scholarly journals A case of intrauterine fetal demise with cord prolapse

2021 ◽  
Vol 10 (6) ◽  
pp. 2537
Author(s):  
L. Thulasi Devi ◽  
Gurusamy Prasad
Keyword(s):  
Neonatal Outcome ◽  
Fetal Demise ◽  
Institutional Deliveries ◽  
Intrauterine Fetal Demise ◽  
Active Labour ◽  
Cord Prolapse ◽  
Labour Room

A case of intrauterine fetal demise with cord prolapse, presenting to the labour room in active labour. Labour was uneventful; however, it reminds of importance of institutional deliveries, alert midwives, and importance of dedicated obstetric operation theatres and teams to prevent adverse maternal and neonatal outcome.

scholarly journals Suicidal attempt by woman in labor

2017 ◽  
Vol 6 (12) ◽  
pp. 5650
Author(s):  
Vidyadhar B. Bangal ◽  
Krishna Mandade ◽  
Priyanka Verma ◽  
Prachi Amrale ◽  
Kunal Aher ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Associated Factors ◽  
Attempted Suicide ◽  
Razor Blade ◽  
Fetal Demise ◽  
Contributory Factors ◽  
Active Labour ◽  
Suicidal Attempts ◽  
Unwanted Pregnancies ◽  
Labour Room

Suicidal ideation during delivery is extremely rare. Very few cases have been reported in the literature. Unwanted pregnancies, pre-existent mental disorders, substance abuse or addictions, marital dis-harmony, fetal demise or stillbirths have been documented as associated factors in reported cases of suicidal attempts by women in labour. Women tried taking overdose of sedative pills or have attempted hanging, drowning or jumping from hospital terrace. Lack of prenatal education, suboptimum use of labour analgesia, ill-treatment by health professional and relatives have been the contributory factors for suicidal ideation during pregnancy and labour. We report a rare case of attempted suicide by woman in active labour. She tried to cut the forearm and wrists with the help of razor blade used for preparation of part in preparation room attached to the labour room. The situation was recognized early by vigilant nurse on duty. The woman was resuscitated, treated, and counselled by psychiatrist before discharge from the hospital. 

Maternal and Fetal Outcomes of COVID-19 Positive Pregnant Women in Government T.D. Medical College Alappuzha

2021 ◽  
Vol 8 (36) ◽  
pp. 3306-3311
Author(s):  
Lalithambica Karunakaran ◽  
Deepthi P.S. ◽  
Shijini T
Keyword(s):  
Maternal Mortality ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Neonatal Outcome ◽  
Full Term ◽  
Fetal Demise ◽  
Medical College ◽  
Intrauterine Fetal Demise ◽  
Corona Virus

BACKGROUND Corona virus disease 2019 (COVID 19) outbreak have evolved rapidly throughout the world. The knowledge on severe acute respiratory disease-corona virus-2 (SARS-CoV-2) infection in pregnant women and newborn is incomplete. Understanding the impact of COVID 19 in pregnancy in terms of morbidity mortality, perinatal and neonatal outcome is essential to propose a strategy for the management of pregnant women with COVID 19 infection. METHOD It is a prospective study of all pregnant women who have delivered in the period of April 2020 to December 2020 at Government T.D. Medical College, Alappuzha. In this study, the mode of delivery, neonatal outcome, maternal mortality, morbidity were evaluated. The outcome of pregnancies includes vaginal delivery, caesarean delivery, vacuum delivery and intrauterine fetal demise. RESULTS A total of 265 pregnant women infected with COVID 19 delivered during the period. Out of these, 49.4 % was full term caesarean delivery, 3.8 % was preterm caesarean delivery, 39.3 % was full term vaginal delivery and 4.9 % was preterm vaginal delivery. Moreover, 1.1 % of the total pregnant women had intrauterine fetal demise on admission. Among 265 new-borns, 2.3 % babies became COVID 19 positive, of this, 83.3 % were mothers who delivered within 7 days of COVID 19 infection. 0.75 % needed resuscitative emergency caesarean delivery for COVID 19 pneumonia. 0.38 % maternal mortality occurred during the period due to COVID 19 infection. CONCLUSIONS Obstetric outcome in most COVID 19 infected term pregnant patients is comparable to non-COVID 19 pregnant women except for a higher incidence of caesarean delivery. Most of the neonates who became positive were born to mothers delivered within 7 days of COVID 19 infection. Severe morbidity among COVID 19 pregnant women were seen only in a small proportion complicated by COVID 19 pneumonia, who required ventilator support. KEYWORDS COVID 19, Pregnancy, Maternal, Perinatal, Neonatal Outcome

scholarly journals Use of mifepristone for termination of intrauterine fetal demise (IUFD) in previously scarred uterus in later half of pregnancy (>20 weeks)

