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Feske Steven K - - 2014
This article discusses the physiologic changes of pregnancy and how they affect risk of ischemic and hemorrhagic stroke and then reviews epidemiology, diagnosis, and treatment of ischemic and hemorrhagic stroke in pregnancy and the puerperium. This article updates our understanding of the relationship of preeclampsia/eclampsia to the posterior reversible encephalopathy ...
Theibel Sara Sofie SS Afdeling for Almen Medicin, Københavns Universitet, Øster Farimagsgade 5, opg. Q, 1014 Copenhagen K, Denmark. - - 2014
Last year, it was 40 years since the introduction of legal abortion until the 12th week of gestation and the possibility of late termination of pregnancy in Denmark. The aim of this study was to describe the development in applications for late termination of pregnancy in the 1986-2011-period focusing on ...
Zezza L L Dipartimento di Medicina Clinica e Molecolare, Università degli Studi "La Sapienza", Ospedale Sant'Andrea, Roma, Italia - - - 2014
Hypertension in pregnancy is a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. That is because it is the most common pathological condition during pregnancy and its development is associated with high risk of severe complications: mother could be affected by placental ...
Waters Thomas R - - 2014
The National Institute for Occupational Safety and Health (NIOSH) Revised Lifting Equation (RNLE) was adapted to derive recommended weight limits (RWLs) for pregnant workers and to develop corresponding guidelines for clinicians. In the past three decades there has been a large increase in the number of women employed outside the ...
Chian Ri-Cheng RC Division of Research, Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada, - - 2014
Recent advances in vitrification technology have markedly improved the efficacy of oocyte cryopreservation in terms of oocyte survival and pregnancy, as well as live birth rates. However, there still remains room for improvement in terms of vitrification techniques. The remaining challenges include the development of a less cytotoxic vitrification solution ...
Jaques S C SC Department of Newborn Care, Royal Hospital for Women, Randwick, NSW, - - 2014
To review and summarise the literature reporting on cannabis use within western communities with specific reference to patterns of use, the pharmacology of its major psychoactive compounds, including placental and fetal transfer, and the impact of maternal cannabis use on pregnancy, the newborn infant and the developing child. Review of ...
Lawley Claire M - - 2014
Advances in surgical technique, prosthetic heart valve design, and anticoagulation have contributed to an overall improvement in morbidity and mortality in women with heart valve prostheses as well as increased feasibility of pregnancy. Previous work investigating the pregnancies of women with prosthetic valves has been directed largely toward understanding the ...
Flexer S M SM Bradford Teaching Hospitals NHS Foundation Trust, Department of General Surgery, Bradford Royal Infirmary, Duckworth Lane, Bradford BD67RJ, United Kingdom. Electronic address: - - 2014
Acute appendicitis is one of the most common acute surgical presentations. However investigation and management is sometimes confounded in a pregnant patient. Appendicitis in pregnancy is often managed jointly by both the surgical and obstetric teams, which can lead to discrepant pathways, which may be detrimental to the patient. This ...
Bottorff Joan L JL Institute for Healthy Living and Chronic Disease Prevention and School of Nursing, University of British Columbia's Okanagan Campus, Kelowna, - - 2014
Adolescent girls are more likely than women of other ages to smoke tobacco or drink alcohol during pregnancy. The health impacts of smoking and drinking for girls and the interconnections between alcohol and tobacco use with adolescent pregnancy underscore the urgent need for integrated approaches to prevent and reduce alcohol ...
O Keeffe Linda M - - 2014
Consensus has not been reached on safe alcohol consumption recommendations during pregnancy. The National Institutes for Care and Health Excellence (NICE) in the UK suggest that one to two drinks not more than twice per week is safe. However, the speech and language effects of even low levels of alcohol ...
Hasler John F - - 2014
After the first successful transfer of mammalian embryos in 1890, it was approximately 60 years before significant progress was reported in the basic technology of embryo transfer (ET) in cattle. Starting in the early 1970s, technology had progressed sufficiently to support the founding of commercial ET programs in several countries. ...
Haas David M DM Department of OB/GYN, Indiana University School of Medicine, 1001 W. 10th Street, F5102, Indianapolis, IN 46202, USA. - - 2014
Pharmacogenetics as a tool to aid clinicians implement individualized pharmacotherapy is utilized in some areas of medicine. Pharmacogenetics in pregnancy is still a developing field. However, there are several areas of obstetric therapeutics where data are emerging that give glimpses into future therapeutic possibilities. These include opioid pain management, antihypertensive ...
