PURPOSE We present anesthetic management using a continuous spinal anesthesia (CSA) technique in a patient with placenta increta who underwent elective Cesarean hysterectomy with massive postpartum hemorrhage. CLINICAL FEATURES A 34-yr-old parturient (G3P2) was scheduled for Cesarean delivery and possible hysterectomy at 35(+3) weeks due to suspected placenta accreta. Her body mass index was ...

Background: Postpartum haemorrhage (PPH) is an unpredictable obstetric emergency that requires a multidisciplinary approach. Bakri balloon tamponade (BBT) recommended when PPH does not respond to medical treatment. Nowadays few published studies have performed multivariate analysis determine the variables independently associated with BBT failure. Methods: Our study purpose was failure: first, ...

BACKGROUND The electrical activity of the uterine muscle is representative of uterine contractility. Its characterization may be used to detect a potential risk of preterm delivery in women, even at an early gestational stage. METHODS We have investigated the effect of the recording electrode position on the spectral content of the signal by using a mathematical model of the women's abdomen. ...

BACKGROUND Abnormal placental invasion has increased parallel with persistent rise in Caesarean delivery. Management relies on accurate diagnosis and delivery should be planned at an institution with appropriate expertise and resources for managing this condition. CASE We present a case of a placenta invasion anomaly which is the major risk factors of peripartum deaths. In this case we try to...

BACKGROUND Retained placenta is one of the common causes of maternal mortality in developing countries where access to appropriate obstetrical care is limited. Current treatment of retained placenta is manual removal of the placenta under anaesthesia, which can only take place in larger health care facilities. Medical treatment of retained placenta with prostaglandins E1 (misoprostol) could be ...

OBJECTIVE This study aims to investigate the characters of pregnant women and neonates with listeria monocytogenes infections (L. monocytogenes) in Shandong of China. METHOD Pregnant women with premature delivery or prenatal fever were recruited in 2013. Bacterial culture was performed for the umbilical cord blood and placental swab after delivery. The strains isolated were then analyzed for ...

Methods Detailed ultrasonography demonstrated a large multicystic placenta without dilated vessels around the cysts and a growth retarded live female fetus that was compatible with 17-18 weeks' gestation (Figure 1). She had severe dispnea and her oxygen saturation level was 80%. Her chest X-ray graph showed bilateral massive pleural effusion. Markedly elevated quantitative human chorionic gonad...

BACKGROUND Burkitt's lymphoma is a highly aggressive B cell non-Hodgkin lymphoma subtype. Its occurrence in pregnancy is rare and often results in a delayed diagnosis. The treatment plan and prognosis depend on a number of variables including the stage at diagnosis. CASE PRESENTATION A 32 weeks pregnant, 34-year-old white woman presented with weeks of complaints that were similar to typical p...

Effective management of vaginal bleeding in late pregnancy requires recognition of potentially serious conditions, including placenta previa, placental abruption, and vasa previa. Placenta previa is commonly diagnosed on routine ultrasonography before 20 weeks' gestation, but in nearly 90 percent of patients it ultimately resolves. Women who have asymptomatic previa can continue normal activiti...

Uterine inversion is a state wherein the endometrial surface is inverted. Although this condition may be observed in nonpregnant women, it most commonly develops at the time of delivery. In the present case, a 37-year-old woman without any remarkable history developed acute puerperal uterine inversion after the successful induction of labor. Following the delivery, she complained twice of sever...