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Journal articles on the topic 'Pregnancy continuation'

Author: Grafiati
Published: 30 June 2021
Last updated: 10 February 2022

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1

Ayerbe, Luis, María Pérez-Piñar, Cristina López del Burgo, and Eduardo Burgueño. "Continuation of Unintended Pregnancy." Linacre Quarterly 86, no. 2-3 (March 24, 2019): 161–67. http://dx.doi.org/10.1177/0024363919838368.

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Background: Forty-four percent of all pregnancies worldwide are unintended. Induced abortion has drawn a lot of attention from clinicians and policy makers, and the care for women requesting it has been covered in many publications. However, abortion challenges the values of many women, is associated with negative emotions, and has its own medical complications. Women have the right to discuss their unintended pregnancy with a clinician and receive elaborate information about other options to deal with it. Continuing an unintended pregnancy, and receiving the necessary care and support for it, is also a reproductive right of women. However, the provision of medical information and support required for the continuation of an unintended pregnancy has hardly been approached in the medical literature. Objective: This review presents a clinical approach to unintentionally pregnant patients and describes the information and support that can be offered for the continuation of the unintended pregnancy. Discussion: Clinicians should approach patients with an unintended pregnancy with a sympathetic tone in order to provide the most support and present the most complete options. A complete clinical history can help frame the problem and identify concerns related to the pregnancy. Any underlying medical or obstetric problems can be discussed. A social history, that includes the personal support from the patient’s partner, parents, and siblings, can be taken. Doctors should also be alert of possible cases of violence from the partner or child abuse in adolescent patients. Finally, the clinician can provide the first information regarding the social care available and refer the patients for further support. For women who continue an unintended pregnancy, clinicians should start antenatal care immediately. Conclusion: Unintentionally pregnant women deserve a supportive and complete response from their clinicians, who should inform about, and sometimes activate, all the resources available for the continuation of unintended pregnancy. Summary Forty-four percent of all pregnancies worldwide are unintended. Induced abortion has drawn a lot of attention and the care for women requesting it has been covered in many publications. However, abortion challenges the values of many women, is associated with negative emotions, and has its own medical complications. Women have the right to discuss their unintended pregnancy with a clinician and receive elaborate information about other options to deal with it. Continuing an unintended pregnancy, and receiving the necessary care and support for it, is also a reproductive right of women. However, the provision of medical information and support required for the continuation of an unintended pregnancy has hardly been approached in the medical literature. This review presents a clinical approach to unintentionally pregnant patients and describes the information and support that can be offered for the continuation of the unintended pregnancy. Clinicians should approach patients with an unintended pregnancy with a sympathetic tone. A complete clinical history can help frame the problem and identify concerns related to the pregnancy. Any underlying medical or obstetric problems can be discussed. A social history, that includes the personal support from the patient's partner, parents, and siblings, can be taken. Doctors should also be alert of possible cases of violence from the partner or child abuse in adolescent patients. Finally, the clinician can provide the first information regarding the social care available and refer the patients for further support. For women who continue an unintended pregnancy, clinicians should start antenatal care immediately.
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2

KIRN, TIMOTHY F. "Consider Hydroxychloroquine Continuation in Lupus Pregnancy." Family Practice News 36, no. 7 (April 2006): 37. http://dx.doi.org/10.1016/s0300-7073(06)72951-6.

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3

Birnholz, Jason C., W. Paul Dmowski, Zvi Binor, and Ewa Radwanska. "Selective continuation in gonadotropin-induced multiple pregnancy." Fertility and Sterility 48, no. 5 (November 1987): 873–76. http://dx.doi.org/10.1016/s0015-0282(16)59547-8.

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4

Deiana, Valeria, Caterina Chillotti, Mirko Manchia, Paolo Carta, Alberto Bocchetta, Raffaella Ardau, and Maria Del Zompo. "Continuation Versus Discontinuation of Lithium During Pregnancy." Journal of Clinical Psychopharmacology 34, no. 3 (June 2014): 407–10. http://dx.doi.org/10.1097/jcp.0000000000000059.

