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Weichert Jan - - 2009
Umbilical anomalies are a rare presentation in fetal and neonatal period. We report a case of a patent urachus with an allantoic cyst diagnosed prenatally at 14 weeks of gestation and its spontaneous course throughout ongoing pregnancy. Thoroughly ultrasound examination enabled comprehensive counselling of the parents and together with pediatricians ...
Dharmarajan Lekshmi - - 2009
AIM: Evaluate the practice and appropriateness of requesting echocardiograms in patients with suspected or documented cardiac disease during gestation and puerperium, using the American College of Cardiology Foundation (ACCF) appropriateness criteria, in conjunction with clinical picture. METHODS: Retrospective observational study, to analyze echocardiograms performed during pregnancy and puerperium at a ...
Haase Erika - - 2009
BACKGROUND: The incidence of cancer during pregnancy is approximately 1 in 1000. The most common types encountered during pregnancy are cervical, breast and ovarian. Epithelial tumors of the appendix on the other hand are rare and account for only approximately 1% of all colorectal neoplasms; the occurrence of this neoplasm ...
Flunt Daniel - - 2009
We present a combined obstetric and respiratory perspective on two pregnancies for a woman with severe Type 2 Spinal Muscular Atrophy (SMA). Our patient had the lowest prepregnancy weight (20 kg) and vital capacity of 0.34 L (VC 11% predicted) yet to be reported in the sparse literature on pregnancy ...
Ducarme Guillaume - - 2009
BACKGROUND: Portal vein cavernoma (PVC) is a rare disease resulting from extrahepatic portal vein thrombosis and development of collateral venous circulation. The management of pregnancy and delivery in woman with PVC has rarely been described. CASES: Two primiparous women are presented to illustrate the management of PVC during pregnancy and ...
Sathiyathasan S - - 2009
Case Report. A 37 years old patient at 40 weeks gestation presented with acute severe hypoxia with a seizure followed by fetal bradycardia. Caesarean section was performed under GA and she was intubated and ventilated. History revealed longstanding right pleural endometriosis with multiple pneumothoraces and hydrothoraces. A CT chest showed ...
Moros María Lapresta - - 2009
Lower back pain due to sacroiliac joint dysfunction is a common symptom during pregnancy. However, infection of the sacroiliac joint is rare, even more so if no predisposing factors are present. After the onset of unspecific acute pain in the left buttock region, a 31-year-old pregnant woman developed septic shock ...
Sau Ashis - - 2009
The aim of this retrospective study was to find out the effect of change in the management of red cell alloimmunized pregnancies from conventional method of amniocentesis to the Doppler assessment of middle cerebral artery peak systolic velocity (MCA-PSV). There were 29 alloimmunized pregnancies affected by red cell antibodies. Ten ...
Fill Malfertheiner Sara - - 2009
BACKGROUND: Heartburn is known to be common during pregnancy, however validated data on gastroesophageal reflux disease (GERD) are missing. The aim of this survey was to study the prevalence of GERD, the frequency and severity of typical GERD symptoms, and their impact on quality of life and therapeutic management in ...
Morris Lee M - - 2009
The ex utero intrapartum treatment (EXIT) procedure has become an important management option in cases of fetal airway obstruction. Select cases of severe micrognathia may be candidates for EXIT-to-Airway due to high-risk of airway obstruction at birth. Here we present three successful EXIT-to-Airway procedures for the management of congenital micrognathia ...
Jain Preeti - - 2009
Spontaneous recurrent pneumothorax during pregnancy is a rare condition. Few cases have been reported previously in the literature. There is no universal guideline for the management of this condition. Treatment options include conservative management with intercostal drain and surgical management in the form of thoracotomy or video-assisted thoracoscopy. We report ...
Lavanya R - - 2009
We present a case of sonographic demonstration of quadruplet heterotopic pregnancy consisting of twin intrauterine (IU) pregnancy and a twin adnexal pregnancy after ovulation induction (OI) with clomiphene citrate (CC) and timed intercourse (TI). Both heterotopic pregnancy and spontaneous twinning are frequent after OI, this combination although extremely rare must ...
