scholarly journals Pregnancy in non-communicating rudimentary horn

2017 ◽  
Vol 6 (4) ◽  
pp. 1691
Author(s):  
Ram Kanwar Deora ◽  
Preeti Chawla ◽  
Nikhila G. Shetty
Keyword(s):  
Abdominal Pain ◽  
Blood Loss ◽  
General Anesthesia ◽  
Gestational Age ◽  
Bicornuate Uterus ◽  
Rudimentary Horn ◽  
Estimated Blood Loss ◽  
Gestational Sac ◽  
Operative Findings

A 25-year old G3P2L2 presented to casuality of OBG Dept, Ummaid Hospital, Jodhpur with5 months amenorrhea and bleeding per vaginum for last 5 days associated with abdominal pain. On per abdomen examination, a mass arising from pelvis corresponding to the size of a 16 weeks pregnancy was seen. A repeat ultrasound was performed in our hospital and the findings were - normally visualised uterus with a gestational sac with thin myometrium rim seen on right side with single dead fetus of gestational age 14 weeks 3 days, pregnancy in rudimentary horn, bicornuate uterus with pregnancy in right horn. Patient was counselled and prepared for laparotomy which was performed under general anesthesia. Intra -operative findings were normal sized uterus, right sided rudimentary horn pregnancy was seen. Both tubes and ovaries were normal. Hence, right sided rudimentary horn excision along with ipsilateral salpingo – oophorectomy was planned and done by clamping and cutting. Hemostasis was achieved. There was no communication between the rudimentary horn and the main uterus. The estimated blood loss was 200ml.

scholarly journals Anesthetic management in cesarean delivery of women with placenta previa: a retrospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dazhi Fan ◽  
Jiaming Rao ◽  
Dongxin Lin ◽  
Huishan Zhang ◽  
Zixing Zhou ◽  
...  
Keyword(s):  
Cohort Study ◽  
Blood Transfusion ◽  
Blood Loss ◽  
General Anesthesia ◽  
Cesarean Delivery ◽  
Retrospective Cohort ◽  
Placenta Previa ◽  
Neuraxial Anesthesia ◽  
Estimated Blood Loss ◽  
Maternal And Neonatal Outcomes

Abstract Background The incidence of placenta preiva is rising. Cesarean delivery is identified as the only safe and appropriate mode of delivery for pregnancies with placenta previa. Anesthesia is important during the cesarean delivery. The aim of this study is to assess maternal and neonatal outcomes of patients with placenta previa managed with neuraxial anesthesia as compared to those who underwent general anesthesia during cesarean delivery. Methods A retrospective cohort study was performed of all patients with placenta preiva at our large academic institution from January 1, 2014 to June 30, 2019. Patients were managed neuraxial anesthesia and general anesthesia during cesarean delivery. Results We identified 1234 patients with placenta previa who underwent cesarean delivery at our institution. Neuraxial anesthesia was performed in 737 (59.7%), and general anesthesia was completed in 497 (40.3%) patients. The mean estimated blood loss at neuraxial anesthesia of 558.96 ± 42.77 ml were significantly lower than the estimated blood loss at general anesthesia of 1952.51 ± 180 ml (p < 0.001). One hundred and forty-six of 737 (19.8%) patients required blood transfusion at neuraxial anesthesia, whereas 381 out of 497 (76.7%) patients required blood transfusion at general anesthesia. The rate neonatal asphyxia and admission to NICU at neuraxial anesthesia was significantly lower than general anesthesia (2.7% vs. 19.5 and 18.2% vs. 44.1%, respectively). After adjusting confounding factors, blood loss was less, Apgar score at 1- and 5-min were higher, and the rate of blood transfusion, neonatal asphyxia, and admission to NICU were lower in the neuraxial group. Conclusions Our data demonstrated that neuraxial anesthesia is associated with better maternal and neonatal outcomes during cesarean delivery in women with placenta previa.

scholarly journals Efficacy of balloon tamponade in control of primary postpartum haemorrhage (PPH).

2020 ◽  
Vol 27 (04) ◽  
pp. 717-720
Author(s):  
Kashfa Tasnim Akhtar ◽  
Sobia Tabassum ◽  
Shazia Siddique
Keyword(s):  
Blood Loss ◽  
Gestational Age ◽  
Postpartum Haemorrhage ◽  
Ease Of Use ◽  
P Value ◽  
Balloon Tamponade ◽  
Products Of Conception ◽  
Estimated Blood Loss ◽  
Increased Risk ◽  
Significant Difference

