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Статті в журналах з теми "Pregnancy"

Автор: Grafiati

Опубліковано: 4 червня 2021

Оновлено: 9 листопада 2024

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1

Sarma, Neeta. "Pregnancy outcome in pregnant women with oligohydramnios at term pregnancy." New Indian Journal of OBGYN 4, no. 2 (January 2018): 141–45. http://dx.doi.org/10.21276/obgyn.2018.4.2.10.

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2

Narayani, B. H. "Educational Status of Pregnant Women and Pregnancy Outcome." Indian Journal of Obstetrics and Gynecology 6, no. 6 (2018): 614–17. http://dx.doi.org/10.21088/ijog.2321.1636.6618.7.

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3

Zakirkhodjaev, Rustam, and Khusan Shavkatkhujaev. "REFRACTION CHANGES IN PREGNANT WOMEN DURING PREGNANCY AND POSTPARTUM." UZBEK MEDICAL JOURNAL 1, no. 1 (January 30, 2020): 55–58. http://dx.doi.org/10.26739/2181-0664-2020-1-10.

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4

Zakirhodjaev, R., and H. Shavkatkhodjaev. "STUDY OF REFRACTION CHANGES DURING PREGNANCY AND AFTER CHILDBIRTH IN PREGNANT WOMEN." UZBEK MEDICAL JOURNAL 4, no. 1 (April 30, 2020): 9–16. http://dx.doi.org/10.26739/2181-0664-2020-4-2.

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Although ocular conditions are commonly encountered in pregnancy, their management in pregnancy and during labor is still debate. Our review synthesizes the existing evidence on pregnancy and labor impact on visual outcome in myopic patients. We aimed to evaluate the changes in ocular physiology during pregnancy, the characteristics of myopia in pregnant population.

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5

Alp, Hayriye. "Our Infertility Cases With Pregnant Pregnancy After The Wet-Cupping." Obstetrics Gynecology and Reproductive Sciences 5, no. 05 (August 9, 2021): 01–03. http://dx.doi.org/10.31579/2578-8965/080.

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There is a physiological balance between our systems in our body. When this physiological balance is disturbed, diseases occur. It is thought that this balance is achieved by eliminating potentially harmful substances that cause diseases with wet-cupping. Infertility); It is defined as not having a pregnancy despite the couples having regular sexual intercourse. Voluntary infertility patients who applied to Erbakan University Meram Medical Faculty Traditional and Complementary Medicine Center were applied cupping procedure. The excretory systems in our bodies may be insufficient to remove heavy metals. Lead, mercury and nickel, which contributed to the development of pain, were found to be quite high in painful groups in our study. The fact that the height of the volume in the blood is higher than venous blood indicates that these heavy metals can be detoxified better with the cupping process. We think that during conventional infertility treatment, one of the complementary applications, cupping therapy can be added as an adjunct therapy in order to regulate the hormonal balance by heavy metal detox and in pregnancy treatment.

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6

Bashir, Munira. "Pregnancy Outcome in Anemic Pregnant Women: Impact of Dietary Intervention." International Journal of Nursing & Midwifery Research 05, no. 01 (May 16, 2018): 37–45. http://dx.doi.org/10.24321/2455.9318.201809.

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7

Shakarwal, Shalini. "Comparative Study of Coagulation Profile in Normal Pregnant Women, Pregnant Women at High Risk, Normal Non-Pregnant Healthy Women and Pregnancy Outcome." Journal of Advanced Research in Medicine 07, no. 03 (December 22, 2020): 1–6. http://dx.doi.org/10.24321/2349.7181.202010.

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Aims and Objective: To study and compare coagulation profile in normal pregnancy, pregnant women at high risk, non-pregnant women and pregnancy outcome. Method: This comparative prospective study was done in tertiary healthy care centre of north India for over period of one year. Result: Total 230 cases were taken, out of which 222 antenatal cases were unbooked cases with no antenatal visits along with 8 non-pregnant healthy women. Cases were further divided into three groups of non-pregnant women, normal pregnant women and pregnant women at high risk. All groups were compared for derangement of coagulation profile and pregnancy outcome in terms of adversity. In normal pregnant women (Group-1), there were 2 cases (94.4%) of deranged coagulation with isolated thrombocytopenia. In pregnant women at high risk (Group-2), 31 cases (16.6%) were having deranged coagulation out of which maximum cases were of eclampsia- preeclampsia spectrum (eclampsia and HELLP syndrome) followed by anaemia, placental abruption and placenta previa. In terms of adverse pregnancy outcome, maximum mortality was again in ecalmpsia and HELLP syndrome cases. In adverse perinatal outcome along with eclampsia and HELLP syndrome, preterm labour and FGR was a significant factor. Conclusion: Hypertensive disorders of pregnancy remain the main cause of deranged coagulation and adverse outcome in high risk pregnancy group along with anaemia and liver disease.

