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Ostrup Esben - - 2011
Communication during early pregnancy is essential for successful reproduction. In this review we address the beginning of the communication between mother and developing embryo; including morphological and transcriptional changes in the endometrium as well as epigenetic regulation mechanisms directing the placentation. An increasing knowledge of the embryo-maternal communication might not ...
Krysiak Robert - - 2011
Autoimmune polyglandular syndromes are rarely diagnosed conditions characterized by the association of at least 2 organ-specific autoimmune disorders. Very few cases of these syndromes have been described during pregnancy. The authors report a case of a patient diagnosed with autoimmune thyroiditis and a history of HELLP (hemolysis, elevated liver enzymes ...
Kinney-Ham Lisa - - 2011
Spontaneous aortic dissection in pregnancy is rare and life threatening for both the mother and the fetus. Most commonly, it is associated with connective tissue disorders, cardiac valve variants, or trauma. We present the case of a 23-year-old previously healthy woman, 36 weeks pregnant with a syncopal episode after dyspnea ...
Riyami Nihal Al - - 2011
Acute fatty liver of pregnancy (AFLP) is a life threatening obstetric emergency. The most common presentation is malaise, nausea, vomiting and epigastric pain followed by jaundice. Due to high maternal and perinatal mortality, early diagnosis, prompt delivery and supportive care are required. We report an atypical case of AFLP and ...
Calò Lorenzo A - - 2011
Abstract In the last twenty years the knowledge of biochemical, hormonal and molecular abnormalities of Gitelman's syndrome, the most common phenotype of inherited hypokalemic salt-losing renal tubular disorders, is increased in the medical community. In parallel with the increasing number of adult population affected by the syndrome and the remarkable ...
Keriakos R - - 2011
Pelvic girdle pain (PGP) is a term used specifically to pregnancy-related pain in the lumbosacral, sacroiliac and symphysis pubis joints. Pregnancy-induced hormonal and physical changes increase the risk of musculoskeletal problems in pregnancy. The severity of these conditions varies from mild self-limiting pain to a severe disabling condition. PGP is ...
Bates Shannon M - - 2011
Pregnancy is associated with an increased risk of venous thromboembolism (VTE) and this condition remains an important cause of maternal morbidity and mortality. The use of anticoagulant therapy for treatment and prophylaxis of VTE during pregnancy is challenging because of the potential for fetal, as well as maternal, complications. Although ...
Fonseca Ana Carolina DA Costa E - - 2011
Those who favor and those who oppose the interruption of pregnancy with anencephalic fetuses answer the question 'what is the right to life?' differently. Those in favor argue that life exists only when it is 'viable'; that is to say, when cerebral activities occur or may occur. Those who oppose ...
Chambers Jenny - - 2011
The simplest definition of obstetric cholestasis (OC) is 'sluggish or interrupted bile flow in pregnancy'. In affected women the normal flow of bile out of the liver is reduced and this leads to raised bile salts (also referred to as bile acids) in the blood. This, together with abnormal liver ...
Brown Catherine M CM Division of Nephrology and Hypertension, Mayo Clinic College of Medicine, Rochester, MN 55905, - - 2011
Hypertension is the most common medical disorder encountered during pregnancy. A recent report highlighted hypertensive disorders as one of the major causes of pregnancy-related maternal deaths in the United States. Significant advances in our understanding of preeclampsia, a form of hypertension unique to pregnancy, have occurred in recent years. The ...
Geber S - - 2011
This case report demonstrates a successful pregnancy after ICSI combined with hypo-osmotic swelling test in a couple with Kartagener's syndrome with complete immotile ejaculated spermatozoa. Our result suggests that even for complete immotile spermatozoa, the use of hypo-osmotic swelling test is a good alternative to identify viable spermatozoa. When associated ...
Motivala Soriaya - - 2011
The pituitary gland undergoes much anatomic and physiologic variation during pregnancy. Pituitary disease may have a significant impact on a patient prior to conception as well as throughout her pregnancy. It is imperative to provide care to patients affected by pituitary disease with a multidisciplinary approach involving endocrinologists, obstetricians and, ...
