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Lorenzo Laura L Psinapsys Psychiatric Private Center, Buenos Aires, - - 2014
To date, many studies have been published regarding the safety of antidepressant use in pregnancy. However, most have been regarding a possible association with major malformations and there have been relatively few studies that have examined other infant outcomes specifically. To evaluate possible adverse effects of antidepressant use in pregnancy. ...
Hodgkinson James A JA Primary Care Clinical Sciences, University of Birmingham, Birmingham, - - 2014
Guidelines encourage the use of self monitoring of blood pressure in pregnancy, and research suggests that women prefer it. But HODGKINSON AND COLLEAGUES: explain that our enthusiasm may run ahead of the evidence and call for more research before it is routinely adopted.
Bricker Leanne L Liverpool Women's NHS Foundation Trust, Crown St, Liverpool L17 8UF, UK. Electronic address: - - 2013
Twin and triplet pregnancy is a high-risk situation, with increased risk of mortality and morbidity for both mother and babies. It is, therefore, essential that high-quality antenatal care is provided to optimise outcomes and identify and manage complications effectively. A number of additional elements of care are advised, which requires ...
O'Higgins S S School of Psychology and Centre for Pain - - 2013
Pre-pregnancy care programmes can help to reduce morbidity and mortality associated with pregnancy in women with diabetes. However, uptake of a free pre-pregnancy care programme along the Irish Atlantic seaboard was only 30%. This study sought to better understand why women with diabetes mellitus (Type 1 and Type 2) choose to attend ...
Bhattacharya Siladitya S Division of Applied Health Sciences, University of Aberdeen, Obstetrics and Gynaecology, Aberdeen Maternity Hospital, Foresterhill, Aberdeen AB25 2ZD, UK. Electronic address: - - 2013
Multiple pregnancy, a complication of assisted reproduction technology, is associated with poorer maternal and perinatal outcomes. The primary reason behind this is the strategy of replacing more than one embryo during an assisted reproduction technology cycle to maximise pregnancy rates. The solution to this problem is to reduce the number ...
Lo Monte G - - 2013
The luteal phase is defined as the period between ovulation and either the establishment of a pregnancy or the onset of menses two weeks later. Assisted reproductive technologies (ART), and in particular controlled ovarian stimulation (COS), negatively interfere with the endocrine mechanisms normally regulating the luteal phase. Up to now, ...
Tripp Nadia - - 2013
Mobile technology in the form of the smartphone is widely used, particularly in pregnancy and they are an increasing and influential source of information. To describe the diverse nature of pregnancy related applications (apps) for the smartphone and to flag that these apps can potentially affect maternity care and should ...
Hussey J - - 2013
Genitourinary case records of 42 pregnant women with syphilis were reviewed as part of a regional audit following the re-emergence of congenital syphilis in the north east of England. National standards, from the British Association of Sexual Health and HIV guidelines on managing syphilis in pregnancy, were met in the ...
Gopalan Priya - - 2013
Substance use disorders during pregnancy pose serious risks for both the mother and the fetus, demanding careful monitoring by the patient's medical providers. Sedative-hypnotic use, in particular, is common but remains poorly studied. Management of withdrawal from chronic benzodiazepine use during pregnancy presents unique challenges to the treating physician. We ...
Frayne Jacqueline - - 2013
Pregnancy in women with severe mental illness (SMI) often bring added dimensions of complexity; considering that this group of women are choosing to have children at increasing rates, more highly complex cases will require management. A 31-year-old primigravida with a diagnosis of bipolar affective disorder was treated with an antidepressant, ...
Black Samantha - - 2013
Maternal antiretroviral therapy (ART) is a critical intervention in the prevention-of-mother-to child transmission (PMTCT) of HIV. In South Africa, many HIV-infected pregnant women commence ART late in pregnancy, and as a result, the duration of ART prior to delivery is often insufficient to prevent vertical transmission. To address this, we ...
McGrath Amanda - - 2013
For women with epilepsy (WWE), pregnancy is complicated by considerations such as the potential teratogenicity of antiepileptic drugs (AEDs) versus the risks of having seizures during pregnancy. However, qualitative research suggests that many WWE remain uninformed about the risks associated with epilepsy and pregnancy and may, therefore, be making uninformed ...