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5

Birnholz, JC, WP Dmowski, Z. Binor, and E. Radwanska. "Selective continuation in gonadotropin-induced multiple pregnancy." International Journal of Gynecology & Obstetrics 27, no. 2 (October 1988): 311–12. http://dx.doi.org/10.1016/0020-7292(88)90043-4.

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6

Wen, Timothy, Eve Overton, Yongmei Huang, Jason D. Wright, Mary E. D'Alton, and Alexander M. Friedman. "684: Continuation of psychiatric medications during pregnancy." American Journal of Obstetrics and Gynecology 222, no. 1 (January 2020): S433. http://dx.doi.org/10.1016/j.ajog.2019.11.698.

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7

Kharkova, O. A., A. G. Soloviev, L. G. Kiseleva, G. N. Chumakova, and E. M. Gryzunova. "PREDICTIVE MODEL OF TOBACCO SMOKING CONTINUATION DURING PREGNANCY." Human Ecology, no. 7 (July 14, 2017): 53–55. http://dx.doi.org/10.33396/1728-0869-2017-7-53-55.

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8

Deliveliotis, Ch, B. Argyropoulos, M. Chrisofos, and C. A. Dimopoulos. "Shockwave Lithotripsy in Unrecognized Pregnancy: Interruption or Continuation?" Journal of Endourology 15, no. 8 (October 2001): 787–88. http://dx.doi.org/10.1089/089277901753205744.

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9

Lakasing, Lorin, and John A. D. Spencer. "Continuation of pregnancy after mid-trimester gemeprost administration." BJOG: An International Journal of Obstetrics and Gynaecology 106, no. 12 (December 1999): 1319–20. http://dx.doi.org/10.1111/j.1471-0528.1999.tb08191.x.

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10

Sentilhes, Loïc, Fabrice Sergent, and Loïc Marpeau. "Repair of Uterine Dehiscence With Continuation of Pregnancy." Obstetrics & Gynecology 105, no. 6 (June 2005): 1487–88. http://dx.doi.org/10.1097/01.aog.0000167707.91658.82.

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11

Matsunaga, Jon S. "Repair of Uterine Dehiscence With Continuation of Pregnancy." Obstetrics & Gynecology 105, no. 6 (June 2005): 1488. http://dx.doi.org/10.1097/01.aog.0000167708.91658.66.

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12

Rolland, Philip, and Anita Sinha. "Continuation of pregnancy after mid-trimester gemeprost administration." BJOG: An International Journal of Obstetrics and Gynaecology 107, no. 9 (September 2000): 1184. http://dx.doi.org/10.1111/j.1471-0528.2000.tb11136.x.

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13

Matsunaga, Jon S., Cornelia B. Daly, Clifford J. Bochner, and Connie L. Agnew. "Repair of Uterine Dehiscence With Continuation of Pregnancy." Obstetrics & Gynecology 104, Supplement (November 2004): 1211–12. http://dx.doi.org/10.1097/01.aog.0000142696.84491.ae.

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14

Nosek, A., S. Betstadt, A. Harrington, C. Hall, K. Congelosi, and T. De Ver Dye. "Immediate postpartum contraception: continuation and repeat pregnancy rates." Contraception 92, no. 4 (October 2015): 406. http://dx.doi.org/10.1016/j.contraception.2015.06.204.

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15

Kapetanakis, Emanuel, and Kostas J. Pantos. "Continuation of a donor oocyte pregnancy in menopause without early pregnancy support." Fertility and Sterility 54, no. 6 (December 1990): 1171–73. http://dx.doi.org/10.1016/s0015-0282(16)54024-2.

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16

Warraich, Q., and N. Smith. "Herceptin therapy in pregnancy: Continuation of pregnancy in the presence of anhydramnios." Journal of Obstetrics and Gynaecology 29, no. 2 (January 2009): 147–48. http://dx.doi.org/10.1080/01443610802643774.

