indefinite fetal heart rate pattern in a patient with vasa previa: a situation where guideline is inapplicable.

Indefinite Fetal Heart Rate Pattern in a Patient with Vasa Previa: A Situation Where Guideline Is Inapplicable

Most fetal heart rate patterns can be interpreted accurately so that management decisions can be made correctly. How-ever, few fetal heart rate patterns are so ambiguous that the obstetricians cannot interpret them precisely. A 27-year-old woman at 38 weeks' gestation in her first pregnancy was admitted with heavy vaginal bleeding and decrease in fetal movements. Fetal status was indeterminate ...

Vasa previa: an unusual cause of fetal distress.

Case Report A 24-year-old primigravida was first seen for obstetric care at 13 weeks' gestation. Initially the pregnancy progressed without apparent difficulty, but the fundal height was found to be somewhat small for dates at 38 weeks' gestation. A sonogram obtained at that time showed a 33-week-sized fetus, with all measurements being concordant and no sonographic evidence of intrauterine gro...

a study on rate making and required reserves determination in reinsurance market: a simulation

reinsurance is widely recognized as an important instrument in the capital management of an insurance company as well as its risk management tool. this thesis is intended to determine premium rates for different types of reinsurance policies. also, given the fact that the reinsurance coverage of every company depends upon its reserves, so different types of reserves and the method of their calc...

Checkmark fetal heart rate pattern associated with severe fetal hypoxia. A case report.

A 31-year-old nulliparous woman developed vaginal bleeding after spontaneous rupture of the membranes at 40 weeks of gestation. Fetal heart rate monitoring showed checkmark and sinusoidal patterns. A 3,281 g male neonate was delivered by emergency cesarean section, with Apgar scores of 1 and 3 at 1 and 5 min, respectively. The neonate exhibited severe acidosis with arterial blood gas pH of 6.96...

Where is Patient Safety Research and Practice Heading? A Response to Recent Commentaries

Abnormal Placentation: Placenta Previa, Vasa Previa, and Placenta Accreta.

Placental disorders such as placenta previa, placenta accreta, and vasa previa are all associated with vaginal bleeding in the second half of pregnancy. They are also important causes of serious fetal and maternal morbidity and even mortality. Moreover, the rates of previa and accreta are increasing, probably as a result of increasing rates of cesarean delivery, maternal age, and assisted repro...