GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Online Resource
    Online Resource
    Factors Contributing to Massive Blood Loss on Peripartum Hysterectomy for Abnormally Invasive Placenta: Who Bleeds More?
    Hindawi Limited ; 2016
    In:  Obstetrics and Gynecology International Vol. 2016 ( 2016), p. 1-7
    Details
    In: Obstetrics and Gynecology International, Hindawi Limited, Vol. 2016 ( 2016), p. 1-7
    Abstract: Introduction . To identify factors that determine blood loss during peripartum hysterectomy for abnormally invasive placenta (AIP-hysterectomy). Methods . We reviewed all of the medical charts of 11,919 deliveries in a single tertiary perinatal center. We examined characteristics of AIP-hysterectomy patients, with a single experienced obstetrician attending all AIP-hysterectomies and using the same technique. Results . AIP-hysterectomy was performed in 18 patients (0.15%: 18/11,919). Of the 18, 14 (78%) had a prior cesarean section (CS) history and the other 4 (22%) were primiparous women. Planned AIP-hysterectomy was performed in 12/18 (67%), with the remaining 6 (33%) undergoing emergent AIP-hysterectomy. Of the 6, 4 (4/6: 67%) patients were primiparous women. An intra-arterial balloon was inserted in 9/18 (50%). Women with the following three factors significantly bled less in AIP-hysterectomy than its counterpart: the employment of an intra-arterial balloon ( 4 , 448 ± 1 , 948 versus 8 , 861 ± 3 , 988  mL), planned hysterectomy ( 5 , 003 ± 2 , 057 versus 9 , 957 ± 4 , 485  mL), and prior CS ( 5 , 706 ± 2 , 727 versus 9 , 975 ± 5 , 532  mL). Patients with prior CS (−) bled more: this may be because these patients tended to undergo emergent surgery or attempted placental separation. Conclusion . Patients with intra-arterial balloon catheter insertion bled less on AIP-hysterectomy. Massive bleeding occurred in emergent AIP-hysterectomy without prior CS.
    Type of Medium: Online Resource
    ISSN: 1687-9589 , 1687-9597
    URL: Article
    DOI: 10.1155/2016/5349063
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2016
    detail.hit.zdb_id: 2495157-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    Maternal Perception of Decreased Fetal Movement in One Twin: A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome
    Hindawi Limited ; 2013
    In:  Case Reports in Obstetrics and Gynecology Vol. 2013 ( 2013), p. 1-3
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2013 ( 2013), p. 1-3
    Abstract: Decreased fetal movement (DFM) perceived by pregnant women sometimes indicates imminent fetal jeopardy. It is unknown whether this also holds true for twin pregnancy. A 27-year-old primiparous woman with monochorionic diamniotic (MD) pregnancy had a slight difference of amniotic fluid volume at 31 2/7 weeks of gestation. DFM only in one twin at 31 4/7 weeks of gestation prompted her to receive urgent consultation. Since cardiotocogram indicated absent variability of one twin, we performed Cesarean section. Male infants weighing 2060 g and 1578 g were delivered; hemoglobin was 20.7 versus 10.8 g/dL, respectively; cardiothoracic ratio was 70% versus 44%, respectively, indicating acute twin-to-twin transfusion syndrome (TTTS). The recipient infant had heart failure, which was still observed at 1 month postpartum. In conclusion, maternal perception of DFM indicated imminent fetal death or jeopardy caused by acute TTTS, suggesting that education regarding DFM for women with twin pregnancy may be clinically important.
