Two cases of sigmoid volvulus complicating pregnancy at 33 and 26 weeks' gestation are reported. The clinical presentations were strikingly similar, although the second patient presented later in the evolution of the condition and died 6 hours after surgery. Both fetuses died in utero. The reasons for suspecting sigmoid volvulus ...

Atelectasis of the middle ear cavity occurs in advanced chronic otitis media with effusion. Atelectasis with effusion may progress to atelectasis without effusion, and further possible complications include adhesive otitis, ossicular disruption, cholesteatoma, and sensorineural hearing loss. A classification is presented of the various sequelae of otitis media with effusion ...

Gestational hypoglycemia may result from either reactive hypoglycemia or complications related to the pregnancy. We report a 19-year-old pregnant patient with insulinoma who was treated successfully by distal pancreatectomy during the first trimester. A high index of suspicion was required for the diagnosis since abnormal immunoreactive insulin (IRI) and glucose ...

The complication of blepharoptosis occurred in an otherwise normal pregnancy. Its onset during the sixth month of the pregnancy suggests an etiology related to the increased estrogen levels normally occurring at this time. Infiltration of water molecules into the collagen ground substance of the levator muscle and its tendon is ...

A severe case of disseminated intravascular coagulation secondary to a road traffic accident in a pregnant woman is presented. The nature of this recognised complication of pregnancy is noted, and the problems encountered when it occurs together with facial trauma, are described. The importance of awareness and recognition of this ...

During a controlled evaluation of an intravenous therapy (IVT) team, we had the opportunity to follow up 202 episodes of catheter-associated phlebitis. While the IVT team had a considerable effect on the incidence of phlebitis, the clinical course of this complication was not influenced. More than 40% of catheter-associated phlebitis ...

Maternal ultrasonography performed after twenty weeks of gestation is able accurately to identify and diagnose fetal hydronephrosis. We believe this finding should serve to alert the obstetrician as well as the pediatrician to potential complications which may arise at the time of delivery or immediately thereafter. Urologic evaluation and definitive ...

The completeness of reporting of selected birth complications and congenital malformations on the Washington State birth certificate was estimated by comparing the total occurrences reported on birth certificates to the totals reported in hospital records. Two time periods were studied (1977-78 and 1980-81 before and after changes in birth certificate ...

A retrospective analysis of pregnancies complicated by urolithiasis in a major referral center for high-risk pregnancies indicated an incidence of 1:2,534. In contrast to previous series, the majority of patients were primiparas. The judicious use of hydration, analgesics and antibiotic therapy resulted in a high rate of spontaneous passage of ...

Central serous choroidopathy is an infrequent complication of pregnancy. A serous detachment of the macula was seen in three women during the course of their normal pregnancy. All patients showed resolution of the macular serous detachment in the third trimester, with resultant retinal pigment epithelial mottling; symptoms resolved in all ...

A retrospective study of 140 babies who survived the first week of life and who had endotracheal intubation showed that 65 of them had either or both of the following complications of endotracheal tube therapy: (a) Collapse of one or more lobes with the tube in place or within the ...

Type IV Ehlers-Danlos syndrome (EDSIV), unlike other forms of EDS, appears to be associated with a high incidence of pregnancy complications. In a group of fourteen families 20 women with EDS IV were identified. The diagnosis was confirmed in at least 1 member of each family by in-vitro measurement of ...

A congenital abnormality of the urachus is extremely rare in pregnancy. We reviewed the English literature since 1877 and found only 12 case reports of urachal complications during pregnancy. Eight patients developed complications from a urachal cyst or sinus, and four patients had a patent urachus with urinary fistula. We ...

Three patients had during pregnancy visual disturbances caused by central serous choroidopathy. One of them had a central scotoma in her first and second pregnancy. The 2 other patients had a central scotoma in their first pregnancy. Symptoms disappeared spontaneously after delivery. Except for the ocular abnormalities the pregnancies were ...

Pregnant women (110) with successfully repaired vesicovaginal fistula, supervised at the Ahmadu Bello University Teaching Hospital in Zaria, Nigeria, formed the study population. The obstetric complications, mode of delivery and fetal outcome are reviewed. The obstetric complications and fetal outcome were compared with a matched hospital control group. There was ...

In a prospective study of offspring of schizophrenic mothers, perinatal complications reported in midwife protocols were analysed for those offspring who, as adults, were diagnosed as schizophrenic, borderline schizophrenic or as not suffering from mental illness. The schizophrenics were found to have had the most complicated births, and the borderlines, ...