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8

Nesterová, Anna, Barbora Boudová, and Jan Kestřánek. "Interstitial pregnancy." Česká gynekologie 87, no. 6 (December 23, 2022): 408–11. http://dx.doi.org/10.48095/cccg2022408.

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Objective: A case report of a patient with interstitial pregnancy and a history of hyperprolactinemia. Case report: A 30-year-old woman was hospitalized for a suspicion of ectopic pregnancy and referred for laparoscopy. During the laparoscopic surgery, interstitial pregnancy was diagnosed and solved with cornuostomy. Conclusion: Ectopic interstitial pregnancy represents a serious worldwide issue because unrecognized, it can endanger a woman’s life, despite advances in ultrasound examination, the diagnosis often remains inaccurate. Laparoscopic surgical approach with evacuation of pregnancy with subsequent uterus suture represents one of the possible approaches. This method is minimally invasive and safe. Key words: interstitial pregnancy – laparoscopy – methotrexate

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9

Roubalova, Lucie, Alzbeta Gardo, Sabina Horejskova, Alexandra Dudova, Ladislav Krofta, and Marek Lubusky. "Dynamics of serum levels and reference ranges of copeptin in the 3rd trimester of pregnancy in healthy pregnant women with uncomplicated pregnancy and delivery." Česká gynekologie 89, no. 2 (April 22, 2024): 89–94. http://dx.doi.org/10.48095/cccg202489.

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Objective: Copeptin is a stable fragment of vasopressin. Copeptin levels have been found to reflect the degree of endothelial stress in various conditions, including acute coronary syndrome. Copeptin may be a bio marker for endothelial stress during pregnancy. However, there is still a lack of understanding of its dynamics and levels throughout pregnancy. This study aims to describe intra-individual and longitudinal changes in copeptin levels at 30th and 36th gestational weeks in healthy pregnant women with uncomplicated pregnancy and delivery and to establish specific reference ranges. Methods: A total of 125 pregnant women with uncomplicated pregnancy and delivery were included. These women were monitored throughout their pregnancy and gave birth at the Department of Obstetrics and Gynecology Olomouc University Hospital. The blood was taken at ~30 and ~36 gestational weeks. Serum copeptin levels were measured using a Kryptor Compact PLUS analyzer. For statistics, we used R software and the "referenceRanges" package. Results: It was found that serum levels of copeptin were significantly higher in the 36th week group than in the 30th week group (P < 0.05). Cook's distance was used to eliminate outliers. The 30th week median was 3.377 pmol/l, reference range = 1.343–7.829 pmol/l, and the 36 week was median 4.735 pmol/l and reference range = 2.06–13.2 pmol/l. In the 36th week reference range, the median was higher than in healthy, non-pregnant women (P < 0.05). Copeptin values can exceed 10 pmol/l, particularly after the 36th week. In the 3rd trimester, this value may indicate cardiovascular and endothelial overload. Conclusion: Copeptin levels were found to vary significantly depending on gestational week. The proposed reference ranges take into account the increased secretion of vasopressin in pregnancy. The existence of specific upper reference limits represents a potential advantage in detecting pregnant women prone to hypertensive disease in the 3rd trimester. Key words: copeptin – vasopressin – preeclampsia – gestational hypertension – reference ranges – pregnancy

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10

Nandini, G., K. Umadevi, K. Padma, Rajini Uday, and R. Sahana. "Pemphigus Vulgaris with Pregnancy." Journal of South Asian Federation of Obstetrics and Gynaecology 4, no. 3 (2012): 159–60. http://dx.doi.org/10.5005/jp-journals-10006-1202.

