Patient Diagnosed of Budd-Chiari Willing to Get Pregnant: Presentation of a New Case of Full-Term Pregnancy
Bibliographic record
Abstract
Budd-Chiari syndrome is an infrequent pathology characterized by the obstruction of the suprahepatic venous outflow. It can manifest in several ways and may become very severe. So far, there is great controversy on the issue of whether these patients should become pregnant, because of the complications this implies in this disease. Nowadays, there are very few cases of full-term pregnancy with good outcome reported. We present a case of a 36-year-old patient with subseptate uterus diagnosed of Budd-Chiari with Polycythemia Vera (jack2 gene mutation and heterozygosity for factor V Leiden). After being treated and the disease controlled, the patient got pregnant. This is one of the few cases that exist with good outcome. Strict follow-up of the patient was carried out at our hospital and no complications occurred throughout pregnancy and postpartum. The patient was treated prior to pregnancy with low molecular weight heparin and antiplatelet drugs until 24 hours prior to labor. Delivery occurred by cesarean section (CS) at 37 weeks without complications. The healthy newborn was discharged with the mother after one week of hospitalization . The proper control of this disease prior to pregnancy , together with strict monitoring conducted during it seems one of the keys to make possible pregnancy in young patients willing to get pregnant. In conclusion, this case could not support the contraindication of pregnancy in certain cases of this pathology. Moreover, the patient should be always informed of all the existing risks and complications. doi: http://dx.doi.org/10.4021/jcgo148w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.005 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".