Arrest of Descent in Second Stage of Labour Secondary to Macrosomia: A Case Report

2003 ◽  
Vol 25 (8) ◽  
pp. 668-670 ◽  
Author(s):  
Ande L. Karimu ◽  
Gbade Ayoade ◽  
Nwachukwu I. Nwebube
Keyword(s):  
Case Report ◽  
Second Stage ◽  
Second Stage Of Labour

Case report of neonatal near drowning associated with underwater birth

2016 ◽  
Vol 5 (2) ◽  
pp. 139-140
Author(s):  
Sarah Wright ◽  
Mohamed E. Abdel-Latif
Keyword(s):  
Case Report ◽  
Water Immersion ◽  
Perinatal Morbidity ◽  
Near Drowning ◽  
Second Stage ◽  
The Third ◽  
Second Stage Of Labour ◽  
Increased Risk ◽  
Third Stage ◽  
Water Birth

Abstract Water immersion of labouring women during the first stage and second stage of labour significantly reduces analgesia requirements and increases women’s reported satisfaction with pushing, without adversely affecting labour duration, operative delivery rates, or foetal wellbeing. However, immersion during the third stage of labour is associated with potential serious complications that are not seen with land-based birth. Here, we present a case report of a baby born via water birth. The report illustrates increased risk of significant perinatal morbidity associated with water birth.

scholarly journals Case report: Postpartum pneumomediastinum and subcutaneous emphysema

2018 ◽  
Vol 12 (3) ◽  
pp. 143-145
Author(s):  
AD Jakes ◽  
K Kunde ◽  
A Banerjee
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subcutaneous Emphysema ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Supplemental Oxygen ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Nasal Flow ◽  
Repeat Imaging

Postpartum pneumomediastinum is a rare complication of labour and delivery, where air leaks into the mediastinum following rupture of marginal alveoli. It follows prolonged and forceful Valsalva manoeuvres that increase intra-thoracic pressure. Subcutaneous emphysema may also develop. A chest radiograph can confirm the diagnosis, however a computed tomography thorax maybe required. Treatment is conservative as it is usually self-limiting. We present a case of postpartum pneumomediastinum following a delay in the second stage of labour and subsequent instrumental delivery. She developed chest pain and dyspnea 40 min post-delivery, and subcutaneous emphysema was palpable. Supplementary nasal flow oxygen was administered for 24 h prior to discharge. There is sparse evidence or guidance as to the management of postpartum pneumomediastinum, but consensus appears to be supplemental oxygen for 24 h. More data are needed on the type and duration of oxygen therapy, need for repeat imaging and management of subsequent pregnancies.

scholarly journals Twin-to-twin Transfusion Syndrome Type III - Case Report of an Intrauterine Death in Monochorionic Pregnancy

1995 ◽  
Vol 44 (1) ◽  
pp. 53-56 ◽  
Author(s):  
I. Biskup ◽  
W. Malinowski
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Intrauterine Death ◽  
Syndrome Type ◽  
Type Iii ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Risk Pregnancy ◽  
Acute Form ◽  
Rapid Transfer

AbstractThe acute form of twin-to-twin transfusion syndrome is caused by rapid transfer of blood from one of the twins to another via placental anastomoses. Usually, this only occurs during the second stage of labour as a result of a sudden relative rise of blood pressure in one of the fetal circulations. This can result in the sudden intrauterine death of a fetus (or both, as in our case). Currently, there is no reliable means of identifying such an at-risk pregnancy by means of ultrasound antenatally. We would classify this as TTTS Type III.

scholarly journals Inadvertent laparoelytrotomy in second stage of labour: a case report

2021 ◽  
Vol 10 (12) ◽  
pp. 4606
Author(s):  
Shristy Mohanty ◽  
Satyabhama Marandi ◽  
Bhismadev Chhatria
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Postpartum Hemorrhage ◽  
Transverse Incision ◽  
Maternal Complications ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Uncommon Complication

Laparoelytrotomy is the accidental delivery via a vaginal incision during caesarean section in second stage of labour. It refers to the inadvertent delivery of the foetus through a transverse incision given over the vagina during a caesarean section (C-section). It is a rather uncommon complication of C-section encountered at advanced dilation which can lead to maternal complications such as traumatic postpartum hemorrhage, injury to bladder, ureters and difficult reconstruction of vagina. Here, we present a case report of inadvertent laparoelytrotomy during C-section.

scholarly journals Preoperative Diagnosis and Treatment of Middle Ear Adenoma: A Case Report and Literature Review

2021 ◽  
pp. 014556132110002
Author(s):  
Aleksander Zwierz ◽  
Krystyna Masna ◽  
Paweł Burduk
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Middle Ear ◽  
Surgical Procedures ◽  
Preoperative Diagnosis ◽  
Proper Treatment ◽  
Second Stage ◽  
Middle Ear Adenoma ◽  
Histopathological Results