2018 ◽  
Vol 7 (7) ◽  
pp. 2668
Author(s):  
R. Arora ◽  
P. B. Patel ◽  
A. Dabral ◽  
M. Sachdeva ◽  
P. Arya
Keyword(s):  
Uterine Contractility ◽  
Third Trimester ◽  
Fetal Demise ◽  
Uterine Contractions ◽  
Uterine Surgery ◽  
Active Labour ◽  
Spontaneous Labour ◽  
Oxytocin Augmentation ◽  
Scarred Uterus ◽  
Labour Room

Background: Mifepristone has the potential to be used as an agent for induction of labour by increasing the uterine contractility and increasing the sensitivity of uterus to prostaglandins. The present study is an endeavor to study the effect of mifepristone alone to induce labour in scarred uterus and its risk benefit ratio.Methods: Total 39 patients with IUFD and previous uterine surgery were included in the study after their informed consent. All women in the study were given Tablet Mifepristone 200 mg orally, thrice a day, maximum 6 doses (Max -1200 mg) over a duration of 48 hours. Patients were monitored for vitals, the uterine contractions and any bleeding per vaginum. Next dose of drug was omitted if sufficient uterine contractions or cervical dilatation ≥2.5 cm achieved. Patients were shifted to the labour room after onset of active labour. Labour was augmented with oxytocin wherever required.Results: spontaneous labour occurred in 74.3% (29/39) women while operative (cesarean/ hysterotomy) delivery occurred in 17.9% (07/39). Mean induction (first dose of mifepristone) to delivery interval was 51.5 hrs in second trimester while 59.8 hrs in third trimester women. Oxytocin augmentation was done in 8 (20.5 %) women.Conclusions: The potential advantage of mifepristone over prostaglandins and oxytocin, is mainly in situations where they are contraindicated (i.e., scarred uterus). In this study authors found that with mifepristone only regimen is quite safe and effective, inducing spontaneous labour in 74.3% (29/39) women with IUFD and in reducing the operative (cesarean/ hysterotomy) delivery (17.9%).

Scenario of General Anesthesia for Cesarean Section in Rural Tertiary Care Center in High Altitude Karnali Academy of Health Sciences

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Ramesh Bhattarai ◽  
Rajiv Shah ◽  
Sita Dhakal ◽  
Pragya Malla ◽  
Srijana Sapkota
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
High Altitude ◽  
Spinal Anesthesia ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Health Sciences ◽  
Tertiary Care Center ◽  
Cord Prolapse

Background: General anesthesia for cesarean section is being less popular for cesarean section in present days but sometime general anesthesia is inevitable. The aim of the study is to assess the trends of general anesthesia, indications, clinical outcome in mother and fetus in high altitude setting of tertiary care center of Nepal. Methods: We conducted descriptive cross-sectional study all cases of cesarean section in Karnali Academy of health Sciences (KAHS) located at high altitude over three years period   in our institute. Data were retrieved from the hospital records during three fiscal year (Jan 1st 2017 to Jan Dec 31st 2019). The record of all the patients who underwent cesarean section under general anesthesia was reviewed for demographic details, indication of general anesthesia, trends for general and spinal anesthesia and maternal and neonatal outcome. Results: Out of total deliveries 2175, 309 (14.2%) cases account for cesarean section. Among them, 52 (17%) required general anesthesia . Eclampsia 19(36%) remain the major indication for General Anesthesia in cesarean section followed by failure of spinal anesthesia number 14 (26%) , cord prolapse six (12%), antepartam haemorrhage five (10%), spinal site infection four (8%), Khiphoscoliosis two(4%), Patients request  two (4%). Use for general anesthesia technique was consistent for three years with slow rise in use of spinal anesthesia . There was no any anesthesia related maternal mortality and nine intraoperative neonatal   Conclusions:  General anesthesia practices are consistently required in rural high-altitude setup. Eclampsia is the commonest indication followed by failure of spinal anesthesia and cord prolapse. Neonatal outcome is still not good.  

