ABSTRACT
Few obstetricians have much experience of the pregnant patient with a stoma. This paper was prompted by the management of 3 such patients in as many months and reviews the limited literature on stomas and pregnancy.
Subject(s)
Colostomy , Crohn Disease/surgery , Ileostomy , Intestinal Diseases/etiology , Pregnancy Complications , Adult , Cesarean Section , Colectomy , Colostomy/adverse effects , Female , Hernia/etiology , Humans , Ileostomy/adverse effects , Postoperative Complications , Pregnancy , Pregnancy Complications/etiology , ProlapseABSTRACT
Peripheral plasma concentrations of 13, 14-dihydro-15-keto prostaglandin F2 alpha (PGFM) were measured in seven women having elective cervical encerclage in an otherwise normal pregnancy. Three of seven patients had a statistically significant elevation of PGFM levels at 60 minutes after commencement of surgery. On the basis that the majority of patients had no significant rise and that there was no objective evidence of uterine contractions post-operatively, the routine administration of prostaglandin inhibitory agents to patients having cervical encerclage cannot be recommended.
Subject(s)
Cervix Uteri/surgery , Dinoprost/analogs & derivatives , Prostaglandins F/blood , Uterine Cervical Incompetence/surgery , Female , Humans , PregnancyABSTRACT
Two patients with ectopic pregnancy following vaginal hysterectomy are described. In each patient conception occurred prior to hysterectomy. A review of the literature reveals 23 similar cases with 13 presenting as early postoperative complications and 10 as late postoperative complications.
