week of pregnancy. Since need for surgery in these cases is controversial, thepatient has been treated conservatively. In our case cholecystitis responded verywell to treatment with amoxicillin, with no detrimental effects for mother and child.A healthy child was born at term. In the differential diagnosis of liver functionabnormalities during pregnancy, cholelithiasis should be included.J Perinatol. <strong>2008</strong> Feb;28(2):156-7.Pregnancy and active Huntington disease: a rare combination.Hoskins KE, Tita AT, Biggio JR, Ramsey PS.1Department of Obstetrics and Gynecology, Center for Women's ReproductiveHealth, University of Alabama at Birmingham, Birmingham, AL, USA.We describe the complicated course of a rare pregnant woman with symptomaticHuntington disease (HD) and discuss multidisciplinary care issues that may beencountered. A 31-year-old gravida 2, para 1 with advanced HD was admitted at30 weeks gestation for preterm labor. Her course was complicated byprogressive cognitive and physical impairment, dysphagia, malnutrition, diabetesinsipidus, aspiration pneumonia, chorioamnionitis, preterm delivery andpyelonephritis. Pregnant women with symptomatic HD may present multiplechallenges requiring extensive multidisciplinary input.Journal of Perinatology(<strong>2008</strong>) 28, 156-157; doi:10.1038/sj.jp.7211874.N Engl J Med. <strong>2008</strong> Jan 17;358(3):275-89.N Engl J Med. <strong>2008</strong> Jan 31;358(5):513-23.Case records of the Massachusetts General Hospital. Case 2-<strong>2008</strong>. A 38-year-old woman with postpartum visual loss, shortness of breath, and renalfailure.Magee CC, Coggins MP, Foster CS, Muse VV, Colvin RB.Renal Division, Brigham and Women's Hospital, Boston, MA, USA.Obstet Gynecol. <strong>2008</strong> Feb;111(2):555-8.Pulmonary synovial sarcoma presenting as a pneumothorax duringpregnancy.Esaka EJ, Celebrezze JU, Golde SH, Chiossi G, Thomas RL.Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology,Allegheny General Hospital, Pittsburgh, Pennsylvania.BACKGROUND: Synovial sarcoma is a clinically rare, but morphologically welldefinedneoplasm, which accounts for approximately 10% of all malignant softtissuetumors. The diagnosis can be established with clinical and imagingevaluations together with immunohistochemical, electron microscopy, andmolecular genetic studies. CASE: We describe a case of primary pulmonarysynovial sarcoma presenting as a pneumothorax in a young woman at 34 weeksof gestation. Her persistent symptomatology ultimately led to a video-assistedthoracoscopy and thorascopic decortication. The diagnosis was established bypathology and immunohistochemistry of the cells, which were consistent withprimary pulmonary synovial sarcoma. CONCLUSION: Malignancies, even those
as uncommon as primary synovial sarcoma, should be considered in thedifferential diagnosis of pneumothorax during pregnancy.Obstet Gynecol. <strong>2008</strong> Feb;111(2):550-2.Extrapulmonary tuberculosis in pregnancy masquerading as adegenerating leiomyoma.Moore AR, Rogers FM, Dietrick D, Smith S.Department of Obstetrics and Gynecology, Franklin Square Hospital Center,Baltimore, Maryland.BACKGROUND: Tuberculosis (TB) is an increasingly common infectiouscomplication of pregnancy. The diagnosis of extrapulmonary TB in pregnancy ishampered by many factors and thus often delayed, and that has the potential ofincreasing morbidity and mortality. CASE: This case involves a gravida withextrapulmonary TB, which was originally diagnosed as a degeneratingleiomyoma. Diagnosis did not occur until lesions were discovered and biopsied atthe time of cesarean delivery. CONCLUSION: With proper identification,diagnosis, and treatment of pregnant women infected with all types oftuberculosis, the morbidity and mortality can be significantly decreased formother and infant, and a public health emergency can be prevented.Obstet Gynecol. <strong>2008</strong> Feb;111(2):528-9.Pregnancy-induced hemolytic anemia with a possible immune-relatedmechanism.Katsuragi S, Sameshima H, Omine M, Ikenoue T.Department of Obstetrics and Gynecology, Miyazaki Medical College, Universityof Miyazaki, Kiyotake-Cho, Miyazaki; and Division of Hematology, InternalMedicine, Showa University Fujigaoka Hospital, Yokohama, Japan.BACKGROUND: Pregnancy-induced hemolytic anemia is a rare maternalcomplication that occurs during pregnancy and resolves soon after delivery. Themechanism is unclear, and the disease is often referred to as unexplainedhemolytic anemia associated with pregnancy. CASE: We report a case of lifethreateninghemolytic anemia that occurred during pregnancy and resolvedspontaneously soon after delivery. Direct and indirect Coombs test results werenegative. Several possible causes were investigated, but all were ruled out.However, an increased immunoglobulin G level was observed in maternal redblood cells throughout pregnancy when the patient was severely anemic. Theimmunoglobulin G level decreased after delivery and was close to the controllevel on postpartum day 5. CONCLUSION: These observations suggest that thehemolytic anemia in this patient had an immune-related etiology.Obstet Gynecol. <strong>2008</strong> Feb;111(2):517-21.Transient severe fetal heart rate abnormalities in a pregnancy complicatedby thrombotic thrombocytopenic purpura.Strasser SM, Kwee A, Fijnheer R, Visser GH.Departments of Obstetrics and Gynecology, and Hematology, University MedicalCentre Utrecht, Utrecht, The Netherlands.