McLintock Claire - - 2012
Pregnancy is a risk factor for venous thromboembolism (VTE), an important cause of maternal morbidity and mortality. Although there is a 4-5-fold increased risk compared to that of nonpregnant women of the same age, the absolute risk is low at no more than two episodes of VTE per 1000 pregnancies. ...
Eapen Danny J - - 2012
With an occurrence of approximately 1 in 500 individuals worldwide, the heterozygous form of familial hypercholesterolemia is not uncommon. With statins being contraindicated in pregnancy (Category X), the management of pregnant women who carry this diagnosis has not been clearly defined. This case series describes five pregnant women seen at ...
Bouquier Julie - - 2011
BACKGROUND: Etonogestrel contraceptive implant is a highly effective subdermal method of long-acting hormonal contraception for women. CASE: We describe a case of ruptured ectopic pregnancy occurring in a patient with an etonogestrel contraceptive implant (Implanon®). The only factor predisposing to a failure in this case is a moderately elevated body ...
Manns-James Laura - - 2011
Although it has been clear for more than 2 decades that bacterial vaginosis increases the risk for preterm birth in some women, it is not yet fully understood why this association exists or how best to modify the risk. Incomplete understanding of this polymicrobial condition and difficulties in classification contribute ...
Hazes Johanna M W - - 2011
It has long been known that pregnancy and childbirth have a profound effect on the disease activity of rheumatic diseases. For clinicians, the management of patients with RA wishing to become pregnant involves the challenge of keeping disease activity under control and adequately adapting drug therapy during pregnancy and post-partum. ...
Kuperman Amir - - 2011
Hypercoagulation has been reported in some studies to be associated with reproductive failures, such as unexplained infertility, IVF implantation failure and recurrent fetal losses. Many pregnancy-related disorders have been interpreted as consequences of impaired microvascular function and might be viewed as a mild form of venous thromboembolic disease. In the ...
Saito Shigeru - - 2011
The identification of a novel helper T (Th)-cell subset, the IL-17-producing Th (Th17) cells, has provided new insight into our understanding of the molecular mechanisms of reproduction. IL-17 has an important role in induction of the protective immune response against extracellular bacteria or fungal pathogens. Th17 cells seem to participate ...
Shokeir T - - 2011
This article has been retracted at the request of the editors of Fertility and Sterility as it duplicates parts of a paper that had already appeared in Hum Reprod 2005;20:1632-5, doi:10.1093/humrep/deh822.
Fazeli A - - 2011
Maternal communication with gametes and embryo remains to be an important research subject in reproductive biology. This is mainly because of the central role that events taking place during this period play in establishment of pregnancy and creation of an offspring. The benefits of understanding how gametes and embryo communicate ...
Wohlmuth Cinna Toy - - 2011
Retained fetal parts is an uncommon but recognized complication of pregnancy termination. A case of retained fetal bones, 2 years after midtrimester dilation and evacuation (D&E), is described and utilized as a nidus for literature search and discussion of clinical presentation variations. A 27-year-old woman, G2, P1, A1, presented complaining ...
Namazy Jennifer A - - 2011
Pregnancy may be complicated by new-onset or preexisting rhinitis, or asthma. This article reviews the recognition and management of rhinitis and asthma during pregnancy, as well as general principles of medication use during pregnancy. Asthma is one of the most common potentially serious medical problems to complicate pregnancy, and chronic ...
Heller Matthew T - - 2011
A variety of uncommon, but potentially devastating, hepatobiliary disorders may complicate pregnancy. Because of their rarity, such disorders may elude diagnosis and treatment may be delayed. Although some of these disorders can be diagnosed clinically, imaging plays an important role in the diagnosis of several pregnancy-related hepatobiliary disorders. The radiologist ...
Tagliani Elisa - - 2011
Understanding the evolutionary adaptation of the immune system to the developing fetus and placenta represents one of the most fascinating problems in reproductive biology. Recent work has focused on how the behavior of dendritic cells (DCs) is altered at the maternal-fetal interface to suit the unique requirements of pregnancy. This ...
