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Results 201 - 250 of 740
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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 AG Department of Medicine, Bayero University Kano, Aminu Kano Teaching Hospital, Kano, Nigeria. - - 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. ...
Vrabec Jeffrey T - - 2007
OBJECTIVE: To describe the epidemiology, pathophysiology, presentation, treatment, and prognosis of Bell's palsy (BP) in pregnancy. RESULTS: The incidence of BP in pregnant women is not significantly greater than expected compared to all women of childbearing age. There is a high incidence of cases in the third trimester and corresponding ...
Blyth David F - - 2007
Massive hemoptysis during pregnancy has been infrequently reported. The management of massive hemoptysis in an immunocompromised 22-year-old woman positive for human immunodeficiency virus undergoing treatment for cavitating pulmonary tuberculosis in the last trimester of pregnancy is reported. The difficulties encountered in applying our standard protocol for massive hemoptysis in this ...
Fontanarosa M - - 2007
AIM: The aim of this study was to assess clinical outcome after a non-surgical management of the symptomatic spontaneous abortion in the first-trimester of pregnancy in a level III maternity hospital and to assess the subsequent fertility of the study population. METHODS: A prospective study in which 70 women with ...
Davie C A - - 2008
Pregnancy-related stroke is, fortunately, a rare event. However, when it occurs, there may be implications for management of the patient and delivery of the child. This article reviews the mechanisms and risk factors for stroke related to pregnancy, the presenting features, diagnosis and management of the different stroke types, and ...
Schwebel Marlene - - 2008
BACKGROUND: Hereditary hemorrhagic telangiectasia (HHT) is a condition characterized by multiple telangiectases and arteriovenous malformations. Women with HHT may develop life-threatening complications in pregnancy. In particular, death from pulmonary hemorrhage has been reported. Consequently, these women are often advised not to conceive or to terminate their pregnancies. CASE: We report ...
Almog Gil - - 2007
Pelvic or acetabular fractures during pregnancy are rare, and information on managing such complex incidents has been limited. Over several years, we have gained significant experience in handling such cases. Of the 1345 pelvic and acetabular fractures treated at our level I trauma center between 1987 and 2002, 15 (1.1%) ...
Desai Pratik - - 2007
Trauma sustained during pregnancy can trigger uncertainty and anxiety for patient and orthopedic surgeon alike. In particular, orthopedic-related injuries raise concerns about preoperative, intraoperative, and postoperative care. In this article, we review common concerns about radiation exposure, leukemia, pain management, anticoagulation, and anesthesia. One finding is that radiation risk is ...
Junglee N - - 2007
Pheochromocytoma is rare in pregnancy, with an estimated incidence of 0.007%. Diagnosis is difficult owing to the variety of presentations and nonspecific symptoms. Nevertheless, unsuspected disease accounts for a significant proportion of morbidity and mortality. Currently, there appears to be no consensus on management with regard to the need for ...
McGrory Carolyn H - - 2007
One benefit of transplantation, along with the restoration of health, is the opportunity for successful pregnancies. A growing number of pregnancies have been reported among all types of solid-organ recipients. There is an increasing need for practice guidelines that include nutrition information in order to assist practitioners caring for and ...
Shrotri K N - - 2007
Urological conditions in pregnancy represent a major diagnostic and therapeutic challenge. The potential adverse effects of anaesthesia, radiation and drugs on the fetus often complicate traditional diagnostic and treatment measures. As frontline clinicians, obstetricians need an awareness of symptoms, associated obstetric complications and an appreciation of available current diagnostic and ...
Gottlieb Amy G - - 2007
Shoulder dystocia has no consensus definition or management algorithm. Its incidence ranges from 0.2% to 3% and its occurrence is unpredictable. Risk factors for shoulder dystocia may include macrosomia, maternal diabetes, operative vaginal delivery, history of macrosomic infant or shoulder dystocia, labor abnormalities, post-term pregnancy, maternal obesity, advanced maternal age, ...
Mastoroudes Heleni - - 2007
BACKGROUND: A 32-year-old primiparous woman presented with a painful left-sided giant hydronephrotic kidney secondary to pelvi-ureteric junction obstruction (PUJO). INVESTIGATIONS: Renal ultrasonography, intravenous urography and MAG-3 renography. DIAGNOSIS: Symptomatic non-functioning left PUJO in first trimester. MANAGEMENT: Following counselling, the patient had an uncomplicated retroperitoneoscopic nephrectomy at 9 weeks' gestation for ...
