Rectal perforation from endometriosis in pregnancy: Case report and literature review.
This report is believed to be the first case of spontaneous rectal perforation from endometriosis in pregnancy, and it shows the potential occurrence of serious and unexpected complications of the disease.
PMID: 20128037 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)...
POSTED 02/04/2010 at 10:10 PM --
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Cesarean Delivery and Risk of Intestinal Bacterial Infection
The Journal of Infectious Diseases, Volume 0, Issue 0, Page 000, Latest Articles.
Background. An individual’s intestinal bacterial flora is established soon after birth. Delivery by Cesarean section (c‐section) deprives the newborn of colonization with maternal vaginal bacteria. We determined whether delivery by c‐section is associated with an altered risk of infection with intestinal bacterial pathogens. Methods. In a cohort of 1.7 million Danes born 1973–2005 we identified cases of laboratory‐confirmed non‐typhoidal Salmonella species, Campylobacter species, Yersinia enterocolitica, Shigella species, and Shiga toxin–producing Escherichia coli from 1991–2005 in the National Registry of Enteric Pathogens. Using Poisson‐regression we estimated confounder‐adju......
POSTED 02/04/2010 at 07:54 PM --
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Sutures safer than staples for C-section
Women who had caesarean sections were less likely to suffer complications if their incisions were closed with sutures instead of staples, a U.S. study suggests. (Source: CBC | Health)...
POSTED 02/04/2010 at 05:55 PM --
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With C-Section, Stitches May Be Best
More complications noted with staples than sutures, study finds Source: HealthDay
Related MedlinePlus Topic: Cesarean Section (Source: MedlinePlus Health News)...
POSTED 02/04/2010 at 08:00 AM --
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Successful treatment of severe retro-peritoneal bleeding with recombinant factor VIIa in women with placenta percreta invading into the left broad ligament: Unusual repeated ante-partum intra-abdominal bleeding
We experienced unusual repeated ante-partum intra-abdominal bleedings in a woman with placenta percreta invading into the left broad ligament, in whom recombinant factor VIIa was effective for controlling severe retro-peritoneal bleeding. A 34-year-old multiparaous woman with two prior cesarean sections presented acute abdominal pain at 16 weeks of gestation. She also represented with abdominal pain at 22 weeks of gestation, and a diagnostic laparoscopy revealed hemoperitoneum, although we could not identify the exact source of bleeding. She also represented with abdominal pain without vaginal bleeding at 27 weeks of gestation, and an MRI revealed a hematoma in the lower abdomino-pelvic region and placenta percreta invading into the left broad ligament. A classical cesarean section followe......
POSTED 02/03/2010 at 06:00 PM --
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Is there a role for antioxidants in prevention of pulmonary hypoplasia in nitrofen-induced rat model of congenital diaphragmatic hernia?
Conclusion Prenatal administration of NAC and vitamin E in combination with vitamin C represented the best effects to avoid oxidative
damage and protein content of the lungs in rat pups with CDH at birth.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-010-2552-2Authors
Murat Kemal Cigdem, Medical School, Dicle University Department of Pediatric Surgery 21280 Diyarbakir TurkeyGoksel Kizil, Science School, Dicle University Department of Chemistry Diyarbakir TurkeyAbdurrahman Onen, Medical School, Dicle University Department of Pediatric Surgery 21280 Diyarbakir TurkeyMurat Kizil, Science School, Dicle University Department of Chemistry Diyarbakir TurkeyYusuf Nergiz, Medical School, Dicle University Department of Histology Diyarbakir TurkeyYusuf C......
POSTED 02/02/2010 at 11:47 AM --
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Haiti: New life amid destruction
After the earthquake, eighteen-year old Djenny was one of the first women to deliver in Isaie Jeanty hospital in the Chancerelle area of Port-Au-Prince. Assisted by the Médecins Sans Frontières (MSF) team, Djenny gave birth to a healthy little boy that she named Mike. Many others have since joined them in the now bustling maternity ward.
