Currently there is no consensus on the treatment of refractory idiopathic thrombocytopenic purpura (ITP) complicating pregnancy. Our patient with chronic ITP complicating pregnancy, who was refractory to steroids, dapsone, and danazol, was treated successfully with intrapartum splenectomy.

Background: Hypertensive disorders of pregnancy affect about 10% all pregnant women around the world. Eclampsia is an important predictor organ dysfunctions and mortality. This study looks into pulmonary cardiovascular complications occurring in eclampsia.Methods: The prospective observational included 90 cases admitted to labor room with a diagnosis eclampsia (antepartum, intrapartum postpartu...

OBJECTIVE To identify avoidable factors contributing to neonatal morbidity and mortality due to "birth asphyxia" and to ascertain if hypoxic ischemic encephalopathy (HIE) alone could act as a good marker for avoidable factors associated with "birth asphyxia". SETTING Kalafong Hospital, South Africa, a regional hospital unit that caters for mainly indigent urban population but also receives re...

OBJECTIVE To evaluate recommended strategies for prevention of early-onset group B streptococcal infections (EOGBS) with reference to strategies optimized using decision analysis. METHODS The EOGBS attack rate, prevalence and odds ratios for risk factors, and expected effects of prophylaxis were estimated from published data. Population subgroups were defined by gestational age, presence or a...

BACKGROUND In recent years, several reports have indicated that maternal temperature elevations during labor may also be observed in the absence of an infection. Presumed noninfectious causes of maternal temperature elevations include epidural analgesia, endogenous heat production generated by the contracting uterus, and delivery in an overheated room. To investigate the potential causes of non...

Boothman, R., Kerr, M. M., Marshall, M. J., and Burland, W. L. (1973). Archives of Disease in Childhood, 48, 147. Absorption and excretion of cephalexin by the newborn infant. Blood levels and urinary excretion of cephalexin were studied in newborn infants who were given 3-day courses of the antibiotic prophylactically. These infants were born to mothers with intrapartum pyrexia or with membran...

We analyzed surveillance data on group B streptococcus (GBS) infection in Finland from 1995 to 2000 and reviewed neonatal cases of early-onset GBS infection in selected hospitals in 1999 to 2000. From 1995 to 2000, 853 cases were reported (annual incidence 2.2-3.0/100,000 population). We found 32-38 neonatal cases of early-onset GBS disease per year (annual incidence 0.6-0.7/1,000 live births)....

The objective of this study is to analyze the perinatal results of the prophylactic measures adopted in the prevention of the vertical transmission of HIV. The study was carried out using the medical records of 168 women with HIV and their newborns in a public maternity unit of Fortaleza, in the state of Ceará, from 2005 to 2009. The data was obtained between the months of March and September 2...

The updated Guidelines on Prevention of Perinatal Group B Streptococcal Disease, issued by the Centers for Disease Control and Prevention, actually represent the mainstay in the prevention of neonatal early-onset group B streptococcal (GBS) sepsis. According to these guidelines, patients with possible preterm delivery are screened for GBS colonization and offered intrapartum prophylaxis only if...