RESUMO
The successful outcome of a pregnancy in a juvenile diabetic after renal transplantation is reported. It is proposed that class T be added to the classification of pregnancies complicated by diabetes mellitus. Pregnancy prevention should be considered until significant longevity can be demonstrated in diabetics receiving renal transplants.
Assuntos
Diabetes Mellitus Tipo 1 , Transplante de Rim , Gravidez em Diabéticas , Adulto , Cegueira , Nitrogênio da Ureia Sanguínea , Catarata , Creatinina/metabolismo , Parto Obstétrico , Diabetes Mellitus Tipo 1/classificação , Estriol/metabolismo , Feminino , Humanos , Rim/fisiopatologia , Taxa de Depuração Metabólica , Testes de Função Placentária , Pré-Eclâmpsia , Gravidez , Proteinúria/urina , Transplante HomólogoRESUMO
Results of 261 paracervical blocks done with a dose of 12 ml of 1% chloroprocaine hydrochloride solution containing 1:200,000 epinephrine were recorded. The blocks were followed by abnormal heart rate patterns for 3 to 15 minutes in six of 104 (5.8%) of the fetuses. Excellent pain relief was obtained with 142 of 172 blocks or 83%. One fetus died owing to multiple congenital anomalies. Paracervical blocks performed as described are completely safe for the mother and do not affect Apgar scores. Potential fetal risks are acceptable when considered in light of the ease of administration and the amount of pain relief obtained.