scholarly journals Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Takashi Suzuki ◽  
Maiko Wagata ◽  
Hiroko Konno ◽  
Takahiro Ito ◽  
Yuichi Torii ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Cesarean Section ◽  
Rare Case ◽  
Hemoglobin Level ◽  
Endoscopic Hemostasis ◽  
Third Trimester ◽  
Emergency Cesarean Section ◽  
The Third ◽  
Emergency Cesarean ◽  
Massive Hematemesis

We describe a rare case of Mallory-Weiss tear with massive hematemesis at 38 weeks’ gestation. A 35-year-old woman presented with epigastralgia followed by massive hematemesis. An emergency endoscopy indicated active pulsatile bleeding at the esophagocardial junction. Although an emergency endoscopic hemostasis was successful, late decelerations without acceleration on cardiotocogram were observed. Therefore, the patient underwent emergency cesarean section, along with blood transfusion, following the endoscopic hemostasis. The hemoglobin level just before the operation was 5.1 g/dL. We suspected that massive hematemesis induced maternal acute anemia and hypovolemia, which resulted in a nonreassuring fetal status. Hence, urgent endoscopic hemostasis, adequate blood transfusion, and emergency cesarean section were needed. Mallory-Weiss tear during the third trimester may have a possibility of massive hematemesis and urgent blood transfusion, emergency endoscopic hemostasis, and emergency cesarean section may be needed.

scholarly journals Caesarean sections are associated with sonographic determined fetal size from the second trimester onwards

2020 ◽  
Vol 83 (2) ◽  
pp. 163-183
Author(s):  
Sylvia Kirchengast ◽  
Beda Hartmann
Keyword(s):  
Cesarean Section ◽  
Vaginal Birth ◽  
Instrumental Delivery ◽  
Second Trimester ◽  
Third Trimester ◽  
Fetal Biometry ◽  
Emergency Cesarean Section ◽  
Delivery Modes ◽  
Emergency Cesarean ◽  
Newborn Size

AbstractHuman birth represents a critical and life-threatening event in the life of mother and child and is therefore of special importance for anthropological as well as public health research.Study aims: to analyze the association patterns between fetal biometry and delivery modes from the first trimester onwards.In this electronic medical record-based study, a dataset of 3408 singleton term birth taking place at the Viennese Danube hospital in Austria. was analyzed. Fetal biometry was reconstructed by the results of three ultrasound examinations carried out at the 11th/12th, 20th/21th and 32th/33thweek of gestation. In detail, crown-rump length, biparietal diameter, fronto-occipital diameter, head circumference, abdominal trans-verse diameter, abdominal sagittal diameter, abdominal circumference, and femur length were determined. Birth weight, birth length and head circumference were measured immediately after birth. Four delivery modes were compared: spontaneous vaginal birth, instrumental vaginal birth, planned cesarean section and emergency cesarean section.The total cesarean section rate was 10.2%. Fetal biometry and newborn size differed significantly between the four delivery modes. From the second trimester onward, head circumferences were significantly larger (p=0.005) among fetuses delivered by instrumental delivery or emergency cesarean section than among fetuses delivered by spontaneous vaginal birth. The fetal abdominal dimensions during the third trimester were significantly largest (p=0.001) among fetuses delivered by emergency cesarean section. In comparison to spontaneous vaginal delivery the risk to require instrumental delivery increased significantly with increasing fetal head dimensions at the second (p=0.019) and third trimester(p=0.032) independent of maternal somatic factors. The risk of emergency CS increased significantly with increasing head dimensions (p=0.030) as well as abdominal dimensions (p=0.001) at the third trimester and newborn size (p=0.002), also independently of maternal somatic factors.In general, larger fetuses are on an increased risk of experiencing instrumental delivery or emergency caesarean section. This association between fetal size and delivery mode is detectable from the second trimester onwards.