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ABSTRACT Pemphigus vulgaris is an autoimmune bullous dermatosis affecting skin and mucous membrane.2 It affects all races and both sexes equally. It is common during the 5th and 6th decade of life.3 It is exceedingly rare in pregnancy5 and is associated with increased maternal morbidity and poor neonatal outcome.4 We do report a case of pemphigus vulgaris with pregnancy. She conceived during the active phase of the disease and treated with steroids throughout pregnancy. She delivered a live preterm, appropriate for gestational age and constitutionally small fetus. How to cite this article Nandini G, Umadevi K, Padma K, Uday R, Sahana R. Pemphigus Vulgaris with Pregnancy. J South Asian Feder Obst Gynae 2012;4(3):159-160.

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11

Moltó, A., A. Ajrouche, D. Tran, Y. De-Rycke, N. Costedoat-Chalumeau, E. Elefant, V. Tsatsaris, et al. "POS0305 CONTINUING TNFI AFTER PREGNANCY DIAGNOSIS IN WOMEN WITH CHRONIC RHEUMATIC INFLAMMATORY DISEASES IS NOT ASSOCIATED WITH WORSE OBSTETRICAL OR INFECTIOUS OUTCOMES: THE RESULTS OF AN EMULATED TARGET TRIAL." Annals of the Rheumatic Diseases 82, Suppl 1 (May 30, 2023): 395.2–396. http://dx.doi.org/10.1136/annrheumdis-2023-eular.3787.

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BackgroundContinuation of biologics during pregnancy in patients with chronic inflammatory diseases during pregnancy is still a difficult medical decision. Many women with chronic rheumatic inflammatory diseases (CRID) decide to stop tumor necrosis factor inhibitors (TNFi) treatment once pregnancy is confirmed to avoid potential adverse fetal events but taking the risk of inflammatory flare.ObjectivesTo compare in real life settings the pregnancy outcomes of two treatment strategies among women with CRID: to continue TNFi vs. stop TNFi upon pregnancy diagnosis.Methodsthe French nationwide health insurance database (Système National des Données de Santé) was used to emulate a target trial in adult women, with CRID (i.e., rheumatoid arthritis, psoriatic arthritis or spondyloarthritis), having started a singleton pregnancy between 2008 and 2017, and and being treated with TNFi upon pregnancy diagnosis. We compared the frequency of unfavorable pregnancy outcomes (malformations, obstetrical complications, and infections) between the treatment strategies at pregnancy diagnosis, using inverse probability weighted marginal models.ResultsA total of 1466 pregnancies were included, and among them, TNFi treatment was discontinued after pregnancy diagnosis in 74%. Mean (SD) age of women at the start of pregnancy was 31 (5) years and mean (SD) disease duration was 4 (5) years.Continuation of TNFi was not associated with increased frequencies of unfavorable pregnancy outcomes: interestingly, the proportion of pregnancies with at least one unfavorable obstetrical outcome tended to be lower in the group of patients continuing the TNFi after pregnancy diagnosis but without reaching statistical significance: 66 (17.3%) vs. 201 (18.5%) in the group continuing vs. discontinuing, respectively (adjusted RR= 0.79 [95% CI, 0.57; 1.10]). Also, there was a trend for a lower frequency of severe maternal infections in the group continuing the TNFi (7 (1.8%) vs. 36 (3.3%), (aRR=0.43 [0.16; 1.14]). Table.Limitation:Algorithms rather than clinical data were used to identify patients with CRID, pregnancies, obstetrical outcomes, malformation and serious infections.Table 1.OutcomesTNFi continuation after pregnancy diagnosispYes (N, %)No (N, %)ObstetricalSpontaneous abortion2 (0.5%)22 (2.0%)0.06Stillbirth0 (0.0%)3 (0.3%)-Medical termination of pregnancy2 (0.5%)4 (0.4%)-Preterm birth (GA between 22 and 37 weeks among live birth)35 (9.2%)109 (10.1%)-Small for GA (<10th percentile)29 (7.6%)75 (6.9%)-Cesarean delivery99 (25.9%)273 (25.2%)0.06Eclampsia/Pre-eclampsia6 (1.6%)17 (1.6%)-Extra-uterine pregnancy0 (0.0%)2 (0.2%)-Maternal hospitalization for infection (during pregnancy and 6 weeks post-delivery)7 (1.8%)36 (3.3%)0.09Major congenital malformation9 (2.4%)31 (2.9%)-Footnotes: -:the model did not converge due to the low number of events; GA= gestational ageConclusionIn pregnant women with CRID treated with TNFi until pregnancy diagnosis, neither unfavorable obstetrical outcomes nor severe infections were significantly increased in patients continuing TNFi during pregnancy, compared with a strategy of stopping TNFi.Reference[1]Götestam Skorpen C, Hoeltzenbein M, Tincani A, Fischer-Betz R, Elefant E, Chambers C, da Silva J, Nelson-Piercy C, Cetin I, Costedoat-Chalumeau N, Dolhain R, Förger F, Khamashta M, Ruiz-Irastorza G, Zink A, Vencovsky J, Cutolo M, Caeyers N, Zumbühl C, Østensen M. The EULAR points to consider for use of antirheumatic drugs before pregnancy, and during pregnancy and lactation. Ann Rheum Dis. 2016 May;75(5):795-810.AcknowledgementsThis study was conducted thanks to the French national grant PHRC 2019.Disclosure of InterestsAnna Moltó Consultant of: Abbvie, Biogen, BMS, Gilead, Lilly, MSD, Novartis, Pfizer, UCB, Grant/research support from: Biogen UCB, Aya Ajrouche: None declared, Diep Tran: None declared, yann de-rycke: None declared, Nathalie Costedoat-Chalumeau: None declared, Elisabeth Elefant: None declared, Vassilis Tsatsaris: None declared, Jeanne Fresson: None declared, Brigitte Bader-Meunier: None declared, Bruno Fautrel: None declared, Florence Tubach: None declared.

