000			02748nam a22002417a 4500
999			_c10989 _d10989
003			OB20180001
005			20240720153041.0
008			180907b xxu||||| |||| 00| 0 eng d
040			_cFEU-NRMF MEDICAL LIBRARY
041			_aEnglish
050			_aOB20180001
100			_aCapucion, Martin Isidro M., MD _eauthor
245			_a"Dilemma 2:1" neurotransmitter revisited - _ba case report on myasthenia crisis and its implications on a postpartal patient with placenta previa totalis / _cMartin Isidro M. Capucion.
260			_aFairview, Quezon City _bDepartment of Obstetrics and Gynecology, FEU-NRMF, _c2018
300			_bphotos (black and white); _c(in folder)
336			_2text _ardacontent
337			_2unmediated _ardamedia
338			_2volume _ardacarrier
504			_aIncludes bibliographical references.
520			_aABSTRACT: Obstetrical Hemorrhage is one of the major causes of maternal mortality in the Philippines. There are different clinical circumstances in which risks for obstetricalhemorrhage may ensue, one of which abnormal placentation. In Placenta Previa The Latin previa means going before-and in this sense, the placenta goes before the fetus into birth canal. In obstetrics, placenta previa describes a placenta that is implanted somewhere in the lower uterine segment, either over or very near the internal cervical os. Sequelae include the potential for severe bleeding and preterm birth as well as the need for cesarean delivery. We are presented with a case of 31 year old, Gravida 2 Para 1 (1000); Pregnancy Uterine 36 weeks and 4 days with known history of Myasthenia Gravis for 8 years who came in with a subjective complaint of hypogastric pain associated with profuse vaginal bleeding. The patient was subsequently recovering in the Post Anesthetic Care Unit, when she suddenly experienced difficulty of breathing with bulbar edema and generalized edema of the extremities. Patient then was transferred to Intensive care unit for mechanical ventilation due to myasthenic crisis. Acute respiratory failure is one of the life threatening complications that may be encountered with Myathenia Gravis. Prompt evaluation and a multidisiplinary approach is essential in decreasing the mortality of postpartal woman with such case. Prompt recognition of imppending respiratory paralysis is the key to successful management. A good outcome depends on meticulous maternal and fetal prenatal surveillance and early detection and mangement of exacerbations. Facilities and trained personnel must be available to support labor and manage vaginal or operative delivery. Intensive care of Myasthenic crises is critical to the prevention of maternal complications and death.
521			_aRESDOG
942			_2lcc _cRE