Abstracts – 2008 - Obstetricia Crítica

improves care. Dr Shennan focuses on the assessment of risk, close antenatalsurveillance and timely delivery. Dr Uzan continues to champion the use ofaspirin for prevention of preeclampsia, even though the evidence is contradictory.Dr Sibai addresses the lack of evidence for calcium, vitamin C and E inprevention of preeclampsia. Dr Von Dadelszen is developing a new paradigm forthe classification of these disorders and emphasizes the importance of evidencebasedintervention. SUMMARY: Evidence suggests that treatment of severehypertension, seizure prophylaxis with magnesium sulfate, and management byexperienced healthcare professionals will improve maternal, fetal and neonataloutcomes. Well designed studies will lead to evidence-based improvement incaring for mothers and babies worldwide.Curr Opin Obstet Gynecol. 2008 Apr;20(2):91-95.Hypertensive emergencies in pregnancies in underresourced countries.Moodley J.Womens Health and HIV Research Group, Department of Obstetrics andGynaecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Congella, South Africa.Gynecol Obstet Invest. 2008;65(2):81-3. Epub 2007 Sep 13.Placenta percreta leading to spontaneous complete uterine rupture in thesecond trimester. Example of a fatal complication of abnormal placentationfollowing uterine scarring.Fleisch MC, Lux J, Schoppe M, Grieshaber K, Hampl M.Department of Obstetrics and Gynaecology, Heinrich Heine University,Dusseldorf, Germany. Fleisch@uni-duesseldorf.deA 30-year-old gravida 2 para 1 was admitted to hospital 2 years after cesareansection at 20 weeks' gestation with acute onset of abdominal pain andhypovolaemic shock. Emergency laparotomy revealed a uterine rupture locatedin the anterior uterine wall caused by a placenta percreta and supracervicalhysterectomy was performed. This site of invasion and finally rupture was inprojection of the previous lower-segment cesarean section. This report illustratesthe dramatic consequences of abnormal placentation after prior uterine surgery,which can already occur early during pregnancy and prior to the onset of labour.(c) 2008 S. Karger AG, Basel.J Perinatol. 2008 Apr;28(4):310-2.Normoglycemic diabetic ketoacidosis in pregnancy.Chico M, Levine SN, Lewis DF.1Section of Endocrinology and Metabolism, Department of Internal Medicine,Louisiana State University Health Sciences Center, Shreveport, LA, USA.The clinical presentation of diabetic ketoacidosis in pregnancy is usually thesame as in nonpregnant women, although the blood glucose may not be as highas in the nongravid state. We report a case of a pregnant woman who developeddiabetic ketoacidosis with a normal blood glucose and review the pertinentmedical literature. A 29-year-old woman with type I diabetes developed diabetic