Ruptured tuboovarian abscess in early gestation. A case report.
A woman with a ruptured tuboovarian abscess was treated surgically at nine weeks' gestation. She subsequently had an uneventful pregnancy and delivery.
Abscess↗
Biomedical subjects
E E Dashow
Publications and source records attributed to E E Dashow.
Amniotic fluid embolus. A report of two cases resulting in maternal survival.
Two cases of amniotic fluid embolus resulted in patient survival. Both were manifested by fetal bradycardia, respiratory distress and disseminated intravascular coagulopathy. Rapid diagnosis and treatment and anticipation of subsequent events, especially coagulopathy, appear to offer the best chance of a successful outcome.
Adult↗
External cephalic version at term: is a tocolytic necessary?
This prospective investigation evaluates the benefit of a beta-mimetic tocolytic for external cephalic version. From July 1, 1984 to May 15, 1987, 58 patients who had breech presentations between 37-41 weeks' gestation were considered for external cephalic version. The patients were randomly assigned to one of two groups: tocolytic or no tocolytic. An ultrasound examination, serum alpha-fetoprotein (AFP), Kleihauer-Betke test, and nonstress test (NST) were performed before and after the attempt at version. A version was not attempted if there was evidence of intrauterine growth retardation (IUGR), oligohydramnios, or a nonreactive NST. Patients in the tocolytic group received 200 micrograms/minute of ritodrine hydrochloride for 20 minutes via continuous intravenous infusion before a version was attempted. Twenty of the 30 patients (66.7%) in the tocolytic group and 19 of the 28 patients (67.8%) in the no-tocolytic group had successful versions, a nonsignificant difference. The nine patients with unsuccessful version attempts in the group without a tocolytic then received intravenous ritodrine and underwent a second attempt. Only one of these nine attempts was successful. There were no serious maternal or fetal complications associated with the attempts at version. In our patient population, use of a tocolytic did not significantly increase the probability of a successful version.
Adult↗
Randomized comparison of five irrigation solutions at cesarean section.
A randomized double-blind study was undertaken to determine which irrigation solution might be best at cesarean section. A saline placebo was compared with ampicillin sodium and one each of three generations of cephalosporins: cephapirin sodium, cefamandole nafate, and moxalactam disodium. A total of 360 cesarean sections were studied, and comparisons made between antibiotic and control groups relative to demographics, possible risk factors, and multiple measures of postoperative morbidity. The total group was further divided into high- and low-risk labor and repeat cesarean groups. Post-cesarean endometritis was diagnosed in the following frequencies for the group as a whole: placebo (24.6%), ampicillin sodium (8.5%), cephapirin sodium (11.4%), cefamandole nafate (4.6%), and moxalactam disodium (16.4%). Cefamandole nafate consistently demonstrated significant decreases in endometritis and other morbidity measures versus placebo both in laboring patients and the group as a whole.
Ampicillin↗
Serum unconjugated estriol level as a predictor of pulmonary maturity.
Lack of respiratory distress syndrome in infants delivered after the maternal serum estriol value attained greater than or equal to 15 ng/ml was investigated. In 91 cases after 34 weeks' gestation no lecithin-sphingomyelin ratio less than 2.0 was found where the serum estriol level was greater than or equal to 15 ng/ml and no respiratory distress syndrome in the patients delivered less than or equal to 3 days from amniocentesis.
Amniocentesis↗
Significant fetal bradycardia during antepartum heart rate testing.
Reviewed were 800 patients who underwent antepartum fetal heart rate testing. Significant fetal bradycardia (less than 90 beats per minute for longer than 50 seconds or a decrease of 40 beats per minute below baseline for longer than 50 seconds) was evaluated relative to its relationship to fetal outcome. Twelve fetuses exhibited significant bradycardia during monitoring. All of these babies, when delivered within a short period of time after the tracing, showed manifestations of ongoing intrauterine jeopardy. The finding of significant fetal bradycardia during antepartum testing should prompt further evaluation and consideration for delivery.
Apgar Score↗
Resistant gonococcal infection from an intrauterine contraceptive device.
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Adult↗