Search Results
Results 201 - 250 of 1231
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Mitchell B F BF University of Alberta, Department of Obstetrics and Gynecology, Edmonton AB, Canada ; University of Alberta Department of Physiology, Edmonton AB, - - 2013
Preterm birth (PTB) remains the most common cause of neonatal morbidity and mortality as well as long-term disability. Current strategies to prevent or arrest spontaneous preterm labor (SPTL) have limited success. For almost three decades, there have been no novel pharmacological agents used clinically to address this important obstetrical complication. ...
Rani V R Sreeja S Department of Obstetrics and Gynaecology, SUT Academy of Medical Sciences, Trivandrum, Kerala, India. - - 2013
Bilateral ectopic pregnancies are increasing due to an increase in the incidence of pelvic inflammatory disease and increase in assisted reproductive techniques. Spontaneous conception after bilateral ectopic pregnancies is extremely rare. A 33-year-old Indian woman presented with ruptured ectopic pregnancy associated with hemoperitoneum for which she underwent a laparotomy. The ...
Barrington Keith J - - 2012
Paediatricians will encounter many babies and children who are the result of assisted reproductive technologies. Although in most cases there are no adverse health consequences, ART is associated with some risks which are reviewed in this article. CONCLUSION: ART has had a major impact on multiple gestation and the incidence ...
Damiani Gianluca Raffaello - - 2013
Uterine rupture (UR) in early pregnancy in nulliparous women is a rare and unpredictable occurrence with high maternal morbidity and fatal fetal outcomes. Intrauterine anomalies could be the primum movens of this dangerous condition and underestimated in the literature. An uncommon case of uterine rupture at the 23rd week of ...
Rogers Lynette K LK Center for Perinatal Research, The Research Institute at Nationwide Children’s Hospital, 700 Children’s Dr., Department of Pediatrics, The Ohio State University, Columbus, OH, United States. - - 2013
Dietary supplementation with ω-3 long chain fatty acids including docosahexaenoic acid (DHA) has increased in popularity in recent years and adequate DHA supplementation during pregnancy and early childhood is of clinical importance. Some evidence has been built for the neuro-cognitive benefits of supplementation with long chain polyunsaturated fatty acids (LCPUFA) ...
Flemming Kate - - 2012
AIM: To provide evidence on how women's circumstances and experiences influence their smoking behaviour in pregnancy, including their attempts to quit. BACKGROUND: Women in disadvantaged circumstances are more likely to smoke prior to pregnancy; they are also less likely to quit in pregnancy and, among those who quit, more likely ...
Nayeri Unzila A - - 2012
Objectives: We describe the sonographic features and pregnancy outcomes of placental mesenchymal dysplasia (PMD), an entity often misdiagnosed as molar pregnancy. Methods: We reviewed PMD cases from our institution and performed a systematic review of the existing literature. All cases described placental morphology by antenatal ultrasound. Results: We found 3 ...
Daraï Emile - - 2012
BACKGROUNDThe aim of this systematic review was to evaluate the fertility outcome after borderline ovarian tumor (BOT) management and the results of conservative management, risk of recurrence and alternative options.METHODSThe search strategy was based on relevant terms concerning BOT using Medline and the Central Cochrane Library. Both early and advanced ...
Stuart Jennifer J - - 2012
Abstract Background: Hypertensive disorders in pregnancy are risk markers for future maternal coronary heart disease (CHD). Clinical assessment of a woman's history of pregnancy complications relies on self-report, but the predictive value of maternal recall is unclear. A systematic review was conducted to comprehensively review and critically assess the available ...
Sankaran Vijay G - - 2012
The fetal-to-adult hemoglobin switch and silencing of fetal hemoglobin (HbF) have been areas of long-standing interest among hematologists, given the fact that clinical induction of HbF production holds tremendous promise to ameliorate the clinical symptoms of sickle cell disease (SCD) and β-thalassemia. In this article, we discuss historic attempts to ...
Maya E T - - 2012
Spontaneous haemoperitoneum in pregnancy, more especially idiopathic ones are rare and can be life threatening. We present a case of a 30 year old pregnant woman who at 29 weeks gestation developed spontaneous haemoperitoneum. An exploratory laparotomy was done which did not reveal the source of the bleeding. She subsequently ...