Lawin-O'Brien Anna - - 2013
Surgical termination of pregnancy is one of the most often performed gynecologic procedures in the United Kingdom and worldwide. Although complications are rare, they can be devastating because they include hemorrhage and pelvic organ damage often necessitating hysterectomy. Traditionally, these complications have been managed via laparotomy; however, with increasing technological ...
Takoo Sarla - - 2013
The present study was conducted to evaluate the effectiveness of an Information, Education and Communication (IEC) programme on knowledge of pregnant mothers regarding prevention and management of warning signs during pregnancy in a selected health care setting at New Delhi. An evaluative research approach with one group pre-test and post-test ...
Lupattelli Angela - - 2013
Background For a variety of chronic disorders, low medication adherence during pregnancy may jeopardize maternal as well as foetal health. Little is known about how closely pregnant women follow their chronic pharmacotherapy regimens. Objective To explore the level of adherence to medication for a variety of chronic disorders, namely cardiovascular, ...
Frati Paola - - 2013
Abstract A recent decision of the Italian Highest Court for the first time legitimized wrongful life suits. The Court stated the following principles: a) the contract between the mother and the doctor has also protective effects in favour of third parties (father, siblings and the disabled child) who have the ...
Arunogiri Shalini - - 2013
Managing opioid dependence in pregnant women is a complex and potentially challenging task. Drug-dependent women may be difficult to engage in antenatal care and opioid substitution requires careful dose titration. Pregnancy, however, can be an opportune time to effect behaviour change, and supporting an opioid-dependent woman through pregnancy can be ...
Vonderheid Susan C - - 2013
Centering Pregnancy, an innovative group model of prenatal care, shows promise to reduce persistent adverse maternal-infant outcomes and contain costs. Because this innovation requires systemwide change, clinics reported needing support enrolling women into groups and obtaining organizational buy-in. This study used the 3-step social marketing communication strategy to help clinic ...
O'Keeffe Daniel F - - 2013
There is currently a lack of published data on ultrasound utilization in obstetrics in the United States. In order to get some meaningful information on this topic, we analyzed de-identified data obtained from large insurance providers and underwriters that covered large segment of the United States population in various geographic ...
Radoff Kari A - - 2013
To examine whether a radio-education intervention (REI) is associated with improved maternal knowledge of pregnancy danger signs (PDS) in Nicaragua. This cross-sectional pilot study used pretests and posttests to evaluate whether an REI was associated with improved knowledge of PDS among 77 pregnant and postpartum women in Nicaragua. The total ...
Farrar Diane D Maternal and Child Health, Bradford Teaching - - 2013
Being overweight or obese in pregnancy is associated with an increased risk of poor pregnancy outcomes and long-term ill health for both mother and infant. Midwives, obstetricians and healthcare support workers providing care in pregnancy are ideally placed to provide women with nutritional advice and to facilitate the acquisition of ...
Ezebialu Iu Iu Department of Obstetrics and Gynecology, Faculty of Clinical Sciences, Anambra State University Awka, - - 2013
Unintended pregnancy remains a major challenge to the reproductive health of women especially in the developing countries. It is a major reason for unsafe abortion, a major contributor to maternal mortality. This study was designed to assess the knowledge and practice of emergency contraception among female non-medical undergraduates. In this ...
Bert Fabrizio - - 2013
Our study aimed to estimate the prevalence of pregnancy e-health seekers in a large Italian sample; to explore the factors influencing the choices of the childbearing women regarding their lifestyles after internet consultation; and finally to investigate potential differences between primiparous and multiparous women in internet use to find information ...
Onyeneho Nkechi G - - 2013
To identify key socio-demographic and knowledge factors associated with compliance with recommended use of commodities for preventing malaria in pregnancy (MIP) in Enugu State, Nigeria. Cross-sectional study of 720 women who delivered within 6 months preceding the survey in three local government areas in Enugu State was conducted using a structured ...
Moldenhauer Julie S - - 2013
Following the promising multicenter randomized trial results of in utero fetal myelomeningocele (MMC) repair; we anticipate that an increasing number of tertiary care centers may want to offer this therapy. It is essential to establish minimum criteria for centers providing open fetal MMC repair in order to ensure optimal maternal ...
