Multidisciplinary management of ankyloblepharon filiforme adnatum

2020 ◽  
Vol 13 (7) ◽  
pp. e234249
Author(s):  
Henry Armes ◽  
Sarah Anne Williams ◽  
Jonathan Dunne ◽  
Simon James Eccles
Keyword(s):  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Female Infant ◽  
Multidisciplinary Management ◽  
Fibrous Band ◽  
Emergency Caesarean ◽  
Paediatric Department ◽  
Maternal Sepsis ◽  
The Right ◽  
Failure To Progress

A female infant born at 41+6 weeks via emergency caesarean section due to failure to progress and maternal sepsis was found to have a small fibrous band connecting the upper and lower eyelids of the right eye. This was diagnosed as ankyloblepharon filiforme adnatum. The child was investigated for multisystemic malformations by the paediatric department, but none were found, and the partially fused right eyelid was dissected using microsurgical scissors to allow full opening of the eye. We summarise the management of a rare oculoplastic disorder.

Absence of Wharton’s jelly

2020 ◽  
Vol 13 (11) ◽  
pp. e237222
Author(s):  
Sarah J Murphy ◽  
Nikita Deegan ◽  
Bobby D O'Leary ◽  
Peter McParland
Keyword(s):  
Caesarean Section ◽  
Histological Examination ◽  
Umbilical Cord ◽  
Emergency Caesarean Section ◽  
Wharton’S Jelly ◽  
Female Infant ◽  
Fetal Bradycardia ◽  
Wharton's Jelly ◽  
Emergency Caesarean ◽  
Fetal Movements

Wharton’s jelly is a specialised tissue which surrounds the vasculature within the fetal umbilical cord. We present the case of a 42-year-old woman who gave birth to a female infant via emergency caesarean section. At the time of delivery, absence of Wharton’s jelly was noted. This finding was confirmed by histological examination. Emergency caesarean section was necessitated due to a fetal bradycardia, and of note, the patient had presented twice prior to this with reduced fetal movements.

scholarly journals Emergency Caesarean Section in Systemic Sclerosis: Multidisciplinary Management

2018 ◽  
Vol 9 (11) ◽  
Author(s):  
Murabito Paolo ◽  
La Rosa Valeria ◽  
Scarpinati Giuseppe ◽  
Bonsignore Christian ◽  
Tringali Eleonora ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Multidisciplinary Management ◽  
Emergency Caesarean

scholarly journals Management considerations in Addison’s disease complicating pregnancy

2021 ◽  
Vol 8 (2) ◽  
pp. 273-274
Author(s):  
Srimathy Raman ◽  
Prakruthi KP ◽  
Vinutha G ◽  
Padmalatha Venkataram
Keyword(s):  
Caesarean Section ◽  
Antenatal Care ◽  
Addison’S Disease ◽  
Emergency Caesarean Section ◽  
Uneventful Recovery ◽  
Addison's Disease ◽  
High Dose ◽  
Multidisciplinary Management ◽  
Endocrine Disorder ◽  
Emergency Caesarean

Addison’s disease is a rare endocrine disorder. We present the management of a pregnant lady with Addison’s disease. She was managed jointly with the endocrinologists and the titrated dose of hydrocortisone and fludrocortisone dosage was regulated. Her antenatal care was uneventful and she had emergency caesarean section at 39 weeks in view of abnormal CTG. Her labour was appropriately covered with rescue steroids. However she went into hypotension immediately after delivery. She was resuscitated and was managed further in ICU where high dose steroids were given. She made an uneventful recovery.1. Management of pregnancy with Addison's disease is challenging but are often achieved with appropriate multidisciplinary management; 2. Patients with Addison's disease tolerate pregnancy well if the replacement steroids are adjusted and monitored closely; 3. Labour and delivery need to be managed cautiously with adequate steroid replacement to ensure successful outcomes; 4. Differentials need to be considered when adequate steroid cover has been provided and still there is a picture of Addisonian crisis.

scholarly journals TRIAL OF LABOR

2018 ◽  
Vol 21 (05) ◽  
pp. 897-900
Author(s):  
Shahina Ishtiaq ◽  
Habiba Sharaf Ali
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Fetal Distress ◽  
Descriptive Study ◽  
Emergency Caesarean Section ◽  
University Hospital ◽  
Exclusion Criteria ◽  
Trial Of Labor ◽  
Emergency Caesarean ◽  
Failure To Progress

Objective: To determine the frequency and types of vaginal delivery in womenwith previous one caesarean section and to observe the effect of women age on success ofvaginal birth. Method: A descriptive study was carried out in the department of obstetrics& gynecology, Ziauddin University Hospital Kemari campus Karachi from January 2011 toJanuary 2013. 200 patients with previous one caesarean section for a non recurrent cause wereincluded in the study after fulfilling the inclusion and exclusion criteria. The women selectedwere evaluated and counseled for trial of labor. The frequency and mode of vaginal delivery wasrecorded in cases of successful trial of labor and caesarean section was performed in case offailed trial of labor. Results: Successful vaginal delivery was achieved in 67% of the patients andrepeat emergency caesarean section was carried out in 33% of the patients. Leading indicationfor repeat caesarean section was failure to progress, fetal distress and scar tenderness. Nomaternal and fetal complication occurred. We also observed that patients of less than 30 yearswere more likely to have a successful vaginal delivery (82%) as compared to patients older than30 years (18%). Conclusions: The trial of labor should be encouraged with vigilant monitoringin patients with previous one Caesarean section and is a safe and successful option if carefullyselected and monitored.

Maternal temperature in emergency caesarean section (MATES): an observational multicentre study

2021 ◽  
pp. 102963
Author(s):  
P.T. Thorburn ◽  
R. Monteiro ◽  
A. Chakladar ◽  
A. Cochrane ◽  
J. Roberts ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Multicentre Study ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

Chikungunya–dengue co-infection during pregnancy requiring preterm Caesarean section: first case report from Bangladesh

2017 ◽  
Vol 48 (3) ◽  
pp. 234-235 ◽  
Author(s):  
Muhammad Abdur Rahim ◽  
Shahana Zaman ◽  
Nasreen Sultana ◽  
Ariful Islam ◽  
Khwaja Nazim Uddin
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
First Case

We report the first case of chikungunya-dengue co-infection during pregnancy requiring emergency Caesarean section (CS) because of fetal distress in a Bangladeshi primigravida. Though previously unreported, this situation may become increasingly common.

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