ABSTRACT
Between January 1982 and April 1985 13 patients with severe secondary postpartum haemorrhage after caesarean section were seen at King Edward VIII Hospital, Durban. The bleeding occurred in the second, third and fourth weeks after delivery, but there were no maternal deaths. Eight of these patients were treated by total abdominal hysterectomy and 1 by revision of the uterine wound and ligation of the bleeding uterine vessels. The last 4 patients, seen in 1985, were treated by selective transcatheter embolisation with Gelfoam pledgets. This method was successful in 3 patients and failed in 1. It is suggested that the latter method has a place in the treatment of these patients.
Subject(s)
Cesarean Section/adverse effects , Postpartum Hemorrhage/etiology , Embolization, Therapeutic , Female , Humans , Postpartum Hemorrhage/surgery , Pregnancy , Surgical Wound DehiscenceABSTRACT
Primary hyperparathyroidism (PHPT) and associated bony changes are rare in pregnancy; the approach to this condition and its management are discussed. This is probably the first report of PHPT in twin pregnancy and the clinical, radiological and biochemical features are described.
Subject(s)
Hyperparathyroidism , Pregnancy Complications , Pregnancy, Multiple , Adult , Female , Humans , Pregnancy , Pregnancy Trimester, Third , TwinsABSTRACT
Two patients with advanced extra-uterine pregnancies developed fulminating pre-eclampsia, providing firm evidence that the uterus is not essential to the process of pre-eclampsia.
Subject(s)
Eclampsia/complications , Pre-Eclampsia/complications , Pregnancy, Abdominal/complications , Adult , Female , Humans , PregnancyABSTRACT
Carbohydrate metabolism was evaluated in 26 women with a twin pregnancy and 26 women with a singleton pregnancy. The groups were similar in respect of age, parity and gestational age. Each woman had an oral glucose tolerance test. No significant differences in venous blood sugar values or insulin responses were found between singleton and twin pregnancies.
