scholarly journals An elective combined caesarean section and small bowel GIST resection during the third trimester of pregnancy: Report of a case

2013 ◽  
Vol 4 (1) ◽  
pp. 121-124 ◽  
Author(s):  
N. Haloob ◽  
A.A.P. Slesser ◽  
A.R. Haloob ◽  
F. Khan ◽  
G. Bostanci ◽  
...  
Keyword(s):  
Small Bowel ◽  
Caesarean Section ◽  
Third Trimester ◽  
The Third

scholarly journals Uterine torsion of 90 degrees: case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1743
Author(s):  
S. Tanouti ◽  
M. Chakri ◽  
H. Taheri ◽  
H. Saadi ◽  
A. Mimouni
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Third Trimester ◽  
Singleton Pregnancy ◽  
The Third ◽  
Emergency Caesarean ◽  
Uterine Torsion ◽  
Vaginal Deliveries ◽  
Obstetrical Unit

Uterine torsion is defined as a rotation of uterus more than 45 degrees along its long axis. However, a pathologic rotation of the uterus beyond 45 degrees-torsion of the entire uterus-is rarely seen in obstetrical practice, authors report a case of torsion of the uterus by 90 degrees. The patient, a 30-year-old gravida 3 para 2 at 37 weeks’ gestation with a singleton pregnancy, her prior obstetrical history included two uncomplicated term vaginal deliveries, and the current pregnancy had been uncomplicated until the date of presentation was admitted to the obstetrical unit  with  labour at 37 weeks 5 days ,on obstetric examination the patient was in labour with transversal presentation of the fetus so an emergency caesarean section (CS) was carried out for. At the time of CS, the diagnosis of uterine torsion of 90 degrees was made. After the delivery of the baby, uterus returned to anatomical position and the torsion corrected spontaneously. The patient recovered and was discharged home with her baby on the third postoperative day. Uterine torsion is an infrequently reported and potentially dangerous complication of pregnancy that occurs mainly in the third trimester.

Concurrent Parathyroidectomy and Caesarean Section in the Third Trimester

2014 ◽  
Vol 36 (6) ◽  
pp. 502-505 ◽  
Author(s):  
Christopher Trebb ◽  
Sarah Wallace ◽  
Fadel Ishak ◽  
Karen L. Splinter
Keyword(s):  
Caesarean Section ◽  
Third Trimester ◽  
The Third

scholarly journals Ovarian Torsion in the Third Trimester of Pregnancy Leading to Iatrogenic Preterm Delivery

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Evangelia Vlachodimitropoulou Koumoutsea ◽  
Manish Gupta ◽  
Antony Hollingworth ◽  
Anwen Gorry
Keyword(s):  
Caesarean Section ◽  
Lower Abdominal Pain ◽  
Fetal Outcome ◽  
Ovarian Torsion ◽  
Third Trimester ◽  
Preterm Baby ◽  
Presumptive Diagnosis ◽  
Midline Laparotomy ◽  
The Third ◽  
The Right

Ovarian torsion in the third trimester of pregnancy leading to a midline laparotomy and caesarean section for the delivery of a preterm baby is an uncommon event. As the woman is likely to present with nonspecific symptoms of lower abdominal pain, nausea, and vomiting, ovarian torsion can often be misdiagnosed as appendicitis or preterm labour. Treatment and the opportunity to preserve the tube and ovary may consequently be delayed. We report the case of a multiparous woman who had undergone two previous caesarean sections at term, presenting at 35 weeks of gestation with a presumptive diagnosis of acute appendicitis. Ultrasonography described a cystic lesion 6 × 3 cm in the right adnexa, potentially a degenerating fibroid or a torted right ovary. MRI of the pelvis was unable to provide further clarity. The patient was managed by midline laparotomy and simultaneous detorsion of the ovarian pedicle and ovarian cystectomy together with caesarean section of a preterm infant. This report describes that prompt recognition and ensuring intraoperative access can achieve a successful maternal and fetal outcome in this rare and difficult scenario. Furthermore, we would like to emphasise that the risk for a pregnant woman and her newborn could be reduced by earlier diagnosis and management of ovarian masses (Krishnan et al., 2011).

P5355Evaluation of maternal heart rate during the first week postpartum with wearable device

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
E Gherbesi ◽  
M Squillace ◽  
C Gobbi ◽  
M Schiavone ◽  
G Malanchini ◽  
...  
Keyword(s):  
Heart Rate ◽  
Caesarean Section ◽  
Maternal Age ◽  
Light Emitting Diode ◽  
Wearable Device ◽  
Third Trimester ◽  
Maternal Heart Rate ◽  
The Third ◽  
Tertiary Centre ◽  
Normal Limits

