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September 2015

Volume 2  Issue 3

Letter to Editor

Antihistamines and Other Prognostic Factors for Adverse Outcome in Hyperemesis Gravidarum: A Follow-Up Study

Amir Patel, Aromalyn Magtira, Frederic Paik Schoenberg, Kimber MacGibbon, Marlena S. Fejzo*, Patrick Mullin

Hyperemesis gravidarum (HG) may be defined as persistent, unexplained nausea and vomiting resulting in more than 5% weight loss, abnormal fluid and nutritional intake, electrolyte imbalance, dehydration, and ketonuria. Symptoms often extend beyond the first trimester and can last throughout the entire pregnancy in as many as one-third of cases, leading to extreme weight loss and possibly a state of malnutrition and extended dehydration of pregnancy.

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Clinical Analysis

The Clinical Analysis of 9 Cases of Persistent Ectopic Pregnancy after Laparoscopic Salpingectomy

Liya Zhang*, Yulin Shi

Tubal pregnancy is one of the most common gynecologic acute abdominal pain. The doctor make a decicion to surgery or not needs according to patients’ fertility circumstance,vital signs, self-conscious symptom, size of accessory mass, serum β-hCG levels, amount of intraperitoneal hemorrhage. Laparoscopic surgery is the gold standard for the diagnosis of ectopic pregnancy. Along with conservative surgery of ectopic pregnancy is extensively developed, as its complications PEP is also increased. But the PEP risk is uncommon in patients after salpingectomy, so often ignored by patients and clinicians.

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Case Report

Transient Biliary Sludge in A Woman of 11 Weeks Gestation with Hyperemesis Gravidarum

Chang Sheng Yin* MD, Yin-Shiuan Bai R N, M.Phil

Nausea and vomiting during pregnancy is common, but hyperemesis gravidarum (HG) is a rare, occurring in approximately 0.1% of pregnancies. HG presents with severe and persistent nausea and vomiting, which can lead to dehydration, starvation ketosis and liver dysfunction, and predisposition the patient to biliary sludge/gallstone formation. We report the case of a 37-year-old G2P1 woman, who presented with HG and transient biliary sludge at 11 week gestation.

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Case Report

Expectant Management of Monochorionic Gestations Complicated by Fetal Anomaly of One Twin: Case Report and Review of Literature

Daniel Roshan*, Tali Sarig-Meth, Ira Jaffe, Ashwin Jadhav, John Migotsky

The prenatal course of anomalous monochorionic, diamniotic (MC/DA)gestation requires intricate management. Literature on this topic is limited to management of normal monochorionic gestation and does not translate to management of anomalous monochorionic pregnancies. The only choice for selective reduction is cord ligation with the risk of losing the entire pregnancy. It is essential that we come up with some guidelines for MC/DA pregnancies as far as expectant management and proper timing of the delivery to prevent loss or damage of the normal twin.

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