News
Factors Associated With Unintended Dural Puncture and Failed Neuraxial Anesthesia in Obstetric Anesthesia
1+ day, 8+ hour ago (357+ words) Objective: Unintended dural puncture (UDP) and failed neuraxial anesthesia increase risks for conversion to general anesthesia, procedural delays, and patient dissatisfaction. Additionally, UDP can result in a postdural puncture headache (PDPH) with significant maternal morbidity. Factors such as clinician experience,…...
A Rare Case of Secondary Postpartum Hemorrhage Due to Intrauterine Hematoma and Uterine Scar Dehiscence
1+ day, 8+ hour ago (117+ words) Cesarean section is one of the most frequently performed obstetric procedures worldwide. Although secondary postpartum hemorrhage (PPH) after cesarean section is uncommon, it remains a potentially life-threatening condition and a significant cause of maternal morbidity, even in regions with low…...
Vaginal Delivery and Cesarean Section in Pregnancy Complicated by Uterine Prolapse: A Report of Two Cases
4+ day, 8+ hour ago (193+ words) Uterine prolapse during pregnancy is a rare but potentially serious condition that poses significant obstetric challenges due to the absence of standardized management guidelines. It is commonly associated with multiparity and may lead to complications such as cervical edema, ulceration,…...
Early-Onset Severe Preeclampsia as an Independent Predictor of New-Onset Maternal Arrhythmia During Pregnancy: A Retrospective Cohort Study
4+ day, 8+ hour ago (379+ words) Background Early-onset severe preeclampsia (EOSPE) is characterized by marked vascular injury, systemic inflammation, and acute hemodynamic stress. However, its independent association with newly occurring maternal arrhythmias during pregnancy has not been well established. Objective To evaluate whether EOSPE independently increases…...
Unexpected Placenta Accreta Spectrum During Cesarean Section: Intraoperative Diagnosis and Life-Saving Surgical Management
5+ day, 8+ hour ago (143+ words) Placenta accreta spectrum (PAS) is a major cause of obstetric hemorrhage and maternal morbidity. Despite advances in antenatal imaging, some cases remain undiagnosed until delivery. We report a case of intraoperative diagnosis of placenta accreta in a 32-year-old woman with…...
Subtle Enhancing Mural Thickening With Diffusion Restriction: An Early MRI Clue to Malignant Transformation in Ovarian Dermoid Cyst
5+ day, 8+ hour ago (150+ words) Mature cystic teratomas (MCTs) can rarely undergo malignant transformation, most frequently into squamous cell carcinoma. Preoperative diagnosis remains challenging because of the complex internal architecture of dermoid cysts, which may obscure subtle mural malignant components. We report a 46-year-old woman…...
Efficacy and Safety of Intrathecal Buprenorphine for Postoperative Analgesia in Cesarean Delivery: A Systematic Review of Randomized Controlled Trials
1+ week, 3+ day ago (428+ words) Cesarean delivery is one of the most commonly performed surgical procedures worldwide and is most commonly conducted under neuraxial anesthesia when not contraindicated. Intrathecal morphine remains the most commonly used neuraxial opioid adjunct for cesarean delivery and is widely considered…...
Contemporary Approach to Postpartum Hemorrhage: Early Diagnosis and Evidence-Based Therapeutic Management
1+ week, 3+ day ago (252+ words) Postpartum hemorrhage remains a major obstetric emergency and one of the most important contributors to maternal morbidity and mortality worldwide. Effective management depends on early recognition, systematic evaluation, and rapid implementation of evidence-based therapeutic strategies. A structured clinical approach facilitates…...
Extensive Bilateral Pulmonary Embolism Without Deep Vein Thrombosis After Varicose Vein Stripping: Superficial Venous Thrombosis as a Potential Source
1+ week, 4+ day ago (166+ words) Pulmonary embolism (PE) is a common and potentially life-threatening condition, most often arising from deep vein thrombosis (DVT). However, PE may rarely occur without demonstrable DVT, including after superficial venous procedures. We present the case of a 49-year-old morbidly obese…...
When Methotrexate Is Not Enough: Hysteroscopic Management of an Angular Pregnancy With Discordant Beta-Human Chorionic Gonadotropin (b-h CG) and Ultrasound Findings
1+ week, 5+ day ago (136+ words) An angular pregnancy is a rare form of ectopic implantation. We report a 30-year-old primigravida presenting with an abnormal beta-human chorionic gonadotropin (b-h CG)trend. At presentation, her b-h CG was 1, 950 m IU/m L. Ultrasound showed an angular gestational sac…...