scholarly journals Pregnancy from frozen-thawed blastocyst transfer increases risk of emergency cesarean section: a single-center retrospective study

2019 ◽  
Vol 5 (4) ◽  
Author(s):  
Atsushi Yanaihara ◽  
Shota Hatakeyama ◽  
Aguri Hirano ◽  
Makoto Ishikawa ◽  
Ryoma Taniguchi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Blastocyst Transfer ◽  
Single Center ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

Clinical characteristics of the pregnancies and deliveries of patients with moyamoya disease: A single-center analysis over three decades

2020 ◽  
pp. 174749302096380
Author(s):  
Jiro Aoyama ◽  
Tadashi Nariai ◽  
Kurumi Moriyama ◽  
Shoko Hara ◽  
Maki Mukawa ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Moyamoya Disease ◽  
University Hospital ◽  
Sudden Increase ◽  
Hypertensive Disorders Of Pregnancy ◽  
Single Center ◽  
Emergency Cesarean Section ◽  
Hypertensive Disorders ◽  
Emergency Cesarean ◽  
Minor Ischemic Stroke

Background and aims As moyamoya disease in pregnancy is clinically rare, it is poorly understood. We therefore analyzed our experiences of moyamoya disease pregnancies and deliveries over three decades. Methods The clinical data of 78 pregnancies and 77 deliveries among 62 moyamoya disease cases at Tokyo Medical and Dental University Hospital from 1991 to 2019 were retrospectively reviewed. Results There were six, 17 and 55 pregnancies in the first, second, and last decades, respectively. The mean patient age at delivery was 29.3 ± 5.0 years. The primary symptoms of moyamoya disease at diagnosis were ischemia in 50 cases (64.1%) and intracranial hemorrhage in eight cases (10.2%). Cesarean section was performed in 75 cases (96.2%). Fifteen pregnancies (19.2%) developed hypertensive disorders of pregnancy; of these, 13 (86.7%) developed hypertensive disorders of pregnancy after 34 weeks of gestation and 9 (60%) required emergency cesarean section because of a sudden increase in blood pressure. Four (5.1%) women experienced renal artery stenosis complications and three of them developed hypertension during pregnancy. Two (2.6%) experienced cerebral infarctions several days after delivery, both of whom had no subsequent aftereffects. No cases of hemorrhagic stroke were reported in the peripartum period. Conclusions To date, this is the largest single-center analysis. It showed the number of moyamoya disease pregnancies has risen rapidly over the last decade. The hypertensive disorders of pregnancy and emergency cesarean section rates were high among moyamoya disease patients. Minor ischemic stroke was observed, but its prevalence was low. Therefore, pregnant women with moyamoya disease should be managed with the understanding that hypertensive disorders of pregnancy is a common complication.

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.

Sign in / Sign up

Export Citation Format

Share Document