1/5. Unplanned vaginal birth after two previous caesarean sections.BACKGROUND: Caesarean section is carried out for the benefit of both mother and baby. Most obstetricians will permit vaginal birth after a previous caesarean. An unplanned vaginal birth after two previous caesareans section is reported. methods: A case report utilizing the case records and review of relevant literature. RESULT: A 32-year old housewife gravida3, para(2 0), both alive with two previous caesarean sections had a premature rupture of membranes and preterm labour. She had an unplanned successful vaginal birth. CONCLUSION: Vaginal delivery is possible after two previous caesarean sections if careful selection of patients is made.- - - - - - - - - - ranking = 1keywords = membrane (Clic here for more details about this article) |
2/5. sjogren's syndrome diagnosed in pregnancy: a case report.BACKGROUND: As in most other autoimmune diseases, sjogren's syndrome is seen predominantly in women. Since the peak age is around the late reproductive and early postmenopausal period, the obstetric aspect has not been well studied. CASE: A 28-years-old woman, pregnant for 22 weeks and 5 days, was admitted with worsening general status, skin lesions, arthralgias, and oral and ocular symptoms typical of sjogren's syndrome. She underwent hemodialysis for renal insufficiency. To prevent autoantibody formation, progression of the disease, therapy with methyl prednisolone, 100 mg/d intravenously; cyclophosphamide, 500 mg/month in a single intravenous application; hemodialysis 3 times a week; and plasmapheresis 7 times was instituted. An 1,100-g, male infant at 27 weeks and 5 days was delivered by cesarean section because of premature preterm rupture of membranes and severe late decelerations on cardiotocography. The infant was discharged from the neonatal intensive care unit after 30 days, weighing 1,800 g. Postnatal echocardiographic examination of the infant revealed neither cardiac malformations nor arrhythmias. CONCLUSION: Since the presence of autoantibodies against SS-A and SS-B are reported to accompany congenital heart block, the primary goal of therapy should be preventing this untoward effect of the disease. Close monitoring during pregnancy is mandatory to detect preeclampsia, intrauterine growth retardation and preterm labor.- - - - - - - - - - ranking = 1keywords = membrane (Clic here for more details about this article) |
3/5. Sporadic Larsen syndrome in a preterm female originally diagnosed as positional deformities due to oligohydramnios.Few reports describe incidental prenatal diagnosis of sporadic Larsen syndrome by ultrasound, but none of these discuss coincidental oligohydramnios or an association with fetal growth restriction. A 28-year-old woman had prolonged rupture of membranes causing marked oligohydramnios at 32 weeks gestation in her first pregnancy. Labor was induced by vaginal prostaglandins and oxytocin infusion after dexamethasone administration because of concern about placental abruption. She delivered vaginally a live female infant weighing 1960 g (< 10th percentile) with multiple skeletal malformations and characteristic facies originally suspected as positional. Newborn x-rays, however, established the diagnosis of Larsen syndrome with bilateral dislocations of the hips, knees (genu recurvatum), and ankles (club foot). The neonatal karyotype was 46,XX. Parental examination and family history were unremarkable. The newborn did well with bilateral lower extremities cast. Postnatal diagnosis of Larsen syndrome should be suspected in neonates with multiple skeletal abnormalities following oligohydramnios.- - - - - - - - - - ranking = 1keywords = membrane (Clic here for more details about this article) |
4/5. umbilical cord prolapse.prolapse of the umbilical cord is a rare obstetric emergency that in the viable fetus necessitates an expeditious delivery. A case of a periviable pregnancy complicated by preterm premature rupture of membranes and overt umbilical cord prolapse was prolonged 2 weeks with expectant management is described. An extensive review of the literature regarding the etiology, risk factors, and management options for umbilical cord prolapse in both viable and previable pregnancies accompanies this report.- - - - - - - - - - ranking = 1keywords = membrane (Clic here for more details about this article) |
5/5. Use of mesh cerclage in prevention of early preterm delivery: a promising new surgical method for women with dilated cervix and membrane herniation?OBJECTIVE: To present our innovative surgical method for prevention of early preterm delivery in women with cervical dilatation and membrane herniation. STUDY DESIGN: A woman in the 24th gestational week, with membrane herniation due to a 2-3 cm dilatation of the cervix, is presented. The surgical technique for occlusion and reinforcement of the dilated cervix with circular suture and polypropylene mesh is described. RESULTS: We succeeded in preventing early preterm delivery and achieving 38 gestational weeks when the mesh cerclage was electively removed. CONCLUSIONS: Occlusion of the dilated cervix by mesh cerclage is a promising new surgical possibility of preventing early preterm delivery and achieving fetal maturity in women with dilated cervix and membrane herniation.- - - - - - - - - - ranking = 7keywords = membrane (Clic here for more details about this article) |