American Journal of Perinatology Reports最新文献_第2页

Acquired Hemophilia A: A rare, acquired coagulopathy in the postpartum setting 获得性血友病A:一种罕见的产后获得性凝血病

American Journal of Perinatology Reports Pub Date : 2023-10-25 DOI: 10.1055/a-2198-7888

Austin Oberlin, Nicole Krenitsky, Christy Gandhi, Imo Joseph Akpan, Andrew Eisenberger, Ruth Landau, Ladin Yurteri-Kaplan, Lisa Nathan, Jean-Ju Sheen, Anita P LaSala, Mary D'Alton

{"title":"Acquired Hemophilia A: A rare, acquired coagulopathy in the postpartum setting","authors":"Austin Oberlin, Nicole Krenitsky, Christy Gandhi, Imo Joseph Akpan, Andrew Eisenberger, Ruth Landau, Ladin Yurteri-Kaplan, Lisa Nathan, Jean-Ju Sheen, Anita P LaSala, Mary D'Alton","doi":"10.1055/a-2198-7888","DOIUrl":"https://doi.org/10.1055/a-2198-7888","url":null,"abstract":"Background Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity. Pregnancy-associated acquired hemophilia A (AHA) caused by autoantibodies against factor VIII can present with recurrent episodes of postpartum bleeding. Case(s) Case 1: 50-year-old P0112 with vaginal bleeding 22 days post-cesarean. She underwent dilation and curettage, hysterectomy, and interventional radiology (IR) embolization before AHA diagnosis. She was hospitalized 32 days and received 23 units of blood product. She remains without relapse of AHA after 5 years. Case 2: 48-year-old P1 with vaginal bleeding eight days post-cesarean. She underwent three surgeries and IR embolization before AHA diagnosis. She was hospitalized 18 days and received 39 units of blood product. Prednisone and cyclophosphamide were continued after discharge. Conclusions AHA is a rare cause of PPH. An isolated prolonged aPTT should prompt further workup in postpartum patients with refractory bleeding. Rapid recognition of AHA can prevent significant morbidity related to hemorrhage, massive transfusion, and multiple surgeries.","PeriodicalId":470378,"journal":{"name":"American Journal of Perinatology Reports","volume":"24 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EXIT-to-airway for obstructing fetal neck masses: a singular methodology for monochorionic and dichorionic twin pregnancies 出口到气道阻塞胎儿颈部肿块:单绒毛膜和双绒毛膜双胎妊娠的单一方法

American Journal of Perinatology Reports Pub Date : 2023-10-10 DOI: 10.1055/a-2188-6538

Steven Thomas Papastefan, Federico Scorletti, Amir M Alhajjat, Katherine C Ott, Jeffrey C Rastatter, Xavier F Pombar, Aimen F Shaaban

{"title":"EXIT-to-airway for obstructing fetal neck masses: a singular methodology for monochorionic and dichorionic twin pregnancies","authors":"Steven Thomas Papastefan, Federico Scorletti, Amir M Alhajjat, Katherine C Ott, Jeffrey C Rastatter, Xavier F Pombar, Aimen F Shaaban","doi":"10.1055/a-2188-6538","DOIUrl":"https://doi.org/10.1055/a-2188-6538","url":null,"abstract":"INTRODUCTION: Fetal airway obstruction in one twin of a diamniotic pregnancy presents unique challenges. Very few cases of Ex-Utero-Intrapartum-Treatment (EXIT) procedures for twin pregnancy have been reported and only in dichorionic pregnancies. We report a singular methodology for EXIT-to-airway procedures in two pregnancies involving monochorionic and dichorionic twins. CASE PRESENTATION: Two cases of EXIT-to-airway in twin pregnancies were performed in 2018-2019 at a regional fetal treatment center. Case 1 involved a giant cervical teratoma in a monochorionic-diamniotic twin pregnancy with preterm labor at 29 weeks. Case 2 involved a dichorionic-diamniotic pregnancy with a large cervical lymphatic malformation with preterm labor at 36 weeks. In each case, the polyhydramnios caused the affected twin’s amniotic sac to be the presenting sac for the surgical approach. Bronchoscopy and successful intubation was completed after 22 and 10 minutes of uteroplacental bypass, respectively. The bystander twins were delivered second without intubation and resuscitated without perinatal distress. CONCLUSION: EXIT-to-airway appears to be a reasonable option for twins including monochorionic pregnancies, via delivery of the affected twin first followed by delivery of the bystander twin. Thoughtful preparation and counseling by an experienced multidisciplinary team permits an EXIT-to-airway approach for twin pregnancies even in an emergent setting.","PeriodicalId":470378,"journal":{"name":"American Journal of Perinatology Reports","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136294070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pregnancy in a Patient with Spinal Muscular Atrophy and Severe Restrictive Lung disease 脊髓性肌萎缩和严重限制性肺疾病患者的妊娠

American Journal of Perinatology Reports Pub Date : 2023-09-29 DOI: 10.1055/a-2184-0756

Lamia A Alamri, Alexandra Foxx, Robyn Dwan, Laura Sorabella, Soha Patel

引用次数: 0

Transvaginal Ovarian Cyst Drainage in Third Trimester to Facilitate Vaginal Delivery 妊娠晚期经阴道卵巢囊肿引流术促进阴道分娩

American Journal of Perinatology Reports Pub Date : 2023-09-29 DOI: 10.1055/a-2184-0548

Vivienne T Meljen, Carmen Maria Avram Santoli, Nicole P Kerner, Eleanor H. J. Rhee, Jeffrey A Kuller, Sarahn Wheeler

引用次数: 0