The coagulation system undergoes significant change during pregnancy. The clinician caring for the parturient must understand these changes, particularly when the parturient has a pre-existing haematological condition. Because many haematological conditions are rare, there often is limited information to guide the obstetric and anaesthetic management of these parturients.

Gild, C. 16 INTRODUCTION Parturient paresis is a metabolic disorder occurring close to parturition especially in high producing dairy cows. The disease is characterized by a rapid decline in blood calcium (Ca) concentrations. Nearly all mature cows experience some degree of hypocalcemia during the first day after calving as the intestine and bone adapt to the Ca demands of lactation (1). In som...

BACKGROUND The participation of the father in the birth manifests itself in action, that depends on the attitude towards family-assisted birth and the preferences of the parturient woman. AIM Evaluation of expectations of parturient women in the aspect of the active participation of the father, that would enable the use of the most commonly reported preferences in the clinical praxis and the ...

Background & aim: Communication is a fundamental human need. Medical students and healthcare professionals must be attuned to the needs of patients using effective communication skills. With regards to medical training, currently the focus is on theoretical matters and communication skills are taken for granted. This problem has caused miscommunication with patients referred to teaching hospita...

To clarify the effects of the pregnant uterus on the extradural venous plexus in the supine and lateral positions, we studied magnetic resonance (MR) images of the lumbar spine in three parturients. T2-weighted axial MR images were obtained with the parturient in the supine and lateral positions. On each slice level in the same subject, the MR images were compared with the control MR images obt...

Because the parturient should be always considered as a patient with a full stomach and a possible difficult airway, succinylcholine is considered the muscle relaxant of choice for rapid sequence induction of general anesthesia. During pregnancy, the level of plasma cholinesterase which hydrolyses succinylcholine is moderately decreased, and hence hydrolysis of succinylcholine remains within th...

objective: this prospective study examined the frequency of post-dural puncture headache (pdph) in 361 parturient women undergoing spinal anesthesia for cesarean section in a teaching hospital of tehran university of medical sciences. materials and methods: spinal anesthesia was performed using 25 gauge quincke needles in all women. patients were followed up to determine incidence of pdph and t...

INTRODUCTION The process of pregnancy and labor has a dramatic impact on society's health. Considering the importance of obstetrical cares and the role and presence of midwife at parturient bedside, this study aimed to evaluate the impact of care and conti-nuous presence of midwifery on labor duration. METHODS This was a semi-experimental study. The study population included parturient women ...

The National Institute for Clinical Excellence (NICE) whose unofficial acronyms are much funnier and one (the National Institute for the Control of Expenditure) probably more accurate has just, at the time of writing, produced its final appraisal determination on newer drugs for epilepsy in adults (we still await—how typical—the one for children). This final determination on newer drugs compare...