Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Jan 2010
Review Case ReportsHIV in pregnancy: a case of Pneumocystis (carinii) jiroveci pneumonia.
This review highlights the rising prevalence of HIV in pregnancy both in the developed and developing world. It focuses on the challenges of diagnosis and management of Pneumocystis (carinii) jiroveci pneumonia in an HIV-positive pregnant woman. Public health efforts need to continue addressing testing at the earliest opportunity, the psychosocial issues which impact negatively on the care of HIV-positive individuals and ways to reduce stigmatisation associated with this viral illness.
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Arch. Gynecol. Obstet. · Dec 2009
ReviewRunning an obstetric anesthesia training program: words of wisdom.
Obstetric anesthesia, by definition, is a subspecialty of anesthesia dedicated (devoted) to peripartum, perioperative, pain and anesthetic management of women during pregnancy and the puerperium. Today, obstetric anesthesia has become a recognized subspecialty of anesthesiology and an integral part of practice of most anesthesiologists. ⋯ Communication skills and exchange of information in ever changing environment of labor and delivery is essential for perfect outcome, which is always expected when providing safe passage for both the mother and her fetus from antepartum to postpartum period. The anesthesiologist's unique skills in acute resuscitation combined with experience in critical care make members of this subspecialty of anesthesiology particularly valuable in peripartum care of the high-risk patients, extending the anesthesiologist's role well beyond the routine provision of intrapartum anesthesia or analgesia.
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Arch. Gynecol. Obstet. · Dec 2008
ReviewMedico-legal issues in obstetric anesthesia: what does an obstetrician need to know?
Obstetric anesthesia has become a recognized subspecialty of anesthesiology and an integral part of practice of most anesthesiologists. Perhaps no other subspecialty of anesthesiology provides more personal gratification and clinical challenges than the practice of obstetric anesthesia. However, in addition to clinical challenges obstetric anesthesia is laden with medico-legal liability. ⋯ Good perioperative evaluation of all patients, detailed review of patient's medical records, and constant vigilance can decrease the incidence of complications and subsequently medico-legal issues.
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Arch. Gynecol. Obstet. · Mar 2008
Review Case ReportsAmniotic fluid embolism managed with success during labour: report of a severe clinical case and review of literature.
AFE (amniotic fluid embolism) is widely known as a disastrous rapid-progressing clinical entity. The incident ranges from 1:800 to 1:8,000. The mortality rate reaches 61-86%. Neonatal survival is reported at 70%. ⋯ Amniotic fluid embolism or anaphylactoid syndrome of pregnancy is a life-threatening condition. Diagnosis is one of the exclusion. Its management is very difficult and requires quick management and cooperation of physicians from different specialties.
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Arch. Gynecol. Obstet. · Sep 2007
ReviewLaparoscopic procedures during pregnancy and the risks of anesthesia: what does an obstetrician need to know?
Nonobstetric surgery may be necessary during any stage of gestation. ⋯ In the past pregnancy was considered as an absolute contraindication to laparoscopy. However, recent years have brought an extensive experience with this technique during gestation.