| Anestesia obstétrica: ¿Hay algo Nuevo bajo el sol? |
Obstetric anaesthesia: Is there anything new under the sun?
Rob Dyer
South Afr J Anaesth Analg 2013;19(1):29-32
Abstract
Recent years have seen considerable sophistication in the practice of obstetric anaesthesia in the developed world. Important areas include regional anaesthesia in labour, regional anaesthesia for caesarean section (CS), categorization of the urgency of CS, and clearer definition of fetal indications for CS. The physiological basis for management of spinal hypotension is now well understood. Regional anaesthesia for patients with preeclampsia is established, and is rapidly developing in those with cardiac co-morbidities. Maternal awareness during general anaesthesia for CS has been considerably reduced. A better understanding of the pharmacology of oxytocic drugs has facilitated the management of obstetric haemorrhage. However, anaesthesia-related maternal morbidity and mortality in South Africa remains unacceptably high, and a major effort, including the development of a Special Interest Group, is necessary to address the specific problems in obstetric anaesthesia in our country.
http://www.sajaa.co.za/index.php/sajaa/article/view/1091
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| Embarazo en el síndrome de ovario poliquístico |
Pregnancy in polycystic ovary syndrome.
Kamalanathan S, Sahoo JP, Sathyapalan T.
Indian J Endocr Metab [serial online] 2013 [cited 2013 Feb 27];17:37-43.
Polycystic ovary syndrome affects 6 to 15% of reproductive age women worldwide. It is associated with increased risk of miscarriage, gestational diabetes mellitus, hypertensive disorders of pregnancy, preterm delivery, and birth of small for gestational age infant. Many studies on issues relating to pathophysiology and management of these complications have been published recently. These issues are being reviewed here using relevant articles retrieved from Pubmed database, especially from those published in recent past.
Keywords: Early pregnancy loss, metformin, polycystic ovary syndrome, pregnancy
http://www.ijem.in/text.asp?2013/17/1/37/107830
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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