- Page 1 and 2: Obstetricia CríticaEduardo Malvino
- Page 3 and 4: gestational age at delivery, Apgar
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- Page 9: Division of Obstetrics and Gynecolo
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- Page 19 and 20: Background: To investigate the rela
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- Page 23 and 24: Prophylactic antibiotics for the pr
- Page 25 and 26: years old (n = 23,921). Univariate
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- Page 45 and 46: ketoacidosis during induction of la
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- Page 49 and 50: Division of Reproduction and Endocr
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- Page 53 and 54: significantly associated with psori
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need for intensive neonatal care, h
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mEq/l) metabolic acidosis. Other et
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Acta Obstet Gynecol Scand. 2008;87(
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etrospective review of pregnancies
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Maternal obesity and pregnancy comp
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interval 3.78-5.30) and severe obst
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of GDM. Methods: 1,662 pregnant wom
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Registers. POPULATION: All pregnant
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J Reprod Med. 2008 May;53(5):365-8.
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egarding cervical cancer screening
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College of Surgeons in Ireland, Dub
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maternal morbidity has increased bo
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increased uterine activity was rela
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options.Journal of Perinatology adv
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atio, 1.73; 95% CI, 1.11-2.69). Thi
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discharge at site of perineal repai
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Thirty-one other patients refused t
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Department of Obstetrics and Centre
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developed any new problems. CONCLUS
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It seems to be safe to continue bre
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colonization in a subsequent pregna
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Crude and adjusted odds ratios were
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the subsequent development of ESRD.
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Acta Obstet Gynecol Scand. 2008 Sep
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OBJECTIVE: To investigate pregnancy
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OBJECTIVE: To compare the perinatal
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exceptionally rare. CASE: A 23-year
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CONCLUSION: This case demonstrates
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peripartum hysterectomy included ce
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BMJ. 2008 Sep 8;337:a1397. doi: 10.
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Lancet. 2008 Sep 17. [Epub ahead of
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Obstet Gynecol. 2008 Oct;112(4):951
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Additionally, the effects of distur
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analyzed. Initial echocardiographic
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pathologic or anatomically anomalou
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Eur J Obstet Gynecol Reprod Biol. 2
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chorioamnionitis; and (3) in contra
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underlying conditions related to st
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third trimester of pregnancy.BMJ. 2
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Texas Health Science Center, Housto
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preterm birth before 34 weeks (P
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cases. Most patients (91%) received
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Ultrasound Obstet Gynecol. 2008 Nov
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Maggard MA, Yermilov I, Li Z, Magli
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Clinical and Population Health, Per
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the biologic mechanism is unclear,