Seventeen female patients who underwent orthotopic liver transplantation between June 1973 and June 1987 became pregnant 5 months to 11 years after transplantation. Immunosuppression was maintained with combinations of prednisone, cycloeporine, and azathioprine prior to and during pregnancy. One patient discontinued immunosuppression after knowledge of pregnancy, taking only azathioprine sporad...

The depression and lability of mood which have been previously reported on the fifth day after childbirth are largely restricted to women with high neuroticism scores. The pattern of day-to-day mood changes is the same after Caesarian section as after vaginal delivery, but there is no 'day five' phenomenon after hysterectomy. Post-partum mood disturbance is less prominent in women who return ho...

Women with spina bifida present both obstetrical and anesthesia challenges. They are more likely to require a caesarian delivery and traditionally neuraxial anesthesia has been avoided due to concerns of worsening neurologic disability. The case of a pregnant woman with a history of a surgically corrected lipomeningocele and tethered cord is presented to illustrate the need for a comprehensive ...

Reactive oxygen species are unavoidable products of metabolism and in excess they can be dangerous for tissues and cells. Superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px), among others, protect tissues and cells against reactive oxygen species. The aim of the study was the description of SOD and GSH-Px from bovine placenta by use of spectrophotometric and electrophoretic analysis ...

A trichobezoar is an immobile, indigestible collection of hair or hair-like fibers that accumulates within the GI tract. Rapunzel syndrome is a rare variant in which a trichobezoar extends into the small intestine, potentially causing obstruction. We describe the first case, to our knowledge, of Rapunzel syndrome occurring in a postpartum patient after delivery by Caesarian section.

Mother-to-child transmission (MTCT) is the most common mode of HIV infection in children. In the absence of any intervention, 30% to 45% of children born to HIV positive mothers are infected with HIV.1 This case illustrates the successful prevention of MTCT whereby antiretroviral treatment was initiated early in pregnancy, delivery was via lower segment caesarian section (LSCS) and breastfeedin...

Long bone injuries are less common during caesarian section. Sometimes, they remain unnoticed to the operating surgeon but are frequently noted by attending physician or nurses. The aim of this case study is to remind the surgeon that any forceful extraction may result long bone injuries. So, care should be given during and after delivery to rule out injuries.