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Fetomaternal hemorrhage following trauma
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uterine fetal hyperinsulinism. The use of tight diabetic control early in pregnancy to reduce the risk of fetal macrosomia and/or neonatal complications is of clinical importance in the management of diabetes in pregnancy, Dermatomyositis and pregnancy King CR; Chow S Department of Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, KS 66103, USA OBSTET. GYNECOL.; 66/4 (589-592) 1985 Dermatomyositis is a rare medical disease complicating pregnancy. Three patients are reported with five successful pregnancies complicated by dermatomyositis. Although pregnancy loss may arise when dermatomyositis complicates pregnancy, successful therapy will permit a satisfactory result. Optimal pregnancy success can be anticipated when pregnancy is undertaken with disease in remission and prospective maternal and fetal evaluation is undertaken. Sonographic diagnosis of periappendicular abscess in pregnancy Jaffe R; Gruber A; Abramowicz J; et al. Department of Obstetrics and Gynecology ‘A ‘, Meir General Hospital, Kfar-Sava 44281, Israel AM. J. OBSTET. GYNECOL.; 153/6 (623624) 1985 The diagnosis of appendicitis in pregnancy is complex because of altered maternal physiology and anatomy, and definitive therapy is often delayed. Ultrasonic screening is important in either diagnosing or excluding many pathologic conditions that complicate pregnancy and present a clinical picture similar to that of appendicitis. Reported here is a case in which a periappendicular abscess due to a perforated appendix was diagnosed by sonographic screening. Fetomaternal hemorrhage following trauma Rose PG; Strohm PL; Zuspan FP Department of Obstetrics and Gynecology,
the Literature
393
Ohio State University, Columbus. OH 43210, USA AM. J. OBSTET. GYNECOL.: 153,18 (844847) 1985 Fetomaternal hemorrhage can result from different types of trauma and may be followed by fetal anemia, fetal death, or isoimmunization. We prospectively studied the frequency and volume of fetomaternal hemorrhage, fetal well-being, abruptio placentae, and fetal outcome in 32 pregnant patients suffering recent trauma. Fetomaternal hemorrhage occurred in nine of 32 trauma patients (28%) with a mean volume of 16 ml + 14.3 (SD). There was a statistically significant difference in the frequency and mean volume of fetomaternal hemorrhage in this group over that in gestational-age-matched controls. Neither the nature of the trauma nor the gestational age was related to the frequency or volume of fetomaternal hemorrhage. The outcome in three of the nine trauma patients who sustained fetomaternal hemorrhage was poor; fetal anemia, paroxysmal atria1 trachycardia, and fetal death occurred in each one. Maternal trauma remains a significant cause of maternal morbidity and death, and the use of the Kleihauer-Betke analysis is indicated to identify fetomaternal hemorrhage. Rh-immune globulin therapy should be given to Rh-negative patients with fetomaternal hemorrhage. Hepatitis in pregnancy Snydman DR I71 Harrison Ave., Boston, MA 0,911 I. lJSA N. ENGL. J. MED.; 313/22 (139881401) 1985 Most pregnant patients with viral hepatitis can be cared for successfully and have fullterm infants unless they have underlying nutritional problems. The type of viral hepatitis, the duration of the gestation at the time of infection, and individual immunologic factors may also affect the outcome. The responsibilities of physicians in these cases include obtaining an etiologic diagnosis of the hepatitis in order to provide optimal care of
uterine fetal hyperinsulinism. The use of tight diabetic control early in pregnancy to reduce the risk of fetal macrosomia and/or neonatal complications is of clinical importance in the management of diabetes in pregnancy, Dermatomyositis and pregnancy King CR; Chow S Department of Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, KS 66103, USA OBSTET. GYNECOL.; 66/4 (589-592) 1985 Dermatomyositis is a rare medical disease complicating pregnancy. Three patients are reported with five successful pregnancies complicated by dermatomyositis. Although pregnancy loss may arise when dermatomyositis complicates pregnancy, successful therapy will permit a satisfactory result. Optimal pregnancy success can be anticipated when pregnancy is undertaken with disease in remission and prospective maternal and fetal evaluation is undertaken. Sonographic diagnosis of periappendicular abscess in pregnancy Jaffe R; Gruber A; Abramowicz J; et al. Department of Obstetrics and Gynecology ‘A ‘, Meir General Hospital, Kfar-Sava 44281, Israel AM. J. OBSTET. GYNECOL.; 153/6 (623624) 1985 The diagnosis of appendicitis in pregnancy is complex because of altered maternal physiology and anatomy, and definitive therapy is often delayed. Ultrasonic screening is important in either diagnosing or excluding many pathologic conditions that complicate pregnancy and present a clinical picture similar to that of appendicitis. Reported here is a case in which a periappendicular abscess due to a perforated appendix was diagnosed by sonographic screening. Fetomaternal hemorrhage following trauma Rose PG; Strohm PL; Zuspan FP Department of Obstetrics and Gynecology,
the Literature
393
Ohio State University, Columbus. OH 43210, USA AM. J. OBSTET. GYNECOL.: 153,18 (844847) 1985 Fetomaternal hemorrhage can result from different types of trauma and may be followed by fetal anemia, fetal death, or isoimmunization. We prospectively studied the frequency and volume of fetomaternal hemorrhage, fetal well-being, abruptio placentae, and fetal outcome in 32 pregnant patients suffering recent trauma. Fetomaternal hemorrhage occurred in nine of 32 trauma patients (28%) with a mean volume of 16 ml + 14.3 (SD). There was a statistically significant difference in the frequency and mean volume of fetomaternal hemorrhage in this group over that in gestational-age-matched controls. Neither the nature of the trauma nor the gestational age was related to the frequency or volume of fetomaternal hemorrhage. The outcome in three of the nine trauma patients who sustained fetomaternal hemorrhage was poor; fetal anemia, paroxysmal atria1 trachycardia, and fetal death occurred in each one. Maternal trauma remains a significant cause of maternal morbidity and death, and the use of the Kleihauer-Betke analysis is indicated to identify fetomaternal hemorrhage. Rh-immune globulin therapy should be given to Rh-negative patients with fetomaternal hemorrhage. Hepatitis in pregnancy Snydman DR I71 Harrison Ave., Boston, MA 0,911 I. lJSA N. ENGL. J. MED.; 313/22 (139881401) 1985 Most pregnant patients with viral hepatitis can be cared for successfully and have fullterm infants unless they have underlying nutritional problems. The type of viral hepatitis, the duration of the gestation at the time of infection, and individual immunologic factors may also affect the outcome. The responsibilities of physicians in these cases include obtaining an etiologic diagnosis of the hepatitis in order to provide optimal care of