    Type of Medium: Online Resource
    ISSN: 2090-6684 , 2090-6692
    URL: Article
    DOI: 10.1155/2013/345808
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2013
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 3
    Online Resource
    Online Resource
    Prolapse of the Small Intestine from the Uterine Perforation at Dilatation and Curettage
    Hindawi Limited ; 2014
    In:  Case Reports in Obstetrics and Gynecology Vol. 2014 ( 2014), p. 1-4
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2014 ( 2014), p. 1-4
    Abstract: Dilatation and curettage (D & C) sometimes causes uterine perforation, which usually does not cause a serious problem. Here, we report uterine perforation caused by D & C, in which the small intestine prolapsed from the uterus, requiring intestinal resection. D & C was performed for missed abortion at 9 weeks. After dilating the cervix, forceps grasped tissue that, upon being pulled, resulted in the intestine being prolapsed into the vagina. Laparotomy revealed a perforation at the low anterior uterine wall, through which the ileum had prolapsed. The mesentery of the prolapsed ileum was completely detached and the ileum was necrotic, which was resected. The uterus and the intestine were reconstructed. Although intestinal prolapse is considered to be caused by “unsafe” D & C performed by inexperienced persons or even by nonphysicians in developing countries, this occurred in a tertiary center of a developed country. We must be aware that adverse events such as uterine perforation with intestinal prolapse can occur even during routine D & C.
    Type of Medium: Online Resource
    ISSN: 2090-6684 , 2090-6692
    URL: Article
    DOI: 10.1155/2014/164356
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2014
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 4
    Online Resource
    Online Resource
    Posterior Reversible Encephalopathy Syndrome with Stroke in Puerperal Woman with High Titer of Anti-Phospholipid IgM Antibody
    Hindawi Limited ; 2018
    In:  Case Reports in Obstetrics and Gynecology Vol. 2018 ( 2018-12-03), p. 1-5
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2018 ( 2018-12-03), p. 1-5
    Abstract: Posterior reversible encephalopathy syndrome with stroke is very rare in puerperal women. A 36-year-old nulliparous woman with both rheumatoid arthritis and recurrent pregnancy loss, probably due to a high titer of anti-phospholipid IgM antibody, was referred at 10 weeks of gestation. Low-dose aspirin at 100 mg/day and heparin calcium subcutaneous injection at 10,000 units/day were started before pregnancy and stopped at 35 +6 and 40 +2 weeks, respectively. She transabdominally delivered a male infant weighing 3,344 g at 40 +5 weeks. A tonic-clonic seizure abruptly occurred without either hypertension or proteinuria 5 days after delivery. Intracerebral hemorrhage involving an area of 2 cm in diameter in the right frontal lobe and subarachnoid hemorrhage with PRES were confirmed. Seizure recurred 2 days after the initial episode. She showed severe headache and mild disturbance of consciousness but no neurological findings. We suggested that a high titer of anti-phospholipid IgM antibody might be associated with stroke.
    Type of Medium: Online Resource
    ISSN: 2090-6684 , 2090-6692
    URL: Article
    DOI: 10.1155/2018/7438676
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2018
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 5
    Online Resource
    Online Resource
    Acquired Factor XI Deficiency with Lupus Anticoagulant in a Pregnant Woman Diagnosed by the Eruptions and Pain in Fingers
    Hindawi Limited ; 2020
    In:  Case Reports in Obstetrics and Gynecology Vol. 2020 ( 2020-12-26), p. 1-4
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2020 ( 2020-12-26), p. 1-4
    Abstract: We report a case of acquired factor XI deficiency with lupus anticoagulant (LA) in a 28-year-old primigravida who presented with finger pain and eruptions on her palms and fingers during the 3rd trimester of pregnancy. The patient complained of pain and reddening of the fingers at 30 weeks of gestation. She was referred to our tertiary center with a diagnosis of preeclampsia and suspected collagen disease at 35 weeks of gestation. Erythema was seen on the fingers and palms, and she presented with pain and cryesthesia on the fingers. Laboratory investigations revealed an activated partial thromboplastin time of 51 s (normal, 23–40 s), although it was normal during the 30th and 34th gestational weeks, LA with an anticardiolipin-beta2-glycoprotein I complex antibody, and low level of clotting XI activity (25 U/mL). On week 37 day 0 of gestation, the patient presented with severe hypertension. An urgent Cesarean section was performed after transfusion of two units of fresh frozen plasma. There was no excessive bleeding during the surgery or the postpartum period. The symptoms on her fingers and palms gradually improved after surgery. Our case indicates that dermatoses of pregnancy may become a starting point for the diagnosis of autoimmune diseases and coagulation abnormalities. When a patient presents with an atypical symptom, as in our case, the possibility of various diseases should be considered.