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12

Khalid, Farisa. "Pregnancy denied, pregnancy accepted." Antipodes 35, no. 1-2 (2021): 299–301. http://dx.doi.org/10.1353/apo.2021.0000.

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13

Caridad I, Capó Alonso María. "Covid 19 and Pregnancy: Aspects Related to the Nutritional Level in Pregnant Women." Diabetes & Obesity International Journal 7, no. 4 (2022): 1–5. http://dx.doi.org/10.23880/doij-16000266.

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Introduction: Malnutrition is a health problem worldwide. The implications of this situation on maternal and child health are very serious because insufficient weight gain during pregnancy and anemia bring about Low Birth Weight, and it means an increase of morbimortality in the first year of life. Objective: To reflect basic aspects of nutrition and pregnancy for their correct handling in the health primary care. Material and Methods: A bibliographical revision was carried out by means of the consultation of databases, as MEDLINE, IBECS, Scielo, Who with the use of describers like nutrition, maternal-infantile health, anemia, under weight. Conclusion: Concrete data of great importance on the nutrition of the pregnant and their influence in the health of the same ones and the product of the gestation were given.

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14

Hanáček, Jiří, Hynek Heřman, Petr Křepelka, Lubomír Hašlík, Anna Brandejsová, and Ladislav Krofta. "Cesarean scar pregnancy." Česká gynekologie 87, no. 3 (June 27, 2022): 193–97. http://dx.doi.org/10.48095/cccg2022193.

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Objective: To summarize the current knowledge on pregnancy in a cesarean scar. Methodology: A literature review on the topic using the PubMed database. Results: Gravidity in a cesarean scar is a relatively new type of ectopic pregnancy that will be an increasingly common problem in an era of increasing cesarean section rates. It is still a relatively rare event, occurring in about 6% of the population. Diagnosis is based primarily on ultrasound examination and is essential early on in pregnancy. The pathogenesis of the disease is due to a disorder of the basal layer of the endometrium and can lead to conditions that we refer to as placenta accreta spectrum. The management is completely individualized and depends on hCG values, ultrasound findings, fetal viability, the wishes of the pregnant woman and the experience of the gynecologist concerned. Conclusion: This is still a rare occurrence of ectopic pregnancy but with increasing potential. The solution is completely individualized based on a precise and early ultrasound diagnosis. Key words: cesarean scar pregnancy – ultrasound diagnosis – placenta accreta spectrum – vacumaspiration – methotrexate – uterine scar resuture

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15

N., Sindu, and Jayashree G. Pawar. "Ovarain Ectopic Pregnancy." Indian Journal of Obstetrics and Gynecology 5, no. 2 (2017): 123–25. http://dx.doi.org/10.21088/ijog.2321.1636.5217.22.

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16

Devi, P. Padmasri, M. Kiran Deedi, and Ch Ganapathy Swamy. "Pregnancy Induced Hypertension." Indian Journal of Obstetrics and Gynecology 5, no. 4 (2017): 588–91. http://dx.doi.org/10.21088/ijog.2321.1636.5417.25.

