| Pregnancy in liver cirrhosis and/or portal hypertension. | |
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MedLine Citation:
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PMID: 327818 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Clinical features of pregnancy in women with liver cirrhosis and/or portal hypertension have been reviewed. Termination of pregnancy is seldom indicated in a woman with compensated cirrhosis or a young woman with extrahepatic venous obstruction. However, the risk of spontaneous abortion is increased in cirrhotic women without shunt even if there is no deterioration of liver function. The risk of bleeding from esophageal varices or deterioration of liver function is usually unpredictable. Shunt surgery can be done with relatively little effect on both the mother and the fetus if conservative measurements fail to control the hematemesis. Vaginal delivery can be anticipated in most women, and cesarean section should be preserved for obstetric indications. The risk of postpartum hemorrhage is greatly increased, particularly in patients with previous shunt surgery. Perinatal loss is high because of the increased rate of premature delivery and stillbirth. Maternal prognosis is grave in women with cirrhosis. |
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Authors:
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Y S Cheng |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 128 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1977 Aug |
Date Detail:
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Created Date: 1977-09-02 Completed Date: 1977-09-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 812-22 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous
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etiology Adult Delivery, Obstetric / methods Esophageal and Gastric Varices / etiology Female Fetal Death / etiology Gastrointestinal Hemorrhage / etiology Georgia Humans Hypertension, Portal / complications, etiology, surgery* Liver / physiopathology Liver Cirrhosis / complications, surgery* Maternal Mortality Pregnancy Pregnancy Complications / surgery* Pregnancy Complications, Cardiovascular Pregnancy Trimester, Second Time Factors Vascular Diseases / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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