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Giuliani Rosella R Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, - - 2014
The study's aim was to evaluate how information related to a prenatal diagnosis of fetal malformation could modify parenthood experience descriptions during pregnancy and after the child's birth. A longitudinal case-control clinical study was conducted. Data on parenthood experience descriptions collected using a validated semantic differential technique during pregnancy and ...
Koutroutsos Konstantinos K St George's University of London, London, - - 2014
Differential diagnosis between thrombotic microangiopathies in pregnancy is challenging due to overlapping clinical and pathological findings and the rapid progression of disease. We present here an unusual case of Haemolysis, Elevated Liver enzymes and Low Platelets (HELLP) syndrome, which represents this diagnostic dilemma. The patient was treated with steroids and ...
Gupte Sanjay S Gupte Hospital, Postgraduate Institution and Centre of Research in Reproduction, 904 Bhandarkar Road, Pune, 411 004 - - 2014
Preeclampsia and eclampsia are grave complications of pregnancy responsible for morbidity and mortality. National Eclampsia Registry of the FOGSI has helped in quantifying the magnanimity and also the clinical relevant pointers which can help in improving the health care delivery. Many complex pathogenic mechanisms are now implicated to be responsible ...
Morales Alvaro S - - 2014
The implantation process after embryo transfer depends on the embryo quality and endometrial receptivity. It is estimated that fifty to seventy-five per cent of pregnancies are lost due to a failure of implantation. There is evidence that there is an early secretion of human chorionic gonadotrophin before embryo implantation, and ...
Ambusaidi Qamariya Q Department of Obstetrics & Gynecology, Royal Hospital, Muscat, - - 2014
A unicornuate uterus with a rudimentary horn is a uterine anomaly resulting from the incomplete development of one of the Müllerian ducts and an incomplete fusion with the contralateral side. Pregnancy in a rudimentary horn of the uterus is a rare clinical condition with a reported incidence of 1 in ...
Wan Cai-Yun CY Fertility Center, Shenzhen Zhongshan Urology Hospital, Shenzhen 518045, PR China; Shenzhen Key Laboratory of Reproductive Immunology for Peri-implantation, Shenzhen Zhongshan Urological Hospital, Shenzhen 518045, PR China; Shenzhen Zhongshan Institute for Reproduction and Genetics, Shenzhen 518045, PR - - 2014
The aim of this study was to evaluate the effects of quarter zona-pellucida (ZP) opening by laser-assisted hatching (QLAH) on the clinical outcomes following transfer of vitrified-warmed blastocysts developed from low-grade cleavage-stage embryos in patients with all high-grade and fair-grade cleavage-stage embryos transferred without achieving pregnancy. Patients were randomized into ...
Banch Clausen Frederik F Laboratory of Blood Genetics, Department of Clinical Immunology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, - - 2014
Incompatibility of red blood cell blood group antigens between a pregnant woman and her fetus can cause maternal immunization and, consequently, hemolytic disease of the fetus and newborn (HDFN). Noninvasive prenatal testing of cell-free fetal DNA can be used to assess the risk of HDFN to fetuses of immunized women. ...
Cutts Briony A BA aThrombosis & Haemophilia Centre, Guy's & St Thomas' Trust, London, UK bDepartment of Haematology cDepartment of Radiology & Nuclear Medicine, Monash Medical Centre, Claydon, Victoria, Australia dDepartment of Nuclear Medicine, Guy's & St Thomas' Trust, London, - - 2014
Pulmonary embolism is one of the leading causes of mortality in pregnancy in the Western world. No clinical prediction models have been validated in pregnancy. As a result, any pregnant woman presenting with signs possibly consistent with pulmonary embolism is investigated radiologically. This study investigates whether using clinical prediction models ...
Barad David H DH The Center for Human Reproduction (CHR), New York, New York; Foundation for Reproductive Medicine, New York, New York. Electronic address: - - 2014
To investigate whether granulocyte colony-stimulating factor (G-CSG) affects endometrial thickness, implantation rates, and clinical pregnancy rates in routine, unselected IVF cycles. Registered, individually randomized, two-group, parallel double-blinded placebo-controlled clinical trial. Academically affiliated private clinical and research center. 141 consecutive, unselected, consenting women with no history of renal disease, sickle cell ...
