Archive for January, 2010

Incidence and risk factors for pulmonary embolism in the postpartum period

Sunday, January 31st, 2010

Conclusions: Pulmonary embolism most commonly occurs up to 4 weeks postpartum and following abdominal birth. Despite this the absolute event rate is low and a broadly inclusive risk factor approach to the use of pharmacological thromboprophylaxis will require many women to be exposed to heparin to prevent an embolic event. ...

[Acute aortic dissection type A in a 28-year-old women 10 days after delivery.]

Sunday, January 31st, 2010

Authors: Sielski J, Cugowska M, Polewczyk A, Trebacz J, Sadowski J, Janion M A case of a 28-year-old women, with acute aortic dissection type B, ten days after childbirth is described. The pregnancy was ended by cesarean section. The patient underwent successful stent grafting. A subsequent one-month ...

Trigeminal nerve and facial nerve palsy after combined spinal-epidural anesthesia for cesarean section

Sunday, January 31st, 2010

Abstract: A case of emergency cesarean section due to a prolonged second stage of labor in a 29 year-old woman is presented. She had trigeminal nerve and facial nerve palsy after combined spinal-epidural anesthesia for cesarean section. (Source: Journal of Clinical Anesthesia)

IL-6 and TNFα across the umbilical circulation in term pregnancies: Relationship with labour events

Sunday, January 31st, 2010

Conclusion: Umbilical cord levels for IL-6 are increased in low risk labouring patients at term in the absence of evident infection which likely involves both gestational tissue and fetal contributions. Cord levels for IL-6 are further increased in low risk labouring patients showing histologic chorioamnionitis which might then contribute to ...

[Recombinant chromosome 4 with partial 4p deletion and 4q duplication inherited from paternal pericentric inversion.]

Sunday, January 31st, 2010

Authors: Mun SJ, Cho EH, Chey MJ, Shim GH, Shin BM, Lee RK, Ko JK, Yoo SJ Pericentric inversion of chromosome 4 can give rise to 2 alternate recombinant (rec) chromosomesby duplication or deletion of 4p. The deletion of distal 4p manifests as Wolf-Hirschhorn syndrome (WHS). Here, ...

Obstetric outcome of women with uterine anomalies in China.

Sunday, January 31st, 2010

CONCLUSIONS: Women with congenital uterinemal formation usually have higher incidence of complications during pregnancy and delivery. A septate uterus appears to be associated with poorer obstetric outcomes. PMID: 20193480 [PubMed - in process] (Source: Chinese Medical Journal)

[Retrospective analysis of 125 cases of pregnancies complicated by rheumatic heart disease.]

Sunday, January 31st, 2010

CONCLUSION: Surgical interventions can improve the cardiac function, reduce the pregnancy complications and improve the pregnancy outcomes in pregnant women with rheumatic heart disease. Cesarean section is the primary choice for pregnant women with prosthetic heart vavle replacement. PMID: 20159708 [PubMed - in process] (Source: Journal of ...

Effects of epidural fentanyl on speed and quality of block for emergency cesarean section in extending continuous epidural labor analgesia using ropivacaine and fentanyl.

Sunday, January 31st, 2010

Authors: Hong JY, Jee YS, Jeong HJ, Song Y, Kil HK We performed a prospective, randomized, and double-blind study comparing the top-up effects of 2% lidocaine/100 microg fentanyl/epinephrine (n=31) and 2% lidocaine/saline/epinephrine (n=30) when extending an epidural labor analgesia using low-dose ropivacaine and fentanyl. Survival analysis for ...

Prophylactic Pelvic Artery Catheterization and Embolization in Women with Placenta Accreta: Can It Prevent Cesarean Hysterectomy?

Saturday, January 30th, 2010

We present the outcome of a relatively large cohort of women with suspected placenta accreta who underwent prophylactic pelvic artery catheterization prior to cesarean section. All pregnant women with suspected placenta accreta who delivered in one tertiary center were included in this retrospective study. All patients underwent an elective cesarean ...

Med Sci Monit 2010; 16(2):CS11-14 "High dose immune globulin therapy ameliorates peripartum cardiomyopathy with elevated serum antibody titer to influenza virus: Case report of two patients"

Friday, January 29th, 2010

Conclusions: These cases suggest that viral infection including influenza contributes to PPCM and that high doses of immunoglobulin constitute an effective treatment for this disorder. (Source: Medical Science Monitor)