1/92. Complications caused by extramembranous placement of intrauterine pressure catheters.A case report is described in which the inadvertent placement of a standard intrauterine pressure catheter in a laboring woman caused partial abruptio placentae and disseminated intravascular coagulation. Altering catheter placement technique and giving attention to aspects of placement can help avoid mishaps, and awareness of possible complications can lead to earlier diagnosis with increased appropriate intervention.- - - - - - - - - - ranking = 1keywords = abruptio placentae, abruptio, placentae (Clic here for more details about this article) |
2/92. Preterm labor and accidental hemorrhage after disopyramide therapy in pregnancy. A case report.BACKGROUND: Treatment of arrhythmias during pregnancy is complicated by concerns about the safety of antiarrhythmic therapy. This is the first case report of preterm labor and abruptio placentae following the administration of disopyramide during pregnancy. CASE: A 26-year-old woman, gravida 2, para 1, was diagnosed as having wolff-parkinson-white syndrome during the third trimester of pregnancy. Recurrent episodes of supra-ventricular tachycardia were refractory to medical therapy and required repeated direct current cardioversion. Administration of disopyramide led to the initiation of painful uterine contractions and accidental hemorrhage. CONCLUSION: Caution must be exercised during the use of disopyramide during pregnancy, and intensive monitoring should be instituted to avoid adverse maternal and fetal effects.- - - - - - - - - - ranking = 1keywords = abruptio placentae, abruptio, placentae (Clic here for more details about this article) |
3/92. Placental pathology casebook. Chorangiosis of the placenta increases the probability of perinatal mortality.Two apparent acute problems that may occur in labor, nuchal cord and placental abruption, were associated with chorangiosis of the placenta. The importance of complete placental examination in perinatal mortality is re-emphasized. The association of apparent acute obstetrical conditions, e.g., nuchal cord and placental abruption with chorangiosis of the placenta, may be the cause of fetal-newborn deaths that were previously assumed to be issues of labor management.- - - - - - - - - - ranking = 0.4723731282084keywords = abruptio, placental abruption, abruption (Clic here for more details about this article) |
4/92. Twin pregnancy in a uterus didelphys, with unilateral placental abruption and onset of labour.A dizygotic twin pregnancy with a fetus in each side of a uterus didelphys is described. An antepartum haemorrhage at 26 weeks' gestation, with subsequent onset of contractions in the right-sided uterus, precipitated delivery by Caesarean section.- - - - - - - - - - ranking = 0.94474625641679keywords = abruptio, placental abruption, abruption (Clic here for more details about this article) |
5/92. Bilateral renal cortical necrosis: a report of 2 cases.Two cases of renal cortical necrosis, one of which occurred after an obstetric complication (abruptio placentae) and the other after postpartum haemorrhage, are described. The diagnosis was made by percutaneous renal biopsy, intravenous pyelography and selective nephro-angiography. Immunofluorescence studies of the kidney showed no abnormality in one patient, but showed the presence of IgM in the glomerular basement membrane in the second patient. hypotension was not observed when anuria occurred. Both patients survived. The importance of prolonged haemodialysis is stressed, since one patient was oliguric for 57 days and required intermittent haemodialysis for 5 months, while the second patient was oliguric for 17 days, required haemodialysis for 5 months and now has established hypertension.- - - - - - - - - - ranking = 1keywords = abruptio placentae, abruptio, placentae (Clic here for more details about this article) |
6/92. Primary aldosteronism in pregnancy.Aldosteronism is a rare complication of pregnancy. We report a case of a 26-year-old woman who became pregnant soon after a diagnosis of primary aldosteronism due to left adrenal adenoma was made. Only oral potassium supplementation was required in addition to routine prenatal care until 36 weeks' gestation. Subsequently, antihypertensive medication was needed to control elevated blood pressure. A healthy male infant was delivered by cesarean section because of abruptio placentae. The postoperative course was uneventful. Left adrenalectomy was conducted eight months after delivery under laparoscopic visualization. In this case report, we discuss management of aldosteronism in pregnancy and review the literature.- - - - - - - - - - ranking = 1keywords = abruptio placentae, abruptio, placentae (Clic here for more details about this article) |
7/92. fetal death from abruptio placentae associated with incorrect use of a seatbelt.A female driver, 24 weeks pregnant, was wearing a three-point seatbelt in the manner usual for nonpregnant women, when her automobile collided head-on with another vehicle. A cardiotocographic examination after the accident revealed the fetus to be alive. Five days after the accident, however, a cardiotocographic examination showed fetal death. At that time, a transverse ecchymotic band on the lower abdominal wall that had not been observed at the first examination was noticed. Eight days after the accident, the mother delivered a macerated female fetus. At autopsy, the baby showed no abnormality, but there was a hematoma on the placental surface toward the uterus. These results suggest that the fetus died of abruptio placentae associated with incorrect placement of the lap belt.- - - - - - - - - - ranking = 5keywords = abruptio placentae, abruptio, placentae (Clic here for more details about this article) |
8/92. Quantitative digital analysis of regional placental perfusion using power Doppler in placental abruption.PURPOSE: To apply digital imaging techniques to the quantification of placental vascularity using power Doppler. MATERIALS AND methods: Regional placental blood flow was measured in a case of large placental abruption, shortly after presentation and 1 week later. Images were stored digitally and analysed using purpose-designed software (CQ Analysis) to extract and measure vascular energy information. The integrated color energy (ice) was determined in the main body of placental tissue and in a cotyledon isolated by the retroplacental clot. RESULTS: Initial assessment at 25 weeks showed only a small difference in integrated energy between normal placenta and the isolated cotyledon (ice ratio 1.44, P < 0.04). One week later, perfusion in the isolated cotyledon had fallen both on qualitative and quantitative assessment (ice ratio 3.98, P < 0.0001). This area subsequently became devascularized. CONCLUSION: Placental perfusion may be quantified using digital power Doppler analysis. Further studies are indicated to evaluate its role in assessing regional and/or global placental perfusion as well as fetal organ perfusion.- - - - - - - - - - ranking = 1.180932820521keywords = abruptio, placental abruption, abruption (Clic here for more details about this article) |
9/92. Abruptio placenta: sonographic and pathologic correlation.In cases of abruptio placenta, the ultrasound examination may be negative if external bleeding occurs without a large enouth accumulation of blood to be sonographically visible. A positive sonogram may demonstrate either a retroplacental hematoma or a hematoma that has dissected beneath the chorionic membranes. Six cases of abruptio placenta are presented with sonographic and pathologic findings.- - - - - - - - - - ranking = 0.31110715413621keywords = abruptio (Clic here for more details about this article) |
10/92. pregnancy complicated by Evan's syndrome.Evan's syndrome was initially diagnosed in a 26-year-old pregnant patient. Following the introduction of high dose steroid therapy, the patient developed possible disseminated gonococcal infection which was followed by preterm labor and abruptio placentae. A cesarean delivery was performed at the 34th week of pregnancy following platelet infusion. While the infant survived, the mother had delayed postpartum hemorrhage.- - - - - - - - - - ranking = 1keywords = abruptio placentae, abruptio, placentae (Clic here for more details about this article) |
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