Mysorekar Indira U IU Department of Obstetrics and - - 2014
Preterm parturition is a one of the most significant global maternal-child health problem. In recent years, there has been an explosion in reports on a role for microbiomes (i.e., a microbial biomass) on a plethora of physiologic and pathologic human conditions. This review aims to describe our current understanding of ...
Nigam Aruna A Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, Delhi, - - 2014
Fetal ascites can occur due to many heterogeneous disorders. Its association with hydrometrocolpos because of persistent urogenital sinus and cloaca is extremely rare. A 29-year-old primigravida presented at 32 weeks of gestation with ultrasonographic evidence of fetal ascites, a cystic pelvic mass, hydronephrosis and oligohydramnios. Fetal ascites in this case ...
Festin Mario M College of Medicine, Philippine General Hospital, Manila, - - 2014
More than half of pregnant women suffer from nausea and vomiting, which typically begins by the fourth week and disappears by the 16th week of pregnancy. The cause of nausea and vomiting in pregnancy is unknown, but may be due to the rise in human chorionic gonadotrophin concentration. In 1 ...
Hernández-Durán Silvia S University of Costa Rica School of Medicine, Ciudad Universitaria Rodrigo Facio, San Pedro de Montes de Oca, San José, Costa Rica ; Department of Neurological Surgery, Hospital San Juan de Dios, Paseo Colón, San José, Costa - - 2014
The presentation of intracranial hemangiopericytomas is very rare, and only one case of a hemangiopericytoma during pregnancy has been reported in the literature. The management of these lesions poses a great challenge to the neurosurgeon, since the physiological and hormonal changes of pregnancy can exacerbate the symptoms of this highly ...
Kapoor Deepa D Department of Maternal and Reproductive Health, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, - - 2014
A young female with history of genitourinary tuberculosis with solitary functioning kidney became pregnant 1 year after augmentation cystoplasty (AC) with ureteric reimplantation. Throughout pregnancy she had two episode of febrile urinary tract infection. Her renal function remained normal. She was planned for cesarian section due to obstetric indications. Despite ...
Huybrechts Krista F KF Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States of - - 2014
Preterm birth is a major contributor to neonatal morbidity and mortality and its rate has been increasing over the past two decades. Antidepressant medication use during pregnancy has also been rising, with rates up to 7.5% in the US. The objective was to systematically review the literature to determine the ...
Whitaker Rh R North Wales Organisation for Randomised Trials in Health, Y Wern, Normal Site, Holyhead Road, Bangor University, Bangor, Gwynedd, - - 2014
The UK has the highest rate of teenage pregnancies in Western Europe, a fifth are repeat pregnancies. Unintended conceptions can result in emotional, psychological and educational harm to teenage girls, often with enduring implications for their life chances. Babies of teenage mothers have increased mortality in their first year and ...
Munshi Sujal S Nova IVI Fertility Clinics, Ahmedabad, Gujarat, - - 2014
A 26-year-old primigravida with a singleton pregnancy of 9 weeks gestation presented with severe lower abdominal pain, following spontaneous hyperstimulation of the ovaries in a natural conception. Emergency laparoscopy was done and bilateral ovarian torsion with retained vascularity was noted. Bilateral detorsion with ovarian puncture and ovariopexy was performed. A ...
Cameron E Leslie EL Department of Psychological Science, Carthage College Kenosha, WI, - - 2014
Many women report a heightened sense of smell during pregnancy. Accounts of these anecdotes have existed for over 100 years, but scientific evidence has been sparse and inconclusive. In this review, I examine the literature on olfactory perception during pregnancy including measures of self-report, olfactory thresholds, odor identification, intensity and ...
Noel Ann-Edwidge AE Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, - - 2014
In this review, we discuss aspects of the prenatal diagnosis of fetal skeletal malformations, concentrating on the advantages offered by different imaging techniques and the approaches that are of value in evaluating a suspected skeletal dysplasia. We also briefly address the findings in some of the commoner malformations of the ...
Haas David M DM Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN, - - 2014
Administration of short-term tocolytic agents can prolong pregnancy for women in preterm labor. Prolonging pregnancy has many benefits because it allows for other proven interventions, such as antenatal corticosteroid administration, to be accomplished. This review provides an overview of currently utilized tocolytic agents and the evidence demonstrating their efficacy for ...
Tandulwadkar Sunita R SR Ruby Hall IVF and Endoscopy Centre, Pune, Maharashtra, - - 2014
Polycystic ovarian syndrome (PCOS) is often accompanied by infertility that necessitates ovulation induction using clomiphene citrate, gonadotropins or even in vitro fertilization (IVF). These treatment methods are known to increase the incidence of multiple pregnancies as well as some negative consequences, including a rise in the risk for gestational diabetes ...