Nath Remin - - 2009
Toxoplasma retinochoroiditis in pregnancy may create considerable patient anxiety and is a dilemma for the treating ophthalmologist. A case report highlighting this clinical issue is presented followed by a review of the literature. Consensus in relation to the management of toxoplasma retinochoroiditis in pregnancy is lacking and is discussed.
Smith Lindsay F P - - 2009
To compare fertility rates after the three methods of managing early miscarriage in women recruited to the MIST (miscarriage treatment) randomised controlled trial. Early pregnancy clinics of acute hospitals in the south west region of England. 1199 women who had had an early miscarriage (<13 weeks) confirmed by scan. Expectant, ...
Habal Flavio M FM University of Toronto, University Health Network, Toronto, Ontario, Canada. - - 2009
Inflammatory bowel disease (IBD) often affects women during their child-bearing years. Management of a pregnant IBD patient, or a patient contemplating pregnancy, poses unique challenges and can be quite daunting. Knowledge of the basic interplay among disease, normal host physiology and pregnancy is vital to managing these patients. One of ...
Blumenthal Deborah T - - 2008
BACKGROUND: Limited data are available on the management of glioma in pregnant women. Therefore, the aim of the current article was to describe the outcome of women with malignant gliomas who were exposed to chemotherapy early in the gestation period of their pregnancies. METHODS: The authors presented a case series ...
Kilpatrick Charlie C - - 2008
PURPOSE OF REVIEW: The acute abdomen remains a challenge for all physicians who take part in the care of women in pregnancy. Obstetricians must be abreast of current topics, especially critical when having to consult other specialties for assistance in managing these conditions. RECENT FINDINGS: We will highlight recent observations ...
Glanc Phyllis - - 2008
Ultrasound is a valuable diagnostic tool, which can be used to stratify pregnant women with adnexal masses into a conservative management protocol versus those that require further diagnostic and management decisions. Familiarity with the natural history and sonographic features of common adnexal lesions, such as simple cysts, hemorrhagic cysts, endometriomas, ...
Elsayegh Dany - - 2008
Status asthmaticus requiring mechanical ventilation is an uncommon, life-threatening disorder in obstetric patients. The unique physiologic changes of pregnancy, impact of the fetus on the maternal condition, and concerns for fetal and maternal health and survival are particular concerns in critical illness. Furthermore, the issues of hypoxemia and hypercapnia, ventilator ...
Truong Mai Thy - - 2008
OBJECTIVES/HYPOTHESIS: To review the clinical significance of primary hyperparathyroidism during pregnancy including the maternal, fetal, and neonatal sequelae. Additionally, to discuss treatment options and describe three cases where surgical parathyroidectomy was successful for treatment of hyperparathyroidism refractory to medical management during pregnancy. STUDY DESIGN: Retrospective. METHODS: We reviewed three cases ...
Mjåset Christer - - 2008
We present a Norwegian family with familial hemiplegic migraine (FHM) with possibly four affected in three generations. The family had a point mutation in the ATP1A2 gene that caused a change of the amino acid valine to methionine (V628 M). The symptoms were pure FHM with intra- and interindividual variability, ...
Singh N - - 2008
In the most recent outbreak of dengue fever in India, we encountered at least seven cases of fever with thrombocytopenia in pregnancy but only two were seropositive for dengue. In one of the cases there was postpartum hemorrhage while in the other case there was perinatal transmission to the neonate ...
Shahbaz Naila - - 2008
The management of rupture of membranes at a nearly viability stage is still controversial. A case of a primigravida, who had rupture of membranes at 23 weeks of gestation, is reported. On conservative management, her pregnancy continued to 30 weeks and she delivered a normal fetus, who showed no abnormality ...
Suwandinata Ferdhy Suryadi - - 2008
Uterine myomas are found in 0.3-2.6% of pregnant women. In one case out of ten they cause complications. Treatment is primarily conservative but in cases of failure, surgery cannot be avoided. We present a case of a pregnant woman with myomas. Because of failure of conservative management and severe abdominal ...