    Type of Medium: Online Resource
    ISSN: 2090-6692 , 2090-6684
    URL: Article
    DOI: 10.1155/2020/8854676
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2020
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 6
    Online Resource
    Online Resource
    Placental Insertion into the Cervix with Cervical Shortening as a Clinical Sign to Suspect Cervico-Isthmic Pregnancy: A Case Report and Literature Review
    Hindawi Limited ; 2023
    In:  Case Reports in Obstetrics and Gynecology Vol. 2023 ( 2023-2-6), p. 1-6
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2023 ( 2023-2-6), p. 1-6
    Abstract: The clinical signs of cervico-isthmic pregnancy during pregnancy remain unknown. We herein report a case of cervico-isthmic pregnancy showing placental insertion into the cervix with cervical shortening, with a final diagnosis of placenta increta at the uterine body and cervix. A 33-year-old multiparous woman with a history of cesarean section was referred to our hospital at 7 weeks of gestation with suspected cesarean scar pregnancy. Cervical shortening with a cervical length of 14 mm was noted at 13 weeks of gestation. The placenta is gradually inserted into the cervix. An ultrasonographic examination and magnetic resonance imaging strongly suggested placenta accreta. We planned elective cesarean hysterectomy at 34 weeks of gestation. The pathological diagnosis was cervico-isthmic pregnancy with placenta increta at the uterine body and cervix. In conclusion, placental insertion into the cervix with cervical shortening in the early pregnancy period may be a clinical sign to suspect cervico-isthmic pregnancy.
    Type of Medium: Online Resource
    ISSN: 2090-6692 , 2090-6684
    URL: Article
    DOI: 10.1155/2023/1816955
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2023
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 7
    Online Resource
    Online Resource
    Respiratory Arrest in an Obese Pregnant Woman with Hyperemesis Gravidarum
    Hindawi Limited ; 2015
    In:  Case Reports in Obstetrics and Gynecology Vol. 2015 ( 2015), p. 1-4
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2015 ( 2015), p. 1-4
    Abstract: A pregnant, non-Japanese-speaking Peruvian, and, thus, with communication difficulty, suffered hyperemesis gravidarum and had respiratory arrest, requiring cardiopulmonary resuscitation. The obese pregnant woman (prepregnancy weight: 107 kg) had vomited and lost 15 kg in bodyweight over appropriately 2 weeks prior to the arrest but had not complained due to communication difficulty, which, together with her obesity, prevented a Japanese obstetrician from noticing her severe condition. 1,000 mL of low potassium fluid plus thiamine was administered. She became unable to stand, suggesting lower-extremity-proximal-muscle weakness, and then respiratory arrest occurred. Hypopotassemia (2.3 mEq/L), pulseless electrical activity, and muscle weakness suggested the presence of severe potassium deficiency, which may have caused respiratory muscle paralysis, leading to the respiratory arrest. Hypercapnea was severer than expected for compensatory hypoventilation, indicating the presence of concomitant severe hypoventilation, which may also have contributed to respiratory arrest. She recovered with electrolyte and volume replacement. Respiratory arrest can occur with hyperemesis gravidarum, and obesity and communication difficulties can prevent the early detection of severe conditions.
    Type of Medium: Online Resource
    ISSN: 2090-6684 , 2090-6692
    URL: Article
    DOI: 10.1155/2015/278391
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2015
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 8
    Online Resource
    Online Resource
    Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling
    Hindawi Limited ; 2021
    In:  Case Reports in Obstetrics and Gynecology Vol. 2021 ( 2021-6-19), p. 1-5
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2021 ( 2021-6-19), p. 1-5
    Abstract: Bilateral tubal ectopic pregnancies (BTP) are the rarest form of ectopic pregnancy. They are difficult to diagnose preoperatively, and an evidence-based guideline for management does not exist. In this report, we discuss a 35-year-old patient who presented with suspected right tubal ectopic pregnancy. BTP was diagnosed intraoperatively, and a laparoscopic bilateral salpingectomy was performed without complication. The diagnosis was subsequently confirmed by pathology. This case highlights the importance of patient counseling and comprehensive preoperative planning. Due to the poor presurgical diagnosis of BTP, patient counseling should include the possibility of BTP, appropriate options for management, and potential loss of fertility following treatment. In addition, all cases of suspected ectopic pregnancy necessitate a thorough preoperative investigation of bilateral adnexa and intraoperative inspection of the pelvis.
