Delivery of Twin Gestations

Dec 27, 2018 by in OBSTETRICS Comments Off on Delivery of Twin Gestations

INTRODUCTION Print Section Listen Twins account for 3.3 percent of all births in the United States. This near doubling of the incidence since 1980 is attributable to advancing maternal age…

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Urologic and Gastrointestinal Injuries

Dec 27, 2018 by in OBSTETRICS Comments Off on Urologic and Gastrointestinal Injuries

INTRODUCTION Print Section Listen Cesarean delivery is currently the most frequently performed major surgical procedure for women in the United States. More than 1 million procedures are completed each year…

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Shoulder Dystocia

Dec 27, 2018 by in OBSTETRICS Comments Off on Shoulder Dystocia

INTRODUCTION Print Section Listen Shoulder dystocia is one of the most dreaded and dramatic complications encountered in obstetrics. It is a true emergency that can lead to high rates of…

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Episiotomy and Obstetric Anal Sphincter Lacerations

Dec 27, 2018 by in OBSTETRICS Comments Off on Episiotomy and Obstetric Anal Sphincter Lacerations

INTRODUCTION Print Section Listen Injury to the perineum during vaginal childbirth affects millions of women. One half to three quarters of parturients undergo some degree of perineal laceration during vaginal…

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Fetal Therapy

Dec 27, 2018 by in OBSTETRICS Comments Off on Fetal Therapy

BRIEF HISTORY OF FETAL SURGERY Print Section Listen Sir William Liley (1963) completed the first successful fetal surgery, which was transuterine fetal intraperitoneal red blood cell transfusion. This was performed…

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Trauma in Pregnancy

Dec 27, 2018 by in OBSTETRICS Comments Off on Trauma in Pregnancy

INCIDENCE Print Section Listen Trauma is one of the most common reasons for emergency room visits during pregnancy. The exact incidence is unknown, although trauma is estimated to complicate approximately…

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Adnexal Masses

Dec 27, 2018 by in OBSTETRICS Comments Off on Adnexal Masses

INTRODUCTION Print Section Listen Pelvic masses during pregnancy have historically posed diagnostic and therapeutic dilemmas for the obstetrician. Maternal mortality rates with surgery were prohibitive through the early 20th century….

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Anesthesia for the Pregnant Woman

Dec 27, 2018 by in OBSTETRICS Comments Off on Anesthesia for the Pregnant Woman

INTRODUCTION Print Section Listen Modern anesthesia practice has an excellent record of safety for the parturient. The anesthesia-related maternal mortality rate in the United States is estimated at 1 per…

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Perioperative Considerations

Dec 27, 2018 by in OBSTETRICS Comments Off on Perioperative Considerations

INTRODUCTION Print Section Listen It is not uncommon for pregnant women to undergo invasive diagnostic or therapeutic procedures, including surgical operations. In these cases, gravidas present a dual challenge. Namely,…

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Diagnostic and Operative Laparoscopy

Dec 27, 2018 by in OBSTETRICS Comments Off on Diagnostic and Operative Laparoscopy

INTRODUCTION Print Section Listen The first laparoscopies in pregnancy were performed in the early 1990s. Since then, laparoscopy has been widely adopted as an alternative to laparotomy for the diagnosis…

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