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[The effect of nitroglycerin 200 microg on uterine relaxation during cesarean delivery].

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BACKGROUND Rapid and transient uterine relaxation is sometimes required for fetal distress or difficult delivery due to uterine hyperactivity during cesarean section. For its rapid onset and short duration, intravenous nitroglycerin (NTG) is commonly used for this purpose. But its suitable dose is

Bilateral basal ganglia infarctions in a neonate born during maternal diabetic ketoacidosis.

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Diabetic ketoacidosis (DKA) during pregnancy carries significant risk of intrauterine fetal demise, but little is known about its postnatal sequelae in surviving neonates. We report here the case of an infant who was born to a mother with White's class C diabetes mellitus during an episode of DKA.

The optimal treatment of severe hypertension in pregnancy: update of the role of nicardipine.

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OBJECTIVE Hypertensive disorders in pregnancy remain a major cause of maternal morbidity and mortality. Blood pressure control is essential for maternal and neonatal outcome. Therefore, we analyzed the potency and side effects of two treatment options (nicardipine compared to labetalol) in order to

Pregnancies associated with primary adrenal insufficiency.

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OBJECTIVE To provide a framework for the clinical presentation, evolution, treatment, and outcome of the unusual association between primary adrenal insufficiency (AI) during pregnancy and life-threatening complications for the mother and fetus. METHODS Case reports. METHODS Pregnant women with AI

Induction of labor with oral prostaglandin E2.

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Prostaglandin E (PGE2) was administered orally for induction of labor to 100 patients. Active labor and progression occurred in 92 per cent of these cases. The dosage regimen used was 0.5 to 1.5 mg. hourly. Amniotomy was performed in most cases once active labor and progression were noted. There

The use of oral prostaglandin E2 to induce labor at term.

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Prostaglandin E2 (PGE2) was given to 60 patients to induce labor at term. Two dosage schedules were used: 30 patients were given 0.5 mg hourly and 30 patients were given 1.0 mg hourly. Membranes were ruptured when active labor had occurred. The Bishop score was used for inducibility quotient. In

Guidelines for the elective induction of labor with oral Prostaglandin E2.

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Fifty multiparous patients at 37 weeks or more of gestation with a vertex presentation and a Bishop score of 7 or more had labor induced with oral Prostaglandin E2 tablets. All responded and delivered vaginally. The induction to delivery time averaged 4 hours and 44 minutes. The average number of

[Acute fatty liver in pregnancy. Experience of 7 years].

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OBJECTIVE The purpose of this clinical investigation was to evaluate the frequency, clinical presentation, evolution, and maternal-fetal morbimortality of Acute Fatty Liver of Pregnancy (AFL). METHODS Over a period of 7 years from January 1990 to December 1996 the charts of patients with diagnosis

Pregnancy complicated by liver dysfunction: possible pathogenesis of vasospasm.

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BACKGROUND Acute fatty liver of pregnancy, the syndrome of hemolysis, elevated liver enzymes, and low platelet count (HELLP), and severe preeclampsia form a disease spectrum. We report a case that showed a vasospastic phenomenon supported angiographically and hematologically. METHODS A 31-year-old

[A severe case of acute autonomic and sensory neuropathy].

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Acute autonomic and sensory neuropathy (AASN) is a rare neuropathy characterized by acute autonomic dysfunction and objective sensory disturbances. A 26-year-old pregnant woman with severe autonomic and sensory dysfunction is reported. This patient suddenly developed marked nausea and vomitting in

Intensive-care management of a patient with HELLP syndrome--case report.

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HELLP syndrome belongs to the group of pathological states known as pregnancy-induced hypertension or EPH gestosis. The basic criteria for establishing the diagnosis are as follows: H for hemolysis, EL for elevated liver enzymes and LP for low platelets. A pregnant woman, 38 years of age, multipara

Evaluation of outpatient acupuncture for relief of pregnancy-related conditions.

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BACKGROUND Acupuncture is a non-pharmacological option to relieve pregnancy-related complaints. OBJECTIVE To critically appraise the best available evidence for the use of acupuncture in outpatient care. METHODS The MEDLINE, Cochrane Library, and Centre for Reviews and Dissemination databases were

Exacerbation of primary intestinal lymphangiectasia during late pregnancy and recovery after delivery: A case report and literature review.

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BACKGROUND Primary intestinal lymphangiectasia (PIL) is a rare disease characterized by dilated intestinal lacteals resulting in lymph leakage into the small bowel lumen. Main clinical features include intermittent diarrhea, hypoproteinemia. Scattered case reports suggested that PIL is compatible to

The changing presentations of diabetic ketoacidosis during pregnancy.

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The purpose of the present study was to examine the presentation and outcomes associated with diabetic ketoacidosis (DKA) in pregnancies complicated by diabetes. Eleven episodes (2%) of DKA were diagnosed during the 10-year study period. All patients were under close observation by the

Pre-Labor exposure to carbon monoxide: should the neonate be treated with hyperbaric oxygenation?

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A woman was admitted to hospital in the 39th week of gestation due to syncope, followed by nausea and headache. The patient's history revealed a 10-hour, unintentional exposure to carbon monoxide (CO), secondary to burning charcoal for indoor heating. Because of monitored fetal distress, a cesarean

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