ABSTRACT THAI Ổ BỤNG
TI: Hydrocephalic fetus in an abdominal pregnancy.
AU: Leikin-E; Randall-HW Jr
SO: Obstet-Gynecol. 1987 Mar; 69(3 Pt 2): 498-500
ISSN: 0029-7844
PY: 1987
LA: ENGLISH
CP: UNITED-STATES
AB: We present an unusual case of an abortion at 20 weeks elected after a diagnosis of fetal hydrocephalus and spina bifida. Unsuccessful attempts at abortion with prostaglandin suppositories ultimately led to a diagnosis of abdominal pregnancy. This is the first reported case of an abdominal pregnancy discovered during an abortion that was elected because of an anomaly identified by ultrasound.
MIME: Abortion,-Therapeutic-methods; Adult-; Hydrocephalus-diagnosis; Pregnancy-; Prostaglandins-E; Spina-Bifida-Occulta-diagnosis; Ultrasonography-
MJME: *Hydrocephalus-etiology; *Pregnancy,-Abdominal; *Spina-Bifida-Occulta-etiology
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE
RN: 0
NM: Prostaglandins-E
AN: 87116824
UD: 8705
SB: AIM
TI: Abdominal pregnancy in the United States: frequency and maternal mortality.
AU: Atrash-HK; Friede-A; Hogue-CJ
SO: Obstet-Gynecol. 1987 Mar; 69(3 Pt 1): 333-7
ISSN: 0029-7844
PY: 1987
LA: ENGLISH
CP: UNITED-STATES
AB: From an analysis of 11 abdominal pregnancy-related deaths and an estimated 5221 abdominal pregnancies in the United States, we estimated that there were 10.9 abdominal pregnancies per 100,000 live births and 9.2 per 1000 ectopic pregnancies; the mortality rate was 5.1 per 1000 cases. Although the risk of having an ectopic pregnancy is rising, the risk of abdominal pregnancy, which is probably always a sequel of a missed ruptured ectopic pregnancy, is apparently declining; this may be due to improved prenatal care. However, only one of nine women who reached the hospital alive had an accurate preoperative diagnosis of abdominal pregnancy, which suggests that preventing abdominal pregnancy-related death may depend, at least in part, upon increasing physicians' awareness of its clinical features.
MIME: Adult-; Pregnancy-; Pregnancy,-Abdominal-mortality; Risk-; United-States
MJME: *Pregnancy,-Abdominal-epidemiology
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE
AN: 87145417
UD: 8706
SB: AIM
Record 9 of 20 - MEDLINE (R) 1988
TI: Expectant management of abdominal pregnancy. A report of two cases.
AU: Hage-ML; Wall-LL; Killam-A
AD: Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina 27710.
SO: J-Reprod-Med. 1988 Apr; 33(4): 407-10
ISSN: 0024-7758
PY: 1988
LA: ENGLISH
CP: UNITED-STATES
AB: In two recent consecutive cases of abdominal pregnancy the diagnosis was made at 18 weeks' gestation, and the patients refused immediate surgery and elected to maintain the pregnancy until fetal viability developed. Both patients were managed expectantly with continuous antepartum hospitalization. Fetal assessment was by serial ultrasound assessment of growth and amniotic fluid volume and by nonstress testing. Planned operative delivery was accomplished at 28 1/2 weeks and 33 weeks' gestation. In the second case the diagnosis was confirmed by magnetic resonance imaging. That fetus was also assessed with umbilical artery Doppler flow studies. Despite significant morbidity, both the mothers and infants are alive and well.
MIME: Adult-; Fetal-Monitoring; Hospitalization-; Magnetic-Resonance-Imaging; Pregnancy-; Pregnancy-Outcome; Ultrasonography-
MJME: *Pregnancy,-Abdominal-therapy
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE
AN: 88214824
UD: 8808
Record 10 of 20 - MEDLINE (R) 1988
TI: Abdominal pregnancy: current concepts of management.
AU: Martin-JN Jr; Sessums-JK; Martin-RW; Pryor-JA; Morrison-JC
AD: Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson.
