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postpartum haemorrage

I Okafori, E O Ugwu, N Obis, E E Nwogu-Ikojo
BACKGROUND: Complete (type 4) placenta praevia is a major cause of haemorrhage in Obstetrics. Uterine packing is an effective but underutilized life-saving intervention in situation of uncontrolled haemorrahage due to major placenta praevia. OBJECTIVES: To reappraise the effectiveness of uterine packing in the management of complete placenta praevia in order to popularize the practice. METHODS: Seven case series of complete placenta praevia were managed with uterine packing in Enugu, Nigeria between January 2, 2012 and February 28, 2013...
October 2014: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
A Bonnet, Y Chevalier, G Wallon, C Huissoud, F Aubrun
Women who are carriers for hemophilia are usually considered as safe carriers. However, they can present hemorragic symptoms associated with low factor VIII or IX levels. During pregancy, factor VIII increases whereas factor IX does not. The peripartum period is at risk of increased bleeding in these women. Here are presented reports of clinical data concerning two hemophilia carriers with low factor VIII or IX (30-40%) during the peripartum period. They received remifentanil and ketamine for labor pain management because of contraindication of epidural and spinal analgesia...
November 2013: Annales Françaises D'anesthèsie et de Rèanimation
B Della Vella, V Unfer, C Nania, M L Borgia, A Saraceno, M Minozzi
We report an uncommon case of a 38-years-old pregnant woman affected by HHT (Hereditary haemorrhagic telangiectasia; Osler-Weber-Rendu syndrome) who underwent to a caesarean section (CS) without any complication. The patient at 36th weeks+1 day pregnancy referred to the Emergency Obstetric Unit due to a intercostals pain on left side. On third day after admission the woman started travailing and physicians decided to perform the CS. Considering that no AVMs was found at MRI, a continuous spinal anaesthesia was planned...
July 2012: European Review for Medical and Pharmacological Sciences
Ruqqia Sultana, Rubina Bashir, Bushra Khan
BACKGROUND: This study was carried out evaluate to epidemiology, clinical presentation and prognostics aspects of patients presenting with eclampsia. METHODS: This study was carried out at Gynae "C" unit of Ayub Teaching Hospital Abbottabad from 1st July 2003 to 31st October 2004. All patients presenting with eclampsia to the labor ward were included in the study. The diagnosis was based on history and confirmed on clinical findings of hypertension, oedema, proteinuria superimposed with fits...
April 2005: Journal of Ayub Medical College, Abbottabad: JAMC
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