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

scholarly journals Thyroid storm in the second stage of labour: a case report

2021 ◽  
Vol 14 (7) ◽  
pp. e243159
Author(s):  
Yudianto Budi Saroyo ◽  
Achmad Kemal Harzif ◽  
Beryliana Maya Anisa ◽  
Fistyanisa Elya Charilda
Keyword(s):  
Treatment Guidelines ◽  
Thyroid Storm ◽  
Lung Oedema ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Failure Treatment ◽  
Life Threatening ◽  
Thyroid Hormone Levels ◽  
Peripartum Period ◽  
In Pregnancy

A thyroid storm (or thyroid crisis) is an emergency in endocrinology. It is a form of complication of hyperthyroidism that can be life-threatening. Inadequate control of hyperthyroidism in pregnancy could develop into thyroid storm, especially in the peripartum period. We present a woman came in the second stage of labour, with thyroid storm, superimposed pre-eclampsia, acute lung oedema and impending respiratory failure. Treatment for thyroid storm, pre-eclampsia protocol and corticosteroid was delivered. The baby was born uneventfully, while the mother was discharged after 5 days of hospitalisation. Delivery is an important precipitant in the development of thyroid storm in uncontrolled hyperthyroidism in pregnancy. Although very rare, it can cause severe consequences. Diagnosis and treatment guidelines for thyroid storm were available and should be done aggressively and immediately. Uncontrolled hyperthyroidism should be prevented by adequate control in thyroid hormone levels, especially before the peripartum period.

scholarly journals Pediatric Nasal Chondromesenchymal Tumors: Case Report and Review of the Literature

2021 ◽  
pp. 1-6
Author(s):  
Daniel Schaerer ◽  
Javan Nation ◽  
Robert C. Rennert ◽  
Adam DeConde ◽  
Michael L. Levy
Keyword(s):  
Case Report ◽  
Complete Resection ◽  
Intracranial Extension ◽  
Transnasal Approach ◽  
Second Stage ◽  
Transnasal Endoscopic Approach ◽  
Significant Extension ◽  
Hypothalamic Pituitary Axis ◽  
Initial Biopsy ◽  
Cranial Fossa

<b><i>Introduction:</i></b> Nasal chondromesenchymal tumors (NCMT) are rare benign neoplasms that usually present in children &#x3c;1 year of age. They can display rapid growth and significant local bony remodeling that can mimic a malignant process. Of the ∼50 published cases to date, few have documented the need for neurosurgical intervention. We herein report a NCMT in an infant treated with a staged cranial and transnasal approach, as well as summarize the available literature on this pathology. <b><i>Case Report:</i></b> A newborn male with a compromised airway was noted to have a large sinonasal lesion. After stabilization, MRI demonstrated a 4-cm enhancing mass with diffuse sinus involvement and significant extension into the anterior cranial fossa, with displacement of the optic apparatus and hypothalamic pituitary axis. After an initial biopsy, the patient underwent a bifrontal craniofacial approach at 2 months of age, followed by a second-stage transnasal endoscopic approach at 15 months which resulted in a complete resection. There were no neurosurgical complications. Pathology was consistent with a NCMT. <b><i>Discussion:</i></b> Although rare, neurosurgical involvement is critical for the treatment of NCMTs with intracranial extension. Staged cranial and endonasal endoscopic approaches may be needed for complete resection of such lesions.

scholarly journals Clincial Experience with Patient-Controlled and Staff-Administered Intermittent Bolus Epidural Analgesia in Labour

1995 ◽  
Vol 23 (4) ◽  
pp. 459-463 ◽  
Author(s):  
M. J. Paech ◽  
T. J. G. Pavy ◽  
C. Sims ◽  
M. D. Westmore ◽  
J. M. Storey ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Randomized Study ◽  
Obstetric Delivery ◽  
Second Stage ◽  
Intermittent Bolus ◽  
Second Stage Of Labour ◽  
Pain Scores ◽  
Maximum Pain ◽  
Delivery Unit ◽  
Ib Method

A prospective randomized study was Performed to detail clinical experience with both patient-controlled epidural analgesia (PCEA) and midwife-administered intermittent bolus (IB) epidural analgesia during labour, under the conditions pertaining in a busy obstetric delivery unit. Both methods used 0.125% bupivacaine plus fentanyl, and similar rescue supplementation although management decisions related to epidural analgesia were made principally by attending midwives One hundred and ninety-eight women were recruited and data analysed from 167 (PCEA n = 82 IB n=85) The groups were demographically similar. Median hourly pain scores, ratings of analgesia and satisfaction did not differ Maximum pain scores were significantly higher in those receiving IB epidural analgesia (P<0.05). The PCEA group had a significantly higher rate of supplementation and bupivacaine use (P<0.01), and a longer duration of the second stage of labour (P<0.03) The relative risk of instrumental delivery with PCEA versus the IB method was 1.57 (CI 1.07–2.38) Experience within our unit with PCEA is contrasted with that of IB epidural analgesia, the method most commonly used; and with that of controlled trials comparing these two methods.

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