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uterine inertia/ödem

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Uterine atony is a major cause of postpartum hemorrhage. We recently proposed a new concept for the histopathophysiology of refractory uterine atony, postpartum acute myometritis (PAM), characterized by acute inflammatory changes with massive stromal edema, increased numbers of

New onset acute pulmonary edema after methylergonovine given during cesarean delivery of a patient with undiagnosed Raynaud's disease.

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Raynaud's disease is a medical condition in which arterial spasm causes episodes of reduced blood flow, in the setting of certain triggers such as cold weather. Patients with this condition are at risk of adverse reactions if they receive medications with vasoactive properties. Methylergonovine

[Pulmonary edema related to administration of 15-methyl-prostaglandin F2alpha during a cesarean section].

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An 18-year-old woman pregnant at 37 weeks gestation and with a history of recurrent urinary tract infection was admitted with a clinical picture of pyelonephritis that responded favorably to antibiotic treatment. After 2 days, cervical ripening was induced with prostaglandin E2 gel and labor was

Dropsy of the fetal sacs in mares: induced and spontaneous abortion.

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Eight cases of severe dropsy of the fetal sacs have been observed in mares. All were in multiparous mares whose ages ranged from five to 20 years and who were 7 1/2 to 10 3/4 months pregnant. Abortion started spontaneously in four cases and had to be induced in the remaining four by manual dilation

Plasma renin activity in maternal and umbilical cord blood during parturition.

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Plasma renin activity (PRA) in umbilical cord blood exceeded that of maternal blood in 14 out of 20 cases. Fetal PRA was not significantly correlated to maternal PRA. Significantly higher fetal renin values than the corresponding maternal ones were restricted to shorter labor (N equals 10). In cases

Fatal postpartum air embolism due to uterine inversion and atonic hemorrhage.

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We report a case of a 19-year-old woman who developed a persistent uterine hemorrhage after spontaneous delivery of a healthy child. Emergency laparotomy was indicated and then begun under stable circulatory conditions. Cardiac arrest occurred during the course of massive manual compression and

Amniotic fluid embolism: an overview and case report.

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This article gives an overview of amniotic fluid embolism, which still carries a fatality rate of approximately 86% and which accounts for 9% of all maternal deaths. A case report is presented which ended with a fatal outcome. Photomicrographs show fetal squames and lanugo hairs in the pulmonary

[Postpartum hemorrhage: an observational study of 21,726 deliveries in 28 months].

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OBJECTIVE To describe the management of severe postpartum hemorrhage. METHODS Prospective observational study from July 2005 to November 2007 in women who were admitted to the recovery unit of a tertiary referral hospital due to postpartum hemorrhage. We analyzed incidence, prevalence, morbidity,

Myocardial infarction and ischemic hepatitis complicated by postpartum hemorrhage.

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OBJECTIVE To present a rare case of life-threatening postpartum hemorrhage due to uterine atony complicated by acute myocardial infarction and ischemic hepatitis. METHODS A 37-year-old parturient, gravida 1 para 0, presented with symptoms and signs of shock due to postpartum hemorrhage after

Amniotic fluid embolism induces uterine anaphylaxis and atony following cervical laceration.

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Amniotic fluid embolism (AFE) is a rare, high-risk obstetric complication primarily found in the lungs and potentially related to anaphylaxis. Tryptase release from the mast cell reflects anaphylaxis. Case report and findings: A female, aged over 40 years, presented with uterine atony and lethal

[Maternal complications in preeclamptic patients with hyperuricemia managed in Intensive Care Unit].

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BACKGROUND Hyperuricemia is a factor related to a higher frequency of complications in patients with preeclampsia. OBJECTIVE To determine maternal complications in preeclamptic patients with hyperuricemia managed in the intensive care unit of a high-specialty hospital. METHODS Cross-sectional study.

Caudal analgesia for quadruplet delivery.

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During the period January 1969 to November 1974, in a total of 39,800 deliveries, there were two sets of quadruplets. Both parturients had been taking ovulation-inducing drugs. Maternal problems were distended abdomen and heavy uterus, causing supine hypotension and lordosis; toxemia of pregnancy;

[Indications and risk factors for emergency obstetric hysterectomy].

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Emergency obstetric hysterectomy is a procedure that potentially preserves the life and the postpartum bleeding is the direct cause of its indication, the hemorrhage postpartum happens in 1% of obstetric patients. This study was carried out to identify women with potential risk for this event and to
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