Jido Tukur Ado TA Department of Obstetrics and Gynecology, Bayero University, Aminu Kano Teaching Hospital, Kano State, - - 2014
This study was performed with the objective to examine the diagnostic framework for urinary tract infection (UTI) in pregnancy and physician response to the clinical diagnosis and to correlate responses to the results of urine culture and sensitivity. Over a 6-month period, 81 consecutive patients attending the labor ward admission ...
Ngoc Nguyen Thi Nhu NT Center for Research and Consultancy in Reproductive Health, the HungVuong Hospital, and the HocMon General District Hospital, Ho Chi Minh City, and the National OBGYN Hospital, Hanoi, Vietnam; Gynuity Health Projects, New York, New York; and Stanford University, Palo Alto, - - 2014
To investigate phone follow-up with a semiquantitative urine pregnancy test and symptom checklist as a replacement for universal clinic follow-up after medical abortion. One thousand four hundred thirty-three women seeking early medical abortion at four hospitals in Vietnam were randomized to clinic or phone follow-up. Women allocated to clinic follow-up ...
Filkaszova A - - 2014
Over the last two to three decades, there has been a 15-25 % increase in many countries in the number of women giving birth to large infant. Fetal macrosomia is associated with an increased risk of complications both for the mother and the newborn. In current obstetrics, the macrosomic fetus ...
Yazici Gurkan G Department of Obstetrics and Gynecology, School of Medicine, Mersin University, Mersin, Turkey. - - 2014
To evaluate the effect of luteal phase progesterone support on pregnancy rates in women with polycystic ovary syndrome (PCOS) who were treated for clomiphene citrate-resistant anovulatory infertility with ovulation induction and intrauterine insemination (OI/ IUI). This randomized study included 110 clomiphene citrate-resistant PCOS patients. All patients underwent ovulation induction with ...
Astley Susan J - - 2014
2013 marks the 40th year since the term fetal alcohol syndrome (FAS) was coined at the University of Washington. In 1993, the University of Washington opened the first interdisciplinary FASD diagnostic clinic; expanded to a statewide network of clinics in 1995 (Washington State FAS Diagnostic & Prevention Network (WA FASDPN)), ...
Fottrell Edward E UCL Institute for Global Health, University College London, 30 Guilford Street, London WC1N 1EH, United Kingdom. - - 2014
Maternal morbidity is more common than maternal death, and population-based estimates of the burden of maternal morbidity could provide important indicators for monitoring trends, priority setting and evaluating the health impact of interventions. Methods based on lay reporting of obstetric events have been shown to lack specificity and there is ...
Tupikowski Krzysztof K Department of Urology and Oncological Urology, Wrocław Medical University, Wrocław, - - 2014
Neoplasms are rare in pregnant women, however they are always a challenging diagnostic and curative problem. We present a case of a benign kidney tumor (angiomyolipoma) imitating nephroblastoma on magnetic resonance diagnosed in pregnancy. Cesarean section was performed in 29. gestotic week followed immediately by right radical nephrectomy.
Wu Q Y - - 2014
To explore effective methods in diagnosing and treating cesarean scar pregnancy (CSP) after cesarean section. The clinical data of 13 cases with CSP who were admitted to the present hospital from October 2009 to February 2012 were retrospectively analyzed. The agreement diagnostic rate was 92.3% (12/13). On the basis of ...
Matusiak Kristine K 0000-0003-0357-1661 School of Medicine, The University of Queensland, 288 Herston Road, Herston, QLD 4006, - - 2014
Obesity in the childbearing population is increasingly common. Obesity is associated with increased risk for a number of maternal and neonatal pregnancy complications. Some of these complications, such as gestational diabetes, are risk factors for long-term disease in both mother and baby. While clinical practice guidelines advocate for healthy weight ...
Cengiz Hüseyin H Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Teaching and Research Hospital, İstanbul, - - 2014
Small intestinal tumours are rare and difficult to diagnose. This neoplasms may be responsible for haemorrhage, occlusion, perforation and subsequent emergent surgeries. A 28 year old G2P1 woman in her 22nd week of pregnancy was referred to our emergency department with a complaint of left lower abdominal pain that had ...