Ha Jung-Ok - - 2012
While Korea does not have any legal statement on surrogacy, treatments are carried out in practice. As a result, every Institutional Review Board (IRB) of each fertility clinic faces an ethical predicament in reviewing each case. There is a need to arrange the institutions' own standards of surrogate pregnancy procedures ...
Webb A - - 2012
Current invasive procedures [amniocentesis and chorionic villus sampling (CVS)] pose a risk to mother and fetus and such diagnostic procedures are available only to high risk pregnancies limiting aneuploidy detection rate. This review seeks to highlight the necessity of investing in non invasive prenatal diagnosis (NIPD) and how NIPD would ...
Wood Heather - - 2012
BACKGROUND: Nausea and vomiting in pregnancy (NVP) is a normal, commonly experienced affliction of early pregnancy. Despite this, its impact on women's lives is not necessarily minimal. For some women, the implications of NVP are substantial with multi-faceted effects, hindering their ability to maintain usual life activities, and particularly their ...
Fuller-Tyszkiewicz Matthew - - 2012
This article systematically reviews the literature pertaining to correlates of body dissatisfaction during pregnancy. A total of 8 electronic databases were searched and 251 papers identified, 56 of which met inclusion criteria. Full text scrutiny of these papers reduced the final list of reviewed papers to 22. Results of the ...
Siwatch Sujata - - 2012
Rudimentary horn pregnancy is rare, but can cause considerable morbidity and mortality. We discuss five cases presented to our hospital in the last 10 years and systematically review the 10-year literature of rudimentary horn pregnancies diagnosed antenatally pre-rupture. OBJECTIVES OF THE REVIEW: The aim of the review was to find radiologic ...
Fanshawe Angela E - - 2012
BACKGROUND AND PURPOSE: Lipoprotein (Lp) (a) is a neglected element of the blood lipid profile. It is now recognized as a determinant of coronary heart disease progression and its role in atherosclerosis and its ability to induce thrombosis make it potentially important in the course of normal and complicated pregnancies. ...
Hui Lisa - - 2012
The amount of genetic and genomic information obtainable from the human fetus during pregnancy is accelerating at an unprecedented rate. Two themes have dominated recent technological advances in prenatal diagnosis: interrogation of the fetal genome in increasingly high resolution and the development of non-invasive methods of fetal testing using cell-free ...
Barone Chiara - - 2012
Introduction: Several authors have reported on pregnancy outcomes associated with enlarged nuchal translucency (NT) in cases of spinal muscular atrophy (SMA), and thus, thickened NT has been considered a possible early ultrasound scan sign of SMA. The purpose of our study was to evaluate the association between an increased NT ...
Pasternak Yael - - 2012
Abstract Overnutrition and undernutrition furing pregnancy are closely related to pregnancy outcome as well as neonatal and perinatal outcomes. This and more, from various published data it seems that the effect of maternal nutrition during fetal life stretches far beyond the neonatal period, and influences health issues in adulthood, from ...
Diegelmann Laura - - 2012
The focus of this article is the evaluation and management of pregnant patients with nonobstetric abdominal pain and surgical emergencies. The anatomic and physiologic changes that occur during pregnancy can cause difficulties in interpreting patients' signs and symptoms in emergency departments. This article reviews some of the common causes of ...
Batur Pelin - - 2012
Rates of unintended pregnancy and abortion are high, yet many doctors do not feel comfortable discussing emergency contraception with patients, even in cases of sexual assault. Since the approval of ulipristal acetate (ella) for emergency contraception, there has been even more confusion and controversy. This article reviews various emergency contraceptive ...
Huancahuari Nadia - - 2012
First-trimester vaginal bleeding and abdominal pain are common complaints in the emergency department. The differential diagnosis is broad, ranging from benign conditions to life-threatening complications. This is a difficult topic because it is charged not only with immediate emotional connotations but also with potential long-term effects on the patient's ability ...
Bourne Tom - - 2012
In 2011, the first systematic review of the evidence behind the diagnostic criteria for miscarriage was published. It states, "findings were limited by the small number and poor quality of the studies," and concluded that further studies were, "urgently required before setting future standards for the accurate diagnosis of early ...
