The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Apr 2021
Review Case ReportsLeft ventricular assist device in pregnancy: Case report and review of the literature.
Left ventricular assist devices have emerged as a safe and effective therapy for end-stage heart failure patients. However, little is known about the safety of these devices during pregnancy. We describe a 23-year-old woman who received a left ventricular device for nonischemic cardiomyopathy of uncertain origin. ⋯ With close monitoring of her hemodynamic parameters, she was able to achieve a gestational age of 34 weeks, at which time she delivered a healthy male infant by cesarean delivery. Pregnancies in women with left ventricular assist devices may be successful, but remain medically challenging and complex pregnancies. Close multidisciplinary involvement and frequent assessment of device parameters during pregnancy is warranted.
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J. Obstet. Gynaecol. Res. · Jan 2019
ReviewFibrinogen for the management of critical obstetric hemorrhage.
In cases of critical obstetric hemorrhage leading to extreme hypofibrinogenemia, fibrinogen is the marker that indicates the critical severity, and early fibrinogen supplementation centering on hemostatic resuscitation is a vital treatment to stabilize a catastrophic condition. In this review, we investigated the effect of fibrinogen level on hemostasis and what we can do to treat hypofibrinogenemia efficiently and improve patients' outcome. ⋯ The patient group for which fibrinogen concentrate works most effectively is cases with severe hypofibrinogenemia. Further research is required in the light of evidence. The essence of the transfusion algorithm in critical obstetric hemorrhage is to approach the target value for obtaining hemostasis, ensure an accurate and prompt grasp of the severity using point-of-care testing, introduce a massive transfusion protocol and use tranexamic acid.
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J. Obstet. Gynaecol. Res. · May 2018
Review Meta AnalysisEffect of chewing gum on gastrointestinal function after gynecological surgery: A systematic literature review and meta-analysis.
Recently, several randomized controlled trials (RCT) reported the effect of chewing gum on gastrointestinal function after gynecological surgery; however, these results are inconsistent. The aim of this study was to systematically analyze the effect of chewing gum on postoperative gastrointestinal function and complications in women undergoing gynecological surgery. ⋯ Chewing gum is an effective measure to ameliorate gastrointestinal function and decrease complications after gynecological surgery.
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J. Obstet. Gynaecol. Res. · May 2018
Review Meta AnalysisEffect of chewing gum on gastrointestinal function after gynecological surgery: A systematic literature review and meta-analysis.
Recently, several randomized controlled trials (RCT) reported the effect of chewing gum on gastrointestinal function after gynecological surgery; however, these results are inconsistent. The aim of this study was to systematically analyze the effect of chewing gum on postoperative gastrointestinal function and complications in women undergoing gynecological surgery. ⋯ Chewing gum is an effective measure to ameliorate gastrointestinal function and decrease complications after gynecological surgery.
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J. Obstet. Gynaecol. Res. · Apr 2017
ReviewAmniotic fluid embolism: Pathophysiology from the perspective of pathology.
Amniotic fluid embolism (AFE) is recognized as a type of syndrome characterized by the abrupt onset of hypoxia, hypotension, seizures, or disseminated intravascular coagulopathy (DIC), occurring during labor, delivery, or immediately postpartum, caused by the inflow of amniotic components into the maternal circulation. AFE is a rare condition but one of the most serious obstetrical complications, resulting in a high mortality rate among pregnant women. ⋯ A major concern is that there are no effective evidence-based therapies for AFE, because its pathophysiology is still not well understood. This article reviewed AFE, focusing on the pathology and currently proposed pathophysiology.