Objectives: Primary postpartum haemorrhage (PPH) refers to excessive blood loss (>500ml) during 3rd stage of labour in the 1st 24 hours after delivery, thereafter, significant bleeding is referred to as secondary PPH. Its incidence is about 5% of deliveries. This study was conducted to note the efficacy of balloon tamponade in the control of PPH. Study Design: Experimental study. Setting: Department of Obstetrics and Gyne, Civil Hospital, Bahawalpur. Period: 1st January 2018 to 30th June 2018. Material & Methods: A total of 80 cases with Primary PPH after vaginal delivery were considered for this study. Cases with Bleeding disorders, ruptured uterus, retained products of conception, genital tract injuries or on anticoagulant therapy were excluded. All patients received balloon tamponade. Failure of control of bleeding was observed amongst all the patients. Results: Mean age, gestational age and parity were 24.54 years, 37.88 weeks and 3.17 respectively. Mean estimated blood loss was found to be 1125+320 ml, SBP 90.10+20.6 mmHg, DBP 57+7.2 mmHg and pulse 106+9.2 bpm. As far efficacy of balloon tamponade is concerned, it was noted in 71 (88.8%) women. When women were analyzed for maternal age, gestational age and parity status, no significant difference was found (P value > 0.05). Conclusion: Balloon tamponade has good efficacy (88.8%) in controlling PPH. Its ease of use in cases at increased risk of PPH makes it a suitable option.

scholarly journals Embarazo a término en útero bicorne con cuerno rudimentario no comunicante. Reporte de un caso

2021 ◽  
Vol 81 (04) ◽  
pp. 415-419
Author(s):  
Martha Rondón-Tapia ◽  
◽  
Eduardo Reyna-Villasmil ◽  
Duly Torres-Cepeda
Keyword(s):  
Abdominal Pain ◽  
Urinary Tract ◽  
Physical Examination ◽  
Vaginal Bleeding ◽  
Emergency Laparotomy ◽  
Term Pregnancy ◽  
Provisional Diagnosis ◽  
Urinary Tract Abnormalities ◽  
Rudimentary Horn ◽  
Gestational Sac

The bicorne uterus with a rudimentary non-communicating horn may be associated with gynecological and obstetric complications such as infertility, endometriosis, hematometra, urinary tract abnormalities, abortions, and preterm deliveries. Excision of the rudimentary horn should be done outside of pregnancy, with followup during pregnancy, looking for complications. We present the case of a 40-year-old patient, who presented abdominal pain and vaginal bleeding, with a full-term pregnancy in a rudimentary non-communicating horn of a bicorne uterus. Physical examination showed abdominal distention and loss of uterine contour and no fetal parts were palpated. The provisional diagnosis of rupture of the uterus was made. Emergency laparotomy revealed a dead and deformed fetus, 37 weeks old, in a bicorne uterus with a broken rudimentary non-communicating horn, along with an acretic placenta. Extraction of the gestational sac, fetus and placenta and subtotal hysterectomy with conservation of the left annex were performed. Keywords: Rudimentary horn not communicating, Bicornuate uterus, Term pregnancy

scholarly journals A Case of Ruptured Rudimentary Horn of Uterus during Pregnancy

2020 ◽  
Vol 32 (2) ◽  
pp. 121-123
Author(s):  
Ruman U ◽  
Khanam K ◽  
Akhter S ◽  
Karim R
Keyword(s):  
Abdominal Pain ◽  
Gestational Age ◽  
Hypovolemic Shock ◽  
Emergency Laparotomy ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Severe Haemorrhage ◽  
Life Threatening ◽  
History Of ◽  
Threatening Situation

Pregnancy in a rudimentary horn of an unicornuate uterus is a rare and life threatening situation for mother and fetus. Usually pregnancy continues upto approximately 18-20 weeks of gestational age. Then it usually ruptures and severe haemorrhage ensues. Emergency laparotomy is the treatment of choice. Here we report a case of 36 years woman with secondary subfertility who has history of taking ovulation inducing drug. She presented with 20 weeks amenorrhoea with severe abdominal pain and hypovolemic shock. Urgent laparotomy was done and the diagnosis was confirmed. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 121-123

scholarly journals Quantitative blood loss: a validation study

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Keely K Ulmer ◽  
Stephanie Radke ◽  
Kelli Ryckman
Keyword(s):  
Blood Loss ◽  
Gestational Age ◽  
Validation Study ◽  
Blood Concentration ◽  
Poor Correlation ◽  
Maternal Factors ◽  
Loss Calculation ◽  
Factors Influencing ◽  
Estimated Blood Loss ◽  
In Pregnancy

Objective: To determine if quantitative blood loss would correlate to predicted blood loss based on change in blood concentration of hemoglobin. Conclusion: The correlation between calculated blood using modified Brecher’s formula showed poor overall correlation to quantitative blood loss. There was a higher correlation at blood loss greater than 1500 cc which is where estimated blood loss has been shown to be most poor. Possible reasons for this poor correlation include maternal factors influencing hemoglobin levels, gestational age, error in blood loss calculation, inaccuracy of Brecher’s formula in pregnancy.