Zagouri Flora - - 2012
Landmark studies have established taxanes in the treatment of patients with breast cancer; however, recommendations regarding their administration during pregnancy are controversial. The present systematic review aims to synthesize all available data that stem exclusively from breast cancer case series to evaluate the efficacy and safety of taxanes during pregnancy. ...
Hackmon Rinat - - 2012
Background: Hyperthyroidism is one of the most common endocrine disorders in pregnant women, and it can severely complicate the course and outcome of pregnancy. Methimazole (MMI) and propylthiouracil (PTU) are the standard anti-thyroid drugs used in the treatment of hyperthyroidism in pregnancy. Traditionally, MMI has been considered to have clearer ...
Barnhart Kurt T KT Departments of Obstetrics and Gynecology and Epidemiology, Perelman School of Medicine at the University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. - - 2012
The evolution of the diagnosis and management of women with an early pregnancy loss has been a success story. The mortality from ectopic pregnancy has objectively been decreased in the past few decades. However, modern management has resulted in a new set of issues. Over-interpretation of a single ultrasound, misunderstanding ...
Domar A D - - 2013
What is the current literature on the safety and efficacy of selective serotonin reuptake inhibitor (SSRI) use in infertile women? There is little evidence that infertile women benefit from taking an SSRI, therefore they should be counseled appropriately about the risks and be advised to consider alternate safer treatments to ...
Johnson Candice Y - - 2012
BACKGROUND: In regions where prenatal screening for anencephaly and spina bifida is widespread, many cases of these defects are diagnosed prenatally. The purpose of this study was to estimate the frequency of termination of pregnancy (TOP) following prenatal diagnosis of anencephaly or spina bifida and to investigate factors associated with ...
Shavit Tal - - 2012
Heterotopic pregnancy occurs in up to 1% of pregnancies after IVF and embryo transfer. A case of a 35-year-old woman undergoing IVF treatment who had had previous laparoscopic bilateral salpingectomy due to hydrosalpinges is presented. She had had two heterotopic pregnancies in both tubal stumps in consecutive pregnancies achieved by ...
Sardo Attilio Di Spiezio - - 2012
Cervico-isthmic pregnancy is a rare form of ectopic pregnancy associated with a high morbidity and mortality rate. Recent advances in high-resolution ultrasound have made the diagnosis of early cervico-isthmic pregnancies easier. Early diagnosis allows a more conservative therapeutic approach that avoids hysterectomy and preserves fertility. Here is reported a case ...
Louie Jimmy Chun Yu - - 2012
This review critically evaluates the current evidence regarding the effect of the dietary glycemic index (GI) on pregnancy outcomes in gestational diabetes mellitus (GDM). Current evidence, although limited, consistently supports the advantages of, and has demonstrated no disadvantages of, a low-GI diet. We conclude that pregnant women with GDM are ...
Glasier Anna - - 2012
Emergency contraception (EC) is widely used to prevent unwanted pregnancy. This review considers the safety and efficacy of three commonly used methods - levonorgestrel (LNG-EC), ulipristal acetate (UPA) and the copper intrauterine device. All are extremely safe, and side effects are minimal. Concerns about increased risks of ectopic pregnancy after ...
Steenland Maria W - - 2012
BACKGROUND: The review was conducted to examine studies that assess whether the number of pill packs dispensed, or prescribed, affects method continuation and other measures of use. STUDY DESIGN: PubMed database was searched from inception through March 2012 for all peer-reviewed articles, in any language, that examined the effect of ...
Khan Rehan - - 2012
PURPOSE OF REVIEW: This article aims to draw together recent thinking on pregnancy and obesity, with a particular emphasis on prevention strategies and emerging clinical complications. RECENT FINDINGS: New studies including a large meta-analysis have highlighted that weight reduction strategies are not associated with adverse maternal or perinatal outcomes, and ...
Tepper Naomi K - - 2012
BACKGROUND: Safe initiation of contraceptive methods requires that pregnancy be excluded. The World Health Organization has developed a list of criteria to assess pregnancy status. This review was conducted to evaluate the evidence regarding these criteria in excluding pregnancy. STUDY DESIGN: The PubMed database was searched from database inception through ...