SO: Obstet-Gynecol. 1988 Apr; 71(4): 549-57
ISSN: 0029-7844
PY: 1988
LA: ENGLISH
CP: UNITED-STATES
AB: Nine cases of early and six cases of advanced abdominal pregnancy managed at the University of Mississippi Medical Center over a 20-year period are reviewed. An incidence of one abdominal pregnancy in 4857 deliveries occurred in this series. A perinatal mortality rate of 83% and no maternal mortality were noted, in contrast to published rates of 40-95% and 0.5-18%, respectively. Important current concepts of management include difficulty in diagnosis, predisposing risk factors, suggestive signs and symptoms, the diagnostic role of ultrasound, and the appropriate surgical management of parturients with this ominous pregnancy complication.
MIME: Adolescence-; Adult-; Anemia-complications; Fetal-Death; Hospitalization-; Hysterosalpingography-; Length-of-Stay; Pregnancy-; Pregnancy-Complications; Pregnancy,-Abdominal-complications; Pregnancy,-Abdominal-diagnosis; Pregnancy,-Abdominal-radiography; Retrospective-Studies; Ultrasonography-
MJME: *Obstetrics-trends; *Pregnancy,-Abdominal-surgery
TG: Female; Human; Support,-Non-U.S.-Gov't
PT: JOURNAL-ARTICLE
AN: 88175788
UD: 8807
SB: AIM
Record 4 of 15 - MEDLINE (R) 1989
TI: [Abdominal pregnancy. Its conservative management. A case report with a live conceptus]
TO: Embarazo abdominal. Manejo conservador. Presentacion de un caso con producto vivo.
AU: Cachon-Lopez-OR; Gasque-Lopez-F; Peniche-Rodriguez-R; Avila-Vergara-MA
SO: Ginecol-Obstet-Mex. 1989 Mar; 57: 73-5
ISSN: 0300-9041
PY: 1989
LA: SPANISH; NON-ENGLISH
CP: MEXICO
AB: This is a case of abdominal pregnancy in an 18 year old woman. It has been diagnosed as a 30.4 weeks gestation abdominal pregnancy by clinical antecedents and findings supported by VSG and roentgenography. Conservative management for a period of two weeks with continual fetal monitoring and a series of maternal hemoglobin levels as well as induction of lung fetal maturation, were carried out. Exploratory laparatomy was done at 32.4 weeks of gestation; a living masculine product was found, weighing 1,100 g and Apgar of 8-9. The placenta was situated on the surface of the anterior leaf of the broad ligament, proximal round ligament portion, and proximal tubal portion on the right side. Removal of the placenta was made and right salpingectomy. Evolution was satisfactory of both mother and newborn. Mother was healthy and was discharged from hospital 3 days after. Newborn at 40 days from birth was healthy and weighing 2,000 g. Although most authors recommend surgical treatment for these cases, this case was treated conservatively as we consider the following to be good prognostic factors: age of the patient, general condition, position of placenta, state of fetal membranes, antecedents of partial detachment of placenta during pregnancy.
MIME: Adult-; Combined-Modality-Therapy; English-Abstract; Infant,-Newborn; Laparotomy-; Placenta-pathology; Pregnancy-; Pregnancy,-Abdominal-pathology; Pregnancy,-Abdominal-therapy
MJME: *Pregnancy,-Abdominal-diagnosis
TG: Case-Report; Female; Human; Male
PT: JOURNAL-ARTICLE
AN: 91122654
UD: 9105
Record 11 of 15 - MEDLINE (R) 1989
TI: Advanced abdominal pregnancy--a review of 23 cases.
AU: White-RG
SO: Ir-J-Med-Sci. 1989 Apr; 158(4): 77-8
ISSN: 0021-1265
PY: 1989
LA: ENGLISH
CP: IRELAND
AB: Twenty-three cases of advanced abdominal pregnancy were managed at Harare Hospital, Zimbabwe, over a 10 year period. The incidence was 1 in 9500 total deliveries and 1 in 60 ectopic pregnancies. There were no maternal deaths but perinatal mortality was 83%. Of the 5 liveborn infants, 4 had pressure deformities and 3 were small for gestational age. There was one neonatal death due to pulmonary hypoplasia. Diagnosis is difficult and is often first suggested by failed induction of labour in a case of presumed intrauterine death. Abnormal presentation of the fetus, displacement of the cervix and anaemia were the most common clinical features. At operation, haemorrhagic shock occurred more frequently when attempts were made to remove the placenta. However, the average post-operative stay of patients who had placental tissue left was 22.4 days compared with 8.3 days for those who had the placenta removed. It is recommended that the placenta be removed only if its entire blood supply can be ligated. Partial removal of the placenta is the most hazardous procedure and should not be undertaken.
