International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2013
Case ReportsThrombolysis for the management of massive pulmonary embolism in pregnancy.
Massive pulmonary embolism in pregnancy is a major cause of maternal mortality; the management is challenging, and often requires aggressive therapy. Thrombolysis has been used, often with favorable outcome, but has not been previously reported in a patient presenting with an intrauterine death. We present a 29-year-old nulliparous patient who had a massive pulmonary embolus associated with fetal death in the third trimester of pregnancy. Diagnosis of pulmonary embolus was aided by transthoracic echocardiography and the patient was successfully treated with streptokinase.
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Int J Obstet Anesth · Apr 2013
Does body mass index influence the degree of pelvic tilt produced by a Crawford wedge?
A pelvic tilt of 15° is standard practice when positioning a woman for caesarean section, and is commonly produced by tilting the operating table or placing a wedge under the right hip. This study investigated whether body mass index affects the degree of pelvic tilt produced when a wedge is used. ⋯ Variability in pelvic tilt increased with body mass index and was greatest with a booking body mass index >35kg/m(2).