The condemned fundal pressure maneuver: time to reconsider?

Sagi‐Dain, Lena; Maymon, Ron

doi:10.1007/s00404-022-06497-1

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…The uterine fundal pressure may have augmented the intra-abdominal pressure and contributed to the development of the UAP via expulsion of the fetus; however, there is no evidence regarding an association between uterine fundal pressure and UAP formation. Based on numerous studies regarding maternal complications related to uterine fundal pressure, it is important to consider under what conditions its application is appropriate [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Ruptured Exophytic Uterine Artery Pseudoaneurysm without Specific Risk Factors That Manifested Seven Days after Vaginal Delivery

Toshimitsu,

Iriyama,

Sato

et al. 2023

Case Reports in Obstetrics and Gynecology

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A uterine artery pseudoaneurysm (UAP) is a life-threatening complication during pregnancy and postpartum. Early diagnosis of exophytic UAP rupture is difficult due to the absence of vaginal bleeding. This study reports the case of a 31-year-old postpartum woman who presented with abdominal pain and fever seven days after vaginal delivery, without symptoms of maternal shock. Ultrasonography revealed a ruptured exophytic UAP with hemoperitoneum, which was confirmed using computed tomography. Interventional radiology confirmed that the site of the pseudoaneurysm was at the level of the uterine artery bifurcation, and embolization was performed immediately after diagnosis using a coil and n-butyl-2-cyanoacrylate. The patient’s symptoms were relieved, and she was discharged 12 days after the embolization. At eight months postpartum, the UAP was not visible on transvaginal ultrasonography. Exophytic UAP can occur even in the absence of specific risk factors such as cesarean section or endometriosis, and the UAP may not necessarily rupture immediately after delivery. Obstetricians must remain aware of the possibility of exophytic UAP rupture manifesting as abdominal pain with postpartum fever, rather than as unstable vital signs. This is the first report of an exophytic UAP that occurred at the level of the uterine artery bifurcation. Identification of the sites where exophytic UAP can occur can aid in the early diagnosis of the condition.

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Section: Discussionmentioning

confidence: 99%

A Case of Ruptured Exophytic Uterine Artery Pseudoaneurysm without Specific Risk Factors That Manifested Seven Days after Vaginal Delivery

Toshimitsu,

Iriyama,

Sato

et al. 2023

Case Reports in Obstetrics and Gynecology

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“…The main risk factors described include a family history of psychosis or women with a preexisting or undiagnosed psychotic/mood disorder [7]. Likewise, stressful conditions in this period, including phenomena of obstetric violence, can drive to the onset of psychosis in susceptible women [8][9][10][11][12]. Past works have found that pregnant women with psychosis present an elevated risk of multiple obstetric and neonatal complications, including antepartum/postpartum hemorrhage, C-section or premature delivery, fetal abnormalities, fetal distress and/or poor fetal growth and stillbirth, among others [13].…”

Section: Introductionmentioning

confidence: 99%

Evidence of Increased Oxidative Stress in the Placental Tissue of Women Who Suffered an Episode of Psychosis during Pregnancy

et al. 2023

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Psychosis is a complex clinical syndrome resulting in a loss of contact with reality and alterations in behavior and sensorial and motor functions. Although the onset of psychosis can be related to any medical condition, most cases of psychosis are not fully understood. Psychosis may manifest for the first time during pregnancy, which is detrimental to maternofetal well-being. The impact of having a first episode of psychosis during pregnancy on the placenta has not yet been explored. Oxidative stress is thought to take part in the etiopathogenesis of this complex disorder, and this condition can also affect the placenta as it is highly sensitive to changes in the maternal environment. In this sense, the aim of the present work was to study the gene and protein expression through RT–qPCR and immunohistochemistry, respectively, of oxidative stress markers (NOX-1, NOX-2, iNOS, eNOS and PARP) in the placental tissue of women who underwent a first episode of psychosis during pregnancy (FE-PW) in comparison to healthy pregnant women. Our results showed augmented gene and protein expression of NOX-1, NOX-2, iNOS and PARP in the placental tissue of FE-PW. For the first time, we demonstrated that oxidative stress may have an important pathophysiological role in this tissue, aiding in explaining the impact of psychosis on pregnancy and the need for future studies in this field to guide better clinical management of these patients.

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Kristeller’s fundal expression: clinical, forensic and deontological controversies

Habek

Cerovac²,

Mikuš

2022

Arch Gynecol Obstet

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The condemned fundal pressure maneuver: time to reconsider?

Cited by 4 publications

References 24 publications

A Case of Ruptured Exophytic Uterine Artery Pseudoaneurysm without Specific Risk Factors That Manifested Seven Days after Vaginal Delivery

A Case of Ruptured Exophytic Uterine Artery Pseudoaneurysm without Specific Risk Factors That Manifested Seven Days after Vaginal Delivery

Evidence of Increased Oxidative Stress in the Placental Tissue of Women Who Suffered an Episode of Psychosis during Pregnancy

Kristeller’s fundal expression: clinical, forensic and deontological controversies

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