Abstracts – 2008 - Obstetricia Crítica

New Delhi, India.Int J Gynaecol Obstet. 2007 Dec;99(3):248-9. Epub 2007 Sep 24.Clinicopathology of maternal scleroderma.Papakonstantinou K, Hasiakos D, Kondi-Paphiti A.2nd Department of Obstetrics and Gynecology, University of Athens, AretaieionHospital, Athens, Greece. k_papakon@yahoo.grInt J Gynaecol Obstet. 2007 Dec;99(3):229-32. Epub 2007 Jul 20.Postpartum urinary retention after cesarean delivery.Liang CC, Chang SD, Chang YL, Chen SH, Chueh HY, Cheng PJ.Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital,Taoyuan, Taiwan; Chang Gung University, Taoyuan, Taiwan.ccjoliang@cgmh.org.twOBJECTIVE: To investigate the incidence of postpartum urinary retention (PUR)after cesarean delivery and determine which obstetric factors contribute to thisproblem. METHOD: A prospective study recruited 605 pregnant women who hada cesarean delivery. Each patient's postvoid residual bladder volume (PVRBV)was estimated with an ultrasound scan after first micturition. The women weredivided into 2 groups: PUR (PVRBV > or =150 mL) and normal. Patients'characteristics, obstetric parameters, and prevalence of lower urinary tractsymptoms at 3 months postpartum were compared. RESULT: The overallincidence of PUR was 24.1%. The incidence of overt and covert PUR was 7.4%and 16.7%, respectively. Morphine-related postoperative analgesia, multiplepregnancy, and low body mass index were significantly associated with PUR. At3-month follow-up, 5.0% of patients had obstructive voiding symptoms and 9.1%had irritative voiding symptoms. CONCLUSION: Our results revealed PUR was acommon phenomenon in patients who had a cesarean delivery, and morphinerelatedpostoperative analgesia was the main contributing factor.Int J Gynaecol Obstet. 2008 Mar 4 [Epub ahead of print]The influence of medical abortion compared with surgical abortion onsubsequent pregnancy outcome.Gan C, Zou Y, Wu S, Li Y, Liu Q.West China Hospital, Sichuan University, Chengdu, Sichuan, China.Seven prospective cohort studies (12484 cases) were included in this review ofthe respective effects on the next pregnancy of medical and surgical abortion inearly pregnancy. The incidence of miscarriage and postpartum hemorrhage wassignificantly lower in the pregnancy following a medical abortion. No othersignificant differences were found. With respect to the outcome of the nextpregnancy, first-trimester medical abortions may thus be safer than the surgicaloption.Int J Gynaecol Obstet. 2008 Mar 3 [Epub ahead of print]Severe liver disease in pregnancy.Chen H, Yuan L, Tan J, Liu Y, Zhang J.