MARC details
| 000 -LEADER |
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| fixed length control field |
03405nam a22003137a 4500 |
| 001 - CONTROL NUMBER |
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| control field |
OB 2020 0005 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
PILC |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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| control field |
20240720153215.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
211022b xxu||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Language of cataloging |
eng |
| Transcribing agency |
FEU-NRMF MEDICAL LIBRARY |
| Description conventions |
rda |
| 041 ## - LANGUAGE CODE |
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| Language code of text/sound track or separate title |
english |
| 050 ## - LIBRARY OF CONGRESS CALL NUMBER |
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| Classification number |
OB 2020 0005 |
| 245 ## - TITLE STATEMENT |
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| Title |
A Continuum of postpartum birth related complications / |
| Statement of responsibility, etc. |
Ayessa A. Chin. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
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| Place of publication, distribution, etc. |
Fairview, Quezon City: |
| Name of publisher, distributor, etc. |
Department of Obstetrics and Gynecology, FEU-NRMF, |
| Date of publication, distribution, etc. |
2020. |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Other physical details |
photos; |
| Dimensions |
(in folder) |
| Accompanying material |
with flash drive (soft copy). |
| 336 ## - CONTENT TYPE |
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| Source |
rdacontent |
| Content type term |
text |
| 337 ## - MEDIA TYPE |
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| Source |
rdamedia |
| Media type term |
unmediated |
| 338 ## - CARRIER TYPE |
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| Source |
rdacarrier |
| Carrier type term |
volume |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc |
Includes appendices and bibliographical references. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Abstract: Bladder overdistention injuries are common in the early puerperium. These are most closely related with a variety of factors such as duration of labor, weight of the fetus, impaired expulsive efforts, anesthesia, failure to empty the bladder before bearing down, the Kristeller maneuver, failure of pelvic floor relaxation, and long second stage of labor which all contribute singly or in combination leading to postpartum urinary retention (PPUR). Of 234 women undergoing vaginal delivery, 19 (8.1%) had postpartum urinary retention. However, an occult bladder injury from a normal vaginal delivery is a rare complication with an incidence of around 1 in every 126,000 people. Spontaneous bladder injuries can range from a minute tear or a full laceration and can present immediately or after a few days following a vaginal delivery. A high index of suspicion is warranted in such cases. A case of 32-year-old Gravida 2 Para 2 (2002) who underwent normal spontaneous delivery in another institution two weeks prior, came in complaining of progressive abdominal distention and decreasing urine output followed subsequently by anuria within the last 24 hours. On evaluation, however, there were numerous other conditions identified. Clinical assessments from all managing specialties were episiorrhaphy wound dehiscence, vaginal laceration, anemia acute kidney injury probably from from obstructive nephropathy, and multiple electrolyte imbalance. A small bowel obstruction and rectovaginal fistula were also considered. An occult bladder injury was highly based on the history and clinical course of the patient. This was managed conservatively along with all the other conditions identified which ultimately resolved each problem except for the fistula which will be repaired at an optimal time. Vaginal delivery is not without any risks and complications, with occult bladder injuries being one of them. Bladder injuries have a variety of presentation but not all lead to urosepsis and not all warrant surgical intervention. At times, prolonged bladder catheterization is curative. Suspicion is by meticulous history taking combined with the overall clinical picture of the patient, aided with laboratory and imaging studies. In this era of preventive intrapartum and postpartum care cannot be overemphasized to health care workers handling deliveries of women. |
| 521 ## - TARGET AUDIENCE NOTE |
|---|
| Target audience note |
Research - Department of Obstetrics & Gynecology |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
occult bladder injury |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
postpartum urinary retention |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name as entry element |
rectoperineal fistula |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
perineal wound dehiscence |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
normal spontaneous delivery |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Chin, Ayessa A., MD. |
| Relator term |
author |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
Library of Congress Classification |
| Koha item type |
Room Use |