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17

Dziadek, Olivia, Asha Bhalwal, Ramesha Papanna, Kenneth Moise, John Hardy, and Alvaro Montealegre. "Cervical ectopic pregnancy." Obstetrics Gynecology and Reproductive Sciences 5, no. 06 (September 6, 2021): 01–03. http://dx.doi.org/10.31579/2578-8965/075.

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We performed dilation and curettage and cervical balloon placement in a cervical ectopic pregnancy after treatment with Methotrexate, KCI and bilateral uterine artery embolization. A minimally invasive approach was used in the case as the patient desired future fertility. We present the potential challenges in management of cervical ectopic pregnancy as well as approaches to treatment.

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18

Kasat, Khushboo Bagdi, Vaishali Khadke, Richa Gandhi, and Hedgewar Rugnalaya. "Pheochromocytoma in pregnancy." New Indian Journal of OBGYN 8, no. 1 (July 2021): 149–51. http://dx.doi.org/10.21276/obgyn.2021.8.1.30.

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19

Sirimi, Natalia, and Dimitrios Goulis. "Obesity in pregnancy." HORMONES 9, no. 4 (October 15, 2010): 299–306. http://dx.doi.org/10.14310/horm.2002.1280.

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20

Banzai, Chiaki. "A Case of Cornual Pregnancy after Ipsilateral Salpingectomy for Isthmic Pregnancy." Women Health Care and Issues 5, no. 3 (May 4, 2022): 01–04. http://dx.doi.org/10.31579/2642-9756/106.

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Ectopic pregnancies comprise approximately 1-2% of all pregnancies, with most occurring in the ampulla of the fallopian tube. Cornual pregnancy after ipsilateral salpingectomy is rare. We report a case of spontaneous cornual pregnancy 8 months after ipsilateral salpingectomy for isthmic pregnancy in a 32-year-old woman. In our patient, the gestational sac was not visualized in the uterus at 5 weeks of gestation. The patient experienced abdominal pain and an ultrasound examination revealed a hematoma around the right cornual region. Emergency laparoscopy was performed, which revealed the ruptured cornual pregnancy and surrounding hematoma. A wedge-shaped incision was made at the site of the cornual pregnancy, followed by myometrial suturing. In cornual pregnancies, the risk of rupture should be considered even in the early pregnancy stages.

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21

Zayat, Nawras, Ariane M Chabanne, and Ishola Adeyemo. "Cervical endometriosis in pregnancy: A rare cause of bleeding in pregnancy." Journal of Case Reports and Images in Obstetrics and Gynecology 9, no. 1 (June 7, 2023): 75–78. http://dx.doi.org/10.5348/100151z08nz2023cr.

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Introduction: Cervical endometriosis is a very rare site for endometriosis, with a reported incidence of 0.11–2.4%. Case Report: We present a histologically proven case of cervical endometriosis in a 33-year-old pregnant woman who presented with post-coital bleeding during the first trimester of her pregnancy, with subsequent spontaneous regression, and successful vaginal delivery. Conclusion: This case emphasizes the importance of a thorough pelvic examination in patients presenting with bleeding in early pregnancy and biopsy of any lesions as long as it is safe. Cervical endometriosis should be added to the list of differential diagnoses of bleeding in pregnancy after the more common causes have been excluded.

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22

Khan, Mahnoor, and Samra Ali. "Significance of nutrition in preventing miscarriage, an ignored but modifiable risk factor." Journal of the Pakistan Medical Association 73, no. 7 (June 15, 2023): 1564–65. http://dx.doi.org/10.47391/jpma.7952.