MIME: Infant,-Newborn; Pregnancy-; Pregnancy,-Abdominal-diagnosis; Pregnancy,-Abdominal-surgery; Zimbabwe-
MJME: *Pregnancy,-Abdominal
TG: Female; Human
PT: JOURNAL-ARTICLE
AN: 89326791
UD: 8911
Record 14 of 15 - MEDLINE (R) 1989
TI: [Abdominal pregnancy. Apropos of 7 cases collected between 1978 and 1986]
TO: La grossesse abdominale. A propos de 7 cas colliges de 1978 a 1986.
AU: Setouani-A; Snaibi-A; Boutaleb-Y
AD: Clinique de Gynecologie-Obstetrique, C.H.U. Ibnou-Rochd, Casablanca, Maroc.
SO: J-Gynecol-Obstet-Biol-Reprod-Paris. 1989; 18(2): 177-80
ISSN: 0368-2315
PY: 1989
LA: FRENCH; NON-ENGLISH
CP: FRANCE
AB: The authors point out, following a study of 7 cases of abdominal pregnancy, how necessary it is to make a diagnosis early and to use ultrasonography routinely whenever there is the slightest abnormality in the progress of the pregnancy, such as absence of strong fetal movements or failure of the abdominal contents to grow rapidly. The treatment is surgical and the placenta should as far as possible be removed completely because serious complications both of infection and haemorrhage can occur if the placenta is only partially removed. These complications can pose a great threat to the mother.
MIME: Adult-; English-Abstract; Pregnancy-; Pregnancy,-Abdominal-therapy
MJME: *Pregnancy,-Abdominal-diagnosis
TG: Female; Human
PT: JOURNAL-ARTICLE
AN: 89256465
UD: 8909
Record 11 of 12 - MEDLINE (R) 1990
TI: Advanced abdominal pregnancy: a case report.
AU: Tungshevinsirikul-R; Charutragulchai-P; Khunpradit-S; Herabutya-Y
AD: Department of Obstetrics & Gynaecology and Family Planning, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand.
SO: J-Med-Assoc-Thai. 1990 Feb; 73 Suppl 1: 107-10
ISSN: 0125-2208
PY: 1990
LA: ENGLISH
CP: THAILAND
AB: A 37-year-old, gravida 5 with 41 weeks of gestation was admitted because of slight vaginal bleeding, abdominal pain, and absence of fetal movements for a few days. Previously she had been admitted to a provincial hospital with sudden severe abdominal pain and fainting at the second month of her pregnancy and ectopic pregnancy was suspected. She was discharged the following morning, after all signs and symptoms had completely disappeared without any special investigation. On her last admission all clinical examinations were normal but fetal heart sound was absent. The cervix was closed and uneffaced. Abdominal X-ray showed signs of fetal death. Sonography confirmed a dead fetus in utero but with placenta previa totalis. A laparotomy was performed. A macerated female fetus, weighting 3,800 g was found in the amniotic sac lying in the abdominal cavity. The placenta was attached to the dorsal surface of her abdomen close to the large intestine and the omentum; the entire placenta was untouched and left in the peritoneal cavity. There were no postoperative complications. She recovered well and was discharged after 7 days.
MIME: Adult-; Diagnostic-Errors; Pregnancy-; Pregnancy,-Abdominal-therapy
MJME: *Pregnancy,-Abdominal-diagnosis
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE
AN: 90278289
UD: 9009
TI: [Late abdominal pregnancy. A case report]
TO: Grossesse abdominale tardive. A propos d'un cas.
AU: Hainaut-F; Mayenga-JM; Crimail-P
AD: Service de Gynecologie-Obstetrique, Hopital Intercommunal de Montreuil.