Cleary Tara P - - 2012
BACKGROUND: Female sterilization is the second most commonly used form of contraception in the United States. Newer approaches to female sterilization, including hysteroscopic methods, have been approved for use in the United States since 2002. Little is known about the occurrence and timing of pregnancies after these procedures. STUDY DESIGN: ...
Costantine Maged M - - 2012
The goal of this review is to synthesize the available information regarding factors leading to the first cesarean, especially as it relates to the role of electronic fetal heart rate monitoring (EFM) in the prevention of the first cesarean. The widespread use of EFM did not reduce perinatal or neonatal ...
Andresen C - - 2012
The fetal face is an essential source of information. Its evaluation makes it possible to diagnose several fetal diseases and syndromes. Three-dimensional ultrasound and four-dimensional ultrasound facilitate the evaluation of superficial anatomical facial structures and have become essential complementary tools to two-dimensional ultrasound, providing additional and more precise information about ...
Bernie Aaron M - - 2012
Vasectomy is the most common urological procedure in the United States with 18% of men having a vasectomy before age 45. A significant proportion of vasectomized men ultimately request vasectomy reversal, usually due to divorce and/or remarriage. Vasectomy reversal is a commonly practiced but technically demanding microsurgical procedure that restores ...
Kumar Pratap - - 2012
The endocrinology of human pregnancy involves endocrine and metabolic changes that result from physiological alterations at the boundary between mother and fetus. Progesterone and oestrogen have a great role along with other hormones. The controversies of use of progestogen and others are discussed in this chapter. Progesterone has been shown ...
Ficarra Vincenzo - - 2012
PURPOSE OF REVIEW: Considering the persistent controversy concerning the impact of varicocele repair on fertility, we decided to perform an update of the review of the literature with the aim to evaluate whether the most recent research in this field gives us more evidence about the indications to treat or ...
Chan Calvin H Y - - 2012
The physiological changes of pregnancy increase the risk of gallstone formation, and choledocholithiaisis is the most common indication for endoscopic retrograde cholangiopancreatography (ERCP) during pregnancy. ERCP has been performed during pregnancy for over 20 years. Despite the apparent efficacy and lack of adverse fetal outcomes in published case series and reports, ...
Yeşіlyurt Murat - - 2012
Tularemia during pregnancy is exceedingly rare and has been reported infrequently in Europe. A review of the literature identified only 3 documented cases. Herein we report 4 tularemia cases occurring early in the second and third trimesters, which were successfully managed without any adverse pregnancy outcomes.
Masoodi Zulqarnain - - 2012
Burns occurring in conjunction with pregnancy can be a potentially life threatening scenario as it may lead to a rapid depletion of the already diminished maternal reserves. The management protocol in a pregnant burn female has to be tailored, taking into consideration the additional factor of fetal well being and ...
Whiteman Maura K - - 2012
BACKGROUND: Intrauterine device (IUD) insertion during menses may be viewed as preferable by some providers, as it provides reassurance that the woman is not pregnant. However, this practice may result in unnecessary inconvenience and cost to women. The objective of this systematic review is to evaluate the evidence for the ...
Couture Nathalie - - 2012
Objective To report a rare case of apoplexy in a microprolactinoma during pregnancy.Methods We present the clinical presentation, laboratory, radiologic findings and management in a patient that presented with pituitary apoplexy during early pregnancy. We review the pertinent literature and management options.Results A 37-year-old woman with a history of a ...
Tseng J-Y - - 2012
TSENG J-Y., BASTU E. & GUNGOR-UGURLUCAN F. (2012) European Journal of Cancer Care Management of precancerous lesions prior to conception and during pregnancy: a narrative review of the literature Special considerations aiming at preserving reproductive function have to be implemented when treating young patients with precancerous lesions of the lower ...
Macones George A - - 2012
The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Margulis AV, Mitchell AA, Gilboa SM, et al; National Birth Defects Prevention Study. Use of topiramate in pregnancy ...
Macones George A - - 2012
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: Margulis AV, Mitchell AA, Gilboa SM, et al; National Birth Defects Prevention Study. Use of topiramate in pregnancy and ...
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