    Type of Medium: Online Resource
    ISSN: 2090-6692 , 2090-6684
    URL: Article
    DOI: 10.1155/2021/5588869
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 9
    Online Resource
    Online Resource
    Prognosis and Prognostic Factors of Patients with Emergent Cerclage: A Japanese Single-Center Study
    Hindawi Limited ; 2021
    In:  Obstetrics and Gynecology International Vol. 2021 ( 2021-12-26), p. 1-7
    Details
    In: Obstetrics and Gynecology International, Hindawi Limited, Vol. 2021 ( 2021-12-26), p. 1-7
    Abstract: Objectives. The aims of this study were to clarify the following: (1) how often does prolonged pregnancy ≥34 weeks occur in patients with emergent cerclage without progesterone and (2) the risk factors preventing such pregnancy continuation. Materials and Methods. This retrospective observational study was performed using medical records of patients for whom emergent cerclage had been performed between April 2006 and December 2018 in our institute. Results. Emergent cerclage was performed in 123 patients (median age: 34, interquartile range: 31–36). Primiparous patients numbered 44 (36%). A history of spontaneous preterm birth (SPTB) was present in 30 (24%). The median presurgical cervical length (CL) was 16 (8–21) mm at surgery. Of the 123, 20 (16%) were delivered at 33 + 6 weeks or less ( 〈 34 weeks). We conducted logistic regression analysis of the risk factors of SPTBs 〈 34 weeks after cerclage. Three risk factors were identified that increased the risk of SPTB 〈 34 weeks: presurgical CL 0 mm (odds ratio (OR): 5.30; 95% confidence interval (CI): 1.58–17.7), a history of SPTB (OR: 4.65; 95% CI: 1.38–15.7), and the presence of sludge (OR: 4.14; 95% CI: 1.20–14.3). Conclusion. Three risk factors predicted SPTB 〈 34 weeks after emergency cerclage without progesterone administration: unmeasurable CL (CL 0 mm), a history of SPTB, and the presence of sludge on ultrasound. SPTB 〈 34 weeks occurred after emergency cerclage in 16% of patients, being comparable with the recent data with progesterone.
    Type of Medium: Online Resource
    ISSN: 1687-9597 , 1687-9589
    URL: Article
    DOI: 10.1155/2021/4351783
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2495157-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 10
    Online Resource
    Online Resource
    Absent Ductus Venosus Associated with Partial Liver Defect
    Hindawi Limited ; 2018
    In:  Case Reports in Obstetrics and Gynecology Vol. 2018 ( 2018-06-13), p. 1-4
    Details
    In: Case Reports in Obstetrics and Gynecology, Hindawi Limited, Vol. 2018 ( 2018-06-13), p. 1-4
    Abstract: Absent ductus venosus (ADV) is a rare vascular anomaly. We describe a fetus/neonate with ADV with a partial liver defect. A 41-year-old woman was referred to our institute because of fetal cardiomegaly detected by routine prenatal ultrasound, which revealed absence of ductus venosus with an umbilical vein directly draining into the right atrium, consistent with extrahepatic drainage type of ADV. She vaginally gave birth to a 3,096-gram male infant at 38 weeks of gestation. Detailed ultrasound examination revealed a defect of the hepatic rectangular leaf at half a month postnatally. He showed normal development at 1.5 years of age with the liver abnormality and a Morgagni hernia. Liver morphological abnormality should also be considered as a complication of ADV.
    Type of Medium: Online Resource
    ISSN: 2090-6684 , 2090-6692
    URL: Article
    DOI: 10.1155/2018/6591025
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2018
    detail.hit.zdb_id: 2627654-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...