Objective. To determine the diagnostic accuracy of placental alpha microglobulin-1 assay and standard diagnostic methods for detecting rupture of membrane. Study Design. Prospective diagnostic study, between June 2011 to November 2011 at a tertiary centre. Initial evaluation included both the standard diagnostic methods for rupture of membranes and placental alpha microglobulin-1 immunoassay. T...

CONTEXT Perinatal arterial ischemic stroke (PAS) is a common cause of hemiplegic cerebral palsy. Risk factors for this condition have not been clearly defined. OBJECTIVE To determine maternal and infant characteristics associated with PAS. DESIGN, SETTING, AND PATIENTS Case-control study nested within the cohort of all 199,176 infants born from 1997 through 2002 in the Kaiser Permanente Med...

Premature rupture of the membranes (= amniorrhea) occurs in 1% to 2% of all pregnancies and 30% of preterm births (earlier than 37 weeks) are due to the rupture of membranes.The rupture occurs if an imbalance between the resilience of the amnion and the pressure administrated develops; this can have different reasons. An intact amnion with sufficient amniotic fluid is not only essential for the...

Kendrick MA. Study of illness among Americans returning from international travel, July 11-August 24, preliminary data. Jf Infect Dis 1972;126 :684-5. 2 Steffen R, van der Linde F, Meyer HE. Risk of illness among 10 500 tourists from the tropics and 1300 tourists from North America. Schweiz Med Wochenschr 1978;108:1485-95. (In German.) 3 Friel JP, ed. Dorland's illustrated medical dictionary. 2...

Over a 20-month period we identified several cases of neonatal pneumonia associated with prelabour rupture of membranes (PROM) at term. PROM complicates 8%-10% of all pregnancies, yet 60% of cases occur at term. Ascending infection is a contributing factor and the incidence of chorioamnionitis in these patients is relatively high, especially with prolonged membrane rupture. The signs and sympto...

We studied obstetric outcome in 350 consecutive nulliparous women in spontaneous labour and term pregnancy. Women who presented with rupture of membranes before the onset of contractions were more likely to deliver by forceps compared with those in whom contractions preceded rupture of membranes. This increased likelihood of instrumental delivery was significant with and without the use of extr...

Pantoea agglomerans is a plant pathogen and an unusual cause of human disease typically associated with thorn prick injuries or contaminated parenteral fluids. In the neonate, P. agglomerans has been reported to cause bacteremia or sepsis 17 times previously. In most of these cases, the source of infection has been contaminated parenteral nutrition or has been associated with indwelling cathete...

We report a case of complicated liver hydatid cyst with biliary system communication, cholangitis, and having at the same time simultaneous free intraperitoneal rupture. This very rare case was treated successfully by a minimally invasive method, namely ERCP, large sphincterotomy and bile duct decompression by cysts and membranes, percutaneous radiologic subdiaphragmatic drainage and prolonged ...