Hyperreactio luteinalis differentiated from severe ovarian hyperstimulation syndrome in a spontaneously conceived pregnancy

Article Abstract:

Hyperreactio luteinalis may not require surgical intervention. In this rare condition of pregnancy, the ovaries enlarge, form cysts, and sometimes induce fluid imbalances. Hyperreactio luteinalis is usually treated surgically, but a similar condition, hyperstimulation syndrome, which results from overstimulating the ovaries of patients having infertility treatments, is treated conservatively with symptom management. In this case, 10 weeks into a spontaneous pregnancy, a woman developed hyperreactio luteinalis. She was hospitalized and treated and her symptoms and the ovarian cysts resolved gradually.

Care and treatment, Case studies, Pregnancy, Complications of, Pregnancy complications, Genital diseases, Female, Female genital diseases

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Umbilical cord blood acid-base state: what is normal?

Article Abstract:

Normal, vigorous newborns may exhibit a large range of blood acid-base levels. Researchers obtained umbilical cord blood acid-base values and blood gases from 16,000 newborns. Most (94%) were vigorous newborns, defined as those with Apgar scores of seven or higher five minutes after birth. The average blood pH for vigorous newborns was 7.26. Acid-base values that are more than two standard deviations away from this average represent abnormal values. Normal acid-base values range from 2.5 to 97.5th percentiles. Abnormal acid-base values in a newborn can lead to neurologic impairment.

Analysis, Measurement, Physiological aspects, Infants (Newborn), Newborn infants, Fetal blood, Acid-base imbalances, Acid-base imbalance

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Presidential address: Medical-legal issues in obstetrics and gynecology

Article Abstract:

The element of California's Medical Injury Compensation Reform Act (MICRA) and its effects on the cost of medical malpractice in California is discussed. The anatomy and pathophysiology of a medical-legal claim, and the characteristics of excellent expert witnesses are illustrated.

Legal issues & crime, Government regulation (cont), Government regulation, California, Legal/Government Regulation, Laws, regulations and rules, Medical personnel, Medical malpractice, Obstetrics

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