HELLP, eclampsia and posterior reversible encephalopathy in a young woman with streak ovary syndrome.
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Biomedical subjects
Publications and source records attributed to Shane Higgins.
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Few obstetric emergencies cause greater concern than haemorrhage in late pregnancy and the immediate postpartum period. Massive haemorrhage can occur without forewarning with few reliable clinical indicators available to predict those at greatest risk. Patients may remain haemodynamically stable until a sudden deterioration in condition takes place. In many cases the extent of the bleeding can be unclear as the haemorrhage may be concealed behind the placenta. This article reviews the common causes of ante and postpartum haemorrhage, their associated factors and the immediate and subsequent management of the conditions. A variety of uterotonic agents is available for the treatment of postpartum haemorrhage and a structured approach for their use is required.
This update discusses the evidence to link maternal smoking during pregnancy with adverse pregnancy outcome, and also the potential long-term effects on health of in-utero exposure to tobacco smoke. Smoking cessation strategies will also be considered.
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