ABSTRACT
Autonomic hyperreflexia, one of the gravest complications of delivery among women with spinal cord injury, has been treated with spinal or epidural anesthesia but not always successfully. We discovered dramatically beneficial effects of magnesium sulfate on autonomic hyperreflexia during labor in a patient with spinal cord injury at a high level.
Subject(s)
Autonomic Dysreflexia/drug therapy , Labor, Obstetric , Magnesium Sulfate/therapeutic use , Pregnancy Complications/drug therapy , Spinal Cord Injuries/complications , Adult , Autonomic Dysreflexia/etiology , Female , Humans , Pregnancy , Pregnancy Complications/etiologyABSTRACT
OBJECTIVE: To evaluate the efficacy of treatment for infertility associated with endometriosis by selective tubal catheterization under hysteroscopy and laparoscopy. STUDY DESIGN: Eighty-eight infertile women who underwent selective tubal catheterization with insufflation of oil-soluble radiopaque dye were reviewed. The efficacy of treatment was analyzed with regard to conception rate. RESULTS: The conception rate after selective tubal catheterization was higher in women with endometriosis (60%) than in women without endometriosis (36.5%) (p < 0.05). Most women conceived within the first 4 months after treatment. No statistical difference in conception rate was observed among patients with stage I, II, or III disease. CONCLUSIONS: Selective tubal catheterization with insufflation of oil-soluble radiopaque dye was an effective treatment for infertility associated with endometriosis.