Chen Beatrice A - - 2008
Early pregnancy failure is a common pregnancy complication. This article reviews the efficacy of medical management of early pregnancy failure. Nonsurgical treatments, including expectant and medical management, are reasonable alternatives to surgical management depending on the clinical situation and the patient's requests. Possible regimens in medical management of early pregnancy ...
Price Laura Claire - - 2008
The aims of critical care management are broad. Critical illness in pregnancy is especially pertinent as the patient is usually young and previously fit, and management decisions must also consider the fetus. Assessment must consider the normal physiological changes of pregnancy, which may complicate diagnosis of disease and scoring levels ...
Lacerte Maxime - - 2008
OBJECTIVE: In Canada, most mothers whose amniotic membranes rupture before 34 weeks' gestation are hospitalized and delivered when signs of chorioamnionitis or fetal distress are observed or when a predetermined gestational age between 34 and 37 weeks is reached. This management approach can be questioned because in utero exposure to ...
Hoshino Tatsuji - - 2008
Two pregnancies in a woman on oxygen inhalation therapy before pregnancy, due to pulmonary fibrosis and frequent pneumothorax that are secondary to mixed connective tissue disease, were managed safely. As usual for this condition, the patient was rather older and her ordinary daily life was restricted. This is a truly ...
Date R S - - 2008
BACKGROUND: Symptomatic gallstone disease is the second most common abdominal emergency in pregnant women. There have been significant developments in the management of gallstone disease, but risk to the fetus has prevented their routine application in pregnant women. We reviewed the literature to find the current best evidence for the ...
Habib A G - - 2008
The report describes successful management of 10 women in 2nd and 3rd pregnancy trimesters with EchiTab IgG antivenom after carpet viper (Echis ocellatus) envenoming. All women survived but foetal loss in a victim with delayed presentation and a case of mild hypersensitivity reaction were recorded. Excellent outcomes can be achieved ...
Singh M - - 2008
The aim of this study was to determine the role of routine scanning before termination of pregnancy in a community setting and attempt to estimate the cost benefit of primary care-based management. Accurate dating of pregnancy is an important step in assessing a patient for medical termination and minimising complications. ...
López-Arce Gustavo - - 2008
Bacterascites (BA) is a minimally studied and defined entity. Its prognosis and clinical course are not well defined, and currently there are no management guidelines. We present a rare cause of BA in which Salmonella sp group A was isolated in a 44 year old man with cirrhosis who had ...
Serci Iolanda - - 2008
The provision of adequate energy and nutrients in the woman with DM is essential for normal fetal growth. However, dietary modifications including exercise are essential to normalise blood glycaemic levels and prevent adverse pregnancy outcomes. However, the evidence surrounding the nutritional management in GDM has been controversial. Dornhorst and Frost ...
Buntugu Ka - - 2008
Rudimentary horn pregnancy is a rare obstetric entity and the diagnosis and management may pose some problems especially in a low-resource center. We report our experience in diagnosing and managing a case of fetal death in a rudimentary horn.
Chervenak Frank A - - 2008
This article discusses the clinical ethics concept of the fetus as a patient, and identifies the implications of this for non-aggressive fetal management. The clinical ethical concept of the fetus as a patient is explained by reference to the ethical principles of beneficence and respect for autonomy. We argue that ...
Sherif Hisham M F - - 2008
Spontaneous coronary dissection is a rare but potentially life-threatening condition. It often occurs in late pregnancy and may pose significant risks for the patient and the fetus. Its cause remains uncertain, and established guidelines for management have not been developed. In this report, close multidisciplinary collaboration has led to excellent ...
Newport D Jeffrey - - 2008
Clinical management of bipolar disorder (BPD) patients during pregnancy is a major challenge. The high risk of bipolar depression during pregnancy encourages consideration of lamotrigine (LTG). We therefore compared recurrence risks among pregnant women with BPD treated with LTG to those discontinuing mood stabilizer therapies. We compared risks and weeks ...
Beard Jessica H - - 2008
Obesity has reached epidemic proportions in the USA. Bariatric surgery is an important and increasingly utilized treatment option for morbid obesity refractory to medical therapy. Approximately half of all bariatric surgery patients are reproductive-aged women and, thus, represent a unique patient population with specific concerns. This manuscript focuses on issues ...