SO: Rev-Fr-Gynecol-Obstet. 1991 Jul-Sep; 86(7-9): 522-8
ISSN: 0035-290X
PY: 1991
LA: FRENCH; NON-ENGLISH
CP: FRANCE
AB: A case of 29 weeks gestation abdominal pregnancy is reported as an illustration to a study of that rare gestation mostly occurring in developing countries. Most abdominal pregnancies are secondary. The most common clinical signs are the abdominal pain and uncomfort. The physical signs arise the suspicion of abdominal pregnancy which is confirmed by ultrasound. Most authors don't delay the surgical procedure after the diagnosis. The placenta is mostly often left in situ and mostly. No methotrexate is administered to improve the placenta involution. The abdominal pregnancy is of very bad fetal prognosis and very at risk for the pregnant woman.
MIME: Adolescence-; English-Abstract; Fetal-Death-etiology; Hysterosalpingography-; Laparotomy-; Pregnancy-; Pregnancy-Trimester,-Third; Pregnancy,-Ectopic-complications; Pregnancy,-Ectopic-surgery; Prognosis-; Ultrasonography,-Prenatal
MJME: *Pregnancy,-Ectopic-diagnosis
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE
AN: 92094279
UD: 9204
TI: [Abdominal pregnancy. Surgical emergency]
TO: Embarazo abdominal. Urgencia quirurgica.
AU: Marquez-Becerra-MA; Toro-Calzada-RJ; Puello-Camara-JJ
AD: Division de Ginecologia y Obstetricia, Hospital General Tacuba, ISSSTE, Mexico, D.F.
SO: Ginecol-Obstet-Mex. 1991 Feb; 59: 59-62
ISSN: 0300-9041
PY: 1991
LA: SPANISH; NON-ENGLISH
CP: MEXICO
AB: Concept, classification, frequency and predominant factors of abdominal pregnancy, were reviewed. The case of a patient 32 years old, from Hospital General Tacuba, ISSSTE; with a history of secondary sterility of seven years duration, win an abdominal pregnancy with symptomatology mainly digestive; she was under hypovolemic shock, acute abdomen, but with an ultrasonographic study showing intrauterine pregnancy and a tumor in right iliac fossa, which confounded the preoperative diagnosis. Exploratory laparotomy, was done. An alive product was found 14 to 16 years old, and living the placenta in situ. Evolutions was favorable. In the final comment the clinical picture, the diagnostic media, the management possibilities for the placenta and hemorrhage, are mentioned.
MIME: Adult-; Emergencies-; English-Abstract; Pregnancy-; Pregnancy,-Abdominal-complications
MJME: *Pregnancy,-Abdominal-diagnosis
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE
AN: 91293630
UD: 9110
Record 13 of 15 - MEDLINE (R) 1991
TI: [Abdominal pregnancy with a living infant]
TO: Abdominal graviditet med levende barn.
AU: Brasso-K; Strom-KV
AD: Amtssygehuset i Roskilde, gynaekologisk-obstetrisk afdeling.
SO: Ugeskr-Laeger. 1991 May 27; 153(22): 1593-4
ISSN: 0041-5782
PY: 1991
LA: DANISH; NON-ENGLISH
CP: DENMARK
AB: Abdominal pregnancy resulting in a liveborn infant is an obstetric rarity in Denmark. A case is reported and four cases reported during the past 20 years are reviewed. In the present case, the diagnosis of extrauterine pregnancy was not established in advance. The infant, a full-term boy weighing 3,650 g, was delivered transplacentally by Caesarean section during epidural analgesia. The placenta was adherent to the intestines and was left in the abdomen for spontaneous resorption but was expelled gradually through an amnio-percutaneous fistula over a period of three months. The infant did not present any evidence of congenital abnormalities.
MIME: Adult-; Cesarean-Section; English-Abstract; Infant,-Newborn; Pregnancy-; Pregnancy-Outcome; Pregnancy,-Ectopic-diagnosis
MJME: *Abdomen-; *Pregnancy,-Ectopic
TG: Case-Report; Female; Human; Male
PT: JOURNAL-ARTICLE
AN: 91280707
UD: 9110
Record 15 of 15 - MEDLINE (R) 1991
TI: Fetal Doppler flow measurements in the early second trimester: a correlation with fetal outcome.
