Duodenal Peptic Ulcer Perforation in the Puerperium Case Report Series.

Peptic ulcers and complications, such as perforation, are rare during pregnancy and the puerperium. Accordingly, many clinicians may place these diagnoses low on their differential diagnosis. We present two case reports of primigravida, advanced maternal-age females with a history of irritable bowel syndrome and nonsteroidal anti-inflammatory drug use found to have perforated duodenal ulcers after cesarean section.

Automated Quantification of Blood Loss versus Visual Estimation in 274 Vaginal Deliveries.

Objective: The aim of the study is to compare quantified blood loss measurement (QBL) using an automated system (Triton QBL, Menlo Park, CA) with visual blood loss estimation (EBL) during vaginal delivery.

Study Design: During 274 vaginal deliveries, both QBL and EBL were determined. The automated system batch weighs blood containing sponges, towels, pads, and other supplies and automatically subtracts their dry weights and also the measured amount of amniotic fluid.

The epidemic of abnormal copy number variant cases missed because of reliance upon noninvasive prenatal screening.

Objective: To assess the implications of increasing utilization of noninvasive prenatal screening (NIPS), which may reach 50% with the concomitant decrease in diagnostic procedures (DPs) for its impact on detection of chromosomal abnormalities.

Methods: We studied our program's statistics over 5 years for DPs and utilization of array comparative genomic hybridization (aCGH). We then modeled the implications in our program if DP had not fallen and nationally of a 50% DP and aCGH testing rate using well-vetted expectations for the diagnosis of abnormal copy number variants (CNVs).

Accurate Assessment of Blood Loss during Cesarean Delivery Improves Estimation of Postoperative Hemoglobin.

Objective: To determine if accurate blood loss determination during cesarean delivery can improve the prediction of postoperative hemoglobin levels.

Study Design: This is a retrospective cohort study using visually estimated blood loss (traditional,  = 2,025) versus estimates using a mobile application that photographs sponges and canisters and calculates their hemoglobin content (device,  = 756).

Results: The correlation between the actual and predicted postoperative day 1 hemoglobin value (PPO1 Hgb) was better in the device group (  = 0.

Clinical Experience with the Implementation of Accurate Measurement of Blood Loss during Cesarean Delivery: Influences on Hemorrhage Recognition and Allogeneic Transfusion.

Objective: This article compares hemorrhage recognition and transfusion using accurate, contemporaneous blood loss measurement versus visual estimation during cesarean deliveries.

Study Design: A retrospective cohort study using visually estimated blood loss (traditional,  = 2,025) versus estimates using a mobile application that photographs sponges and canisters and calculates their hemoglobin content (device,  = 756).

Results: Blood loss > 1,000 mL was recognized in 1.