Gow Rachel W - - 2012
Entertainment magazine websites provide a continuous stream of celebrity news accessed by over 13 million unique viewers each month. Celebrities' experiences of pregnancy and new motherhood appear to be popular topics within these media outlets; however, little research has investigated the content of this coverage. In this study, investigators coded ...
Kapellou Olga - - 2011
The rates of caesarean section (CS) are increasing worldwide. The short-term effects of CS in the newborn have been described and long-term reported risks of alterations of pathophysiology include altered microflora, increased risk of childhood asthma and childhood-onset type I diabetes mellitus. There has been emphasis on the respiratory morbidity ...
Naji O - - 2011
Incomplete healing of Caesarean Section (CS) scars is a recognised sequel to this operation, and may be associated with complications in later pregnancies. These can include scar pregnancy, a morbidly adherent placenta, scar dehiscence or rupture. To date there is uncertainty relating to the factors that lead to poor scar ...
Mathew D C - - 2011
Malaria is a life-threatening illness with significant maternal and infant morbidity and mortality worldwide. Due to the rarity of its diagnosis in the UK population, there is little information about the number of pregnant women affected by malaria. This report describes a primiparous woman requiring a category-1 emergency caesarean section ...
Detti Laura - - 2011
OBJECTIVE: To present an unusual case of hyperreactio luteinalis and a comprehensive review of the recent literature. Hyperreactio luteinalis is a benign ovarian condition of pregnancy that at times becomes life threatening. The medical literature provides only case reports. DESIGN: Case report and systematic review of the literature. SETTING: University ...
Sánchez-Ferrer María Luisa - - 2011
We describe a patient who underwent assisted reproduction techniques and was diagnosed with heterotopic cervical pregnancy, and then discuss the management of this entity, which is rare and has no standard protocols. Treatment consisted of intra-arterial methotrexate (50 mg/m(2) body surface area) and simultaneous selective embolization of uterine arteries. The ...
Bercovitch Robert S - - 2011
Pregnancy is an established risk factor for the development of severe and disseminated coccidioidomycosis, particularly when infection is acquired during the later stages of gestation. Although recent studies suggest that the incidence of symptomatic coccidioidomycosis during pregnancy is decreasing and that outcome has improved, management is complicated by the observations ...
Ma Jacklyn C - - 2011
Pregnancy has a potentially deleterious affect on moyamoya disease (MMD), a cerebrovascular condition characterized by spontaneous occlusion of the distal internal carotid arteries resulting in the neoangiogenesis of fragile collateral blood vessels. The disease renders patients susceptible to both hemorrhagic and ischemic stroke. A 16-year (1995-2010) chart review was performed ...
Yeh Yi-Wei - - 2011
Pseudocyesis is a rare condition wherein a nonpregnant woman shows signs and symptoms of pregnancy, such as abdominal enlargement, breast enlargement, pigmentation, cessation of menses, subjective sensation of fetal movement and labor pains at the expected delivery date. In the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text ...
Large Michael J MJ Department of Molecular and Cellular Biology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. - - 2012
During the early stages of pregnancy, fertilized embryos must attach to the uterine epithelium, invade into the underlying uterine stroma, and the stroma must then differentiate in a process termed decidualization in order for a successful pregnancy to be initiated. The steroid hormone progesterone (P4) is an integral mediator of ...
Wong Amy E - - 2011
Premature delivery of an infant is occasionally performed because of complications of pregnancy. This article reviews common medical indications for preterm delivery and the available evidence supporting delivery before 37 weeks of gestation. In many conditions, few data exist to guide optimal timing of delivery and management is guided by ...
Dicken Cary L - - 2011
To report the rare occurrence of full-sibling embryos in unrelated women using independently chosen donor sperm and donor oocytes in two different cycles unintentionally created at our IVF program, and to discuss the concept of disclosure to the patients. Case report. Academic IVF program. Two women independently undergoing donor recipient ...
Erdogan G - - 2011
Obstetric ultrasonography is the most common diagnostic approach used in veterinary reproduction because it is a simple, reliable and non-invasive imaging technique. With advances in ultrasonography of small ruminants, assessment of pregnancy in goats is challenging for accurately managing reproduction. This article presents an up-to-date review of the use of ...