Gábor M - - 2014
Objective: To perform a review of Tuberous sclerosis complex and its complications during the pregnancy from up to date scientific literature.Design: Complex systematic review of the literature.Setting: 2nd Department of Obstetrics and Gynaecology, University Hospital Bratislava, Comenius University, Bratislava, Slovak Republic. Methods: Complex analysis of the syndrome, systematic search of ...
Aftab Zia Z Department of Surgery, Hamad Medical Corporation, Doha, - - 2014
Sigmoid volvulus is a rare, but serious, complication that can occur during pregnancy. We present a case of a 33-year-old pregnant female in the third trimester with a sigmoid volvulus. Detorsion of the volvulus was performed during colonoscopy. The patient underwent an elective sigmoidectomy at a later date. Prompt diagnosis ...
Al Khaja Khalid A J KA aDepartment of Pharmacology & Therapeutics, College of Medicine & Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain bQatar Foundation, Doha, Qatar cPrimary Care, Ministry of Health, Manama, Kingdom of - - 2013
This review evaluates the guideline recommendations for the management of hypertension in pregnancy as presented by 25 national/international guidelines developed for the management of arterial hypertension in adults. There is a general consensus that oral α-methyldopa and parenteral labetalol are the drugs of choice for nonsevere and severe hypertension in ...
Eltonsy Sherif S Faculty of Pharmacy, Université de Montréal, Montreal, Quebec, Canada; Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, - - 2013
Short and long-acting beta2-agonists (SABA and LABA) have a crucial role in asthma management during pregnancy, as stated in the current guidelines. To systematically review the evidence on beta2-agonists use during pregnancy and adverse perinatal outcomes. Six databases were searched before January 1, 2013 for beta2-agonists use during pregnancy and ...
Sugawara Tae T Department of Obstetrics and Gynecology, Akita University School of Medicine, Hondo, Akita, - - 2014
It was thought to be impossible to prolong the pregnancy in a case of uterine rupture in the second trimester. We encountered a case of rupture of the pregnant uterus in early mid-trimester, which we repaired with suture and overlapping of collagen fleece coated with fibrin glue, resulting in pregnancy ...
Fan Miaoying - - 2013
Abstract Placental chorioangioma is the most common benign non-trophoblastic tumor of the placenta. It is derived from primitive chorionic mesenchyme and is typically vascular. Placenta chorioangiomas occur in approximately 1% of pregnancies. Most placental chorioangiomas are small and are not clinically important. However, those measuring more than 4-5 cm in ...
Fylstra Donald L - - 2013
Implantation of a pregnancy into the scar of a prior cesarean is an uncommon type of ectopic pregnancy. The incidence of cesarean scar pregnancy is thought to be one in 1800-2216 pregnancies. The increase in the incidence of cesarean scar pregnancy is thought to be a consequence of the increasing ...
Arrowsmith Sarah - - 2013
In this short review we discuss how recent insights into myometrial physiology may be taken forward and translated into much needed novel therapies for problems associated with labour. We consider excitation-contraction coupling in the myometrium and how this relates to our understanding of the changes that occur to produce myometrial ...
Ruiz V - - 2013
Scarce scientific evidence is available to define the precise effects that certain drugs might have on embryonic and fetal development if taken by pregnant women with psoriasis, given the ethical concerns that preclude enrolling such women in clinical trials. The little information on the use of biologics during gestation that ...
Dukhovny Stephanie - - 2013
Objectives- Our purpose was to review the outcomes of singleton pregnancies in which an absent nasal bone was noted on first- or second-trimester sonography and aneuploidy was not present. Methods- We identified singleton pregnancies from 2005 to 2011 in which an absent nasal bone was noted on sonography, aneuploidy was ...
Witek P - - 2013
Prolactinomas constitute approximately 40% of hormone-secreting pituitary tumors. In women the main clinical features are menstrual disorders and infertility. Successful treatment with dopamine agonists restores the normal function of the pituitary-gonadal axis, ovulation, and fertility. Adequate management of pregnant prolactinoma patients from the moment of conception is of particular importance ...
Chen Chih-Ping CP Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan; Department of Biotechnology, Asia University, Taichung, Taiwan; School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address: - - 2013
We describe a prenatal molecular diagnosis of hypochondroplasia (HCH) in a pregnancy not at risk of HCH and review the literature on prenatal diagnosis of HCH. A 28-year-old primigravid woman was referred for genetic counseling at 30 weeks of gestation because of short-limbed dwarfism in the fetus. The woman had ...