Hill Christina C - - 2008
Pregnancy always must be considered when evaluating a female trauma victim of reproductive age. When managing the pregnant trauma victim, one must optimize the well-being of two patients, but the health of the mother is of paramount importance. Rapid assessment, treatment, and transport are critical to optimizing maternal and fetal ...
Sim D A - - 2008
PURPOSE AND MATERIALS: Punctate inner choroidopathy (PIC), first described by Watzke et al(1), is a disease in young women of child-bearing age. We present three cases of PIC-associated choroidal neovascular membrane (CNVM) occurring during pregnancy, and discuss associated investigative and treatment dilemmas. All three patients described showed evidence of recurrence ...
Navrozoglou I - - 2008
BACKGROUND: As modern women delay childbearing, pregnancy-associated breast cancer (PABC) becomes a more frequent problem faced by oncologists, gynecologists, and obstetricians alike. However, no evidence exists concerning the management of this condition. METHODS: We summarized the current literature regarding epidemiology, pathology, diagnosis, treatment and prognosis of PABC. Data were collected ...
Blake L D - - 2008
A 39-year-old gravida 8, para 6 woman at 34 weeks of a twin gestation was admitted to the antenatal ward with severe agitation and restlessness. She had a history of unstable bipolar disorder for which she was treated with lithium. Before admission she had been under close supervision by psychiatric ...
Kiroglu Yilmaz - - 2009
BACKGROUND: Hemangioma is one of the most common benign tumors of the spine, and it remains silent in the vast majority of subjects afflicted. Pregnancy is a known risk factor for symptomatic conversion of the previously silent vertebral hemangiomas. However, the occurrence is rare with only 26 cases reported in ...
McKenna D A - - 2008
Round ligament varices (RLV) are an important clinical entity as they may cause hernia-like symptoms in the absence of a true hernia. When this condition is diagnosed correctly, unnecessary intervention may be prevented. We aimed to determine the significance and anatomy of RLV in pregnancy and to review and describe ...
van den Heuvel Freek - - 2008
Fetal tachyarrhythmias are a life-threatening condition complicating a small proportion of normal pregnancies. Despite major advances in the (intrauterine) pharmacologic treatment of these arrhythmias over the last years major uncertainties remain. Among these are controversies in the choice of agents in relation to arrhythmia type, and timing and duration of ...
Williams Shauna F - - 2008
BACKGROUND: Glutaric aciduria type II is a rare disorder affecting the metabolism of fatty acid oxidation and several mitochondrial dehydrogenase enzymes. Narcolepsy and cataplexy is a disorder affecting sleep cycles and rapid eye movement activity. There is little information on outcome or management for either disorder in pregnancy. CASE: This ...
Mortellaro Carmen - - 2008
Ranulas have been managed by various surgical methods, and the optimal treatment is still controversial. The aim of this study was to analyze a group of 124 surgically treated patients with intraoral ranula to assess 3 different methods: sublingual gland removal combined with the ranula excision, conventional marsupialization, and a ...
Holmgren Calla - - 2008
OBJECTIVE: The objective of the study was to evaluate the use of interventions such as a peripherally inserted central catheters (PICC) line or nasogastric (NG)/nasoduodenal (ND) tube with the use of medications alone in the management of pregnancies with hyperemesis. STUDY DESIGN: Subjects were identified with confirmed intrauterine pregnancy, admitted ...
Brandes Jan Lewis - - 2008
Evidence-based treatment algorithms are needed for managing headache during conception, pregnancy, and the postpartum period. Whereas most studies seem to indicate that headaches improve for most women during pregnancy (as estrogen levels increase), this often is not the case in women with more severe, frequent migraine. Few pharmacologic studies include ...
Hong Yu-Cheng - - 2008
Metformin-associated lactic acidosis is a rare but serious condition and potentially even more hazardous during pregnancy. We reported a case of lactic acidosis in a 28-year-old pregnant woman (gravida 3, para 0, abortion 2, ante-partum 22 weeks) after ingestion of 39.50 g (approximately 80 tablets) metformin in a suicide attempt. ...
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