Uterine perforation as a rare complication of attempted pregnancy termination with misoprostol - A case report

BACKGROUND: Abortion induced by drugs is now a viable alternative to surgically induced abortion, but it can cause severe complications. CASE: Products of conception were found in the peritoneal cavity after administration of misoprostol. CONCLUSION: The administration of misoprostol for pregnancy termination should be performed carefully in women with uterine wall defects

Recombinant human erythropoietin in a triplet pregnancy - A case report

BACKGROUND: Women carrying triplets are at greater risk for both anemia, due to the increased demands of the developing fetuses, and peripartum hemorrhage. Jehovah's witnesses are a unique obstetric population since women of this faith refuse blood transfusion. CASE: A Jehovah's Witness with a triplet pregnancy was successfully administered recombinant human erythropoietin (rHuEpo), 200 IU/kg 3 times per week subcutaneously, in order to correct her peripartum anemia. No side effects Were observed during rHuEpo therapy, and the patient delivered healthy triplets. CONCLUSION: rHuEpo can be safely administered, With a beneficial effect in pregnancy, and seems to be an effective option in preventing transfusions as demonstrated in this case in a Jehovah's Witness

Shift Work and Quality of Personal, Professional, and Family Life among Health Care Workers in a Rehabilitation Center in Greece

Context: Adverse work schedules and conditions may affect the physical, mental, and social wellbeing of workers, impairing quality of life and causing conflict between family and work roles. Aims: To compare quality of life, professional quality of life (ProQOL), and work/family conflict (WFC) between shift workers and nonshift workers and explore possible associations with demographic characteristics. Settings and Design: A cross-sectional study was conducted in a rehabilitation center in Central Greece, recording demographic, occupational, and family characteristics. Materials and Methods: Participants answered the World Health Organization-5 Well-Being Index, the ProQOL questionnaire [compassion satisfaction (CS), and the burnout (BO) and secondary traumatic stress scales], and the WFC scale. Statistical Analysis Used: IBM Statistical Package for the Social Sciences version 19.0 for Windows. Results: Ninety-one employees (68.7% shift workers) participated, with mean age 33.5. Females reported higher compassion/satisfaction level (P = 0.031). Nursing profession was associated with higher levels of BO (P = 0.021), impact of work to family life (P = 0.008), and impact of family to work (FtW), and WFC (P = 0.008). Parenthood increased the impact of FtW (P = 0.008) and predispose to WFC (P = 0.023). In general, wellbeing was significantly correlated with CS (r = 0.368, P < 0.01), BO (r = -0.538, P < 0.01), and levels of WFC (P = 0.003). Work and family roles conflict was statistically significantly correlated with levels of BO (r = 0.497, P < 0.01), and CS (r = -0.288, P < 0.01). Conclusions: The interaction between general, professional, and family quality of life can guide interventions in the workplace in order to improve workers' quality of life and promote workers' health. © 2018 Indian Journal of Occupational and Environmental Medicine Published by Wolters Kluwer - Medknow

Ruptured heterotopic interstitial pregnancy: rare case of acute abdomen in a Jehovah's Witness patient

Objective: To report a case of ruptured right heterotopic interstitial pregnancy diagnosed and managed laparoscopically by cornual resection. Design: Case report. Setting: University tertiary care hospital. Patient(s): A 29-year-old female Jehovah's Witness patient with first-trimester acute right lower quadrant abdominal pain. Intervention(s): Emergency laparoscopy was performed, and the site of bleeding was first clamped with a laparoscopic grasper. The lateral tissue was then coagulated and simultaneously transected with the bipolar-cutting probe for control of hemorrhage. Main Outcome Measure(s): The early diagnosis of heterotopic interstitial pregnancy should enable a conservative approach, whether medical or surgical, to be undertaken when treating this rare and potentially fatal condition. Result(s): The treatment of a ruptured heterotopic interstitial pregnancy by laparoscopy was successful with cornual resection. Conclusion(s): Management of a ruptured interstitial pregnancy by laparoscopy was successful with cornual resection and minimal blood loss, and a coexiting intrauterine pregnancy continued satisfactorily. (Fertil Steril (R) 2008; 90: 1200.e15-e17. (C) 2008 by American Society for Reproductive Medicine.

Blind on table internal iliac artery embolization in severe post partum hemorrhage: a case report

A case of a woman that had been transferred to our hospital in hemorrhagic shock secondary to post partum hemorrhage due to uterine atony, automatic abortion and extended vaginal lacerations has been described. Subtotal hysterectomy had already been performed but failed to control bleeding. The authors performed on table blind embolisation of internal iliac arteries in order to control hemorrhage as a life-saving procedure that was successful