A twisted giant corpus luteum cyst in the third trimester of pregnancy in a multigravida: A case report

2021 ◽  
Vol 5 ◽  
pp. 85-88
Author(s):  
Ubong Bassey Akpan ◽  
Theophilus Ipeh Ugbem ◽  
Ezukwa Omoronyia
Keyword(s):  
Corpus Luteum ◽  
Rare Case ◽  
Acute Abdominal Pain ◽  
First Trimester ◽  
Third Trimester ◽  
The Third ◽  
Emergency Cesarean ◽  
First Trimester Of Pregnancy ◽  
Histology Report ◽  
Corpus Luteum Cyst

Corpus luteum cyst is common in early pregnancy and seldom exceeds 5 cm in diameter; many of which resolve before the end of the first trimester of pregnancy. Giant corpus luteum cyst in third trimester is very rare especially in naturally-conceived pregnancies. We hereby report a rare case of twisted giant corpus luteum cyst in the third trimester in a 33-year-old multigravida. She presented with acute abdominal pain and vomiting at a gestational age of 34 weeks. Ultrasound scan revealed a twisted giant right ovarian cyst. She underwent an emergency cesarean delivery and right oophorectomy. Histology report showed features that were diagnostic of corpus luteum cyst.

scholarly journals Prenatal Diagnosis on Ultrasound, Management and Prognosis of Umbilical Artery Thrombosis: A Retrospective Study of 11 Cases

2021 ◽  
Author(s):  
Suqing Wu ◽  
Hui Chen ◽  
Yin Wang ◽  
Tingting Hong ◽  
Siwei Luo ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cesarean Section ◽  
Neonatal Intensive Care ◽  
Umbilical Artery ◽  
Umbilical Vein ◽  
Perinatal Outcomes ◽  
Third Trimester ◽  
The Third ◽  
Artery Thrombosis ◽  
Emergency Cesarean

Abstract Background Umbilical artery thrombosis (UAT) is a rare occurrence during pregnancy and is responsible for most of the fetal demises. It is usually difficult to diagnose and easy to be missed or misdiagnosed. The purpose of this study is to investigate the prenatal ultrasonographic and clinical features of UAT.Methods The UAT cases from January 2015 to June 2021 in Guangdong Provincial People’s Hospital were collected, and their ultrasonographic and clinical data were analyzed retrospectively.Results 11 cases were diagnosed as UAT by intrapartum and postpartum findings. 8 cases (Case 1-8) were diagnosed as UAT by prenatal ultrasound, in which one umbilical vein (UV) and two umbilical arteries (UAs) were detected in the cross and longitudinal sections of the umbilical cord (UC) and thrombi were found in one UA with the obstructed blood flow in the third trimester; however, two UAs with normal blood flow on both sides of fetal bladder were detected during the second trimester. UC punctures were performed before thrombi appeared in 2 cases (Case 7-8). 3 cases (Case 9-11) were misdiagnosed as single umbilical artery (SUA) until delivery. When UAT was diagnosed, the systolic to diastolic ratio (S/D) values of UA were < the 25th percentile and the pulsatility index (PI) values of UA were < the 5th percentile in all cases. Doppler measurements of middle cerebral artery (MCA) were measured in 3 cases. Among them, PI values of MCA of 2 cases were < the 5th percentile, and the cerebroplacental ratios of all 3 cases were > the 25th percentile. 8 pregnancies were terminated by cesarean section. 2 women gave birth spontaneously. 1 woman underwent vaginal forceps delivery. 8 neonates were transferred to neonatal intensive care unit. All the newborns had good prognosis.Conclusions When the ultrasound shows only one UA in the level of fetal bladder for the first time in the third trimester, both sonologists and obstetricians should be highly alert to UAT. Thorough confirm of the previous examination results is necessary to exclude SUA. Intensive fetal monitoring and emergency cesarean section are necessary to avoid adverse perinatal outcomes.

A Case of Emergency Cesarean Section on Client with Pseudopregnancy

2020 ◽  
pp. 1-6
Keyword(s):  
Heart Rate ◽  
Cesarean Section ◽  
Fetal Heart Rate ◽  
Medical Service ◽  
Fetal Heart ◽  
Placenta Previa ◽  
Urban Hospital ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Rural Health Center

Pseudopregnancy detection is significant while as the false pregnancy may show all symptoms. It is important to differentiate it. This is a case report of a pseudopregnancy which led to an emergency cesarean section. A 28-year-old woman who claimed to 7-month pregnancy was brought to the rural health center by husband families complaining of vaginal bleeding. The woman refers to an urban hospital by Emergency Medical Service with the diagnosis of placenta previa. In the hospital, she underwent an emergency cesarean section due to a severe deceleration of fetal heart rate, prior to assessing by sonography. No fetus or signs of uterine or abdominal pregnancy were found. Wrong auscultation of the mother's heart rate instead of fetal heart rate seems to be the main error. It is required to pay more attention to the methods of differentiation of fetal heart rate from the mother's heart rate. This report enlightens false pregnancy and early differentiation.

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