postpartum hemorrhage/seizures

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Postpartum hypertension and convulsion after oxytocic drugs.

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An 18-year-old primipara developed acute hypertension leading to cerebral edema and convulsions following the IV injection of a bolus of 10 units of oxytocin with 0.2 mg methylergonovine maleate. Oxytocin in a dose of more than 2 units should not be administered IV in a single injection, as severe

Posterior reversible encephalopathy syndrome after postpartum hemorrhage and uterine artery embolization: A case report.

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BACKGROUND Posterior reversible encephalopathy syndrome (PRES) is characterized by clinical and radiological features, including headache, disturbed consciousness, seizures, and cortical blindness associated with findings indicating posterior leukoencephalopathy on imaging studies. Ours is the first

A case of acute Sheehan's syndrome and literature review: a rare but life-threatening complication of postpartum hemorrhage.

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BACKGROUND Sheehan's syndrome occurs because of severe postpartum hemorrhage causing ischemic pituitary necrosis. Sheehan's syndrome is a well-known condition that is generally diagnosed several years postpartum. However, acute Sheehan's syndrome is rare, and clinicians have little exposure to it.

Maternal and Neonatal Morbidity After Attempted Operative Vaginal Delivery According to Fetal Head Station.

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OBJECTIVE To compare severe short-term maternal and neonatal morbidity associated with midpelvic and low pelvic attempted operative vaginal delivery. METHODS Prospective study of 2,138 women with live singleton term fetuses in vertex presentation who underwent an attempted operative vaginal delivery

The effect of sequential use of vacuum and forceps for assisted vaginal delivery on neonatal and maternal outcomes.

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OBJECTIVE To determine the risk of neonatal and maternal disease associated with the sequential use of vacuum and forceps compared with spontaneous vaginal delivery. METHODS Using Washington state birth certificate data linked to hospital discharge records, we compared 3741 vaginal deliveries by

Morbidity and Mortality Associated With Forceps and Vacuum Delivery at Outlet, Low, and Midpelvic Station.

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OBJECTIVE This study sought to quantify perinatal and maternal morbidity and mortality associated with forceps and vacuum delivery compared with Caesarean delivery in the second stage of labour and to estimate whether these associations differed by pelvic station. METHODS The investigators conducted

Developing protocols for obstetric emergencies.

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There is potential for important steps to be missed in emergency situations, even in the presence of many health care team members. Developing a clear plan of response for common emergencies can ensure that no tasks are redundant or omitted, and can create a more controlled environment that promotes

Long-standing undiagnosed sheehan syndrome presenting as polymorphic and monomorphic ventricular tachycardia: a case series of 2 patients.

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OBJECTIVE To describe 2 cases of Sheehan syndrome presenting with ventricular tachycardia. METHODS In this case series, we present 2 cases of Sheehan syndrome presenting with ventricular tachycardia, which is an extremely rare complication of Sheehan syndrome. We review the literature for cases of

Treatment of von Willebrand's disease and hypofibrinogenemia with single donor cryoprecipitate from plasma exchange donation.

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Conventional replacement therapy for hypofibrinogenemia and von Willebrand's disease requires multiple donor exposures and a correspondingly high risk of blood-borne infection. We describe the collection and successful use of cryoprecipitate derived from a single donor by plasma exchange donation to

Outcome measures of obstetrical and perinatal care.

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Outcome measures of obstetrical and perinatal care may concern the mother or the newborn and may involve mortality or morbidity. We reviewed the literature and found six outcome measures influenced by the process of care and its quality:maternal and perinatal mortalities, postpartum hemorrhage,

Perinatal and maternal morbidity and mortality after attempted operative vaginal delivery at midpelvic station.

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BACKGROUND Increased use of operative vaginal delivery (i.e., forceps or vacuum application), of which 20% occurs at midpelvic station, has been advocated to reduce the rate of cesarean delivery. We aimed to quantify severe perinatal and maternal morbidity and mortality associated with attempted

Perinatal Outcomes with Longer Second Stage of Labor: A Risk Analysis Comparing Expectant Management to Operative Intervention.

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The aim of this study is to assess the impact of a prolonged second stage of labor on maternal and neonatal outcomes by comparing women who had expectant management versus operative intervention beyond specified timeframes in the second stage of labor.

PREVIOUS PRETERM CESAREAN DELIVERY AND RISK OF UTERINE RUPTURE IN SUBSEQUENT TRIAL OF LABOR

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Background: Previous cesarean delivery is the major risk factor for uterine rupture in subsequent trial of labor. It has been suggested that a previous preterm cesarean delivery is associated with an increased risk of uterine rupture

Maternal and obstetric outcome of women with epilepsy.

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Medical professionals and public are concerned about the complications of pregnancy and delivery in women with epilepsy (WWE). OBJECTIVE Our aim was to prospectively ascertain occurrence of these complications in a cohort of WWE enrolled in a pregnancy registry. METHODS All complications during

Trial of labor after cesarean: attempted operative vaginal delivery versus emergency repeat cesarean, a prospective national cohort study.

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OBJECTIVE To compare neonatal and maternal outcomes of attempted operative vaginal delivery with emergency repeat cesarean in trial of labor after cesarean. METHODS Prospective 8-year cohort analysis using the Netherlands Perinatal Registry, including women with one prior cesarean giving birth

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