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17

Watson, H. J., A. Von Holle, R. M. Hamer, C. Knoph Berg, L. Torgersen, P. Magnus, C. Stoltenberg, P. Sullivan, T. Reichborn-Kjennerud, and C. M. Bulik. "Remission, continuation and incidence of eating disorders during early pregnancy: a validation study in a population-based birth cohort." Psychological Medicine 43, no. 8 (November 20, 2012): 1723–34. http://dx.doi.org/10.1017/s0033291712002516.

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BackgroundWe internally validated previously published rates of remission, continuation and incidence of broadly defined eating disorders during pregnancy in the Norwegian Mother and Child Cohort (MoBa) at the Norwegian Institute of Public Health.MethodA total of 77 267 pregnant women enrolled at 17 weeks gestation between 2001 and 2009 were split into a training sample (n = 41 243) from the version 2 dataset and a validation sample (n = 36 024) from the version 5 dataset who were not in the original study. Internal validation of original rate models involved fitting a calibration model to compare model parameters between the two samples and bootstrap estimates of bias in the entire version 5 dataset.ResultsRemission, continuation and incidence estimates remained stable. Pre-pregnancy prevalence estimates in the validation sample were: anorexia nervosa (AN; 0.1%), bulimia nervosa (BN; 1.0%), binge eating disorder (BED; 3.3%) and eating disorder not otherwise specified-purging disorder (EDNOS-P; 0.1%). In early pregnancy, estimates were: BN (0.2%), BED (4.8%) and EDNOS-P (<0.01%). Incident BN and EDNOS-P during pregnancy were rare. The highest rates were for full or partial remission for BN and EDNOS-P and continuation for BED.ConclusionsWe validated previously estimated rates of remission, continuation and incidence of eating disorders during pregnancy. Eating disorders, especially BED, during pregnancy were relatively common, occurring in nearly one in every 20 women. Pregnancy was a window of remission from BN but a window of vulnerability for BED. Training to detect eating disorders by obstetricians/gynecologists and interventions to enhance pregnancy and neonatal outcomes warrant attention.
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18

Mahdy, N. H., and N. A. El Zeiny. "Probability of contraceptive continuation and its determinants." Eastern Mediterranean Health Journal 5, no. 3 (June 15, 1999): 526–39. http://dx.doi.org/10.26719/1999.5.3.526.

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Probability of contraceptive continuation and factors associated with discontinuation were assessed in a retrospective study of women’s records in Alexandria. Contraceptive continuation rates were 88/100, 75/100 and 56/100 women at 6, 12 and 24 months respectively. Reasons for discontinuation included side-effects and health concerns [30.4%], accidental pregnancy and personal reasons [6.4%]and desire for pregnancy [5.4%]. Women who were older and who had several children were most likely to continue contraceptive use. Three significant predictors of discontinuation were side-effects and health concerns, age of the woman and contraceptive method. Women should be fully informed of the contraceptive methods available and their side-effects, and counselling programmes should be offered, particularly during the first 2 years of use
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19

Kapetanakis, E., and K. J. Pantos. "91038654 Continuation of a donor oocyte pregnancy in menopause without early pregnancy support." Maturitas 13, no. 3 (September 1991): 264. http://dx.doi.org/10.1016/0378-5122(91)90226-g.

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20

Wartko, Paige D., Noel S. Weiss, Daniel A. Enquobahrie, K. C. Gary Chan, Alyssa Stephenson‐Famy, Beth A. Mueller, and Sascha Dublin. "Antidepressant continuation in pregnancy and risk of gestational diabetes." Pharmacoepidemiology and Drug Safety 28, no. 9 (July 12, 2019): 1194–203. http://dx.doi.org/10.1002/pds.4799.

