Obstetrics and Gynaecology Cases - Reviews

2020 ◽  
Keyword(s):  
Obstetrics And Gynaecology

Fibrinolysis in Obstetrical Coagulopathy

1961 ◽  
Vol 05 (01) ◽  
pp. 021-037 ◽  
Author(s):  
H Zilliacus
Keyword(s):  
Coagulation Factors ◽  
Clotting Factor ◽  
Foetal Death ◽  
Dilution Technique ◽  
Induced Labor ◽  
Blood Samples ◽  
Decidual Tissue ◽  
Obstetrics And Gynaecology ◽  
Obstetrical Management ◽  
Uterine Haemorrhage

SummaryIn the introduction it is stressed that in cases with normal blood coagulation and even in cases with a limited decrease of some of the coagulation factors, the contraction of the uterus after the passage of the placenta closes the vessel endings, thereby providing the conditions necessary for haemostasis through the clotting of the blood. In contrast to this, fibrinolytic uterine bleeding is a condition in which the clotting factor and clot are consumed despite adequate postpartum contraction of the uterus.The literature on obstetrical coagulopathies is briefly summarized.The incongruence in the clotting power of blood samples drawn simultaneously from a cubital vein and from the uterus in cases of severe uterine haemorrhage is pointed out.With the aid of a plasma-dilution technique (Schneider) for the estimation of fibrinogen and fibrinolysis it was shown that in 6 out of 8 investigated cases of premature separation of the placenta, in 4 out of 5 observed cases of longstanding intrauterine foetal death and in 2 cases of pitocin drip induced labor considerable fibrinolytic activity was present in the blood from the uterus, whereas only slight activity if any, could be observed in blood samples drawn simultaneously from a cubital vein. These observations are found to be in conformity with the finding of considerable amounts of fibrinolytic activators in myométrial, placental and decidual tissue reported by other authors.Figures for obstetrical cases (19,808 deliveries) and uterine haemorrhage during the 5-year period 1955—1959 at the 1st Department of Obstetrics and Gynaecology, University Central Hospital, Helsinki, Finland, are presented. The main principles of obstetrical management at this hospital are outlined, with special reference to uterine coagulopathic haemorrhage.

Breech Presentation: Vaginal Delivery or Caesarean Section?

2016 ◽  
Vol 2 (1) ◽  
pp. 153
Author(s):  
Tomescu Cezar Laurentiu ◽  
Rodica Sîrbu ◽  
Emin Cadar ◽  
Brezeanu Dragos ◽  
Aneta Tomescu
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Total Population ◽  
Population Sample ◽  
Breech Presentation ◽  
Current Paper ◽  
Clinical Hospital ◽  
Obstetrics And Gynaecology ◽  
Number Of Patients

The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation.

BRITISH OBSTETRICS AND GYNAECOLOGY

BMJ ◽  
1954 ◽  
Vol 2 (4897) ◽  
pp. 1151-1151
Author(s):  
G. W. Theobald
Keyword(s):  
Obstetrics And Gynaecology

scholarly journals Ectopic pregnancy in a tertiary care centre of Jharkhand, India

2019 ◽  
Vol 8 (8) ◽  
pp. 2969
Author(s):  
Meetali Parashar ◽  
Meena Mehta
Keyword(s):  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Previous History ◽  
First Trimester ◽  
Near Miss ◽  
Obstetrics And Gynaecology ◽  
Maternal Morbidity And Mortality ◽  
History Of ◽  
Β Hcg ◽  
A Prospective Study

Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions:Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions: Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.

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