Source:http://linkedlifedata.com/resource/pubmed/id/15584537
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
46
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pubmed:dateCreated |
2004-12-8
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pubmed:abstractText |
In a primipara, 28 years of age and with a BMI of 44 kg/m2, a Zavanelli manoeuvre was performed. Due to uterine atony she had to undergo a hysterectomy. A multipara, 39 years of age and with a BMI of 66 kg/m2, experienced that her weight exceeded the limits of the beds and that local anaesthesia was hard to perform; she suffered from a lesion of the lumbosacral plexus caused by a shoulder dystocia. In the end, both mothers and their babies could go home in a moderate condition. Obesity is becoming more prevalent and brings with it an increase in obstetric risks. During pregnancy and delivery, morbidly obese patients should be monitored by a gynaecologist. Special interest should focus on screening for (gestational) diabetes, hypertension and foetal growth. Ultrasound may detect congenital malformations early; however, the sensitivity of ultrasound is lower in morbidly obese patients. When macrosomia is expected, a clear plan should be made regarding the mode of delivery. It is useful to make a treatment protocol for morbidly obese patients.
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pubmed:commentsCorrections | |
pubmed:language |
dut
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0028-2162
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
13
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pubmed:volume |
148
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2253-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15584537-Adult,
pubmed-meshheading:15584537-Body Mass Index,
pubmed-meshheading:15584537-Delivery, Obstetric,
pubmed-meshheading:15584537-Diabetes, Gestational,
pubmed-meshheading:15584537-Female,
pubmed-meshheading:15584537-Fetal Macrosomia,
pubmed-meshheading:15584537-Humans,
pubmed-meshheading:15584537-Obesity, Morbid,
pubmed-meshheading:15584537-Pregnancy,
pubmed-meshheading:15584537-Pregnancy Complications,
pubmed-meshheading:15584537-Pregnancy Outcome,
pubmed-meshheading:15584537-Risk Factors,
pubmed-meshheading:15584537-Sensitivity and Specificity,
pubmed-meshheading:15584537-Ultrasonography, Prenatal
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pubmed:year |
2004
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pubmed:articleTitle |
[Morbid obesity: a risk factor for obstetric complications].
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pubmed:affiliation |
Erasmus Medisch Centrum, afd. Verloskunde en Vrouwenziekten, Postbus 2040, 3000 CA Rotterdam.
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pubmed:publicationType |
Journal Article,
Comment,
English Abstract,
Case Reports
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