Post partum hemorrhage is a major cause of maternal morbidity and mortality. We describe a case of a woman with post partum hemorrhage due to uterine atony, successfully treated with B-Lynch suture. The authors review the causes and risk factors, and the range of medical and surgical options that may be considered for the management of post partum hemorrhage. ; Post partum hemorrhage is a major cause of matern...
Umbilical artery velocimetry was performed in 33 twin gestations to evaluate the predictivity of the test (umbilical artery S/D difference between the pair > 0.4) in the screening of discordant fetal growth. Four out of 10 cases of discordant fetal growth were identified by the test and it was abnormal in 1 out of 23 concordant twins. The sensitivity was 40%, specificity 95%, positive predictive value 80% and n...
The epidemiologic aspects of 311 consecutive cases of hypertension associated with pregnancy seen in the Department of Obstetrics and Gynecology, Hospital de Santa Maria/University of Lisbon Medical School between January 1st 1988 and December 31st 1992, are reviewed. Seventeen cases were multifetal pregnancies. Using the criteria proposed by the American College of Obstetricians and Gynecologists the cases wer...
A case of Gaucher's disease associated with pregnancy is reported. Although clinical symptoms were not present, portal hypertension was detected by ultrasound in the 13th week of pregnancy. Maternal anemia implied the use of erythropoietin from the 33rd week onwards. Good perinatal and maternal outcomes were achieved and there were no hemorrhagic complications. ; A case of Gaucher's disease associated with pre...
Since the identification of Thalidomide as a potent human teratogen, the possible effects of a large number of drugs, and chemical, physical and environmental agents, on the embryo and the fetus have been raised without support of scientific demonstration. During the last ten years, a large number of papers were published on this issue, making the understanding of teratogenic mechanisms and effects a new field ...
Deep vein thrombosis is a rare event during pregnancy. A case which occurred in a 27-year-old nullipara at 36 weeks of pregnancy is reported. Related literature is reviewed, specially in what concerns diagnosis and therapy. ; Deep vein thrombosis is a rare event during pregnancy. A case which occurred in a 27-year-old nullipara at 36 weeks of pregnancy is reported. Related literature is reviewed, specially in ...
The study of the relationship between maternal and perinatal outcome with uterine blood flows using a continuous wave Doppler unit, in hypertensive patients was the aim of our work. One hundred and thirty seven pregnant hypertensive women seen and delivered at the Department of Obstetrics, Santa Maria Hospital, Lisbon, were included in the study. Blood flows were classified as abnormal if and when the systolic/...
During a 5-year period, 13 cases of HELLP syndrome were seen in hypertensive patients in the Obstetrics Department, Santa Maria Hospital, Lisbon. In 7 cases the syndrome occurred antepartum and in 6 during early early puerperium; gestational age and clinical features were very different from case to case. Four cases of eclampsia and 2 cases of acute renal failure occurred in 5 patients; there were 2 intrauterin...
A retrospective study was undertaken to evaluate the incidence of vaginal delivery in women that previously undergone a cesarean section; in addition, incidence of complications such as uterine rupture and scar dehiscence were evaluated. During the two years reviewed, 251 out of 324 women with a previous cesarean section were allowed to labor; 64.1% had a vaginal delivery. Uterine rupture occurred in 0.8% of th...
The general principles of the European Council's draft Recommendation on Prenatal Screening and Diagnosis are presented. Those principles include the conditions for performing prenatal tests, the need for previous genetic counselling, and for fully informed consent, and the ethical rules for the use of individual data gathered. ; The general principles of the European Council's draft Recommendation on Prenatal...
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