Arch Gynecol Obstet
December 2010
Purpose: Our aim was to present our experience with the management of six women with uterine scar pregnancies in KK Women's and Children's Hospital, Singapore.
Methods: The medical records of women with a pregnancy in previous uterine scar that had been diagnosed in our department during 2004-2008 were reviewed.
Results: Out of six women, one woman presented in mid-trimester, at 16 weeks with severe abdominal pain and persistent vomiting.
Placenta accreta occurs when the placenta is abnormally adherent to the uterus, often resulting in complications in the peripartum period such as severe haemorrhage, a possible need for caesarean hysterectomy, and even severe injuries to pelvic organs. There has been a gradual shift towards conservative management of placenta accreta, involving uterine and placental conservation, with the main aim being to reduce pelvic injury and haemostasis with the aid of intervention radiology by means of insertion of occluding balloons into the internal iliac arteries. This strategy has previously been shown to reduce morbidity and mortality in carefully selected cases of placenta accreta.
View Article and Find Full Text PDFArsine is one of the most potent haemolytic agents found in industry. Four workers presented with abdominal pain, jaundice and passing tea-coloured urine. A fifth worker also passed dark urine but had no other symptoms.
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