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21

Boyer, Monica, Janette Skaar, Mary Sowa, Justin R. Tureson, Cristel C. Chapel-Crespo, and Richard Chang. "Continuation of pegvaliase treatment during pregnancy: A case report." Molecular Genetics and Metabolism Reports 26 (March 2021): 100713. http://dx.doi.org/10.1016/j.ymgmr.2021.100713.

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22

Ikechebelu, JI, and GU Eleje. "Heterotopic pregnancy following intrauterine insemination: Successful management with salpingectomy and continuation of intrauterine pregnancy." Nigerian Journal of Clinical Practice 15, no. 2 (2012): 241. http://dx.doi.org/10.4103/1119-3077.97338.

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23

KITAGAWA, Ryoko. "Factors related to pregnancy, childcare and work continuation among midwives." Journal of Japan Academy of Midwifery 24, no. 2 (2010): 345–57. http://dx.doi.org/10.3418/jjam.24.345.

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24

Вовк, Е. И. "Continuation of the pregnancy: a cloudless dawn of a new life." Reproductive Endocrinology, no. 11 (November 16, 2013): 72. http://dx.doi.org/10.18370/2309-4117.2013.11.72-76.

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25

Alhousseini, Ali, Mia E. Layne, Bernard Gonik, David Bryant, Sanjay Patwardhan, and Manasi Patwardhan. "Successful Continuation of Pregnancy After Treatment of Group A Streptococci Sepsis." Obstetrics & Gynecology 129, no. 5 (May 2017): 907–10. http://dx.doi.org/10.1097/aog.0000000000001967.

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26

Tocce, K., J. Jheeder, C. McHugh, and S. Teal. "Offering adolescents immediate postpartum etonogestrel implant: continuation and repeat pregnancy rates." Contraception 84, no. 3 (September 2011): 303. http://dx.doi.org/10.1016/j.contraception.2011.05.128.

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27

Baheti, Sumeet N., and K. Jayakrishnan. "Heterotopic Pregnancy in a Natural Conception." International Journal of Infertility & Fetal Medicine 1, no. 1 (2010): 41–43. http://dx.doi.org/10.5005/jp-journals-10016-1007.

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ABSTRACT Heterotopic pregnancy is rare in natural conception and most often presents as life threatening emergency like acute abdomen and hemorrhagic shock. In early unruptured stages, it presents nonspecifically, mimicking normal or abnormal pregnancy manifestations. A high index of suspicion and a definitive search for it even after confirming normal intrauterine gestation is needed. This little effort ensures a timely diagnosis and management thus preventing catastrophe. We hereby report a primigravida with unruptured heterotopic pregnancy following a natural conception, who presented as nonspecific abdominal pain. Transvaginal ultrasound was inconclusive. Emergency laparoscopy clinched the diagnosis and allowed conservative salpingostomy and continuation of intrauterine pregnancy.
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28

Khamashta, MA, NMM Buchanan, and Grv Hughes. "The use of hydroxychloroquine in lupus pregnancy: the British experience." Lupus 5, no. 1_suppl (June 1996): 65–66. http://dx.doi.org/10.1177/0961203396005001141.

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Hydroxychloroquine (HCQ) is a valuable and possibly underused agent in treating mild lupus. Whether this drug should be discontinued in pregnancy is still controversial. We studied the full obstetric histories of 33 women with lupus who had taken HCQ at some point during pregnancy. HCQ was not, apparently, teratogenic and we believe that continuation of this drug is probably safe in lupus pregnancies.
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29

Calhoun, Byron C. "Pulmonary Hypertension: Clinical Parameters of a Difficult Case in Pregnancy." Linacre Quarterly 84, no. 3 (August 2017): 243–47. http://dx.doi.org/10.1080/00243639.2016.1173812.

