scholarly journals Intrapartum Diagnosis and Treatment of Longitudinal Vaginal Septum

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Antonio Henriques de França Neto ◽  
Bianca Virgolino Nóbrega ◽  
Jessé Clementino Filho ◽  
Tiago Cavalcanti do Ó ◽  
Melania Maria Ramos de Amorim
Keyword(s):  
Good Health ◽  
Full Term ◽  
Diagnosis And Treatment ◽  
Primary Amenorrhea ◽  
Term Pregnancy ◽  
Vaginal Septum ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Speculum Examination ◽  
Mother And Child

Longitudinal vaginal septum is a rare Müllerian malformation that may be associated with dyspareunia, dysmenorrhea, primary amenorrhea, and infertility. In this report, the authors present a case of longitudinal vaginal septum in a 15-year-old patient with a full-term pregnancy whose diagnosis was only made during labor following bidigital vaginal and speculum examination. Septoplasty was performed during the second stage of labor. Both mother and child progressed satisfactorily and were discharged from hospital in good health. Six months later, ultrasonography, hysterosalpingography, and hysteroscopy were carried out and no other associated abnormality was found.

scholarly journals Risk Factors Affecting the Severity of Full-Term Neonatal Retinal Hemorrhage

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Zhang Yanli ◽  
Zhao Qi ◽  
Lin Yu ◽  
Guo Haike
Keyword(s):  
Risk Factors ◽  
Intracranial Hemorrhage ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Retinal Hemorrhage ◽  
Full Term ◽  
Term Infants ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Prolonged Duration

Objective. The purpose of this study was to explore the underlying clinical factors associated with the degree of retinal hemorrhage (RH) in full-term newborns. Methods. A total of 3054 full-term infants were included in this study. Eye examinations were performed with RetCamIII within one week of birth for all infants. Maternal, obstetric, and neonatal parameters were compared between newborns with RH and controls. The RH group was divided into three sections (I, II, and III) based on the degree of RH. Results. RH was observed in 1202 of 3054 infants (39.36%) in this study. The quantity and proportion of newborns in groups I, II, and III were 408 (13.36%), 610 (19.97%), and 184 (6.03%), respectively. Spontaneous vaginal delivery (SVD), prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage positively correlated with aggravation of the degree of RH in newborns. Conversely, cesarean section was protective against the incidence of RH. Conclusions. SVD, prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage were potential risk factors for aggravation of the degree of RH in full-term infants. Accordingly, infants with these risk factors may require greater attention with respect to RH development.

scholarly journals Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Ayumi Ono ◽  
Iori Kisu ◽  
Tomoko Iijma ◽  
Hiroshi Senba ◽  
Kiyoko Matsuda ◽  
...  
Keyword(s):  
Normal Saline ◽  
Saline Infusion ◽  
Diagnosis And Treatment ◽  
Vaginal Septum ◽  
Inflated Balloon ◽  
Speculum Examination ◽  
Transverse Vaginal Septum ◽  
Normal Cervix ◽  
Vaginal Canal ◽  
A New Technique

Transverse vaginal septum (TVS) is a particularly rare vaginal anomaly, and diagnosis is often difficult in a genital examination. We herein present a case of perforated TVS for which successful diagnosis and treatment were achieved using a new technique referred to as saline infusion sonocolpography. A 32-year-old female presented with primary infertility. Speculum examination revealed a blind vaginal canal with two pinpoint perforating holes. Foley catheters with inflated balloon were inserted into the two apertures, and then normal saline was injected through the catheters to distend the vaginal pouch. This procedure of saline infusion sonocolpography revealed the uterine cervix and vaginal pouch and permitted diagnosis of perforated TVS of the upper vagina. The septum was excised and a normal cervix was ascertained. The patient had no complication such as agglutination of the vagina postoperatively. This case suggests that saline infusion sonocolpography may be useful for diagnosis and treatment of TVS.

scholarly journals Successful vaginal delivery in a woman with longitudinal vaginal septum: a case report

2021 ◽  
Vol 10 (10) ◽  
pp. 3992
Author(s):  
Archana Minz ◽  
Kallol Kumar Roy ◽  
Rinchen Zangmo
Keyword(s):  
Case Report ◽  
Vaginal Delivery ◽  
Incidental Finding ◽  
Imaging Study ◽  
Labour Pain ◽  
Good Health ◽  
Primary Amenorrhea ◽  
Antenatal Visit ◽  
Vaginal Septum ◽  
Second Stage Of Labour

Anomalies of vagina may present with primary amenorrhea, dysmenorrhea, infertility, dyspareunia or can be detected as an incidental finding on physical examination or imaging study for another indication. We present a case report of a 21-year-old pregnant woman who was diagnosed with longitudinal vaginal septum on vaginal examination during her antenatal visit at term. At 38 weeks 2 days period of gestation, patient presented with labour pain. Resection of the longitudinal vaginal septum was performed during the second stage of labour which facilitated vaginal delivery. Both mother and baby were discharged from hospital in good health.