AU: Merchiers-E; Defoort-P; Zweers-R; Beghin-C; Thiery-M; Martens-G; Martens-I; Vandekerckhove-D
AD: Department of Obstetrics and Gynecology, State University of Gent, Belgium.
SO: Z-Geburtshilfe-Perinatol. 1991 Jan-Feb; 195(1): 33-6
ISSN: 0300-967X
PY: 1991
LA: ENGLISH
CP: GERMANY
AB: In 31 women with a singleton pregnancy, abdominal duplex doppler examinations were performed at W16-W17, W26 (+/- 2 weeks) and W34 (+/- 2 weeks) in order to study the flow velocity wave (FVW) indices in the early second trimester and their predictive value for fetal outcome. 24 women with a normal pregnancy outcome were considered as the reference group. In the early second trimester, end-diastolic block occurs frequently at the 150 Hz thump filter setting (15/24 in the fetal descending aorta, 19/24 in the umbilical artery). At the 50 Hz filter setting, end diastolic block appeared in 1/24 cases in the aorta and in 2/24 cases in the umbilical artery. The finding did not persist throughout pregnancy. The flow-velocity indices in the early second trimester in the small-for-dates were comparable to the normal group. We conclude that high peripheral resistance is a common finding in the fetal circulation in early pregnancy. It is not predictive of subsequent growth retardation.
MIME: Aorta-physiopathology; Aorta-ultrasonography; Blood-Flow-Velocity-physiology; Fetal-Growth-Retardation-physiopathology; Follow-Up-Studies; Infant,-Newborn; Pregnancy-; Pregnancy-Trimester,-Second; Reference-Values; Risk-Factors; Umbilical-Arteries-physiopathology; Umbilical-Arteries-ultrasonography; Vascular-Resistance-physiology
MJME: *Fetal-Growth-Retardation-ultrasonography; *Maternal-Fetal-Exchange-physiology; *Ultrasonography,-Prenatal-methods
TG: Female; Human
PT: JOURNAL-ARTICLE
AN: 91272627
UD: 9109
Record 4 of 5 - MEDLINE (R) 1992
TI: [Abdominal pregnancy. Six personal cases]
TO: La grossesse abdominale. A propos de six cas personnels.
AU: Cetin-MT; Aridogan-N; Coskun-A
AD: Clinique de Gynecologie-Obstetrique, Universite de Cukurova, CHU, Adana, Turquie.
SO: Rev-Fr-Gynecol-Obstet. 1992 Feb; 87(2): 76-8
ISSN: 0035-290X
PY: 1992
LA: FRENCH; NON-ENGLISH
CP: FRANCE
AB: This study consists of six accurately diagnosed and treated cases of abdominal pregnancy over a 16-year period (1974-1989) in the Obstetrics and Gynecology Department of Cukurova University Medical Faculty in Adana. In this study the incidence of abdominal pregnancy we found was 1 per 4,017 births. In two cases whose pregnancies continued until term, living babies were delivered. The separation of placenta was easy in four cases. However in the other two cases, the management of placenta detachment was difficult because of the stick adhesions with visseria; so in these cases the placenta tissues were left in the abdomen. The methotrexate was administered to eroze to the placenta in these cases. One of them who received methotrexate died of infection.
MIME: Adult-; Clinical-Protocols-standards; Delivery-methods; Delivery-statistics-and-numerical-data; English-Abstract; Hospitals,-University; Incidence-; Infant-Mortality; Infant,-Newborn; Maternal-Mortality; Pregnancy-; Pregnancy,-Abdominal-diagnosis; Pregnancy,-Abdominal-therapy; Turkey-epidemiology
MJME: *Pregnancy,-Abdominal-epidemiology
TG: Female; Human
PT: JOURNAL-ARTICLE
AN: 92237583
UD: 9207
Record 7 of 8 - MEDLINE (R) 1993
TI: [Abdominal pregnancy, a rare anatomoclinical entity. 4 case reports (1981-1990)]
TO: La grossesse abdominale, entite anatomoclinique rare. A propos de 4 cas (1981-1990).
AU: Sfar-E; Kaabar-H; Marrakechi-O; Zouari-F; Chelli-H; Kharouf-M; Chelli-M
AD: Centre de maternite et de neonatologie de la Rabta, Tunis, Tunisie.