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Treatment of pulmonary hypertension in pregnancy with a prostacyclin analogue-iloprost and/or calcium channel antagonists appears to improve outcomes and survival. These medications could have been administered to the patient and the response monitored. If the patient did not respond to therapy, this patient may have had either a referral to or transfer to another high risk center with more experience in this type of pregnant patient. There is no literature to support termination of pregnancy improving maternal survival outcomes in these patients, even though termination is recommended by all obstetrical textbooks. Maternal survival, rather, appears to be related to response to therapy, type of therapy, and continuation of therapy. Summary A patient who is pregnant with pulmonary hypertension (increased right-sided heart pressures) may be managed with medications. There is no literature to support termination of pregnancy improving maternal survival outcomes in patients with pulmonary hypertension, even though termination is recommended by all obstetrical textbooks. Maternal survival, rather, appears to be related to response to therapy, type of therapy, and continuation of therapy.
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30

Schwartz, J. Brad, and Wilhelm Flieger. "Contraceptive prevalence and continuation: a longitudinal analysis of traditional and other method users in the Philippines." Journal of Biosocial Science 21, S11 (1989): 75–93. http://dx.doi.org/10.1017/s0021932000025426.

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SummaryContraceptive prevalence rates and estimates of continuation rates are derived from unique longitudinal data on post-partum behaviour collected in the Cebu region of the Philippines. Continuation rates vary by base-line and time-varying socioeconomic characteristics for certain contraceptive methods and for using no contraception. Calendar rhythm users have a much lower relative continuation rate than has been found in cross-sectional samples. For women who use a contraceptive method, breast-feeding does not appear to influence contraceptive continuation, but for those who use no methods, breast-feeding appears to substitute for other forms of contraception. Profiles by socioeconomic characteristics of those who continue to use each type of contraceptive method and who use no method could be used to direct family planning programmes towards population sub-groups. The results suggest that for women wishing to postpone a pregnancy, a family planning programme aimed at the young and less educated could effectively increase contraceptive use and continuation.
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31

Shitole, Rajendra, Sharankumar Kavalgi, and Hemant Deshpande. "Heterotopic Pregnancy: Successful Management by Laparoscopic Salpingectomy in First Trimester and Continuation of Intrauterine Pregnancy until Term." World Journal of Laparoscopic Surgery with DVD 10, no. 3 (2017): 139–41. http://dx.doi.org/10.5005/jp-journals-10007-1323.

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32

Shitole, Rajendra, Sharankumar Kavalgi, and Hemant Deshpande. "Heterotopic Pregnancy: Successful Management by Laparoscopic Salpingectomy in First Trimester and Continuation of Intrauterine Pregnancy until Term." World Journal of Laparoscopic Surgery with DVD 10, no. 3 (2017): 139–41. http://dx.doi.org/10.5005/jp-journals-10033-1323.

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33

Williams, Rebekah L., Devon J. Hensel, and J. Dennis Fortenberry. "16. Predicting Continuation of Depot Medroxyprogesterone Acetate: Pregnancy Prevention, Pregnancy Intention, and Contraceptive Beliefs Among Adolescent Women." Journal of Adolescent Health 50, no. 2 (February 2012): S22—S23. http://dx.doi.org/10.1016/j.jadohealth.2011.10.068.

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34

Parmar, Meenal, and Surabhi Tomar. "Bicornuate Uterus: Infertility Treatment and Pregnancy Continuation without Cerclage: An Unusual Case." Open Journal of Obstetrics and Gynecology 04, no. 15 (2014): 981–85. http://dx.doi.org/10.4236/ojog.2014.415138.

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35

Ferreira, Ana Laura Carneiro Gomes, Mariana Moreira Boa-Viagem, and Ariani Impieri Souza. "Contraceptive Continuation, Pregnancy and Abortion Rate Two Years after Post Abortion Counselling." Open Journal of Obstetrics and Gynecology 05, no. 03 (2015): 135–41. http://dx.doi.org/10.4236/ojog.2015.53018.

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36

MATSUZAKI, Masayo, Megumi HARUNA, Erika OTA, Ryoko MURAYAMA, and Sachiyo MURASHIMA. "Factors related to the continuation of employment during pregnancy among Japanese women." Japan Journal of Nursing Science 8, no. 2 (January 25, 2011): 153–62. http://dx.doi.org/10.1111/j.1742-7924.2010.00169.x.