Second stage of labor in the age of epidural anesthesia

1998 ◽  
Vol 5 (1) ◽  
pp. 171A-171A
Author(s):  
E XENAKIS ◽  
J PIPER ◽  
M MCFARLAND ◽  
C SUITER ◽  
O LANGER
Keyword(s):  
Epidural Anesthesia ◽  
Second Stage Of Labor ◽  
Second Stage

Translabial ultrasound in the second stage of labor

Choonpa Igaku ◽  
2016 ◽  
Vol 43 (3) ◽  
pp. 457-465
Author(s):  
Koichi KOBAYASHI ◽  
Miki GOTO ◽  
Ken SAKAMAKI
Keyword(s):  
Translabial Ultrasound ◽  
Second Stage Of Labor ◽  
Second Stage

scholarly journals Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes

2021 ◽  
Author(s):  
Keizo Tanitame ◽  
Nobuko Tanitame ◽  
Saiko Urayama ◽  
Kazuhiro Ohtsu
Keyword(s):  
Correct Diagnosis ◽  
Late Complications ◽  
Diagnosis And Treatment ◽  
Imaging Findings ◽  
Vaginal Septum ◽  
Renal Anomaly ◽  
Imperforate Hymen ◽  
Adequate Knowledge ◽  
Transverse Vaginal Septum ◽  
Urogenital Anomalies

AbstractHemato/hydrocolpos due to congenital urogenital anomalies are rare conditions discovered in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed owing to its rare incidence and nonspecific symptoms. If early correct diagnosis and treatment cannot be performed, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. Congenital urogenital anomalies causing hemato/hydrocolpos are mainly of four types: imperforate hymen, distal vaginal agenesis, transverse vaginal septum, and obstructed hemivagina and ipsilateral renal anomaly, and clinicians should have adequate knowledge about these anomalies. This article aimed to review the diagnosis and treatment of these urogenital anomalies by describing embryology, clinical presentation, imaging findings, surgical management, and postoperative outcomes.

Comparison of streptozotocin-induced diabetes at different moments of the life of female rats for translational studies

2021 ◽  
pp. 002367722110018
Author(s):  
Yuri K Sinzato ◽  
Eduardo Klöppel ◽  
Carolina A Miranda ◽  
Verônyca G Paula ◽  
Larissa F Alves ◽  
...  
Keyword(s):  
Adult Life ◽  
Tolerance Test ◽  
Full Term ◽  
Female Rats ◽  
Lower Percentage ◽  
Control Group ◽  
Oral Glucose ◽  
Postnatal Life ◽  
Sprague Dawley ◽  
Term Pregnancy

Animal models are widely used for studying diabetes in translational research. However, methods for induction of diabetes are conflicting with regards to their efficacy, reproducibility and cost. A comparison of outcomes between the diabetic models is still unknown, especially full-term pregnancy.To understand the comparison, we analyzed the streptozotocin (STZ)-induced diabetes at three life-different moments during the neonatal period in Sprague–Dawley female rats: at the first (D1), second (D2) and fifth (D5) day of postnatal life. At adulthood (90 days; D90), the animals were submitted to an oral glucose tolerance test (OGTT) for diabetic status confirmation. The diabetic and control rats were mated and sacrificed at full-term pregnancy for different analyses. Group D1 presented a higher mortality percentage after STZ administration than groups D2 and D5. All diabetic groups presented higher blood glucose levels as compared to those of the control group, while group D5 had higher levels of glycemia compared with other groups during OGTT. The diabetic groups showed impaired reproductive outcomes compared with the control group. Group D1 had lower percentages of mated rats and D5 showed a lower percentage of a full-term pregnancy. Besides that, these two groups also showed the highest percentages of inadequate fetal weight. In summary, although all groups fulfill the diagnosis criteria for diabetes in adult life, in our investigation diabetes induced on D5 presents lower costs and higher efficacy and reproducibility for studies involving diabetes-complicated pregnancy.

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