ABSTRACT
Tubal hydatidiform mole is an uncommon condition with about 40 confirmed cases in the accessible literature. The patient usually presents with symptoms and signs of a classical ectopic pregnancy and it is only after histological examination and DNA ploidy analysis of the conceptus that a hydatidiform mole is diagnosed. Management requires complete removal of the conceptus and follow-up needs to be arranged with an appropriate supraregional centre. The authors present a case of complete molar tubal pregnancy and a review of the literature.
Subject(s)
Hydatidiform Mole/pathology , Pregnancy, Tubal/pathology , Uterine Neoplasms/pathology , Biopsy, Needle , Female , Follow-Up Studies , Humans , Hydatidiform Mole/diagnostic imaging , Hydatidiform Mole/surgery , Hysterectomy/methods , Immunohistochemistry , Laparotomy/methods , Middle Aged , Pregnancy , Pregnancy, Tubal/diagnostic imaging , Pregnancy, Tubal/surgery , Rare Diseases , Risk Assessment , Salpingectomy/methods , Treatment Outcome , Ultrasonography , Uterine Neoplasms/diagnostic imaging , Uterine Neoplasms/surgerySubject(s)
Cerebrovascular Disorders/diagnosis , Puerperal Disorders/diagnosis , Adult , Female , Humans , Postpartum Period , PregnancySubject(s)
MELAS Syndrome/diagnosis , Pregnancy Complications , Pulmonary Embolism/diagnosis , Adult , Diagnosis, Differential , Female , Humans , PregnancySubject(s)
Cardiomyopathy, Dilated/complications , Cardiomyopathy, Dilated/diagnosis , Pregnancy Complications, Cardiovascular/diagnosis , Pregnancy Complications, Cardiovascular/etiology , Adult , Cardiomyopathy, Dilated/therapy , Dyspnea/etiology , Female , Humans , Pregnancy , Pregnancy Complications, Cardiovascular/therapy , Tachycardia/etiologySubject(s)
Anaphylaxis/etiology , Embolism, Amniotic Fluid/diagnosis , Obstetric Labor Complications/diagnosis , Adult , Delivery, Obstetric/methods , Diagnosis, Differential , Embolism, Amniotic Fluid/complications , Female , Humans , Placenta/pathology , Pregnancy , Pregnancy Trimester, Third , SyndromeABSTRACT
A postal survey of transcervical endometrial resection in a series of 370 consecutive patients, treated at Ipswich District General Hospital between 1991 and 1997, is presented. All patients had total transcervical endometrial resection (TCER) procedures. Of our patients,258 (69.7%) reported a significant improvement in menstruation. Of the patients, 113 (21.9%) became amenorrhoeic. In all, 81 (21.9%) hysterectomies were performed. On direct questioning, 262 (70.8%) answered that they were satisfied with the outcome. It is concluded that our postal survey consolidates the previous findings that transcervical endometrial resection is a safe and effective operation with a high satisfaction rate even at a district general hospital setting. It should compliment medical treatments and hysterectomy in the management of women with menorrhagia.
ABSTRACT
A questionnaire was completed by 166 midwives and obstetric junior doctors to assess their knowledge of the management of shoulder dystocia and to establish whether mandatory teaching and updating is required. Ninety-six participants (58%) claimed they were confident in the management of shoulder dystocia. However, only six (4%) respondents gained full marks on the scoring system devised to assess their knowledge. Furthermore 36 (22%) of those surveyed suggested rotation of the shoulders to the anterior-posterior position to alleviate the dystocia and 32 (19%) proposed pulling the head hard. Although there are limitations in assessing competence by the use of a questionnaire, the results of this survey suggest that there is considerable room for improvement. We suggest that a shoulder dystocia drill is introduced to all labour wards in the United Kingdom so that birth attendants can develop and memorize a sequence of procedures to use when confronted with this life-threatening emergency.