A retrospective study of 343 women treated with isoxsuprine and/or terbutaline for preterm labor (PTL) was performed to determine the incidence and nature of maternal morbidity which is associated with this treatment. The incidence of mild cardiovascular (CV), neurological and gastrointestinal side effects was similar with both medications. The incidence, ...

A case is presented of meningitis, ventriculitis, and hydrocephalus secondary to the use of fetal scalp monitoring. The most commonly reported fetal complication related to the application of the scalp electrode is the development of a scalp abscess; the incidence varies between 0.45 and 4.5%, but several other complications have ...

This study was part of an evaluation of maternity performance during the period 1975-1979 in the three major hospitals in Khartoum, Sudan. The larger study population consisted of 8858 patients who delivered in those hospitals; 3130 of them had five or more children. The obstetric complications and the fetal outcome ...

Constrictive pericarditis is a rare but potentially life-threatening complication of pregnancy. This is a case report of irradiation-induced constrictive pericarditis requiring pericardiectomy during pregnancy. It is hoped that our team approach to this particular problem can serve as a model for the management of similar medical and surgical complications of ...

Although gastric cancer has not been reported in association with pregnancy, the authors encountered it in a paraplegic young pregnant woman presenting with gastric outlet obstruction.Fiberoptic gastroscopy and biopsy provided the surprising tissue diagnosis. Ultrasound was helpful in assessing the size and position of the fetus. Intravenous fluid therapy and ...

Cholestatic jaundice of pregnancy is a condition characterized by pruritus, icterus, or both during pregnancy. A total of 9 pregnancies complicated by cholestatic jaundice are presented. Three of these cases are presented in detail because they reflect complications that can occur with this condition. The literature on cholestatic jaundice is ...

Diethylstilbestrol (DES) was widely prescribed during the late 1940s and early 1950s for complications of pregnancy. Twenty-four men exposed to DES in utero were examined and compared with twenty-four age-matched controls; contrary to previous reports, we found no difference between the two groups in their psychosexual history, medical history, genital ...

The published results of cervical cerclage are almost invariably good and there is little mention of complications. Forty per cent of 52 pregnancies, with 38 early "prophylactic" and 14 late "therapeutic" operations, ended after 260 days' gestation. In 73 per cent a viable infant was born. The most frequent complication ...

Intestinal obstruction is an unusual complication of pregnancy, but may be encountered more frequently in the future. Two patients with such a complication are described. Relief of the obstruction was achieved by surgical intervention in one patient and by delivery of a term baby in the other. The management of ...

In pregnancies complicated by hydramnios, amniography can be used for the detection of fetal gastrointestinal obstruction. A case is presented in which the appearance of contrast material in the fetal gastrointestinal tract was noted in an infant who proved to have esophageal atresia and tracheoesophageal fistula. Presumably, the contrast reached ...

A successful pregnancy is reported in a patient following renal transplantation and urinary diversion. The second half of pregnancy was complicated by hypertension, impaired renal function and obstruction of the ureter in the 35th wk. The latter complication required early termination of pregnancy by cesarean section. A healthy infant was ...

Our resent experience on six cases of aplastic anemia complicated with pregnancy is described. In addition, 43 similar cases were collected from the literature and reviewed to analyze some prognostic aspects of this relatively rare but potentially serious complication. Clinical and hematological data were treated to extract some clinically meaningful ...

Eleven Aboriginal patients from the Northern Territory, in whom radiological examination of the abdomen demonstrated opaque masses of clay in the colon are described. This was due to the eating of white clay which is found only in streams, springs and billabongs of the coastal areas of the Territory. The ...

Examination of the uteroplacental hemodynamics was performed on 109 occasions in women admitted to the hospital in the third trimester because of various complications of pregnancy. The radioactive tracer 113m In was injected intravenously and the build-up and equilibrium times were measured over the placenta, myometrium and heart. The placental ...

Pregnancies complicated by severe thoracolumbar scoliosis may be affected by obstetric and cardiovascular complications. This case report of a pregnant woman with severe thoracolumbar scoliosis includes extensive documentation of complications by pulmonary function studies and peripartum arterial blood gas analysis. The differences between the physiologic changes of normal pregnancies and ...

Perforation of the sigmoid colon in a 28-year-old woman during the 37th week of pregnancy is reported. There was almost complete replacement of the bowel wall by endometriotic tissue showing extensive decidualization of its stroma. This appears to be a very rare complication of endometriosis and the effects of pregnancy ...