Lal Abhi - - 2007
BACKGROUND: Though more common in male patients, primary spontaneous pneumothorax might be expected to occur reasonably often in female patients of child-bearing age. However, < 50 cases of pneumothorax in pregnancy have been previously reported. Special risks are posed for both the mother and the fetus in this situation. Previous ...
Krishnamurthy V - - 2007
Fructose-1,6-bisphosphatase (FBPase) deficiency (OMIM 229700) has been characterized as the cause of life-threatening hypoglycaemia and lactic acidaemia following prolonged fasting. The patient, an adult African-American woman, presented during the second trimester of her first pregnancy with recurrent episodes of lactic acidaemia and hypoglycaemia. She had recently been admitted to a ...
Edgar Angela B - - 2007
The majority of female cancer survivors will have normal reproductive function and would be expected to have a successful pregnancy. For the minority of young women who have received significant cytotoxic insult to the reproductive organs and yet still manage to conceive, pregnancy must be considered a high risk condition ...
Schlechte Janet A - - 2007
Prolactinomas are a frequent cause of gonadal dysfunction and infertility, especially in young women. The regulation of prolactin secretion and the efficacy of dopamine agonists in the therapy of prolactinomas are well established. The current challenges in management of prolactinomas are related to follow-up after successful therapy. Issues and questions ...
Borg-Stein Joanne - - 2007
Gender-specific care of musculoskeletal impairments is increasingly important in women's health. This is most relevant and of paramount importance as it relates to identification and management of musculoskeletal and peripheral neurologic disorders of pregnancy, delivery, and postpartum. The specific anatomic and physiologic changes of pregnancy predispose to a specific set ...
Chan L W - - 2007
We present a case of foetal intracranial teratoma diagnosed at 28 weeks of gestation after prior normal sonographic examinations. A multidisciplinary team, involving obstetricians, neonatologists, and neurosurgeons, suggested management. The foetus was delivered by lower segment caesarean section at 30 weeks of gestation but the neonate succumbed 3 days after ...
Smulian John C - - 2007
Research on recurrent pregnancy complications is essential to help clinicians provide appropriate counselling and guide the management of patients with a history of adverse pregnancy outcomes. However, recurrence research is complex, in both its execution and interpretation. The paucity of appropriate data sets accessible for study of recurrent pregnancy outcomes ...
Donovan Lois - - 2007
Thyrotoxic periodic paralysis (TPP) is an unusual presentation of hyperthyroidism in women. The occurrence of this condition in the context of pregnancy is even more uncommon. Impaired glucose tolerance, pregnancy, and TPP impact overall management of thyrotoxicosis. There is little guidance in the literature for management under this constellation of ...
Zamecki Katherine J - - 2007
Idiopathic intracranial hypertension (IIH) in pregnancy is often responsive to conservative management and usually carries a favorable prognosis. Pregnant patients may be managed with dietary control, corticosteroid therapy, diuretics, and occasionally serial lumbar puncture. We report an unusual case of permanent visual loss due to IIH in pregnancy, requiring aggressive ...
Koukoura Ourania - - 2008
OBJECTIVE: To present a case of successful term pregnancy in a patient with known Wegener's granulomatosis (WG). DESIGN: Case report. SETTING: University Hospital, Department of Obstetrics and Gynecology. PATIENT(S): A 22-year-old primigravida pregnant woman with a history of WG diagnosed 5 years before. INTERVENTION(S): The patient was treated with corticosteroids ...
Flynn Thomas R - - 2007
This article describes clinical approaches for the perioperative management of the pregnant oral and maxillofacial surgical patient. The following topics are discussed: ethical principles of treatment during pregnancy, physiologic changes and their treatment considerations, fetal and maternal risks of various medications, medical problems occurring during pregnancy, and common minimally invasive ...
Palep-Singh Manisha - - 2007
Microwave endometrial ablation is a safe and effective global procedure in the management of menorrhagia. Pregnancy and its associated complications after endometrial ablation are well recognized in the literature. Little information is available pertaining to difficulties one may encounter during procedures such as termination of pregnancies after endometrial ablation, and ...
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