Abstract Background Throughout pregnancy and puerperium significant cardiovascular changes occur. Maternal heart rate (HR) increases from the first to the third trimester of pregnancy, with a further increase during labor. Changes in the postpartum period are less well defined, in particular, the phenomenon of postpartum maternal bradycardia (PMB). Purpose To describe the distribution of HR in the first week postpartum, the incidence of PMB and to investigate the relationship between PMB and other maternal factors such as age, BMI and type of delivery. Methods Women who gave their informed consent during a clinical evaluation in the third trimester of pregnancy, and delivered at our tertiary centre between 01/01/2018 and 30/09/2018, were included. Within 12 hours from delivery, a wrist-worn tracker with a light-emitting diode (FitBit Alta HR) was applied and then removed one week postpartum. Data were extracted as 5 minutes recordings, each showing a mean HR. Only day-time recordings were considered. PMB was defined as ratio between bradycardia recordings (mean HR<60 bpm) and all recordings >0.6. SPSS was used for statistical analysis. Results 252 women were included (mean age 35.3±5 years, BMI 23.3±5 kg/m2). 63% of women underwent caesarean section. Mean HR of the total population on day 1 after delivery was 80.7±11 bpm and then progressively decreased, with a mean HR on day 7 of 76.5±12 bpm (figure 1). 24 women developed PMB, with an incidence of 9.5%. The trend of HR in bradycardic women was opposite to that of non-bradycardic women, with an increase from day 1 (55±7 bpm) to day 7 (60.5±9 bpm) (figure 2). Device recordings during the first two days were in agreement with periodic bedside HR measurements. No bradycardic woman experienced syncope or pre-syncope or required treatment. PMB showed a positive correlation with caesarean section vs. vaginal delivery (p<0.01) and maternal age (p<0.05). No correlation was found with BMI and postpartum haemoglobin. Trend of HR in the first week postpartum Conclusion In our population the incidence of PMB identified with wearable device was 9.5% and was associated with caesarean section and maternal age. Considering that HR returned within normal limits 7 days after delivery and no woman was symptomatic, our study suggests that PMB might be considered a benign entity.

scholarly journals Incisión Fúndica Uterina con Histerectomía y Ligadura de Arterias Hipogástricas para manejo de Placenta Previa con Acretismo: A propósito de un caso.

2019 ◽  
Vol 30 (2) ◽  
Author(s):  
Yajaira Belalcázar
Keyword(s):  
Caesarean Section ◽  
Blood Transfusion ◽  
Clinical Case ◽  
Placenta Previa ◽  
Intensive Therapy ◽  
Hypogastric Artery ◽  
Third Trimester ◽  
Artery Ligation ◽  
The Third ◽  
Risk Of Hemorrhage

The placenta previa with acretism is a pathology with high morbimortality that can be diagnosed in the third trimester of pregnancy by image, which allows to program its resolution by caesarean section. A clinical case of a 40-year-old female patient presenting a 36.5-week pregnancy with total occlusive placenta with signs of accretion determined by ultrasound and resonance is presented, considering the risk of hemorrhage, a caesarean section was scheduled by means of a uterine fundal incision and at the placenta is not spontaneously detached, bilateral hypogastric artery ligation and obstetric hysterectomy are performed. This surgery is performed without complications or the need for blood transfusion or admission of the patient to intensive therapy.

Correlations Between the Values of Maternal Glycemia from the Last Trimester of Pregnancy and Fetal Birth Weight

2013 ◽  
Vol 20 (3) ◽  
pp. 259-265
Author(s):  
Monica Vereş ◽  
Aurel Babeş ◽  
Szidonia Lacziko
Keyword(s):  
First Trimester ◽  
Mean Value ◽  
Fetal Macrosomia ◽  
Entire Group ◽  
Third Trimester ◽  
The Third ◽  
Group I ◽  
Fetal Birth Weight ◽  
First Trimester Of Pregnancy ◽  
The Mean

Abstract Background and aims: Gestational diabetes represents a form of diabetes diagnosed during pregnancy that is not clearly overt diabetes. In the last trimester of gestation the growth of fetoplacental unit takes place, thus maternal hyperglycemia will determine an increased transplacental passage, hyperinsulinemia and fetal macrosomia. The aim of our study was that o analyzing the effect of maternal glycemia from the last trimester of pregnancy over fetal weight. Material and method: We run an observational study on a group of 46 pregnant women taken into evidence from the first trimester of pregnancy, separated in two groups according to blood glucose determined in the third trimester (before birth): group I normoglycemic and group II with hyperglycemia (>92mg/dl). Results: The mean value of third trimester glycemia for the entire group was of 87.13±22.03. The mean value of the glycemia determined in the third trimester of pregnancy was higher in the second group (109.17 mg/dl) in comparison to the first group (74.,21 mg/dl). The ROC curve for third trimester glycemia as fetal macrosomia appreciation test has an AUC of 0.517. Conclusions: Glycemia determined in the last trimester of pregnancy cannot be used alone as the predictive factor for fetal macrosomia.

Features of the course and treatment of glaucoma during pregnancy

2020 ◽  
Vol 98 (3) ◽  
pp. 178-184
Author(s):  
T. V. Chernyakova ◽  
A. Yu. Brezhnev ◽  
I. R. Gazizova ◽  
A. V. Kuroyedov ◽  
A. V. Seleznev
Keyword(s):  
Pregnant Women ◽  
Laser Treatment ◽  
Progressive Disease ◽  
Clinical Course ◽  
The Other ◽  
Third Trimester ◽  
The Third ◽  
Chronic Progressive Disease ◽  
Hypotensive Therapy ◽  
Eye Pressure

In the review we have integrated all up-to-date knowledge concerning clinical course and treatment of glaucoma among pregnant women to help specialists choose a proper policy of treatment for such a complicated group of patients. Glaucoma is a chronic progressive disease. It rarely occurs among childbearing aged women. Nevertheless the probability to manage pregnant patients having glaucoma has been recently increasing. The situation is complicated by the fact that there are no recommendations on how to treat glaucoma among pregnant women. As we know, eye pressure is progressively going down from the first to the third trimester, so we often have to correct hypotensive therapy. Besides, it is necessary to take into account the effect of applied medicines on mother health and evaluate possible teratogenic complications for a fetus. The only medicine against glaucoma which belongs to category B according to FDA classification is brimonidine. Medicines of the other groups should be prescribed with care. Laser treatment or surgery may also be a relevant decision when monitoring patients who are planning pregnancy or just bearing a child. Such treatment should be also accompanied by medicines.

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