The ability to identify the precise time of ovulation is important for women who want to plan conception or practice contraception. Here, we review the current literature on various methods for detecting ovulation including a review of point‐of‐care device technology. We incorporate an examination of methods to detect ovulation that have been developed and practiced for decades and analyze the indications and limitations of each—transvaginal ultrasonography, urinary luteinizing hormone detection, serum progesterone and urinary pregnanediol 3‐glucuronide detection, urinary follicular stimulating hormone detection, basal body temperature monitoring, and cervical mucus and salivary ferning analysis. Some point‐of‐care ovulation detection devices have been developed and commercialized based on these methods, however previous research was limited by small sample size and an inconsistent standard reference to true ovulation.
In this small series, we observed a low successful uterine preservation rate and a high maternal complication rate. We recommend that primary cesarean hysterectomy should be used as the treatment of choice for mild to severe abnormally invasive placenta. Conservative management should be reserved for women with a strong fertility desire and women with extensive disease that precludes primary hysterectomy due to surgical difficulty.
This cohort study examines obstetric and neonatal outcomes associated with predelivery screening policy implementation aimed to prevent COVID-19 in a Taiwan hospital.
Introduction:
In parturients with heart disease, appropriate anesthetic, cardiac, and obstetric collaboration is necessary, especially in those with aortic stenosis (AS). Physiological changes during pregnancy can worsen AS symptoms, causing challenges in obstetric anesthetic management.
Patient concerns and diagnosis:
A 33-year-old woman with severe AS and progressive orthopnea, 33 weeks pregnant, required a cesarean section due to heart failure.
Interventions:
We used invasive goal-directed fluid therapy (GDFT) with real-time information on hemodynamic status and a more sophisticated approach to maintain intravascular volume balance. Combined spinal-epidural anesthesia was used under GDFT guidance.
Outcomes:
The patient underwent cesarean section under combined spinal-epidural with no complications, with a stable newborn status, and was discharged on postoperative day 4. Vasopressors or inotropes were not used during the operation.
Conclusion:
For cesarean section in severe AS, low-dose sequential spinal anesthesia and slowly titrated epidural anesthesia under GDFT guidance could be a safe way to manage challenging conditions.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.