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https://www.readbyqxmd.com/read/27617460/bullous-impetigo-and-pregnancy-case-report-and-review-of-blistering-conditions-in-pregnancy
#1
Philip R Cohen
BACKGROUND:  Bullous impetigo results from Staphylococcus aureus (S. aureus) release of exfoliative toxins type A and type B thatresults in flaccid, easily ruptured, bullae in the upper layers of the epidermis.  Physiologic, gestation-associated, and incidental skin changes can occur in pregnancy.  Blisters in pregnant women can occur secondary to either common skin disorders orspecific dermatoses of pregnancy. PURPOSE:  To describe a pregnant woman with bullous impetigo and review bullous conditions in pregnant women...
2016: Dermatology Online Journal
https://www.readbyqxmd.com/read/26765160/the-effect-of-warm-compress-bistage-intervention-on-the-rate-of-episiotomy-perineal-trauma-and-postpartum-pain-intensity-in-primiparous-women-with-delayed-valsalva-maneuver-referring-to-the-selected-hospitals-of-shiraz-university-of-medical-sciences-in-2012
#2
Marzieh Akbarzadeh, Faride Vaziri, Mahnaz Farahmand, Zahra Masoudi, Sedigheh Amooee, Najaf Zare
BACKGROUND: Genital trauma during vaginal delivery may result from episiotomy, spontaneous perineal tears (perineum, vagina), or both. In 2012, this study aimed to investigate the effect of warm compress bistage intervention on the rate of episiotomy, perineal trauma, and postpartum pain intensity in the primiparous woman with delayed Valsalva maneuver. METHODS: In this randomized clinical trial, which was performed in hospitals in Shiraz, Iran, in 2012-2013, 150 women were randomly divided into 2 groups: 1 intervention and 1 control...
February 2016: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/26721039/interrupted-versus-continuous-sutures-for-repair-of-episiotomy-or-2n-degree-perineal-tears
#3
RANDOMIZED CONTROLLED TRIAL
Rakhshanda Aslam, Shazia Amir Khan, Zain ul Amir, Fouzia Amir
BACKGROUND: Performing an episiotomy is generally reserved for complicated childbirths, in cases of foetal distress, or when tearing of tissues with serious consequences are foreseen. In addition to the extent of the trauma, the surgical skill, repair after childbirth can have an important effect on the magnitude and degree of morbidity experienced by women after repair. The best technique for this repair would be that which produces less pain in the short and long term. The study was done with an objective to compare the frequency and severity of pain (slight/severe) by using interrupted and continuous methods for repair of episiotomy or second degree perineal tears...
July 2015: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/26417472/extraperitoneally-ruptured-everted-and-prolapsed-bladder-a-very-rare-complication-of-pelvic-injury
#4
Rufus Wale Ojewola, Kehinde Habeeb Tijani, Olakunle Olaleke Badmus, Abisola Ekundayo Oliyide, Chukwudi Emmanuel Osegbe
Traumatic rupture of the bladder with eversion and protrusion via the perineum is a rare complication of pelvic injury. We present a 36-year-old lady who sustained severe pelvic injury with a bleeding right-sided deep perineal laceration. She had closed reduction of pelvic fracture with pelvic banding and primary closure of perineal laceration at a private hospital. She subsequently had dehiscence of repaired perineal laceration with protrusion of fleshy mass from vulva and leakage of urine per perineum five weeks later...
2015: Case Reports in Urology
https://www.readbyqxmd.com/read/26310266/puerperal-sepsis-in-the-21st-century-progress-new-challenges-and-the-situation-worldwide
#5
REVIEW
Bigna S Buddeberg, Wynne Aveling
Puerperal sepsis is one of the five leading causes of maternal mortality worldwide, and accounts for 15% of all maternal deaths. The WHO defined puerperal sepsis in 1992 as an infection of the genital tract occurring at any time between the rupture of membranes or labour and the 42nd day post partum; in which, two or more of the following are present: pelvic pain, fever, abnormal vaginal discharge and delay in the reduction of the size of the uterus. At the same time, the WHO introduced the term puerperal infections, which also include non-genital infections in the obstetric population...
October 2015: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/26050831/manual-protection-of-the-perineum-reduces-the-risk-of-obstetric-anal-sphincter-ruptures
#6
Stine Leenskjold, Lars Høj, Jouko Pirhonen
INTRODUCTION: During vaginal delivery, the risk of obstetric anal sphincter injuries (OASIS) is well-known. Despite sufficient repair, 30-50% of women will experience anal incontinence. Recent studies from Norway have shown a reduction in the incidence of OASIS when the perineum is supported manually. In Denmark, the frequency of OASIS is the highest in Scandinavia and it is increasing. The aim of this study was to reduce the incidence of OASIS through an interventional programme. METHODS: We conducted a study inspired by the Norwegian intervention...
