Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review

Caesarean scar pregnancy

The diagnosis, treatment, and follow-up of cesarean scar pregnancy.

Diagnosis and management of ectopic pregnancy

Anorexia nervosa is a debilitating psychiatric disorder with profound biological, psychological, and social consequences. After an initial evaluation of the most widely used diagnostic criteria for anorexia nervosa, this paper reviews genetic and environmental risk factors for the development of anorexia with special emphasis on gene environment interplay and the impact of adverse perinatal events.

Anorexia nervosa : Definition, epidemiology, and cycle of risk. Commentary

Cesarean scar pregnancy is rare. However, there has been a rapid increase in the reporting of such cases in recent years. Most of the cases reported in the literature were diagnosed early in the first trimester. Possible management options proposed are pertinent to an early diagnosis. We present a case of a cesarean scar pregnancy diagnosed at 16 weeks that posed a dilemma with regard to management. The patient subsequently suffered a ruptured uterus, which was preserved at surgery. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007

Sonographic diagnosis of cesarean scar pregnancy at 16 weeks.

Key content: • In acute colonic pseudo-obstruction (Ogilvie’s syndrome) there is an adynamic ileus without mechanical obstruction, characterised by dilatation of the caecum and right colon. • In obstetrics it is usually associated with caesarean section. • Early diagnosis and appropriate treatment are imperative to avoid caecal rupture, faecal peritonitis and the associated high maternal mortality. • Conservative and pharmacological therapies are effective in many women, but surgical intervention may be required.

Acute colonic pseudo-obstruction after caesarean section

Key content
Anorexia nervosa is a psychiatric disorder which is most common in young women and which has the highest mortality rate among all psychiatric disorders.
In pregnant women with anorexia nervosa a six-fold increase in perinatal mortality rate has been reported.
There is a lack of evidence-based obstetric guidelines for the management of pregnant women with anorexia nervosa.
This article looks into the effects of anoxexia nervosa on pregnancy and vice versa, and suggests a streamlined management plan.


Learning objectives
To appreciate the issues surrounding the background and diagnosis.
To understand the complex nature of managing pregnant women with anorexia nervosa.
To be aware of the potential short and long-term repercussions of the disorder on the baby.


Ethical issues
A woman's right to autonomy is frequently in contradiction with the clinician's attempts to protect the welfare of her and her baby.
A woman's psychological conflicts resulting from the condition during pregnancy and immediately postpartum need to be appreciated.

Anorexia nervosa in pregnancy

Pulmonary thromboembolism is the leading direct cause of maternal death in the UK. This direct approach structured questionnaire survey was carried out on 100 randomly chosen pregnant in-patients in a London teaching hospital: (a) to assess the quality and frequency of advice given to them by the healthcare professionals on the use of graduated elastic compression stockings (GECS) as a primary physical prophylaxis against venous thromboembolism (VTE) and (b) to find out the rate of compliance and the possible reasons for non-compliance of their use. The information and advice given to pregnant patients by healthcare professionals are generally of good-to-excellent quality, but not universally offered. A total of 40% of mothers wore the GECS all the time, while 38% did not wear them at all. Among the non-wearers, the two major groups were those who did not receive any advice (28%) and those who found them uncomfortable (18%). All healthcare professionals should be aware of the potential risks of VTE, and routinely educate and advise the pregnant women-at-risk on the use of GECS.

A survey of pregnant women on the use of graduated elastic compression stockings on the antenatal ward.

A 28-year-old previously healthy Nigerian woman, presented at 27 + 4 weeks' gestation in her first pregnancy, with acute onset of severe epigastric pain radiating to the back and left shoulder. Thi...

Gastric volvulus: A rare cause of abdominal pain in pregnancy

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