How OBGYNs can assist in the prenatal care and delivery of western lowland gorillas

Prenatal care and perinatal planning are paramount for successful delivery outcomes in human pregnancies and has been shown to be equally as important with non-human primates. The authors describe two pregnancies and deliveries of a 12-year-old primigravid western lowland gorilla, Macy. Macy’s first pregnancy resulted in a stillbirth and was complicated by breech positioning, while her second pregnancy resulted in a viable infant. This case report outlines the prenatal care Macy received in her pregnancies and highlights the importance of ultrasound for dating and fetal evaluation. The authors discuss options for breech positioning and considerations for cesarean section. This article showcases how obstetricians and veterinarians can implement human obstetrical recommendations with non-human primates to improve delivery outcomes.

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From groups to communities in western lowland gorillas

Proceedings of The Royal Society B Biological Sciences ◽

10.1098/rspb.2018.2019 ◽

2019 ◽

Vol 286 (1896) ◽

pp. 20182019 ◽

Cited By ~ 15

Author(s):

Giovanni Forcina ◽

Dominique Vallet ◽

Pascaline J. Le Gouar ◽

Rubén Bernardo-Madrid ◽

Germán Illera ◽

...

Keyword(s):

Social Play ◽

Gorilla Gorilla ◽

Gorilla Gorilla Gorilla ◽

Western Lowland Gorilla ◽

Social Species ◽

Intergroup Encounters ◽

Western Lowland Gorillas ◽

Cultural Traits ◽

Dynamics Of Populations ◽

Lowland Gorillas

Social networks are the result of interactions between individuals at different temporal scales. Thus, sporadic intergroup encounters and individual forays play a central role in defining the dynamics of populations in social species. We assessed the rate of intergroup encounters for three western lowland gorilla ( Gorilla gorilla gorilla ) groups with daily observations over 5 years, and non-invasively genotyped a larger population over four months. Both approaches revealed a social system much more dynamic than anticipated, with non-aggressive intergroup encounters that involved social play by immature individuals, exchanges of members between groups likely modulated by kinship, and absence of infanticide evidenced by infants not fathered by the silverback of the group where they were found. This resulted in a community composed of groups that interacted frequently and not-aggressively, contrasting with the more fragmented and aggressive mountain gorilla ( G. beringei beringei ) societies. Such extended sociality can promote the sharing of behavioural and cultural traits, but might also increase the susceptibility of western lowland gorillas to infectious diseases that have decimated their populations in recent times.

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Acute Dystonia after a Single Dose of Intravenous Metoclopramide during Elective Cesarean Section: A Case Report.

Journal of Case Reports in Medicine ◽

10.25149/jcrm.v8i1.173 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Danielle Levin

Keyword(s):

Single Dose ◽

Case Report ◽

Cesarean Section ◽

Epidural Anesthesia ◽

Elective Cesarean Section ◽

Single Administration ◽

Dystonic Reaction ◽

Elective Cesarean ◽

Combined Spinal Epidural Anesthesia ◽

Spinal Epidural

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia. During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron. Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive. Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds. Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission.

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Fecal glucocorticoids and gastrointestinal parasite infections in wild western lowland gorillas (Gorilla gorilla gorilla) involved in ecotourism

General and Comparative Endocrinology ◽

10.1016/j.ygcen.2021.113859 ◽

2021 ◽

pp. 113859

Author(s):

Kathryn Shutt-Phillips ◽

Barbora Pafčo ◽

Michael Heistermann ◽

Adetayo Kasim ◽

Klára J. Petrželková ◽

...

Keyword(s):

Gorilla Gorilla ◽

Gastrointestinal Parasite ◽

Gorilla Gorilla Gorilla ◽

Parasite Infections ◽

Western Lowland Gorillas ◽

Fecal Glucocorticoids ◽

Lowland Gorillas

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Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

JA Clinical Reports ◽

10.1186/s40981-021-00430-2 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Junnosuke Kimura ◽

Kento Kawamura ◽

Manami Minoura ◽

Ayako Hiramoto ◽

Yoshifumi Suga ◽

...

Keyword(s):

Case Report ◽

High Risk ◽

Cesarean Section ◽

General Anesthesia ◽

Pregnant Women ◽

Cesarean Delivery ◽

Business Communication ◽

Communication Tools ◽

Case Presentation ◽

Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

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Rapid growth of myxoid leiomyosarcoma of the vulva during pregnancy: a case report

International Journal of Gynecological Cancer ◽

10.1136/ijgc-00009577-200401000-00026 ◽

2004 ◽

Vol 14 (1) ◽

pp. 172-175 ◽

Cited By ~ 1

Author(s):

A. R. Di Gilio ◽

G. Cormio ◽

L. Resta ◽

C. Carriero ◽

V. Loizzi ◽

...

Keyword(s):

Differential Diagnosis ◽

Smooth Muscle ◽

Case Report ◽

Lymph Node ◽

Cesarean Section ◽

Recurrent Disease ◽

Node Dissection ◽

Smooth Muscle Tumors ◽

Vulvar Mass

Smooth muscle tumors arising in the vulva are rare. Leiomyosarcoma is the most common variant of vulvar sarcoma, and very few cases have been reported during pregnancy. A 36-year-old woman presented with a progressively enlarging vulvar mass during pregnancy, diagnosed as a Bartholin's gland cyst. The lesion was resected at 38 weeks of gestation during cesarean section and diagnosis of myxoid leiomyosarcoma of the vulva was made. Six weeks later the patients were referred to our center and submitted to wide vulvar excision with groin lymph node dissection that revealed the presence of a small residual focus of leiomyosarcoma. At 30 months of follow-up the patient was well without any sign of recurrent disease. Leiomyosarcoma should be included in the differential diagnosis of vulvar masses; progressively enlarging vulvar lesion should be biopsied even during pregnancy. Leiomyosarcoma should be considered in the differential diagnosis of vulvar mass.

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