May 2015: Danish Medical Journal
https://www.readbyqxmd.com/read/25959992/-incidence-of-puerperal-diseases-during-the-first-10-days-after-foaling-in-the-mare
#7
H A Hussein, M Loose, A Wehrend
OBJECTIVE: The aim of this study was to evaluate the frequency of puerperal diseases in breeding mares in the first 10 days after birth by analysing patient data. MATERIAL AND METHODS: In a university clinic patient data of 308 breeding mares with puerperal disorders which presented within the first 10 days postpartum were evaluated over a period of 10 years. A distinction was made between diseases which were able to be diagnosed at the first examination and diseases which developed during the patient's stay in the clinic...
2015: Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere
https://www.readbyqxmd.com/read/25829533/fournier-s-gangrene-secondary-to-an-acutely-inflamed-appendix-herniating-into-the-deep-inguinal-ring
#8
Piyush B Sarmah, Mashuk Khan, Miguel Zilvetti
Fournier's gangrene (FG) requires prompt recognition and management. We report the case of a 68-year-old man who presented with extensive pain and purple discolouration from the right iliac fossa to perineum. Computed tomography demonstrated gas within the right hemiscrotum extending into the inguinal canal and right buttock, with a right pelvic fluid and air collection. At debridement necrotic fluid was arising from the superficial inguinal ring so laparotomy was performed, revealing a grossly inflamed appendix herniating into the inguinal canal; a right hemicolectomy was performed...
2015: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/25760358/images-in-clinical-medicine-penile-fracture
#9
Robert J Hartman
A healthy 42-year-old man presented to the emergency department after the acute onset of penile pain during sexual intercourse. The erect penis had inadvertently collided with his partner's perineum. He heard a snap, noticed a rush of blood from the meatus, had immediate detumescence, and had..
March 12, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/25289960/antibiotic-prophylaxis-for-third-and-fourth-degree-perineal-tear-during-vaginal-birth
#10
REVIEW
Pranom Buppasiri, Pisake Lumbiganon, Jadsada Thinkhamrop, Bandit Thinkhamrop
BACKGROUND: One to eight per cent of women suffer third-degree perineal tear (anal sphincter injury) and fourth-degree perineal tear (rectal mucosa injury) during vaginal birth, and these tears are more common after forceps delivery (28%) and midline episiotomies. Third- and fourth-degree tears can become contaminated with bacteria from the rectum and this significantly increases in the chance of perineal wound infection. Prophylactic antibiotics might have a role in preventing this infection...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25219145/-obstetric-damage-to-the-perineum-and-the-anal-sphincters-reconstruction-surgery
#11
REVIEW
Tomasz Kościński
Damage to the perineum, vulva, anal sphincters, rectal wall and the fascial structures of the pelvic floor may be caused by obstetric trauma. Emergency surgical treatment aims at control of the bleeding, anatomical reconstruction of the disrupted tissues and minimization of the risk of infection. Suturing of the rectal wall and mucosa of the anal canal is followed by reconstruction of the perineal body internal and external anal sphincters, vulva and the perineum. Delayed surgery is undertaken after the complete healing of the obstetric tear...
August 2014: Ginekologia Polska
https://www.readbyqxmd.com/read/25188458/natural-history-presentation-and-diagnosis-of-hidradenitis-suppurativa
#12
Robert G Micheletti
The diagnosis of hidradenitis suppurativa (HS) is based on a characteristic history and physical exam. The anatomic sites of involvement include the axillae (most common), groin, and buttocks, and the perianal, perineal, and mammary regions. Initially, HS manifests with open comedones (usually with two or more "heads") and tender subcutaneous acneiform papules. Without intervention, the natural history of HS is chronic and progressive. More painful subcutaneous nodules form, which rupture and drain a thick, mucopurulent, foul-smelling fluid...
June 2014: Seminars in Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/25126978/a-perineal-protection-device-designed-to-protect-the-perineum-during-labor-a-multicenter-randomized-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Tony Lavesson, Inger D Griph, Anna Skärvad, Ann-Sofi Karlsson, Helen B Nilsson, Margareta Steinvall, Knut Haadem
OBJECTIVE: The objective of this study was to evaluate the protective effects of a new device for reducing perineal tears during vaginal childbirth. STUDY DESIGN: A multicenter open randomized controlled trial (RCT) was performed in Helsingborg, Lund and Malmö, Sweden consisting of 1148 women. Women anticipating a vaginal delivery were either randomized to the intervention group (n=574 in which the perineal protection device was used, or a control group (n=574), in which the perineal protection device was not used...