SO: Rev-Fr-Gynecol-Obstet. 1993 Apr; 88(4): 261-5
ISSN: 0035-290X
PY: 1993
LA: FRENCH; NON-ENGLISH
CP: FRANCE
AB: The opportunity is taken, on the basis of 4 cases of abdominal pregnancy and a review of the literature, to attempt to analyse the various aspects of this increasingly rare pathology. Its incidence is low, being evaluated by our own study at 4/85 757 deliveries, i.e.: 1/21 439 deliveries collected at the Maternity and Neonatology centre of Rabta Tunis during a 10-year period (1981-1990). The essential epidemiological factor is the low socio-economic and cultural status seen in the patients studied. Clinical signs were predominated by metrorrhagia, abdominal pain, disturbed intestinal function and fetal death in utero. The delay in diagnosis explains the onset of frequent fetal complications in the form of fetal death in utero (3 cases out of 4) and of various fetal malformations. Ultrasonography is the essential investigation enabling diagnosis in the presence of clinical suspicion. Surgery is obligatory, excluding any attempt in the majority of cases at extraction of the placenta, which is left in place.
MIME: Adult-; Delivery-statistics-and-numerical-data; English-Abstract; Extraction,-Obstetrical; Hysterosalpingography-; Incidence-; Infant-Mortality; Infant,-Newborn; Parity-; Pregnancy-; Pregnancy-Outcome; Pregnancy,-Abdominal-diagnosis; Pregnancy,-Abdominal-epidemiology; Pregnancy,-Abdominal-therapy; Prognosis-; Risk-Factors; Socioeconomic-Factors; Ultrasonography,-Prenatal
MJME: *Pregnancy,-Abdominal
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES
AN: 93276173
UD: 9309
Record 5 of 14 - MEDLINE (R) 1/94-12/94
TI: Ultrasound evaluation of abdominal pregnancy.
AU: Angtuaco-TL; Shah-HR; Neal-MR; Quirk-JG
AD: Department of Radiology, University of Arkansas for Medical Sciences, Little Rock.
SO: Crit-Rev-Diagn-Imaging. 1994; 35(1): 1-59
ISSN: 1040-8371
PY: 1994
LA: ENGLISH
CP: UNITED-STATES
AB: The ultrasound diagnosis of abdominal pregnancy continues to be difficult in spite of recent advances in ultrasound technology. The principal impediment is a low suspicion for the diagnosis because of its relatively asymptomatic nature and the lack of specificity of symptoms when present. In the early days of sonography when static B-mode scanning was used, a "gestalt" diagnosis was suggested, based on one's ability to have an overall perspective of the intrauterine contents. With conversion to exclusive real time imaging and the inherent limitation of the field of view, this "gestalt perception" is no longer possible. It is therefore necessary to reassess our criteria based on this change and determine those that remain reliable for diagnosis.
MIME: Adult-; Diagnosis,-Differential; Predictive-Value-of-Tests; Pregnancy-
MJME: *Pregnancy,-Abdominal-ultrasonography; *Ultrasonography,-Prenatal
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL
AN: 94242254
UD: 9408
Record 10 of 14 - MEDLINE (R) 1/94-12/94
TI: Malformations and deformations in abdominal pregnancy.
AU: Stevens-CA
AD: Department of Pediatrics, University of Tennessee College of Medicine, Chattanooga 37403.
SO: Am-J-Med-Genet. 1993 Dec 1; 47(8): 1189-95
ISSN: 0148-7299
PY: 1993
LA: ENGLISH
CP: UNITED-STATES
AB: Abdominal gestation is a relatively uncommon complication of pregnancy. Previous reports describe a high incidence of fetal deformations and mortality as well as maternal mortality. A case of twin abdominal gestation is presented and the literature concerning abdominal pregnancy since 1809 is reviewed. The survival rate of liveborn infants of 30 or more weeks gestation was 63%. The maternal mortality rate since 1809 was 18.2%, but this has decreased to 4.5% during the last 20 years. The combined rate of malformations and deformations in the infants was 21.4%. The most common deformations observed were facial and/or cranial asymmetry and various joint abnormalities. Among the most common malformations were limb deficiency and central nervous system malformations. Proposed mechanisms of compression and vascular disruption are discussed.