Bursac Danijel D University of Zagreb, University Hospital Merkur, Clinical Department of Obstetrics and Gynecology, Zagreb, - - 2013
Hydrocephalus is a medical condition characterized by enlargement of cerebral ventricles due to abnormal cerebrospinal fluid accumulation. Hydrocephalic women with cerebrospinal fluid (CSF) shunts are now surviving to reproductive age, but still there are doubts regarding the mode of delivery, analgesia and anesthesia. Postpartal complications are more frequently described in ...
Khafizova Lilia - - 2013
Objectives Pregnancy following endometrial ablation is a rare event that carries significant risks to the mother. The majority of women elect to terminate such pregnancies. This brings into question which of the available methods should best be employed and what kinds of problems to anticipate. Case We present a case ...
Leiknes Kari Ann - - 2013
This study aims to explore practice, use, and risk of electroconvulsive therapy (ECT) in pregnancy. A systematic search was undertaken in the databases Medline, Embase, PsycINFO, SveMed and CINAHL (EBSCO). Only primary data-based studies reporting ECT undertaken during pregnancy were included. Two reviewers independently checked study titles and abstracts according ...
Stout Molly J - - 2013
In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Pamidi S, Pinto LM, Marc I, Benedetti A, Schwartzman K, Kimoff RJ. Maternal sleep-disordered breathing and adverse pregnancy outcomes: ...
Staelens Anneleen - - 2013
To obtain data for maternal stroke volume and cardiac output during pregnancy, it is preferable to use a non-invasive, accurate and reproducible method. In this aspect, impedance cardiography is an excellent technique which is also highly accessible and easy to perform. This paper is a comprehensive review on the published ...
Thomas Gp - - 2013
The management of colorectal problems can be difficult during pregnancy. This review summarizes the treatment options available for these patients.
- - 2013
Nausea and vomiting in pregnancy are common complaints and vary considerably in duration and severity. Hyperemesis gravidarum represents the extreme end of the spectrum associated with dehydration and weight loss. As embryonic organogenesis occurs during the first trimester, pharmacological intervention for any condition during this period poses a significant clinical ...
Walsh C A CA Fetal Medicine Unit, National Maternity Hospital, Holles St, Dublin - - 2013
Antenatal ultrasonography is widely used in pregnancy to assess fetal growth, wellbeing and anatomy. Although ultrasound screening is now an integral part of routine antenatal care, recommendations for the delivery of obstetric ultrasound vary from country to country. A recent survey of English maternity units reported that 100% of women ...
Ruiz V - - 2013
Psoriasis is a complex inflammatory disease, and in women the incidence is high in child-bearing years. Treatment during pregnancy presents genuine challenges since management requires adequate assessment of the extent of disease, comorbidity, and potential risk to the fetus. Scientific evidence is scarce on the effects that certain drugs have ...
Al Wattar Bassel H BH Fetal Medicine Centre, Birmingham Women's Foundation Trust , Birmingham , UK - - 2013
Abstract Objectives: Placental chorioangioma is a relatively rare condition that often results in serious prenatal complications and adverse pregnancy outcome. We report a case of a large chorioangioma that was prenatally diagnosed at 23 weeks with polyhydramnios and fetal anemia. With prenatal monitoring, transplacental therapy with a COX-2 inhibitor and ...
Chowdhury Tumul - - 2013
The complexity of neurosurgical procedures and their interactions with maternal and fetal physiologies are key factors in determining the overall maternal and fetal outcome. The literature and guidelines provide only partial information regarding the standard of care in these cases. The purpose of this Continuing Professional Development module is to ...
Tepper Naomi K - - 2013
Abstract Unintended pregnancy rates remain high in the United States and these pregnancies may carry increased risks for negative health outcomes. Lack of contraceptive use and inconsistent use are important contributors to the high rate of unintended pregnancies. Women may face certain barriers to starting contraception and using it effectively. ...
Starrick Emily - - 2013
Objective To summarize the overall conclusions of Cochrane Pregnancy and Childbirth Group (PCG) reviews where interventions have different effects on maternal and infant outcomes.Methods PCG reviews were analyzed and primary outcomes extracted and categorized by maternal and infant outcomes. The overall conclusions were categorized depending on whether they follow the ...
Platt Lawrence D - - 2013
First trimester scanning has become routine since the introduction of nuchal translucency screening. While most scans have included dating and gross anatomical structures, recent reports have shown that with improvement of ultrasound technology, especially high-frequency transvaginal transducers, detailed analysis of the early fetal anatomy is now possible. Studies included in ...
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