October 2014: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/24678493/a-case-of-vulvar-hematoma-with-rupture-of-pseudoaneurysm-of-pudendal-artery
#14
Hye Ri Hong, Kyu Ri Hwang, Sung Ae Kim, Jeong Eun Kwon, Hye Won Jeon, Ji Eun Choi, Young Ho So
Vulvar hematomas are uncommon outside of the obstetric population and may be the result of trauma to the perineum. Vulvar hematomas most often present with low abdominal pain and urologic and neurologic symptoms. The vulva has rich vascularization that is supplied by the pudendal artery, a branch of the anterior division of the internal iliac artery. We describe a rare case of a 15-cm-sized vulvar hematoma with the suggested rupture of a pseudoaneurysm of the left pudendal artery without trauma injury. A 14-year-old girl presented with sudden pain and swelling in her left labium and was successfully treated with selective arterial embolization and surgical evacuation...
March 2014: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/24366762/penetrating-injury-of-the-vagina-bladder-and-omentum-in-a-woman-with-5-months-gestation-case-report-and-review-of-the-literature
#15
REVIEW
Chao Zhang, Qiang Liu, Bo-Jun Li, Gang Bi, Ping Yi, Ke Li, Yong Zhang, Ke-Qin Zhang, Yan-Feng Li
Intra-peritoneal bladder and visceral injuries from impalement of the perineum in women are exceedingly rare. This kind of injury has not been previously reported in a pregnant woman. The evaluation and surgical management of a pregnant woman is a challenging surgical problem. Preoperative evaluation of the uterus and fetus is balanced with minimal use of radiographic studies. Multiple organs can be damaged with this type of injury, necessitating careful evaluation and operative planning. We report a rare case of transvaginal impalement injury with through-and-through bladder rupture and intra-peritoneal injury in a 5 months pregnant woman...
June 2014: International Urology and Nephrology
https://www.readbyqxmd.com/read/24289053/perineal-small-bowel-evisceration-following-blunt-abdominal-trauma
#16
Alaina M Taylor, Justin S Gundara, Michael Wines, Stephen Ruff, Jaswinder S Samra
No abstract text is available yet for this article.
December 2013: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/24207112/deliveries-among-teenage-women-with-emphasis-on-incidence-and-mode-of-delivery-a-swedish-national-survey-from-1973-to-2010
#17
Rasmus Birch Tyrberg, Marie Blomberg, Preben Kjølhede
BACKGROUND: Since the 1970-ies Sweden has actively developed strategies in social care, education and health care in order to counteract the negative consequences of adolescent parenthood. The aims of this study are to determine the annual incidence of singleton delivery among adolescents 1973-2010 and analyse obstetric and neonatal outcomes. METHODS: A retrospective cohort study, using data from the Swedish Medical Birth Register was conducted. All singleton deliveries in Sweden between 1973 and 2010 were included...
2013: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/24206010/the-influence-of-cold-pack-on-labour-pain-relief-and-birth-outcomes-a-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Marjan Ahmad Shirvani, Zhila Ganji
AIMS AND OBJECTIVES: (1) To evaluate the influence of local cold on severity of labour pain and (2) to identify the effect of local cold on maternal and neonatal outcomes. BACKGROUND: Fear of labour pain results in an increase in pain and duration of labour, maternal discontent and demand for caesarean section. Regarding maternal and foetal complications of analgesic medications, the attention to application of nonpharmacological methods including cold therapy is increased...
September 2014: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/24034451/quality-of-obstetric-care-in-the-sparsely-populated-sub-arctic-area-of-norway-2009-2011
#19
Jan Norum, Anca Heyd, Bente Hjelseth, Tove Svee, Fred A Mürer, Randi Erlandsen, Barthold Vonen
BACKGROUND: It is challenging to obtain high quality obstetric care in a sparsely populated area. In the subarctic region of Norway, significant distances, weather conditions and seasonable darkness have called for a decentralized care model. We aimed to explore the quality of this care. METHODS: A retrospective study employing data (2009-11) from the Medical Birth Registry of Norway was initiated. Northern Norwegian and Norwegian figures were compared. Midwife administered maternity units, departments at local and regional specialist hospitals were compared...
2013: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/23979614/predicting-factors-on-cervical-ripening-and-response-to-induction-in-women-pregnant-over-37-weeks
#20
RANDOMIZED CONTROLLED TRIAL
Fatemeh Bahadori, Hale Ayatollahi, Mohammad Naghavi-Behzad, Hamidreza Khalkhali, Zilla Naseri
UNLABELLED: Induction of labor is conducted in special fetal or maternal conditions. Labor is induced in about 20% of women. The AIM of this study was realizing the relationship between some factors including cervical ripening and also response to induction so we could predict the induction outcome better. MATERIAL AND METHODS: The present prospective study was based on 101 pregnancy cases admitted to the labor ward in Urmia from March 2010 until December 2010. Maternal age ranged from 17 to 41 years and the gestational age between 37 to 42 weeks according to an ultrasound or reliable last menstrual period, as criteria of study inclusion...
September 2013: Medical Ultrasonography
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