Nacharaju Madhavi M Department of Obstetrics and Gynecology, Kamineni Institute of Medical Sciences, Narketpally, Andhra Pradesh, - - 2014
Ectopic pregnancy is defined as implantation and subsequent development of an embryo outside the uterine lining. It has wide range of presentation from acute hemoperitoneum to chronic ectopic pregnancy. This is an unusual case of chronic ectopic pregnancy with large hematosalpinx without classical symptoms. A 22-year-old South Indian woman reported ...
Grandone Elvira E Atherosclerosis and Thrombosis Unit, I.R.C.C.S. "Casa Sollievo della Sofferenza", S. Giovanni Rotondo, Foggia, - - 2014
The usefulness of antithrombotic prophylaxis in management of Assisted Reproductive Technologies (ART) is questionable. We prospectively examined the contribution of an antithrombotic prophylaxis in influencing clinical pregnancy and live-birth in an unselected cohort of women approaching ART. 1107 women with fertility problems and a valid indication for ART were recruited. ...
Grigore M - - 2014
Limb body wall complex (LBWC) is a rare polymalformative syndrome. The majority of cases presented in the literature have been diagnosed in the second or third trimester of pregnancy. The authors present a case of LBWC diagnosed in the first trimester of pregnancy. The combination of two- and three-dimensional ultrasounds ...
Hanseree Preaw P 0000-0001-7628-8950 Department of Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, Jamaica, NY 11432, - - 2014
Thyroiditis encompasses a group of disorders characterized by thyroid inflammation. Though clinically indistinguishable from silent thyroiditis, postpartum thyroiditis occurs in women within 12 months after delivery. Recurrent postpartum thyroiditis in subsequent pregnancies is common, but recurrent silent thyroiditis is rare. We reported a case of patient with recurrent episodes of ...
Lahbabi Mounia M Department of Hepato-gastroenterology, Guelmim, Morocco. - - 2014
Tuberculous peritonitis is one of the least common forms of extrapulmonary tuberculosis. In the literature, few cases in pregnancy have been previously published. Tuberculous peritonitis in pregnancy is a diagnostic challenge, especially in the absence of lung involvement. It mimics other diseases and clinical presentation is usually non-specific, which may ...
Hayes Aimee R AR Departments of Endocrinology and Neurosurgery St George Hospital and University of New South Wales, Kogarah Sydney, New South Wales, 2217 - - 2014
Pituitary apoplexy is a rare event in pregnancy. A 41-year-old woman with a known pituitary microadenoma presented with visual disturbance and headache during the second trimester of pregnancy. Magnetic resonance imaging (MRI) demonstrated pituitary apoplexy with chiasmal compression. After treatment with corticosteroid therapy, she underwent transsphenoidal excision of the pituitary ...
Marchetti Tess - - 2013
Obstetrical antiphospholipid syndrome (APS) is defined by obstetrical complications and the presence of antiphospholipid antibodies (aPL). Although the incidence of APS is still poorly known, this thrombophilia is now recognized as one of the most common acquired causes of recurrent fetal loss. The diagnosis of APS during pregnancy can be ...
Burandt Eike E *James Homer Wright Pathology Laboratories, Massachusetts General Hospital †Department of Pathology, Harvard Medical School, Boston, - - 2013
Twenty cases of the distinctive tumor-like lesion of the ovary, pregnancy luteoma, are described, with emphasis on pathologic features. The masses occurred in patients from 15 to 44 years of age and were typically incidental findings at or near term. Four patients experienced androgenic manifestations. The luteoma was documented to ...
Brezina Paul R PR Fertility Associates of Memphis, 80 Humphreys Center, Suite 307, Memphis, TN 38120, USA. Electronic address: - - 2014
There are few conditions in medicine associated with more heartache to patients than recurrent pregnancy loss (RPL). The management of early RPL is a formidable clinical challenge for physicians. Great strides have been made in characterizing the incidence and diversity of this heterogeneous disorder, and a definite cause of pregnancy ...
