The result of admission cardiotocography testing could be used to identify patients likely to develop adverse foetal outcomes and help in optimal utilization of labour room resources.
Acute abdomen in pregnancy is due to consequence of pregnancy itself or is totally unrelated to pregnancy. During pregnancy, a woman is at an increased risk of acute abdomen due to various physiological changes. The article discusses the various conditions which can present as acute abdomen in women during pregnancy and in non-pregnant state. The clinician often has a difficult task in diagnosing and managing acute abdomen in pregnancy. Clinical evaluation is further confounded by various anatomical and physiological changes occurring in pregnancy. The growing gravid uterus too causes difficulty in detailed examination. The general reluctance to use conventional X-rays because of pregnancy should be set aside when faced with a seriously ill mother. A reluctance to operate during pregnancy adds unnecessary delay, which increases morbidity for both the mother and the fetus. Adnexal accidents should always be kept in mind in a woman with acute abdomen even if she is not pregnant. Such mistakes should be avoided as prompt diagnosis and appropriate therapy are crucial. A general approach to acute abdominal conditions in pregnancy is to manage these problems considering the risk to mother regardless of the pregnancy.
Uterine leiomyomata commonly known as fibroids are benign tumors of the uterus that are a common cause of heavy menstrual bleeding, pelvic pain and pressure symptoms in women. The traditional method of treatment for these benign tumors has been surgery as long-term medical therapies have not shown to be effective. Uterine artery embolization (UAE) a minimally invasive, interventional radiological technique, wherein complete occlusion of both the uterine arteries with particulate emboli are carried out, has been found to be an effective and safe alternative in the treatment of menorrhagia and other fibroid-related symptoms in women not desiring future fertility or who are poor surgical candidates. This treatment modality available in all major institutions may be instituted as an alternative to hysterectomy in young women wishing to preserve the uterus. UAE a cost-effective modality associated with a short hospital stay has significant advantages over conventional surgeries in the treatment of myomas.
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