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Obstetrical Misadventure

Childbirth Complication


Presentation

  • Features 20 all new case presentations with expert commentary.[books.google.com]
  • He is also the present President of the Society of Obstetric Anesthesiologists and Perinatologists[books.google.com]
  • An editorial team of leading authorities presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy.[books.google.com]
  • Written by Meghana Gowda, MD, FPMRS Case presentation: A 59 year old patient presents with vaginal pain, difficulty sitting for prolonged time intervals, and new onset vaginal bleeding.[uro.com]
  • The present study was approved by the Institutional Review Board of Fukushima Medical University, which was responsible for the present study (IRB approval no. 1165).[jstage.jst.go.jp]
Chronic Diarrhea
  • الصفحة 223 - Effects of loperamide on anal sphincter function in patients complaining of chronic diarrhea with fecal incontinence and urgency. Dig Dis Sci 1982; 27: 807-814. ‏[books.google.com]

Workup

  • His survivors contended that Kaiser Walnut Creek physicians should have followed up with Holter monitor test results that the decedent underwent immediately and that a proper workup, including a thallium treadmill examination, would have resulted in a[walkuplawoffice.com]

Treatment

  • Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available.[books.google.com]
  • Treatment protocol for the patient with marked vaginal bleeding. Figure. Treatment protocol for the patient with marked vaginal bleeding.[jaoa.org]
  • Our specialist gynaecology team provides a leading edge clinical service with innovative treatments that include carbon dioxide laser laparoscopy treatments, outpatient hysteroscopic sterilisation and tibial nerve stimulation as part of a multi-disciplinary[northmid.nhs.uk]
  • […] or diagnosis to the same patient for a condition having a bearing on, or relevant to, treatment of the obstetrical condition that required emergency services; Before rendering emergency obstetrical services, the physician had a contractual obligation[hoganinjury.com]

Etiology

  • Hypoxemia – rising baseline worrisome Infection – maternal fever Hyperthermia Hyperthyroidism Anxiety Dehydration Medications Fetal Cardiac Conduction defect 31 Fetal Bradycardia 32 Fetal Bradycardia - etiologies Cord prolapse* - immediate eval PE Maternal[slideplayer.com]
  • Lacerations extending into the peritoneal cavity occur in less than 1% of patients. 3 The most common mechanism of nonobstetric injury to the vagina is coitus. 4 Predisposing and etiologic factors that can account for such injuries include virginity,[jaoa.org]
  • Magnesium toxicity was perceived to be the etiology behind her respiratory arrest and neurologic suppression. She was admitted to the intensive care unit (ICU) for respiratory support and correction of magnesium levels.[joacp.org]

Epidemiology

  • Original Article Motor vehicle collision‐related accidents in pregnancy Haim Arie Abenhaim Corresponding Author Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, Canada Centre for Clinical Epidemiology and[obgyn.onlinelibrary.wiley.com]
  • The proportion of major anomaly among the newborns was 1.7%, the value of which was lower than other epidemiological studies.[jstage.jst.go.jp]
  • Epidemiology of pre-eclampsia and eclampsia in the United States, 1979–1986. Am J Obstet Gynecol 1990 ; 163 : 460 –5. Probst BD. Hypertensive disorders of pregnancy. Emerg Med Clin North Am 1994 ; 12 : 73 –89. Brown CEL, Purdy P, Cunningham FG.[emj.bmj.com]
Sex distribution
Age distribution

Pathophysiology

  • Health science Providing basic knowledge of medical terminology, anatomy and physiology, and pathophysiology of diseases and conditions.[icd-10online.com]
  • Pathophysiology Pre-eclampsia/eclampsia is thought to result from abnormal placental development. Major pathological changes occur in the placental vascular bed resulting in placental ischaemia.[emj.bmj.com]
  • A comprehensive understanding of the underlying pathophysiology is necessary for optimal management. Evidence-based management of complicated cases is limited; treatment should be individualized with experience from case reports considered.[academic.oup.com]
  • Assess maternal-fetal oxygenation Proceed with immediate delivery if indicated 77 ALSO & NICHD Terminology Pathophysiology Summary points: Accels and moderate variability predict absence of metabolic acidemia Variable decels caused by baroreceptor mediated[slideplayer.com]

Prevention

  • Prevent and plan for potential complications associated with the advancing age of pregnant women.[books.google.com]
  • Almost 70,000 of these events were potentially preventable. The authors also indicated that there were 9,250 to 23,750 preventable deaths from adverse events during this period.[moreob.com]
  • Although techniques for the surgical repair of such injuries are well known, it is less clear which strategies effectively prevent fistulas, largely because of the complex interactions among medical, social, economic, and environmental factors present[insights.ovid.com]
  • While many of these injuries are purely accidental, others may be caused by preventable mistakes or negligence on the part of health care professionals.[willdavidson.ca]
  • Failure to identify the need for a C-section is a common preventable error.[andresberger.com]

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