Comparison of Functional Endoscopic Sinus Surgery under Local and General Anesthesia

1993 ◽  
Vol 102 (4) ◽  
pp. 289-293 ◽  
Author(s):  
Paul D. Gittelman ◽  
Joseph B. Jacobs ◽  
Jane Skorina
Keyword(s):  
Blood Loss ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Intravenous Sedation ◽  
New York University ◽  
Major Complications ◽  
Estimated Blood Loss

We present a retrospective comparison of intravenous sedation and general anesthesia techniques employed at New York University—Bellevue Medical Center for functional endoscopic sinus surgery. Some authors have stressed the use of local anesthesia with intravenous sedation in order to avoid complications and reduce blood loss. We have reviewed 232 patients who underwent 401 consecutive ethmoidectomies and maxillary antrostomies. Local anesthesia, employed in 64% of patients, carried an estimated blood loss of 23 mL per side. General anesthesia was associated with an average blood loss of 58 mL per side. The rate of operative complications for local anesthesia was 8.7% per patient, with a 1.6% rate of major complications per side. General anesthesia carried an overall complication rate of 2.4% per patient, with no major complications. General anesthesia is a relatively safe and viable option for endoscopic sinus surgery that in selected cases may be preferable to local anesthesia.

Menstruation Among Adolescent Girls Living in Rural Border Areas

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Ritu Gupta ◽  
Ravinder K Gupta ◽  
Vallabh Dogra ◽  
Himani Badyal
Keyword(s):  
Abdominal Pain ◽  
Menstrual Cycle ◽  
Blood Loss ◽  
Prospective Study ◽  
Adolescent Girls ◽  
Common Side Effect ◽  
Age Group ◽  
Different Types ◽  
Study Population ◽  
Border Areas

Objective: To study the various beliefs and problems regarding menstruation among adolescent girls living in rural border areas. Design- Prospective study. Setting- Pediatric outpatient clinic. Materials and methods- About 200 adolescent girls (11-19 years) living in rural border areas were enrolled for the study. These girls were asked about menarche, duration of the cycle, amount of blood loss and the various menstrual problems. They were also asked about the various beliefs and myths regarding menstruation. The girls having any illness affecting the menstrual cycle or those suffering from neuropsychiatric disorders were excluded from this study. Results- About 51% of the study population was in the age group 17-18 years. About 43.5% of girls attained menarche at the age of 10-12 years. About 51% of girls did not know about menstruation before menarche. Abdominal pain was the most common side effect seen in 41% of girls during menstruation. About 61% of girls considered themselves unclean during menstruation.  Twenty percent avoided schools, 20% avoided kitchen, 12% avoided temples while 10% stayed away from friends/ relatives. Only 33% of girls knew that menstruation stops temporarily after becoming pregnant. Twenty-two percent girls were using sanitary napkins while the rest used different types of clothes during the menstrual cycle. Conclusion- There is a dire need to educate girls regarding menstruation before menarche in the rural border areas. Every mother should discuss in a friendly way regarding various aspects of menstruation.

Preoperative hematocrit and platelet count are associated with blood loss during spinal fusion for children with neuromuscular scoliosis

2021 ◽  
pp. 175045892096263
Author(s):  
Margaret O Lewen ◽  
Jay Berry ◽  
Connor Johnson ◽  
Rachael Grace ◽  
Laurie Glader ◽  
...  
Keyword(s):  
Platelet Count ◽  
Blood Loss ◽  
Spinal Fusion ◽  
Regression Trees ◽  
Classification And Regression Trees ◽  
Neuromuscular Scoliosis ◽  
Independent Variables ◽  
Estimated Blood Loss ◽  
Laboratory Results ◽  
Classification And Regression

Aim To assess the relationship of preoperative hematology laboratory results with intraoperative estimated blood loss and transfusion volumes during posterior spinal fusion for pediatric neuromuscular scoliosis. Methods Retrospective chart review of 179 children with neuromuscular scoliosis undergoing spinal fusion at a tertiary children’s hospital between 2012 and 2017. The main outcome measure was estimated blood loss. Secondary outcomes were volumes of packed red blood cells, fresh frozen plasma, and platelets transfused intraoperatively. Independent variables were preoperative blood counts, coagulation studies, and demographic and surgical characteristics. Relationships between estimated blood loss, transfusion volumes, and independent variables were assessed using bivariable analyses. Classification and Regression Trees were used to identify variables most strongly correlated with outcomes. Results In bivariable analyses, increased estimated blood loss was significantly associated with higher preoperative hematocrit and lower preoperative platelet count but not with abnormal coagulation studies. Preoperative laboratory results were not associated with intraoperative transfusion volumes. In Classification and Regression Trees analysis, binary splits associated with the largest increase in estimated blood loss were hematocrit ≥44% vs. <44% and platelets ≥308 vs. <308 × 109/L. Conclusions Preoperative blood counts may identify patients at risk of increased bleeding, though do not predict intraoperative transfusion requirements. Abnormal coagulation studies often prompted preoperative intervention but were not associated with increased intraoperative bleeding or transfusion needs.

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