Thiele Pauline - - 2013
Three women speak of and analyse their abandonment by health care professionals in the past five years following their foetus' diagnosis of a genetic disorder during pregnancy. As educated women we were bewildered by our medical care, or lack thereof. Following prenatal diagnostics of trisomy 13 or 18 we chose ...
Nazik Evsen - - 2013
To determine the incidence of pregnancy-related physical symptoms in healthy pregnant women and their management strategies. In normal progression of pregnancy, many symptoms were experienced. Pregnancy-related physical symptoms may have a negative effect on pregnant women's quality of life. However, pregnant women avoid taking medications from the fear that the ...
Edling Kari L - - 2013
Objective: To describe an exceedingly rare case of parathyromatosis in pregnancy, and the limited medical treatment options available for such cases that are refractory to surgery.Methods: Case presentation and description of clinical course with brief review of the literature.Results: A 21-year old woman with a history of 3.5 gland parathyroidectomy ...
Avula Haritha - - 2013
Purpose: To conduct a questionnaire-based survey of pregnant women with particular reference to their knowledge, attitudes and practices in relation to oral care and adverse pregnancy outcomes and also to identify the various risk indicators for gingival bleeding during pregnancy. Materials and Methods: This was a cross-sectional questionnaire-based survey using ...
Cutler J - - 2013
X-linked and autosomally inherited bleeding disorders confer a risk of foetal intracranial haemorrhage during delivery. Conventional prenatal diagnosis involving chorionic villus sampling or early amniocentesis is primarily aimed at offering the choice of pregnancy termination. Currently, non-invasive procedures, involving analysis of free foetal DNA in the maternal circulation, are restricted ...
Karas B J - - 2013
Undiagnosed maternal congenital heart disease can result in significant risks to both mother and fetus. When maternal symptoms and signs are atypical of preeclampsia, broadening the differential diagnosis and multidisciplinary consultation can lead to improved outcomes. A 24-year-old primiparous woman with a pregnancy complicated by elevated blood pressure and proteinuria ...
Basu J K - - 2013
The Termination of Pregnancy (TOP) Act in South Africa (SA) allows women to request TOP for social reasons. A retrospective record review was done on all (85) women who were admitted with complications arising from TOP over a 1-year period in 2008, at the Charlottee Maxeke Johannesburg Academic (CMJA) Hospital, ...
Cornthwaite K - - 2013
Objectives: To report a case of life-threatening epistaxis in a pregnant patient, describe the links between pregnancy and epistaxis, and discuss the management of such cases. Life-threatening epistaxis in pregnancy is rare, and there are no specific evidence-based guidelines regarding the management of these patients. Case report: A 31-year-old primigravida ...
Luitjes Susanne H E SH Department of Obstetrics and Gynaecology, VU University Medical Centre , PO Box 7057 1007 MB Amsterdam , The Netherlands - - 2013
International collaboration could facilitate systematic development of guidelines to regulate and improve clinical practice. Insight into existing international guidelines regarding hypertensive disorders in pregnancy (HDP) is essential. Aim was to evaluate the content and quality of international clinical guidelines on HDP. Quality was assessed with the internationally validated Appraisal of ...
Aebi-Popp Karoline - - 2013
Most national guidelines for the prevention of mother-to-child transmission of HIV in Europe updated between 2001 and 2010 recommend vaginal deliveries for women with undetectable or very low viral load (VL). Our aim was to explore the impact of these new guidelines on the rates of vaginal deliveries among HIV-positive ...
Monk Amy R - - 2013
Primary maternity units are commonly those run by midwives who provide care to women with low-risk pregnancies with no obstetric, anaesthetic, laboratory or paediatric support available on-site. In some other countries, primary level maternity units play an important role in offering equitable and accessible maternity care to women with low-risk ...
Cea-Soriano Lucia - - 2013
This paper aimed to assess the prescription of medications during pregnancy by primary care physicians in the UK. We identified both completed pregnancies and pregnancies losses (ectopic pregnancies, miscarriages, terminations, and stillbirths) in women aged 13-49 years enrolled in The Health Improvement Network (THIN) between 1996 and 2010 following an algorithm ...
