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2022

Volume 3, Issue 2, p53-78

Articles published in this issue are Open Access and licensed under Creative Commons Attribution License (CC BY NC) where the readers can reuse, download, distribute the article in whole or part by mentioning proper credits to the authors.

Diagnosis and Management of Chorioamnionitis: A Case Report and Short Review of Literature

Chorioamnionitis is an unprecedented complication arising during labor and the intrapartum period which can lead to adverse outcomes in the mother such as sepsis and postpartum infections and the neonate such as stillbirth, neonatal sepsis, cerebral palsy, and delayed milestones with an increased NICU stay. Several studies have been done over the past years to study the pathophysiology and outcomes of chorioamnionitis.

Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p53-58 | DOI: 10.33696/Gynaecology.3.029

The Effects of Vaginal Probiotic Administration on Perinatal Outcomes in Patients with Premature Preterm Rupture of Membrane

Preterm premature rupture of membrane is the rupture of the chorionic-amniotic membrane and leakage of amniotic fluid before the onset of labor pains and prior to the 37th week of pregnancy. Preterm premature rupture of membrane (PPROM) occurs in 3% of pregnancies and is the cause of about 25 to 30% of all preterm births. PPROM is an important contributor to perinatal morbidity.

Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p59-63 | DOI: 10.33696/Gynaecology.3.030

Our State Just Passed a Near-Total Abortion Ban

On Friday, August 5th, the Indiana legislature passed Senate Bill 1 (SB1), a near-total abortion ban, which was signed into law by Governor Holcomb. Exceptions for rape and incest only exist up to 10 weeks. Both medical and surgical abortions must be performed in a hospital. And, if a physician performs the procedure on someone who does not meet these exceptions, it is categorized as a level 5 felony for an “unlawful abortion”.

Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p64-65 | DOI: 10.33696/Gynaecology.3.031

The Safety of High Dose Labetalol in the Pregnant Population

Medical management of hypertension in pregnancy is indicated for severe range blood pressures. This is diagnosed with either systolic blood pressure (SBP) ≥ 160 mm Hg and/or diastolic blood pressure (DBP) ≥110 mm Hg on two occasions at least 4 hours apart. When this diagnosis is established, fast-acting anti-hypertensive medications can be utilized for acutely severe range blood pressures.

Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p66-70 | DOI: 10.33696/Gynaecology.3.032

Ectopic Pregnancy: Vascularity Index as a Novel Diagnostic Criterion

Since the medical management of ectopic pregnancy (EP) was introduced by Dr. Steven Ory, and published in 1986 in the American Journal of Obstetrics and Gynecology, diagnostic criteria have been established to predict its successful medical treatment with methotrexate (MTX), including its maximum diameter (MaxDia), its associated human chorionic gonadotropin (hCG) level, and whether there was identified cardiac motion (CM).

Arch Obstet Gynecol, 2022, Volume 3, Issue 2, p71-78 | DOI: 10.33696/Gynaecology.3.033

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Medical management of hypertension in pregnancy is indicated for severe range blood pressures. This is diagnosed with either systolic blood pressure (SBP) ≥ 160 mm Hg and/or diastolic blood pressure (DBP) ≥110 mm Hg on two occasions at least 4 hours apart. When this diagnosis is established, fast-acting anti-hypertensive medications can be utilized for acutely severe range blood pressures.

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