardiac arrest after postpartum hemorrhage may not respond to advanced life support. Various resuscitation methods have been proposed, including sternotomy and direct cardiac massage. Extracorporeal membrane oxygenation (ECMO) might be an alternative. ⋯ Aggressive mechanical circulatory support, such as ECMO, should be considered in a case of potentially reversible cardiocirculatory failure in a young obstetric patient.
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Obstetrics and gynecology · Feb 2006
Universal perinatal depression screening in an Academic Medical Center.
To develop a department-based program to identify and treat women at risk for perinatal depression. ⋯ III.
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Obstetrics and gynecology · Feb 2006
Case ReportsAcute abdominal pain as the presenting symptom of isolated iliac vein thrombosis in pregnancy.
The incidence of iliac vein thrombosis in pregnancy is quite low; however when it does occur, delay in diagnosis can have significant sequelae. We report a pregnant woman who presented with severe acute abdominal pain secondary to isolated iliac vein thrombosis. ⋯ Iliac vein thrombosis may cause acute abdominal pain in pregnant women and should be considered in the differential diagnosis when other common causes of pain have been excluded.