morphine and Rupture

Diseases of the small colon are numerous and they can affect horses of any age. Diseases can be simple obstructions, nonstrangulating obstructions, strangulating obstructions, and congenital defects. American Miniature Horses appear prone to luminal obstruction with impacted intestinal contents, and some ischemic diseases are more common in postpartum mares. Enterotomy and enterectomy have a high success rate in the small colon, provided the affected portion can be exteriorized. The beginning and terminal portions of the small colon can be involved in many diseases and are not readily accessible from standard abdominal approaches. The prognosis is generally more favorable than has been proposed.

Topics: Animals; Animals, Newborn; Bezoars; Colon; Colonic Diseases; Female; Horse Diseases; Horses; Infarction; Intestinal Atresia; Intestinal Obstruction; Meconium; Obstetric Labor Complications; Pregnancy; Prognosis; Rupture

Amniotic fluid embolism (AFE) continues to be one of the most feared and devastating complications of pregnancy. A reliable diagnosis can be made only upon histological examination. A detection of AFE every now and then has a relevant implication on medico-legal aspects of intrapartum or post-partum maternal death. However, there are only isolated reports in the literature concerning the detection interval of amniotic fluid elements after their transfer into the lungs. The objective of this study was to determine how long after the onset of clinical symptoms the elements of amniotic fluid may be detectable in the pulmonary circulation. An autopsy, as well as a histological and toxicological examination of 29 women, who died intrapartum or post-partum were performed. AFE was diagnosed in seven women (25%). The maximum survival time of the women with AFE and also the detection interval of AF in the pulmonary vasculature was 36 h. In the lungs of the women who did not die of AFE, amniotic fluid components were not found. Thus, there is no evidence for a physiologic occurrence of AFE. In women who die some days or even weeks after delivery as a consequence of a haemorrhagic shock following post-partum genital bleeding ensuing from uterine atony, AFE should be considered as a cause of a coagulopathy.

Topics: Adult; Amniotic Fluid; Chorionic Villi; Embolism, Amniotic Fluid; Female; Forensic Pathology; Humans; Lung; Meconium; Mucins; Postmortem Changes; Pregnancy; Pulmonary Artery; Rupture; Shock, Hemorrhagic; Staining and Labeling; Subarachnoid Hemorrhage; Survival Analysis; Thrombosis; Time Factors; Uterus

Topics: Adult; Female; Humans; Labor, Induced; Meconium; Pregnancy; Rupture; Trial of Labor; Urinary Bladder; Uterine Rupture

Our purpose was to determine the effect of amniorrhexis on cultures for group B streptococci.. Intrapartum vaginal cultures for group B streptococci were obtained before and after rupture of membranes in 166 women; in addition, rectal cultures were obtained from the last 35 patients.. Before rupture of membranes 49 of 166 (30%) of the vaginal cultures were positive for group B streptococci; only 28 of 166 (17%) remained positive after rupture of membranes (p = 0.0009). Similarly, before rupture of membranes 10 of 35 (30%) rectal cultures were positive, whereas only three of 35 (0.9%) remained positive for group B streptococci after rupture of membranes (p = 0.03).. The prevalence of positive genital cultures for group B streptococci is significantly lower immediately after rupture of membranes.

Topics: Amnion; Amniotic Fluid; Female; Humans; Labor, Obstetric; Meconium; Pregnancy; Rectum; Rupture; Streptococcus agalactiae; Vagina

Topics: Duodenum; Emergencies; Esophageal Atresia; Female; Gastrointestinal Diseases; Hernia, Diaphragmatic; Hernia, Inguinal; Hernia, Umbilical; Hernia, Ventral; Hernias, Diaphragmatic, Congenital; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Intestinal Atresia; Intestinal Obstruction; Intestinal Perforation; Jejunum; Meconium; Pneumothorax; Pregnancy; Pyloric Stenosis; Renal Veins; Rupture; Stomach Diseases; Thrombophlebitis

Topics: Amnion; Extraembryonic Membranes; Female; Humans; Inflammation; Meconium; Microscopy, Electron; Necrosis; Neutrophils; Placenta; Pregnancy; Pregnancy Complications; Rupture

Topics: Child; Fetal Diseases; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Meckel Diverticulum; Meconium; Peritonitis; Rupture