MIME: Pregnancy-; Twins-
MJME: *Fetus-abnormalities; *Pregnancy,-Abdominal
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE; REVIEW; REVIEW,-ACADEMIC
AN: 94121094
UD: 9404
Record 8 of 9 - MEDLINE (R) 1/96-11/96
TI: Placental abruption in association with advanced abdominal pregnancy. A case report.
AU: Yu-S; Pennisi-JA; Moukhtar-M; Friedman-EA
AD: Department of Obstetrics and Gynecology, Flushing Hospital Medical Center, Queens, New York 11355, USA.
SO: J-Reprod-Med. 1995 Oct; 40(10): 731-5
ISSN: 0024-7758
PY: 1995
LA: ENGLISH
CP: UNITED-STATES
AB: BACKGROUND: Recognition of advanced abdominal pregnancy and care of the patient afflicted with it may present formidable challenges. Aside from the difficulty of diagnosing the problem and thereby delaying necessary intervention, management can be difficult at best, even when the condition is relatively uncomplicated. When it is compounded by a life-threatening complication, such as uncontrollable hemorrhage, it challenges the skills of the most experienced obstetrician and the resources of the best-equipped facility and its personnel. CASE: Partial placental separation was encountered at surgery; it progressed intraoperatively despite the care taken to avoid disturbing the placental implantation site. Severe hemorrhage was controlled by a combination of aortic compression, packing and use of large "liver" sutures incorporating the uterine wall for tamponade of the principal placental implantation site, on the mesentery. CONCLUSION: It is important to be prepared to deal with the complication of intense intraabdominal bleeding in the course of intraoperative management of abdominal pregnancy.
MIME: Adult-; Hemostasis,-Surgical-methods; Pregnancy-
MJME: *Abruptio-Placentae-complications; *Abruptio-Placentae-surgery; *Pregnancy,-Abdominal-complications; *Pregnancy,-Abdominal-surgery; *Uterine-Hemorrhage-etiology
TG: Case-Report; Female; Human
PT: JOURNAL-ARTICLE
AN: 96130422
UD: 9604
Record 5 of 9 - MEDLINE (R) 1/97-8/97
TI: Fetal survival in abdominal pregnancy: a review of 11 cases.
AU: Dubinsky-TJ; Guerra-F; Gormaz-G; Maklad-N
AD: University of Texas-Houston, LBJ General Hospital, department of Radiology, Houston 77026, USA.
SO: J-Clin-Ultrasound. 1996 Nov-Dec; 24(9): 513-7
ISSN: 0091-2751
PY: 1996
LA: ENGLISH
CP: UNITED-STATES
AB: PURPOSE: Little has been written regarding the ultrasound imaging features that might allow prediction of fetal viability in abdominal pregnancies. Toward this goal, we present our experience with a series of 11 abdominal pregnancies. MATERIALS AND METHODS: From 1981 to 1993, 11 patients presented to Universidad Catolica, Santiago, and Universidad de Austral, Valdivia, Chile, with third trimester abdominal pregnancies. Five had complete ultrasound examinations, and these five patients were managed expectantly. The other six women presented as acute abdominal emergencies and underwent emergent surgery. RESULTS: Four of five fetuses that survived had a complete placental attachment to the uterus, and one surviving neonate had a partial attachment of the placenta to the uterus. Three fetuses died prior to delivery, and all three had a complete mesenteric placental attachment. Two died in the early neonatal period. One had a complete uterine placental attachment, and the other had a partial attachment. CONCLUSIONS: The survival rate of abdominal pregnancies may be better than is generally believed. Placental attachment to the uterus appears to be a factor related to fetal survival and maternal morbidity. More cases are necessary to determine the feasibility of managing women with abdominal pregnancies expectantly.
MIME: Birth-Weight; Delivery-; Pregnancy-
MJME: *Pregnancy-Outcome; *Pregnancy,-Abdominal-ultrasonography; *Ultrasonography,-Doppler; *Ultrasonography,-Prenatal
TG: Female; Human
PT: JOURNAL-ARTICLE
AN: 97062745
UD: 9704
