Henry J Schiavello

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OBJECTIVE To determine if manual vs. spontaneous delivery of the placenta at cesarean section affects the rate of postoperative endometritis and amount of blood loss. STUDY DESIGN A prospective, randomized study was carried out on patients who had cesarean delivery assigned either to spontaneous delivery of the placenta (group 1) or manual removal (group(More)
BACKGROUND Cavernous hemangioma of the cervix is rare and may cause serious bleeding. CASE A 33-year-old woman developed intractable cervical bleeding following pregnancy termination. Bleeding persisted despite curettage and suturing, and ultimately required hysterectomy. Cavernous hemangioma was confirmed histologically. CONCLUSION This condition is a(More)
OBJECTIVE To investigate whether oral or intravenous hydration affects oligohydramnios in cases with normal biophysical profile scores. STUDY DESIGN One hundred twenty-four gravidas with singleton pregnancies at or near term were identified during a 16-month period retrospectively as having oligohydramnios. A total of 50 subjects with normal biophysical(More)
BACKGROUND Ectopic pregnancy is infrequently encountered together with appendicitis. Since 1960, 21 such cases have been reported. CASE A 32-year-old, Hispanic woman presented with signs and symptoms of an acute surgical abdomen. Preoperatively, the diagnoses of both ectopic pregnancy and acute appendicitis were entertained. On surgical exploration, a(More)
BACKGROUND Maternal and fetal morbidity and mortality associated with varicella pneumonia in the peripartum period are increased further with multiple complications. CASE The patient had varicella pneumonitis acquired at 32 weeks' gestation and complicated by bacterial superinfection, adult respiratory distress syndrome, endotoxin shock, and bronchiolitis(More)
Leiomyosarcoma of the vagina is quite rare. Extensive search of the literature discloses 137 case reports published over the past 40 years. Collectively, these reports give only cursory guidelines for diagnosis, management, and prognosis. We add another case to the sparse literature on leiomyosarcoma of the vagina. Treatment consisted of surgical excision.(More)
BACKGROUND Avitaminosis can result from the acute malnutrition associated with prolonged pregnancy-related hyperemesis. Serious complications may arise from thiamine deficiency under these circumstances. CASE We review the relevant literature and describe a case with central nervous system involvement presenting with typical manifestations of Wernicke's(More)
BACKGROUND Because heterotopic pregnancy is rare, the presence of an intrauterine pregnancy tends to impede early diagnosis and definitive intervention for the ectopic component. Delay in diagnosing the condition and failure to proceed quickly with the requisite anesthesia and surgery can jeopardize both maternal well-being and survival of the intrauterine(More)
OBJECTIVES To compare pregnancy outcomes for teenagers with those for older gravidas. METHODS A retrospective case control study was undertaken to compare teenagers who delivered between January 1996 and October 1999 at a public urban hospital with a group of older gravidas. RESULTS Young pregnant teenagers were more likely to be nulliparous. They(More)
BACKGROUND Hemorrhage is a serious threat with placenta accreta, often requiring aggressive operative intervention by hysterectomy and resuscitative measures with large-volume blood replacement to ensure survival. Refusal to accept transfusion makes management especially difficult. CASE We report a Jehovah's Witness patient who had 9 previous cesarean(More)