International journal of obstetric anesthesia
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Int J Obstet Anesth · Nov 2020
Case ReportsTonic-clonic seizure after unrecognized unintentional dural puncture.
Patients who suffer an unintentional dural puncture have a high risk of developing a post-dural puncture headache. Other neurologic complications have been reported, but seizure is rarely seen. ⋯ Two epidural blood patches, performed by neuroradiologists, were needed before the patient experienced complete resolution of her headache. During the re-admission, she also experienced a pulmonary embolus which further lengthened her hospital stay.
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Int J Obstet Anesth · Nov 2020
Case ReportsPeripartum management of a parturient with type 1C (clearance) von Willebrand disease.
Peripartum replacement of factor VIII and von Willebrand factor is not usually required in type 1 von Willebrand disease, as the levels of endogenous factors tend to increase to within the normal range as a physiological change of pregnancy. However, there is wide heterogeneity of genotypes and phenotypes associated with type 1 von Willebrand disease. Here, we describe the anesthetic management of a parturient with type 1C von Willebrand disease, a subtype characterized by decreased plasma von Willebrand factor survival.
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Int J Obstet Anesth · Nov 2020
Observational StudyThe association between primary language and quality of recovery following caesarean section: a prospective observational study.
New Zealand has a diverse population, one quarter classifying themselves as migrants. This study aimed to test the hypothesis that women whose primary language is not English report poorer recovery scores following caesarean section than primary English speakers. ⋯ Quality of recovery following caesarean section is poorer in those whose primary language is not English. Further research is needed to elucidate whether this is due to language barriers or other factors.