Florid Bacillus cereus Infection of the Placenta Associated With Intrauterine Fetal Demise

2021 ◽  
pp. 109352662199902
Author(s):  
Stephanie Shea ◽  
Alberto Paniz-Mondolfi ◽  
Emilia Sordillo ◽  
Michael Nowak ◽  
Fumiko Dekio
Keyword(s):  
Bacillus Cereus ◽  
Placental Tissue ◽  
Maternal Blood ◽  
Gastrointestinal Infections ◽  
Gram Positive ◽  
Fetal Demise ◽  
Placental Infection ◽  
Intrauterine Fetal Demise ◽  
Acute Necrotizing ◽  
Poor Outcomes

Bacillus cereus is a gram-positive, rod-shaped bacterium that is commonly implicated in foodborne illness but has also become increasingly recognized as a source of serious non-gastrointestinal infections, including sepsis, meningitis, and pneumonia. Non-gastrointestinal B. cereus infections have been identified in children, especially in neonates; however, there are no previously described cases of fetal demise associated with B. cereus placental infection. We present a case of acute chorioamnionitis-related intrauterine fetal demise of twin A at 17 weeks gestation, noted two days after selective termination of twin B. Histological examination revealed numerous gram-positive bacilli in placental tissue, as well as fetal vasculature, in the setting of severe acute necrotizing chorioamnionitis and subchorionitis, intervillous abscesses, acute villitis, and peripheral acute funisitis. Cultures of maternal blood and placental tissue both yielded growth of B. cereus. This case underscores the importance of B. cereus as a human pathogen, and specifically demonstrates its potential as an agent of severe intraamniotic and placental infection with poor outcomes for the fetus.

Three Cases with Cavitary Lesions in a Twin Gestation Complicated by a Single Intrauterine Fetal Demise

1993 ◽  
Vol 13 (4) ◽  
pp. 269-275
Author(s):  
Kimiko Tamagawa ◽  
Ryoko Ishibashi ◽  
Yoshihiko Mizuno ◽  
Kazuhiko Komiya ◽  
Masaya Oda ◽  
...  
Keyword(s):  
Fetal Demise ◽  
Intrauterine Fetal Demise

Intrauterine Fetal Demise, Male Fetuses (Monozygotic Twins)

2006 ◽  
Vol 130 (6) ◽  
pp. e90-e92
Author(s):  
Jane Ellaine Tongson-Ignacio ◽  
Zahida Parveen ◽  
Karen Thompson ◽  
John M. Hardman
Keyword(s):  
Monozygotic Twins ◽  
Fetal Demise ◽  
Intrauterine Fetal Demise

scholarly journals Investigating Mechanisms of Stillbirth in the Setting of Prenatal Substance Use

2018 ◽  
Vol 8 (4) ◽  
pp. 865-873
Author(s):  
Corrie B. Miller ◽  
Tricia Wright
Keyword(s):  
Substance Use ◽  
Adverse Pregnancy Outcome ◽  
Common Finding ◽  
In Utero Exposure ◽  
Toxic Substances ◽  
Fetal Demise ◽  
Search Terms ◽  
Intrauterine Fetal Demise ◽  
Adverse Pregnancy ◽  
Prenatal Substance Use

Introduction: Intrauterine fetal demise affects between 0.4-0.8% of pregnancies worldwide. This significant adverse pregnancy outcome continues to be poorly understood. In utero exposure to substances increases the risk of stillbirth to varying degrees according to the type of substance and degree of exposure. The aim of this qualitative narrative review is to investigate common biologic relationships between stillbirth and maternal substance use. Methods: A PubMed literature search was conducted to query the most commonly used substances and biologic mechanisms of stillbirth. Search terms included “stillbirth,” “intrauterine fetal demise,” “placenta,” “cocaine,” “tobacco,” “alcohol,” “methamphetamines,” “opioids/ opiates,” and “cannabis.” Results: There are very few studies identifying a direct link between substance use and stillbirth. Several studies demonstrate associations with placental lesions of insufficiency including poor invasion, vasoconstriction, and sequestration of toxic substances that inhibit nutrient transport. Restricted fetal growth is the most common finding in pregnancies complicated by all types of substance use. Discussion: More research is needed to understand the biologic mechanisms of stillbirth. Such knowledge will be foundational to understanding how to prevent and treat the adverse effects of substances during pregnancy.

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