J Reprod Med
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Depression and related psychopathologies have turned into a modern bubonic plague. World Health Organization figures signal a worldwide epidemic, affecting > or = 15% of the population and probably > 22% of women of childbearing age. ⋯ The obstetrician should regularly test for depression with simple means from the very first moment of planning for a child and should use the test results for a pregnancy mood profile. This profile could assist in determining the risk of postpartum depression and serve as an early alert for postpartum suicide.
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To determine the current spectrum of disease in an obstetric population resulting in admission to the intensive care unit (ICU) at a tertiary care hospital. ⋯ In this population, the antenatal period now accounts for the majority of ICU admissions. Respiratory failure (mainly from infectious etiologies) has surpassed obstetric hemorrhage as the primary reason for ICU admission. Finally, the APACHE II scoring system is inaccurate for use in an obstetric population.
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To determine the efficacy of gabapentin in the treatment of generalized vulvodynia, unprovoked, to determine the most common presenting symptoms in patients with this diagnosis, to evaluate the prevalence of comorbidities in these patients and to determine the possibility of comorbidities or specific presenting symptoms that decrease the efficacy of this drug. ⋯ Gabapentin appears to be very effective in the treatment of generalized vulvodynia, unprovoked. It has a very low side effect profile. Certain patients may be less likely to benefit from gabapentin, including those with the comorbidity of sleep disturbance. Patients with symptoms of longer-standing generalized vulvodynia, unprovoked, may also be less likely to benefit from this treatment.
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Review Case Reports
Streptococcal toxic shock-like syndrome as an unusual complication of laparoscopic tubal ligation. A case report.
Toxic shock-like syndrome due to Streptococcus pyogenes is an unusual occurrence. Previously reported cases have been the result of focal infections with S pyogenes. We present a case in which manipulation of a colonized mucosal surface during laparoscopic tubal ligation was the presumed cause of the sepsis syndrome. Whereas other reports of this syndrome have all noted concurrent infections with S pyogenes, in this instance it was unclear if toxin-mediated disease was initiated by mild endometritis or iatrogenic manipulation of a colonized mucosal surface.