Ruth Donna Jean - - 2013
Epilepsy is the most commonly encountered neurologic disorder during pregnancy. A majority of women with epilepsy continue antiepileptic drug regimens during pregnancy. To provide evidence-based care to women with epilepsy, it is critical that healthcare providers possess a basic knowledge of seizures, antiepileptic medications, and interventions specific to this patient ...
Ashwin Cathy - - 2013
The harmful effects of smoking during pregnancy have been well documented within the literature (Eastham and Gosakan 2010; British Medical Association (BMA) 2004). However, although the number of women smoking during pregnancy has fallen over the last few years, this still remains a major health concern for both women and ...
Aventin Aine - - 2013
The importance of including fathers in reproductive planning, pregnancy and childbirth cannot be overstated and it is increasingly recognised that addressing their sense of exclusion from maternity services requires further action. One very overlooked area, however, is in helping young men, alongside their partners, in preventing an unintended teenage pregnancy. ...
Hill Jenny - - 2013
Malaria in pregnancy has important consequences for mother and baby. Coverage with the World Health Organization-recommended prevention strategy for pregnant women in sub-Saharan Africa of intermittent preventive treatment in pregnancy (IPTp) and insecticide-treated nets (ITNs) is low. We conducted a systematic review to explore factors affecting delivery, access, and use ...
Norwood Fiona - - 2013
A national UK workshop to discuss practical clinical management issues related to pregnancy in women with myasthenia gravis was held in May 2011. The purpose was to develop recommendations to guide general neurologists and obstetricians and facilitate best practice before, during and after pregnancy. The main conclusions were (1) planning ...
Szumilewicz Anna - - 2013
Introduction. Prenatal physical activity has been increasingly recommended in recent years as the fundamental condition of physiological pregnancy and birth by health promoting organizations throughout the world. Objective. To determine the influence of prenatal physical activity on the course of labour and delivery. The practical purpose was to present prenatal ...
Strong Noel K - - 2013
Neonatal alloimmune thrombocytopenia (NAIT) is the most common cause of severe thrombocytopenia in the healthy newborn, occurring in 1 in 1000 live births. NAIT is analogous to rhesus alloimmunization in pathophysiology; however, it often presents unexpectedly in first pregnancies. Presentation of NAIT varies from mild thrombocytopenia to life-threatening intracranial hemorrhage. ...
Katopodis Christina - - 2013
Background: Uterine incarceration occurs when the gravid uterus remains trapped within the sacral hollow and cannot ascend out of the pelvis as it enlarges. Predisposing factors include uterine fibroids. Optimal management of uterine incarceration involves manual reduction of the uterus because of the significant maternal and fetal risks associated with ...
Han Kyung Hee KH Department of Obstetrics and Gynecology, Seoul National University College of - - 2013
There have been several epidemiologic studies supporting the protective role of pregnancy, although the mechanism is not clear. High level of progesterone, which is crucial in maintaining pregnancy, has been supposed to be one of the causative factors. Progesterone is produced at the corpus luteum in the early pregnancy and ...
Graner Sophie - - 2013
OBJECTIVE: Women's understanding of pregnancy and antenatal care is influenced by their cultural context. In low income settings women may have limited influence over their reproductive health including when to seek health care. Awareness of signs of pregnancy complications is essential for timely care. The use of antenatal care services ...
Lennox Genevieve - - 2013
Background: Pregnancy in a rudimentary uterine horn is a rare form of ectopic pregnancy with a high risk of rupture. Management usually involves excision of the rudimentary horn. If diagnosed after the first trimester, it has been managed in the past by laparotomy. Case: A primigravid woman was found on ...
Llewelyn Cerian - - 2013
Hypercoagulability is a well documented feature of pregnancy and contributes to the increased incidences of venous thromboembolism (VTE) in pregnancy. Thromboembolism remains a leading cause of maternal death in the UK, though it's predicted that up to two thirds of these deaths could be prevented if appropriate thrombophylaxsis is adopted. ...
Fredriksen Eva Haukeland - - 2013
Women increasingly combine paid work and childbearing, but working full time throughout pregnancy is commonly experienced as overtaxing. We explored access to sick leave or medical care as experienced by Norwegian women suffering from pelvic girdle pain during pregnancy. Through a grounded theory approach we compared results from qualitative interviews ...
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