1/66. fetus papyraceous: an unusual cause of obstructed labour.fetus papyraceous is a relatively rare complication in twin pregnancy. The occurrence of fetus papyraceous is frequently associated with perinatal morbidity in the other twin, making antenatal diagnosis of this condition desirable. Ultrasound detection is not always possible due to anatomical position and technical difficulties. A case of fetus papyraceous, found during Caesarean section for obstructed labour is reported and the implications of antenatal detection are discussed.- - - - - - - - - - ranking = 1keywords = labour (Clic here for more details about this article) |
2/66. Extrasystoles in the fetal CTG during labour might be a first sign of fetal-neonatal sepsis.A case of extrasystoles in the fetal electrocardiogram during labour is presented as a possible early sign of fetal-neonatal sepsis. Colleagues are invited to respond similar experience.- - - - - - - - - - ranking = 1keywords = labour (Clic here for more details about this article) |
3/66. Labour and delivery complications and schizophrenia. Case-control study using contemporaneous labour ward records.BACKGROUND: Controversy continues regarding an association between obstetric complications and risk of schizophrenia in early adult life. AIMS: To compare the rate of labour and delivery complications among persons who developed schizophrenia with controls; to establish whether any complication is associated with later schizophrenia. METHOD: We located the labour ward records of 431 individuals with schizophrenia and of same-gender controls from the same hospital birth series. mothers were matched by age, socio-economic group and parity. Individual complications were evaluated blindly using two obstetric complication scales. RESULTS: overall, the rate of labour and delivery complications for those who developed schizophrenia did not differ from that of controls. Males who had presented to psychiatric services before the age of 30 had a greater frequency of and more severe labour/delivery complications than their matched controls. CONCLUSIONS: Other than among young-onset males we found no increase in labour and delivery complications among cases.- - - - - - - - - - ranking = 1.8keywords = labour (Clic here for more details about this article) |
4/66. Phaeochromocytoma diagnosed during labour.The diagnosis of phaeochromocytoma during pregnancy is rare. We present the management of vaginal delivery in a woman diagnosed with the condition during labour. A medline search and follow-up of references failed to find any similar report in the last 30 years.- - - - - - - - - - ranking = 1keywords = labour (Clic here for more details about this article) |
5/66. adenomyosis and uterus rupture during labor.A spontaneous uterus rupture occurred during the labour of a 37-week-pregnant woman showing a precocious rupture of membranes. It appeared enlarged and the cut surface of the myometrium showed coarse trabeculations. The histological examination showed a hypertrophic gravidic myometrium with heterogeneous areas of fibrosis and adenomyosis, necrotic decidual foci and hyperplastic cervical canal glands. Our experience suggests that a silent and spontaneous uterine rupture, is possible even in the absence of the principal risk factors.- - - - - - - - - - ranking = 0.2keywords = labour (Clic here for more details about this article) |
6/66. Cervico-isthmic pregnancy: an extremely rare case diagnosed during labour.This case report describes a cervico-isthmic pregnancy ending in a live vaginal birth at 37 2 weeks' gestation. The case remained undiagnosed throughout pregnancy when after a fairly normal labour a massive haemorrhage occurred. After an unsuccessful effort to control the bleeding conservatively, a total abdominal hysterectomy was carried out. During the operation the diagnosis of cervico-isthmic pregnancy was confirmed, which was in accordance with the pathology report.- - - - - - - - - - ranking = 1keywords = labour (Clic here for more details about this article) |
7/66. Use of remifentanil in a patient with peripartum cardiomyopathy requiring Caesarean section.We describe a case of a 26 yr old primigravida at 39 weeks' gestation, with a diagnosis of peripartum cardiomyopathy, requiring urgent Caesarean section. The patient presented in severe heart failure and active labour. A general anaesthetic, using a target-controlled infusion of propofol and an intravenous infusion of remifentanil, was used to provide stable anaesthesia and analgesia for a successful delivery. The unusual diagnosis of peripartum cardiomyopathy and the potential benefits of the use of remifentanil in high-risk obstetric surgery are discussed.- - - - - - - - - - ranking = 0.2keywords = labour (Clic here for more details about this article) |
8/66. Valsalva retinopathy induced by labour.PURPOSE: To describe a patient with Valsalva retinopathy induced by labour. methods: Case report. RESULTS: A 29-year-old woman at her second pregnancy complained of a sudden loss of vision in her left eye during spontaneous labour. visual acuity was reduced to counting fingers. Funduscopy revealed a large preretinal hemorrhage at the macula in the left eye. Three weeks after delivery, the hematoma was treated with Nd:YAG laser. Two weeks after treatment, visual acuity was 20/20 and the premacular hemorrhage had resolved. CONCLUSIONS: A rise in intra-abdominal pressure during labour may result in Valsalva retinopathy. Nd:YAG laser may be useful in treating such hemorrhage.- - - - - - - - - - ranking = 1.4keywords = labour (Clic here for more details about this article) |
9/66. High-dose tinzaparin in pregnancy and the need for urgent delivery.The prolonged anticoagulant effects of high-dose low molecular weight heparin (LMWH) pose problems in pregnant women when unanticipated delivery is required. We present two pregnant women on therapeutic doses of LMWH whose labour did not progress smoothly. The Thrombelastograph coagulation analyser was used to assess the coagulation status periodically. It influenced surgical and anaesthetic management and there was a safe outcome.- - - - - - - - - - ranking = 0.2keywords = labour (Clic here for more details about this article) |
10/66. Pneumomediastinum in labour -- probably not caused by a lumbar epidural anaesthesia.We describe a case of pneumomediastinum and subcutaneous emphysema during labour. The patient had previously received an epidural anaesthesia to alleviate labour pain. We found several reports of subcutaneous emphysema and pneumomediastinum (or pneumothorax) possibly caused by or related to epidural anaesthesia use, but conclude that the epidural anaesthesia was probably not a cause in our case.- - - - - - - - - - ranking = 1.4497531795275keywords = labour pain, labour (Clic here for more details about this article) |
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