Before the earthquake, Isaie Jeanty hospital specialized in obstetric and maternity care. However, in order to meet the enormous surgical needs, MSF, working together with staff from the Ministry of Health, began to offer a wider range of services, including orthopedic surgery, post-operative care, physiotherapy and mental health support. Yet, Isaie Jeanty continued to remain a referral centre for maternal care, with MSF helping to deliver an aver......
POSTED 02/02/2010 at 11:07 AM --
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Effects of epidural fentanyl on speed and quality of block for emergency cesarean section in extending continuous epidural labor analgesia using ropivacaine and fentanyl.
Authors: Hong JY, Jee YS, Jeong HJ, Song Y, Kil HK
We performed a prospective, randomized, and double-blind study comparing the top-up effects of 2% lidocaine/100 microg fentanyl/epinephrine (n=31) and 2% lidocaine/saline/epinephrine (n=30) when extending an epidural labor analgesia using low-dose ropivacaine and fentanyl. Survival analysis for the sensory blocks to the T4 level showed no statistically significant differences in onset time to T4 between the 2 groups. Onset times (min) to T4-sensory blocks for cold and pinprick were not different between the two groups. However, median maximum sensory level in the lidocaine-fentanyl group (T1 for cold and T2 for pinprick) was significantly higher than that in the lidocaine-saline group (T3 and T4, respectively). The lidocaine-fentanyl g......
POSTED 01/31/2010 at 06:00 PM --
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Med Sci Monit 2010; 16(2):CS11-14 "High dose immune globulin therapy ameliorates peripartum cardiomyopathy with elevated serum antibody titer to influenza virus: Case report of two patients"
Conclusions: These cases suggest that viral infection including influenza contributes to PPCM and that high doses of immunoglobulin constitute an effective treatment for this disorder. (Source: Medical Science Monitor)...
POSTED 01/29/2010 at 09:18 AM --
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Attributable Costs of Surgical Site Infection and Endometritis after Low Transverse Cesarean Delivery •
Conclusions. The costs of SSI and EMM were lower than SSI costs reported after more extensive operations. The attributable costs of EMM calculated by the 2 methods were very similar, whereas the costs of SSI calculated by propensity score matched‐pairs were lower than the costs calculated by GLS. The difference in costs determined by the 2 methods needs to be considered by investigators who are performing cost analyses of hospital‐acquired infections. (Source: Infect Control Hosp Epidemiol Latest Issue)...
POSTED 01/28/2010 at 08:13 PM --
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[Impact of intrathecal morphine on the tolerance of early feeding after cesarean section.]
CONCLUSION: A small dose of intrathecal morphine provided adequate and prolonged pain relief after caesarean section but increased the incidence of nausea and vomiting despite anti-emetic prophylaxis. Oral food intake was not hampered by intrathecal morphine.
PMID: 20117912 [PubMed - as supplied by publisher] (Source: Annales Francaises d'Anesthesie et de Reanimation)...
POSTED 01/28/2010 at 06:00 PM --
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A prospective study of the effect of delivery type on neonatal weight gain pattern in exclusively breastfed neonates born in Shiraz, Iran
Conclusions:
Type of delivery contributes strongly to the weight gain pattern in the first month of infancy. In spite of greater weight loss among C-section birth neonates in the first days of life, at the end of the first month neonates showed a similar weight gain. Consequently, mothers with C-section delivery can successfully exclusively breastfeed. (Source: International Breastfeeding Journal)...
POSTED 01/26/2010 at 06:00 PM --
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Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section
Source: Cochrane Library
Area: Evidence > Drug Class Focused Reviews
Background The single most important risk factor for postpartum maternal infection is cesarean section. Routine prophylaxis with antibiotics may reduce this risk and should be assessed in terms of benefits and harms.
Objectives To assess the effects of prophylactic antibiotics compared with no prophylactic antibiotics on infectious complications in women undergoing cesarean section.
Search strategy We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (May 2009).