Godbole Koumudi - - 2013
Abstract Aim: To correlate and compare prenatal ultrasound with fetal autopsy examination to detect structural births defects and provide specific diagnoses. Methods: 141 second trimester fetuses (<20 weeks and <500 Gm) where pregnancy was terminated for structural birth defects and /or severe IUGR or intra-uterine death, referred to our tertiary ...
Saravelos Sotirios H SH Department of Obstetrics and Gynaecology, St Mary's Campus, Imperial College London, Mint Wing, South Wharf Road, London W2 1PG, - - 2014
Women with unexplained recurrent pregnancy loss (RPL) represent a highly heterogeneous group of patients. Past studies have investigated systemic endocrine and immunologic mechanisms as potential causes for pregnancy loss in unexplained RPL, while exciting new work has focused on spermatozoal, embryonic, and endometrial characteristics to explain the regulation of implantation ...
Hepner David L - - 2013
The prevalence of anaphylaxis occurring during pregnancy is approximately 3 cases per 100,000 deliveries. The management of anaphylaxis occurring during the third trimester of pregnancy may be challenging because of the additive effects of aortocaval compression and cardiovascular disturbances of anaphylaxis. In this review, we identify the clinical signs of ...
Cohen Stephanie E - - 2013
Syphilis is a complex, systemic disease caused by the spirochete Treponema pallidum. Syphilis is most commonly transmitted sexually or congenitally and can involve nearly every organ system. Its clinical progression involves several well-characterized stages: an incubation period, a primary stage, a secondary stage, a latent stage, and a late or ...
Bergman Hagit - - 2013
Some of my pregnant patients complain about pruritus. Are there conditions in pregnancy that present with pruritus that might put the mother or fetus at risk? Although most cases of pruritus can be attributed to itchy dry skin, there are conditions unique to pregnancy that involve pruritus as a leading ...
- - 2013
To the Editor: In their Perspective article, Morain et al. (Aug. 8 issue)(1) say that commercial companies have not met reasonable standards for demonstrating clinical validity. This is not correct. In five independent cohorts, researchers have examined 463 pregnancies with fetuses with Down's syndrome, 187 with trisomy 18, and 37 ...
Ashwood Edward R - - 2013
To the Editor: In their Perspective article, Morain et al. (Aug. 8 issue)(1) say that commercial companies have not met reasonable standards for demonstrating clinical validity. This is not correct. In five independent cohorts, researchers have examined 463 pregnancies with fetuses with Down's syndrome, 187 with trisomy 18, and 37 ...
Sehnert Amy J - - 2013
To the Editor: In their Perspective article, Morain et al. (Aug. 8 issue)(1) say that commercial companies have not met reasonable standards for demonstrating clinical validity. This is not correct. In five independent cohorts, researchers have examined 463 pregnancies with fetuses with Down's syndrome, 187 with trisomy 18, and 37 ...
Almashhrawi Ashraf A AA Ashraf A Almashhrawi, Khulood T Ahmed, Rubayat N Rahman, Ghassan M Hammoud, Jamal A Ibdah, Division of Gastroenterology and Hepatology, University of Missouri-Columbia, Columbia, MO 65212, United - - 2013
Pregnancy is a special clinical state with several normal physiological changes that influence body organs including the liver. Liver disease can cause significant morbidity and mortality in both pregnant women and their infants. Few challenges arise in reaching an accurate diagnosis in light of such physiological changes. Laboratory test results ...
Ahmed Khulood T KT Khulood T Ahmed, Ashraf A Almashhrawi, Rubayat N Rahman, Ghassan M Hammoud, Jamal A Ibdah, Division of Gastroenterology and Hepatology, University of Missouri-Columbia, Columbia, MO 65212, United - - 2013
Pregnancy is a special clinical state with several normal physiological changes that influence body organs including the liver. Liver disease can cause significant morbidity and mortality in both pregnant women and their infants. This review summarizes liver diseases that are unique to pregnancy. We discuss clinical conditions that are seen ...
