Case report of myocardial infarction in labor

Article Abstract:

A heart attack is an unusual occurrence in a mother who is in labor. Such an attack is likely to be overlooked initially. The case is reported of a 37-year-old woman who suffered a heart attack during labor. Except for smoking, there was nothing in her medical history indicating increased risk for heart disease. Just over 10 hours after she was admitted to the hospital for labor, she experienced what was thought to be heartburn. She also experienced vomiting episodes and a short-term drop in blood pressure. Her chest pain disappeared and she delivered a baby boy. Two days following delivery, severe heartburn returned. The pain resolved in one hour. An electrocardiogram performed later that day showed she had suffered a heart attack a few days earlier, probably during labor, and that the second episode was postinfarction angina. She was treated and discharged shortly thereafter. Although heart attacks during pregnancy are rare, a number of cases have been reported. Smoking appears to be the greatest risk factor in younger women. Coronary artery spasms may be the cause of many of these attacks. (Consumer Summary produced by Reliance Medical Information, Inc.)

Case studies, Heart diseases, Heart attack, Pregnancy, Heart diseases in pregnancy

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Compliance with the Centers for Disease Control and Prevention antenatal culture protocol for preventing group B streptococcal neonatal sepsis

Article Abstract:

Educational efforts may be needed to increase compliance with CDC guidelines for testing pregnant women for group B streptococci infections. These guidelines recommend testing pregnant women during labor and treating those with risk factors for group B streptococci infections even if they haven't been tested. After two months of educational efforts in one obstetrics service, compliance with the guidelines was about 80%. Twenty-one percent of women with prior risk factors were not treated. Twenty percent of the women had a group B streptococci infection.

Testing, Streptococcal infections, Pregnant women, Streptococcus agalactiae

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Racial patterns in the effects of tobacco use on fetal growth

Article Abstract:

Women who smoke during the second trimester of pregnancy will increase their risk of having a small-for-gestational-age baby. This is true in white women as well as black women. The more cigarettes smoked per day, the higher the risk.

Statistical Data Included, Fetus, Fetal growth retardation

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