Different opinions have developed on the use of endotracheal intubation in newborns and neonates for airway distress syndrome. The ensuing complications of the prolonged use of these airway tubes are drawing increased interest. This article reviews the case reports of 88 patients who received endotracheal intubation for airway problems and ...

Experience is reported with the elective first trimester abortion of 16,410 pregnancies during a 31-month period by Reproductive Health Services of St. Louis, a free-standing clinic. Incidence of complications was 1.54%. The most common of these were incomplete evacuation, excessive postabortal bleeding, and uterine perforation. In patients with unquestioned perforation, ...

There is a positive relationship between presence of allergic disease and occurrence of pregnancy and birth complications. It is suggested that this relationship is mediated by underdevelopment of the thymus or impairment of central nervous system mechanisms of immunological response due to anoxia often associated with pregnancy and birth complications.

Fibrin/fibrinogen degradation products (FDP) and fibrin monomers might occur as a sign of "athological proteolysis" in complicated pregnancies such as toxaemia, hepatosis and placental insufficiency, eut also in otherwise clinically uncomplicated pregnancies. 18 pregnant women with increased proteolysis, but without any other clinical symptoms of complications were therefore investigated to ...

A retrospective analysis was made of the incidence and severity of the idiopathic respiratory distress syndrome (RDS) in babies of less than 35 weeks' gestation born at this hospital from January 1967-December 1974. There was a lower incidence of RDS in babies born after pregnancies complicated only by prolonged rupture ...

A complication of augmentation mammaplasty is presented. Bilateral traumatic rupture of the surrounding fibrous capsule occurred without disruption of the prosthetic envelope. Questions are also raised about the effects of pregnancy on the maturing fibrous capsule.

One hundred eighty-seven electrode systems were implanted in 158 consecutive patients--30 systems implanted by thoracotomy, 98 transvenous, and 52 epigastric transdiaphragmatic systems--and the long-term results were compared. With electrodes placed by thoracotomy there was a high rate of complication (76 per cent), prolonging the initial hospitalization (33 per cent) and ...

Bacterial endocarditis, an extremely rare and serious complication during pregnancy, is almost always fatal to the fetus. This paper describes successful aortic valve replacement in a woman who was 22 weeks' pregnant. She had acute bacterial endocarditis with aortic insufficiency and severe congestive heart failure. At term, she was delivered ...

A case of successful gestation, delivery, and postpartum recovery in a woman with paroxysmal nocturnal hemoglobinuria (PNH) is presented. The rarity of pregnancy in patients with PNH and the nature and high rate of complications in such cases are discussed. Finally, suggestions are made for both antepartum and postpartum management ...

Thirty-two cases of gonococcal arthritis in pregnant women admitted to Jackson Memorial Hospital between 1962 and 1971 are reviewed. Our specific aim is to reinforce awareness of this serious complication in pregnancy. The incidence of gonococcal arthritis is higher in women, but more significantly, it appears that the pregnant patient ...

The clinical characteristics of 124 pregnancies complicated by intrapartum fetal asphyxia have been reviewed. The evidence of fetal asphyxia tends to appear earlier in patients with maternal medical and obstetric complications than in those with labor complications. Evidence of clinical fetal distress was present in 36 per cent and was ...

Transabdominal amniocentesis is described and our experience with this method is presented. No severe maternal complications were recorded. In two cases accidental puncture of fetal blood vessels in pregnancies over 40 weeks led to delivery by cesarean section. We believe that, although fetal complications are rare, the indications for amniocentesis ...

Pneumomediastinum and subcutaneous emphysema is a rare complication of the second stage of labor. Although this entity runs a benign course, fatalities have been reported. Clinical findings of subcutaneous emphysema necessitate a chest X-ray to document pneumomediastinum. If pneumomediastinum is present, rapid delivery via elective forceps or even surgery may ...

Abstract Published data are reviewed and it is concluded that about one fertilized ovum in three perishes before pregnancy is recognised. Of those surviving until pregnancy is recognized, one in four or five perish before term. So spontaneous loss accounts for about one fertilized ovum in two in a medically ...

A follow up study of 67 prematures born with a low birthweight (1250 g or less) was made since July 1962 at the Premature Department and Aftercare Clinic of the Medical School in Warsaw. The study consisted of physical, psychological and anthropometrical examinations. Results revealed a high percentage of children ...