Orvieto Raoul - - 2013
Ovarian hyperstimulation syndrome (OHSS) is a serious complication of controlled ovarian hyperstimulation (COH). The syndrome almost always presents either after hCG administration in susceptible patients or during early pregnancy. Despite many years of clinical experience, there are no precise methods to completely prevent severe OHSS, except by withholding the ovulation-inducing ...
Blumer Ian - - 2013
Objective: Our objective was to formulate a clinical practice guideline for the management of the pregnant woman with diabetes. Participants: The Task Force was composed of a chair, selected by the Clinical Guidelines Subcommittee of The Endocrine Society, 5 additional experts, a methodologist, and a medical writer. Evidence: This evidence-based ...
Rudra Samar S Department of Obstetrics and Gynecology, Maharishi Markendeshwar Institute of Medical Sciences and Research, Ambala, - - 2013
A broad ligament pregnancy is an extremely rare condition. Diagnosis is often missed and finally made during laparotomy. We present a case which remained undiagnosed throughout her pregnancy till she reached term and unfortunately had intrauterine foetal demise when she reported to our hospital. On clinical suspicion, ultrasound and magnetic ...
Kondo Rogerio Nabor RN State University of Londrina, Regional University Hospital of the North of Paraná, LondrinaPR, - - 2013
Impetigo herpetiformis is a rare dermatosis of pregnancy with typical onset during the last trimester of pregnancy and rapid resolution in the postpartum period. Clinically and histologically, it is consistent with pustular psoriasis. This similarity has led some authors to name the disease "the pustular psoriasis of pregnancy". We report ...
Galofré Juan Carlos - - 2013
Special considerations are warranted in management of thyroid nodule and thyroid cancer during pregnancy. The diagnostic and therapeutic approach of thyroid nodules follows the standard practice in non-pregnant women. On the other hand, differentiated thyroid cancer management during pregnancy poses a number of challenges for the mother and fetus. The ...
Boregowda Geethanjali - - 2013
This chapter on the gastrointestinal and hepatic systems in pregnancy focusses on those conditions that are frequent and troublesome (gastro-oesophageal reflux and constipation), distressing (hyperemesis gravidarum) or potentially fatal (obstetric cholestasis, acute fatty liver of pregnancy and HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome). It also highlights the clinical ...
Ray Shona - - 2013
The use of antidepressant medications during pregnancy has stimulated much professional and public debate. As a consequence, considerable data on the reproductive safety of antidepressants has been generated that exceeds the available information for most, if not all, other classes of medications that may be used in the perinatal period. ...
Thompson Stephanie Marshall - - 2013
To determine which characteristics of blastocyst embryo morphology may predict clinical pregnancy and live birth rates. A retrospective analysis of data from 3,151 cycles of fresh, non-donor eSET cycles from 2008 to 2009 was performed. Data were obtained from the Society for Assisted Reproductive Technologies (SART) underwent. All eSET were performed ...
Koyama Shinsuke - - 2013
Anorectal symptoms and complaints caused by hemorrhoids or anal fissures are common during pregnancy. It is known that one-third of pregnant women complain of anal pain in the third trimester. Anal pain may be caused by a wide spectrum of conditions, but if it begins gradually and becomes excruciating within ...
Tannetta Dionne - - 2013
Preeclampsia remains a significant obstetric risk worldwide. The pathophysiology of preeclampsia is complex, with multiple stages involving maladaptations in both placental and maternal physiology. The placenta links the pre-clinical stage of impaired remodeling of the uterine vasculature, occurring in early pregnancy, to the later clinical stages characterised by the maternal ...
Kirk E - - 2013
BACKGROUNDA diagnosis of ectopic pregnancy (EP) is primarily achieved using transvaginal ultrasonography (TVS). Pregnancy of unknown location (PUL) is the term used to categorize a pregnancy in a woman with a positive pregnancy test when no pregnancy has been visualized using TVS. This review appraises current tools for the diagnosis ...
Greco Ermanno - - 2013
To evaluate the role of co-transfer of embryos derived from vitrified oocytes accumulated during the previous modified natural cycles and an embryo developed from the last one as an alternative to repetitive single embryo transfer in a fresh modified natural cycle. Thirty-six patients underwent ICSI procedure with three frozen natural ...
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