Experience with three cases of laparoscopic transabdominal cervico-isthmic cerclage and two subsequent pregnancies.

Three women with a history of recurrent miscarriages and failed vaginal cerclage had laparoscopic transabdominal cerclage. A 5 mm non-absorbable polyether suture was placed laparoscopically at the level of the internal os as an interval procedure. All procedures were successful.

[Case report: electroconvulsive therapy during pregnancy].

The treatment for psychiatric disorders in pregnancy remains difficult to implement. We report the case of a 28-year-old woman, 20 weeks pregnant when admitted in our psychiatric department. She presented severe depressive disorder, associated with agitation, and psychotic symptoms as delusion and hallucinations occurred.

Effect of vitamin A status at the end of term pregnancy on the saturation of retinol binding protein with retinol.

Background: Vitamin A (retinol), which is required for normal fetal development and successful gestation, circulates in the blood bound to a specific protein, the retinol binding protein (RBP). Little is known about the transport and metabolism of this complex protein or about retinol status during normal human pregnancy.

Objective: The aim of this study was to assess retinol status and transport modalities of retinol in well-nourished women with normal pregnancies, a population poorly investigated compared with pathologic and malnourished pregnant women.

[Rupture of a splenic artery aneurysm during pregnancy. Report of a case].

Splenic artery aneurysm rupture during pregnancy is a rare but serious condition. The clinical presentation associates abdominal pain, hypotension and anemia that can mimic uterine rupture or abruptio placentae. An emergency cesarean section and splenectomy are necessary.

[Complications of cordocentesis associated with fetal therapy].

Objectives: To evaluate the technical and obstetrical risk factors of percutaneous umbilical blood sampling (PUBS) when associated with simultaneous fetal therapy.

Study Design: Retrospective study. One thousand PUBS have been performed in our department between 1984 and 1992.