Asunto(s)
Glucemia/metabolismo , Diabetes Gestacional/diagnóstico , Prueba de Tolerancia a la Glucosa/métodos , Hemoglobina Glucada/metabolismo , Diagnóstico Prenatal/métodos , Teorema de Bayes , COVID-19 , Diabetes Gestacional/metabolismo , Reacciones Falso Negativas , Ayuno/metabolismo , Femenino , Humanos , Diagnóstico Erróneo/estadística & datos numéricos , Pandemias , Embarazo , Segundo Trimestre del Embarazo , SARS-CoV-2 , Reino UnidoRESUMEN
BACKGROUND: Removal and changing an intra-uterine device (IUD) involves good history taking, a proper examination and appropriate experience in fitting IUDs. CASE: We present a case of a woman who had two insertions of the levonorgestrel intrauterine system (LNG-IUS) which was diagnosed only at hysteroscopy when she presented with the spontaneous expulsion of a vertical stem of one of the devices. CONCLUSION: This is a unique case where two LNG-IUS were inserted in error and hence it teaches the clinicians the importance of good training and being aware of the possibility of the missing thread which deserves further investigations especially when such cases are encountered in a busy general practice.
Asunto(s)
Expulsión de Dispositivo Intrauterino/etiología , Dispositivos Intrauterinos Medicados , Levonorgestrel , Adulto , Falla de Equipo , Femenino , Humanos , HisteroscopíaAsunto(s)
Desarrollo Fetal/fisiología , Enfermedad de Moyamoya/diagnóstico , Complicaciones del Embarazo/diagnóstico , Resultado del Embarazo , Adulto , Angiografía Cerebral , Cesárea , Femenino , Estudios de Seguimiento , Edad Gestacional , Humanos , Embarazo , Embarazo de Alto Riesgo , Atención PrenatalAsunto(s)
Parto Domiciliario , Esfuerzo de Parto , Parto Vaginal Después de Cesárea , Adulto , Femenino , Humanos , EmbarazoAsunto(s)
Abortivos no Esteroideos/administración & dosificación , Trabajo de Parto Inducido/métodos , Misoprostol/administración & dosificación , Automedicación , Contracción Uterina/efectos de los fármacos , Administración Intravaginal , Adulto , Femenino , Hospitalización , Humanos , Medicamentos sin Prescripción , Embarazo , ComprimidosRESUMEN
BACKGROUND: Management of pregnancy in a woman who has had a ruptured uterus on more than one occasion presents a great clinical and ethical challenge to the obstetrician. CASE: This appears to be the first report on complete uterine ruptures in three consecutive pregnancies. CONCLUSION: Prolonged hospital admission, intensive antenatal surveillance, antenatal steroid administration and elective premature delivery may give the best chance for a good outcome in these pregnancies. However, despite all these efforts, there is still a high risk of an unfavorable outcome.
Asunto(s)
Rotura Uterina/fisiopatología , Rotura Uterina/terapia , Adulto , Femenino , Edad Gestacional , Humanos , Recién Nacido , Embarazo , Resultado del EmbarazoAsunto(s)
Encefalopatías Metabólicas Innatas/diagnóstico , Hipoxia Fetal/etiología , Hipoxia-Isquemia Encefálica/diagnóstico , Adulto , Diagnóstico Diferencial , Resultado Fatal , Femenino , Humanos , Hipoxia-Isquemia Encefálica/sangre , Hipoxia-Isquemia Encefálica/líquido cefalorraquídeo , Recién Nacido , Ácido Láctico/sangre , Ácido Láctico/líquido cefalorraquídeo , Masculino , EmbarazoAsunto(s)
Levonorgestrel/administración & dosificación , Menorragia/tratamiento farmacológico , Menorragia/cirugía , Congéneres de la Progesterona/administración & dosificación , Endometrio/cirugía , Femenino , Humanos , Dispositivos Intrauterinos , Satisfacción del Paciente , Ensayos Clínicos Controlados Aleatorios como AsuntoRESUMEN
This study addresses the likelihood of false negative urine pregnancy test results, due to physiological urine dilution as described in some anecdotal reports. In this prospective study 320 pregnancy tests were performed on urine samples of varying concentrations obtained from 40 women, with suspected complications of early pregnancy, who had presented for ultrasound scans. Four different pregnancy tests were used and serum betahCG levels were measured quantitatively. Despite a mean fivefold increase in urine dilution, the pregnancy tests with low betahCG detection limits maintained maximal sensitivity. The detection of betahCG in dilute urine was adversely affected by using pregnancy tests with higher betahCG detection limits and these tests should be used with caution when assessing gynaecological emergencies.