Selection criteria Randomized controlled trials (RCTs) and quasi-RCTs comparing the effects of prophylactic antibiotics versus no treatment in women undergoing cesarean section.
Data collection and ......
POSTED 01/25/2010 at 06:00 PM --
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Successful management of a patient with Marfan syndrome complicated with acute aortic dissection using landiolol during Cesarean section
Abstract Aortic dissection is a lethal complication in pregnant women with Marfan syndrome. To decrease arterial wall stress, beta-blockers
have been used as standard treatment, although uterine contractions caused by beta-2-adrenergic receptor antagonism may result.
Herein, we report a patient with Marfan syndrome who was given landiolol, a selective beta-1-adrenergic receptor antagonist
with a short half-life, for management during a Cesarean section procedure following development of acute aortic dissection.
A 30-year-old pregnant woman with Marfan syndrome in the 38th week of gestation was referred to our department for an emergency
Cesarean section because of development of acute aortic dissection. Blood pressure (BP) decreased from 157/70 to 128/64 mmHg
after gi......
POSTED 01/25/2010 at 10:58 AM --
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Assessment of Emergency and Essential Surgical Providers at the District Hospital in Ghana
Conclusions: The present study demonstrates that there is a significant gap in education and training as well as an unmet need of human resources to provide surgical care in Ghana. These findings are likely to apply for other countries in Africa as well. Solutions include the development of formal short-term surgical training for MOs as well as exploring the training and utilization of physician extenders to support MOs when inadequate numbers are present. These data contribute to increasing evidence that the improvement of basic surgical and obstetrical services at the district hospital level must be the focus of future global health efforts. These data also underscore that importance of emergency and essential surgical care at the first referral facility as a necessary component of prima......
POSTED 01/25/2010 at 10:42 AM --
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Routine Antibiotic Use Reduces Mothers' Infection Risk From C-Section,
01/19/2010, Cochrane Library, Having a baby by Caesarean section is becoming increasingly common, despite the higher risks associated with the surgery compared to a vaginal birth. One important concern is the risk of infection, which is between five and 20 times greater for women who undergo scheduled or emergency Caesarean section. (Source: Health Behavior News Service)...
POSTED 01/25/2010 at 08:50 AM --
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Prolonged activated partial thromboplastin time in thromboprophylaxis with unfractionated heparin in patients undergoing cesarean section
Conclusion: Although 7.1% of women under heparin-thromboprophylaxis showed a prolonged APTT that was 150% of the preoperative APTT, serious side effects were not observed. Subcutaneous administration of unfractionated heparin, if checking APTT prolongation 1 day after surgery, may be safe method of thromboprophylaxis after CS. (Source: Journal of Obstetrics and Gynaecology Research)...
POSTED 01/24/2010 at 06:00 PM --
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Cesarean section linked to increased risk for maternal death, serious complications
The risk for maternal death and serious complications is high for women undergoing cesarean section and should therefore be done only when medically indicated, show findings from the third phase of World Health Organization global survey on maternal and perinatal health. (Source: MedWire News - Ob/Gyn)...
POSTED 01/24/2010 at 06:00 PM --
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Should Women Eat While Giving Birth?
Research Suggests Women Can Have More than Ice Chips Without Increased Risk of C-Section, Complications (Source: Health News: CBSNews.com)...
POSTED 01/20/2010 at 07:45 AM --
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Routine Antibiotic Use Reduces Mothers' Infection Risk From C-Section
Having a baby by Caesarean section is becoming increasingly common, despite the higher risks associated with the surgery compared to a vaginal birth. One important concern is the risk of infection, which is between five and 20 times greater for women who undergo scheduled or emergency Caesarean section. In fact, "the single most important risk factor for postpartum maternal infection is Caesarean section," according to a new Cochrane review. The researchers looked at 86 studies involving more than 13,000 women to determine whether the use of antibiotics to prevent infection was beneficial... (Source: Health News from Medical News Today)...
POSTED 01/20/2010 at 04:00 AM --
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