RESUMEN
192 pregnant women were consecutively randomized to either a vitamin-mineral pill or a vitamin mineral pill with a high iron content in a prospective, open, randomized investigation. The participants were advised about iron-rich foodstuffs twice during pregnancy. Iron status of the mother proved to be without any significance for the outcome of pregnancy. A serum ferritin level of 80 pmol/l in mid-pregnancy followed by a control in the last trimester was suggested as a guide in deciding of whether or not to prescribe supplementary iron during pregnancy.
Asunto(s)
Anemia Hipocrómica/prevención & control , Hierro/uso terapéutico , Complicaciones Hematológicas del Embarazo/prevención & control , Vitaminas/uso terapéutico , Método Doble Ciego , Femenino , Ferritinas/sangre , Humanos , Paridad , Embarazo , Estudios ProspectivosRESUMEN
Emergency pulmonary embolectomy was performed successfully on a patient in her second trimester of pregnancy. The patient had severe right ventricular failure due to obstruction of 85% of the pulmonary arterial circulation. Three months after embolectomy she was delivered of a normal infant. The problem of significant but misinterpreted or overlooked clinical and electrocardiographic signs of pulmonary embolism is discussed. Thrombolytic therapy during pregnancy imposes considerable risk of bleeding with deleterious effects on both mother and fetus. In our opinion, emergency embolectomy during extracorporeal circulation is the best treatment in case of massive emboli during pregnancy.
Asunto(s)
Complicaciones Cardiovasculares del Embarazo/cirugía , Embolia Pulmonar/cirugía , Adulto , Electrocardiografía , Urgencias Médicas , Femenino , Humanos , Recién Nacido , Embarazo , Segundo Trimestre del Embarazo , Arteria Pulmonar/diagnóstico por imagen , RadiografíaRESUMEN
The frequency of puerperal febrile complications is considerably higher following cesarean section than after vaginal delivery. In a retrospective investigation of 234 planned operations and 506 emergency operations, a significantly different frequency of febrile morbidity (FM) was found following the two types of operation (7.7% vs. 20.9%). The development of FM following emergency operation was investigated in relation to factors such as age, parity, repeat cesarean section, surgeon's experience, peroperative bleeding, rupture of membranes, frequency of vaginal exploration, gestational weeks, pre- and postoperative anemia. We found some predisposing factors to FM and of these five, each was significant, but a multiple regression analysis showed that only rupture of the membranes, and pre- and postoperative anemia have an independent significant explanatory value (p less than 0.01).