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37

Latuskie, Kiri A., Naomi C. Z. Andrews, Mary Motz, Tom Leibson, Zubin Austin, Shinya Ito, and Debra J. Pepler. "Reasons for substance use continuation and discontinuation during pregnancy: A qualitative study." Women and Birth 32, no. 1 (February 2019): e57-e64. http://dx.doi.org/10.1016/j.wombi.2018.04.001.

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38

Akhter, S. "Continuation of pregnancy in eclampsia and impending eclampsia - An alternate obstetric management." International Journal of Gynecology & Obstetrics 70 (2000): B45. http://dx.doi.org/10.1016/s0020-7292(00)86246-3.

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39

Théaudin, M., E. Elefant, and M. V. Senat. "Natalizumab continuation during pregnancy in a patient with previous severe IRIS syndrome." Journal of the Neurological Sciences 359, no. 1-2 (December 2015): 211–12. http://dx.doi.org/10.1016/j.jns.2015.10.047.

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40

Gordon, LK, K. Mason, JA Quattrucci, GM Boni, SN Carr, and KM Sharkey. "0822 DOES SLEEP QUALITY DURING PREGNANCY INFLUENCE INITIATION AND CONTINUATION OF BREASTFEEDING?" Sleep 40, suppl_1 (April 28, 2017): A304. http://dx.doi.org/10.1093/sleepj/zsx050.821.

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41

Federici, Laura, Olivier Picone, Didier Dreyfuss, and Jeanne Sibiude. "Successful continuation of pregnancy in a patient with COVID-19-related ARDS." BMJ Case Reports 13, no. 8 (August 2020): e237511. http://dx.doi.org/10.1136/bcr-2020-237511.

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A 33-year-old pregnant woman was hospitalised with fever, cough, myalgia and dyspnoea at 23.5 weeks of gestation (WG). Development of acute respiratory distress syndrome (ARDS) mandated invasive mechanical ventilation. A nasopharyngeal swab proved positive for severe acute respiratory syndrome coronavirus 2 by reverse transcription-PCR. The patient developed hypertension and biological disorders suggesting pre-eclampsia and HELLP (haemolysis, elevated liver enzyme levels and low platelet levels) syndrome. Pre-eclampsia was subsequently ruled out by a low ratio of serum soluble fms-like tyrosine kinase-1 to placental growth factor. Given the severity of ARDS, delivery by caesarean section was contemplated. Because the ratio was normal and the patient’s respiratory condition stabilised, delivery was postponed. She recovered after 10 days of mechanical ventilation. She spontaneously delivered a healthy boy at 33.4 WG. Clinical and laboratory manifestations of COVID-19 infection can mimic HELLP syndrome. Fetal extraction should not be systematic in the absence of fetal distress or intractable maternal disease. Successful evolution was the result of a multidisciplinary teamwork.
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42

Teal, S., and J. Sheeder. "A comparison of post-abortion contraceptive choices: uptake, continuation, satisfaction and pregnancy." Contraception 86, no. 3 (September 2012): 298. http://dx.doi.org/10.1016/j.contraception.2012.05.050.

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43

Machado, Isabela Nelly, Sílvia Dante Martinez, and Ricardo Barini. "Anencephaly: Do the Pregnancy and Maternal Characteristics Impact the Pregnancy Outcome?" ISRN Obstetrics and Gynecology 2012 (January 19, 2012): 1–5. http://dx.doi.org/10.5402/2012/127490.

