Management
Three factors that usually are considered
1) Fetal age and thus maturity
2) Labor
3) Bleeding and its severity
? Preterm + no persistent active bleeding
→ Close observation
? Near term + not bleeding
→ Scheduled cesarean delivery
※ Timing is important to maximize fetal growth but to minimize the possibility of antepartum hemorrhage.
※ Data are sparse rega
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Peptides are released by neurosecretory nuclei of the hypothalamus into the hypophyseal portal venous blood surrounding the pituitary which are the major controllers of GH secretion by the somatotropes.
balance of these stimulating and inhibiting peptides determines GH release, this balance is affected by many physiological stimulators (e.g., exercise, nutrition, sleep) and inhibitors of GH s
The aforementioned situation was the context in which Stupak confronted in pursing his pro-life objectives. The main source of the crucial leverage Stupak and his dozen allies were able to exert was the thin margin of victory for the health care reform. The House version (H.R. 3962) of health reform which included the Stupak-Pitts Amendment passed in the House only by a margin of 5 votes in Novem