Seaborn Tommy - - 2011
The 3Rs stand for Replacement of animals in experiments, Reduction in the number of experimental animals, and Refinement of experiments to minimize animal pain and stress. We propose to address Reduction and Refinement in the use of mice as experimental models in developmental research. This study focuses on the maternal ...
Amin Shreyasee - - 2011
It has long been recognized that symptoms and signs of rheumatoid arthritis (RA) frequently improve spontaneously during pregnancy, only to flare postpartum. Although the mechanisms behind this phenomenon remain poorly understood, there is growing interest in the immunologic changes that occur during healthy pregnancy as a possible explanation. Because the ...
Delbrouck C - - 2011
Objective:We report a pregnant patient with a rapidly growing mass within the nasal cavity, which required pre-operative super-selective embolisation and subsequent removal under general anaesthesia after childbirth. We also discuss the clinical, radiological and histological characteristics of lobular capillary haemangioma, and its treatment.Method:Case report and literature review.Results:Lobular capillary haemangioma is ...
Dierickx I - - 2011
The treatment of mid-gestational uterine incarceration remains a challenge. The success rate of manual reduction decreases with gestational age, and an operative procedure may carry important fetal, next to possible maternal morbidities. We will present four cases of uterine incarceration between the 15th and 25th week of pregnancy of which ...
Nayak Shweta - - 2011
Abstract Background: Approximately 10%-15% of clinically recognized pregnancies end with a first trimester loss. Cytogenetic analysis of products of conception (POC) has revealed that a large proportion of these spontaneous miscarriages are a result of chromosomal abnormalities. However, relatively few studies have evaluated chromosomal abnormalities in pregnancies achieved using assisted ...
Tunster Simon J - - 2011
Mutations in the imprinted CDKN1C gene are associated with the childhood developmental disorder Beckwith-Wiedemann syndrome (BWS). Multiple mouse models with deficiency of Cdkn1c recapitulate some aspects of BWS but do not exhibit overgrowth of the newborn, a cardinal feature of patients with BWS. In this study, we found that Cdkn1c ...
Salvati Andrea - - 2011
Acutely ruptured brain arteriovenous malformations (AVMs) are a known etiology of hemorrhagic stroke during pregnancy. The aim of this paper is to report two cases of patients which presented with ruptured AVMs during pregnancy and were successfully treated with endovascular techniques. Peculiar issues related to the application of this treatment ...
- - 2011
While rare, an obstetrician can encounter dissection of the aorta and other large vessels in the course of pregnancy. They can be experienced either separately or as part of different syndromes. In the latter situation, there is a chance to establish the diagnosis of this pathological condition, preferably prior to ...
Lovas Andras - - 2011
Pharmacological treatment of major psychiatric conditions (eg, schizophrenia, bipolar disorder) is exceptionally difficult during pregnancy. Despite all efforts, medication-resistant life-threatening mental deterioration can emerge with the urgent need for rapid and effective intervention. In these cases, electroconvulsive therapy (ECT) may represent the only valid and safe therapeutic option. Here, we ...
Hechtman Jaclyn F - - 2011
We report 2 cases of thymomas diagnosed during pregnancy. Neither of these 2 patients had paraneoplastic autoimmune conditions or previous neoplasia. The first patient had a 7.3-cm lymphocyte-predominant thymoma with capsular invasion. The second patient was diagnosed through fine needle aspiration biopsy after computed tomography showed multiple mediastinal masses. Although ...
Pipili Chrisoula - - 2011
An increasing number of successful pregnancies have been reported among women on chronic hemodialysis. Even with reduced fertility and high risk of complications, women of childbearing age receiving hemodialysis, should not be discouraged from pregnancy. Practitioners should be familiar with the effects of renal disease on pregnancy, consult patients about ...
Cummings Mike - - 2011
It has been suggested that acupuncture may pose particular risks during pregnancy: by enhancing oxygenation to the developing embryo (presumably via increasing blood flow to the uterus); by affecting the level of maternal progesterone in early pregnancy; or by stimulating uterine contractions. This article examines the proposed risks and fails ...
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