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Objective. To describe the characteristics of obstetric and perinatal outcome of a group of pregnancies complicated by an anencephalic fetus. Methods. Observational study including anencephalic fetuses, divided into groups according to the evolution of pregnancy: elective termination of pregnancy ETP; stillbirths (SBs); live births (LBs), and loss of follow-up. After a univariate description of the sample, some variables were compared using statistical tests. Results. 180 anencephalic fetuses were included. The mean maternal age was 25.3 years. In 71 fetuses (39%) were found additional anomalies. Comparing the groups, no statistical differences in maternal age (), parity (), number of previous abortion (), fetal sex () and additional anomalies () were found. Among those fetuses whose parents opted for continuation of pregnancy (), 20 spontaneous intrauterine deaths occurred (38%) and 33 were live births (62%). The average postnatal survival time was 51 minutes. There was no association between survival time and gestational age () or the presence of additional malformations (). Conclusion. Results presented here could contribute to a better understanding of the natural history of this malformation, allowing obstetricians a more detailed discussion with the families.
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44

Alptekin, Hüsnü, and Yıldıray Dal. "Heterotopic pregnancy following IVF-ET: successful treatment with salpingostomy under spinal anesthesia and continuation of intrauterine twin pregnancy." Archives of Gynecology and Obstetrics 289, no. 4 (December 4, 2013): 911–14. http://dx.doi.org/10.1007/s00404-013-3099-y.

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45

Saha, Eti, Jharna Das, Mollik Moniruzzaman, and Citta Ranjan Bachher. "Laparoscopic Management of Tubal Ectopic of Heterotopic Pregnancy." Journal of Bangladesh College of Physicians and Surgeons 34, no. 4 (May 7, 2017): 218–21. http://dx.doi.org/10.3329/jbcps.v34i4.32490.

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A heterotopic pregnancy is a rare complication of pregnancy in which both extra-uterine (ectopic pregnancy) and intrauterine pregnancy occur simultaneously. The prevalence of heterotopic pregnancy is estimated at 0.6- 2.5: 10,000 pregnancy. It is a challenge for obstetrician to manage the tubal pregnancy without interruption of intrauterine pregnancy. Here we describe a case who had left tubal alive ectopic pregnancy & also intrauterine alive pregnancy simultaneously after a natural conception. This patient was managed successfully with laparoscopic left salpingectomy, and intrauterine pregnancy has been continuing. There are some precautions during laparoscopic procedure & post operative period which can help for continuation of intrauterine pregnancy. In our clinical experience, this is an extreme rare disorder and we feel interest to report this case. A heterotopic pregnancy can result from a natural conception; it requires a high index of suspicious for early and timely diagnosis; a timely intervention can result in a successful outcome of the intrauterine fetus.J Bangladesh Coll Phys Surg 2016; 34(4): 218-221
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46

Julsgaard, Mette, Christian L. Hvas, Richard B. Gearry, Peter R. Gibson, Jan Fallingborg, Miles P. Sparrow, Bo M. Bibby, et al. "Anti-TNF Therapy in Pregnant Women With Inflammatory Bowel Disease: Effects of Therapeutic Strategies on Disease Behavior and Birth Outcomes." Inflammatory Bowel Diseases 26, no. 1 (May 29, 2019): 93–102. http://dx.doi.org/10.1093/ibd/izz110.

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Discontinuation of anti-TNF before gestational week 30 did not increase the risk of relapse in the third trimester. Relapse and continuation of anti-TNF throughout pregnancy were each independently associated with lower birth weight, a marker associated with long-term adverse outcomes.
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47

Shepherd, Lynn J., and Graeme N. Smith. "Conjoined Twins in a Triplet Pregnancy: A Case Report." Case Reports in Obstetrics and Gynecology 2011 (2011): 1–3. http://dx.doi.org/10.1155/2011/235873.

