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obstetric guideliness

G M P Diepenhorst, J M van Buijtenen, C N M Renckens, D J A Sonneveld
Obstetric injury comprising tearing of the rectovaginal septum, rectal mucosa, and anal sphincter complex with limited or no involvement of the perineal body may implicate the sudden appearance of an elbow, foot or head in the anal orifice during the second phase of labour. This complex type of obstetric injury is highly uncommon and reports have rarely been published. There are no guideliness as to how to respond to this obstetric emergency and there is no time for consultation. In order to reach clinical recommendations on repair and management of this unexpected obstetric injury for the midwife or obstetrician, we report three such cases...
2012: Clinical and Experimental Obstetrics & Gynecology
S H Kassam, M G Tompkins
A case of monoamniotic twin pregnancy with a peculiar cord complication is presented. Embryologic single-ovum twinning is discussed. Attention is drawn to the fact that this clinical entity may not be as rare as we think. The hazards to the mother and the fetus are emphasized. With the recent advances in modern obstetrics, the possibility of antepartum diagnosis of this condition is more real today than it ever was: and in view of high fetal mortality, neonatal morbidity and increased maternal risk, the guideliness for management of this condition are suggested...
1980: Diagnostic Gynecology and Obstetrics
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