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Background. Conjoined twins are a rare complication of monozygotic twinning and are associated with high perinatal mortality.Case. Here we present a case of conjoined twins in a triplet pregnancy diagnosed at 13 of weeks gestation. With the aid of 3D ultrasound and MRI images, the parents were counseled regarding the management options, including continuation of pregnancy, termination of pregnancy, or selective fetocide. They chose selective fetocide of the conjoined twins and went on to deliver the remaining triplet at term.Conclusion. This case represents to our knowledge the only MRI images of conjoined twins in a triplet pregnancy and demonstrates how 3D imaging can be used to better counsel patients about management options.
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48

BULIK, CYNTHIA M., ANN VON HOLLE, ROBERT HAMER, CECILIE KNOPH BERG, LEILA TORGERSEN, PER MAGNUS, CAMILLA STOLTENBERG, ANNA MARIA SIEGA-RIZ, PATRICK SULLIVAN, and TED REICHBORN-KJENNERUD. "Patterns of remission, continuation and incidence of broadly defined eating disorders during early pregnancy in the Norwegian Mother and Child Cohort Study (MoBa)." Psychological Medicine 37, no. 8 (May 10, 2007): 1109–18. http://dx.doi.org/10.1017/s0033291707000724.

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ABSTRACTBackgroundWe explored the course of broadly defined eating disorders during pregnancy in the Norwegian Mother and Child Cohort Study (MoBa) at the Norwegian Institute of Public Health.MethodA total of 41 157 pregnant women, enrolled at approximately 18 weeks' gestation, had valid data from the Norwegian Medical Birth Registry. We collected questionnaire-based diagnostic information on broadly defined anorexia nervosa (AN), and bulimia nervosa (BN), and eating disorders not otherwise specified (EDNOS). EDNOS subtypes included binge eating disorder (BED) and recurrent self-induced purging in the absence of binge eating (EDNOS-P). We explored rates of remission, continuation and incidence of BN, BED and EDNOS-P during pregnancy.ResultsPrepregnancy prevalence estimates were 0·1% for AN, 0·7% for BN, 3·5% for BED and 0·1% for EDNOS-P. During early pregnancy, estimates were 0·2% (BN), 4·8% (BED) and 0·1% (EDNOS-P). Proportions of individuals remitting during pregnancy were 78% (EDNOS-P), 40% (BN purging), 39% (BED), 34% (BN any type) and 29% (BN non-purging type). Additional individuals with BN achieved partial remission. Incident BN and EDNOS-P during pregnancy were rare. For BED, the incidence rate was 1·1 per 1000 person-weeks, equating to 711 new cases of BED during pregnancy. Incident BED was associated with indices of lower socio-economic status.ConclusionsPregnancy appears to be a catalyst for remission of some eating disorders but also a vulnerability window for the new onset of broadly defined BED, especially in economically disadvantaged individuals. Vigilance by health-care professionals for continuation and emergence of eating disorders in pregnancy is warranted.
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49

Kadagad, P., and P. Pinto. "Trends in Attitudes Towards Orofacial Cleft by Pregnant Women and Future Need for Cleft Care." Journal of Oral Health and Community Dentistry 7, no. 3 (2013): 134–36. http://dx.doi.org/10.5005/johcd-7-3-134.

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ABSTRACT AIM To investigate the attitude of pregnant women towards prenatal ultrasound diagnosis of orofacial cleft and its impact on the future needs of cleft treatment. METHODS 100 subjects consulting the department of obstetrics and gynecology of KLE PK Hospital and Medical research centre were interviewed using a questionnaire. RESULTS Only 3 patients out of 100 patients chose the option of medical termination of pregnancy over continuation of pregnancy on prenatal ultrasound diagnosis of cleft. CONCLUSION Majority of pregnant women chose to continue pregnancy on prenatal ultrasound diagnosis of cleft; hence the implication to scale up the provision of future cleft therapy.
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50

ŞANVERDİ, İlhan, Habibe AYVACI, Osman TEMİZKAN, Erşan DEMİRAĞ, and Sadiye EREN. "Repair of a First Trimester Uterine Dehiscence with Continuation of Pregnancy: Case Report." Turkiye Klinikleri Journal of Case Reports 25, no. 3 (2017): 123–27. http://dx.doi.org/10.5336/caserep.2017-55464.

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