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Madam, Miscarriage or spontaneous abortion is defined as the pregnancy loss occurring before the 24th week of gestation. This term is used when an ultrasound has confirmed an intrauterine pregnancy1. It is the commonest adverse fate of pregnancy, with vaginal bleeding and abdominal pain as alarming symptoms. It is found that around 12-15% of confirmed pregnancies end up in a miscarriage. Although genetic factors (chromosomal abnormalities) top the list, maternal factors, especially nutritional status, can affect the developing embryo and result in early pregnancy foetal demise2. During pregnancy, maternal requirements for energy, macronutrients (carbohydrates, proteins and fats) and micronutrients increase to cope with the physiological changes occurring in the mother’s body and to support adequate foetal development. Two Case control studies have been conducted and have found a preventive effect of milk consumption and dairy products on spontaneous abortion3. There is also an association between decreased animal fat and carotene intake and increased risk of hydatidiform mole, which can ultimately lead to a miscarriage2. Studies proved that not only macronutrients but deficiency of micronutrients also contribute to poor pregnancy outcomes. Some essential micronutrients include iron, magnesium, zinc, vitamin b12 and folic acid., Due to its antioxidant effects, Vitamin C is also required during this stage and contributes to a healthy pregnancy1. Besides deficiencies, even excess of some micronutrients, like caffeine, especially during the pre-pregnancy state contributed to the risk of early pregnancy loss4. Studies have been done to determine the mechanism behind the nutrition’s effect on the outcome of pregnancy. In the pre pregnancy state, nutritional imbalances result in the alteration of germ cell morphology, which hinders the chances of fertilisation of the altered germ cell. In addition to this, nutritional status during the peri-implantation and placental developmental stage (embryonic stage) play a vital role in the establishment of pregnancy and fetal development so any deficiency during this stage increases the risk of miscarriage. Folic acid deficiency during this stage is harmful. Although it mainly results in the development of congenital anomalies in infants, it is seen that by increasing homocysteine levels it can also lead to miscarriage, although the association is still unknown1. Not only undernutrition but overweight and obesity in mothers also lead to poor pregnancy outcomes. ---Continue

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23

Yaman, Cemil. "Cornual pregnancy and interstitial pregnancy." Journal of the Turkish German Gynecological Association 12, no. 1 (March 1, 2011): 61. http://dx.doi.org/10.5152/jtgga.2011.15.

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24

Way, M., P. Goodyear, and S. Hughes. "Intrauterine pregnancy following abdominal pregnancy." International Journal of Obstetric Anesthesia 11, no. 3 (July 2002): 230. http://dx.doi.org/10.1054/ijoa.2002.0965.

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25

Stoopler, Eric T., and Arthur S. Kuperstein. "Pregnancy Gingivitis and Pregnancy Tumour." Journal of Obstetrics and Gynaecology Canada 34, no. 6 (June 2012): 509. http://dx.doi.org/10.1016/s1701-2163(16)35262-8.

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26

Margaretha Manungkalit, Eviyani, Dyah Woro Kartiko Kusumo Wardani, Dewi Novitasari Suhaid, Agustina Ida Pratiwi, Lorensia Panselina Widowati, Baharika Suci Dwi Aningsih, Ni Nyoman Sri Artina Dewi, and Yetty Leoni Irawan. "INCREASING KNOWLEDGE OF PREGNANT WOMEN ABOUT DANGER SIGNS DURING PREGNANCY." Abdi Dosen : Jurnal Pengabdian Pada Masyarakat 7, no. 2 (June 8, 2023): 673. http://dx.doi.org/10.32832/abdidos.v7i2.1803.

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Premature membrane rupture, extreme stomach pain, severe headaches, and bleeding are all warning signs of pregnancy. impacts such as miscarriage, early pregnancy, fetal discomfort, and pregnancy-related toxicity that could affect the mother's health and the safety of the unborn child. If the mother and family are aware of the risk indicators of pregnancy and take prompt action to overcome them, complications can be prevented and addressed early. In light of this, it is crucial for moms to be aware of the pregnancy's risk indicators, such as bleeding and an early rupture of the membranes, through education in order to prevent difficulties and assist mothers in recognizing their pregnancy. The technique employed in this activity is to coach participants about pregnancy-hazard symptoms. Online games are played with expectant mothers and their families. Following the counseling, there was an improvement in knowledge of the pregnancy danger signals, going from 76 (pre-test) to 97 (post-test).

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27

Tulandi, Togas. "Angular Pregnancy, Interstitial Pregnancy, Caesarean Scar Pregnancy and Multidose Methotrexate." Journal of Obstetrics and Gynaecology Canada 39, no. 8 (August 2017): 611–12. http://dx.doi.org/10.1016/j.jogc.2017.03.105.

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28

Kher, André, Jorn Nielsen, and Rupert Bauersachs. "The management of thrombosis in pregnancy: Role of low-molecular-weight heparin." Thrombosis and Haemostasis 97, no. 04 (2007): 505–13. http://dx.doi.org/10.1160/th06-10-0606.

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SummaryFatal pulmonary embolism remains the most common cause of mortality among pregnant women in many Western countries. The physiological changes of pregnancy produce a hypercoagulable state that increases the risk of venous thromboembolism (VTE).Women with inherited or acquired thrombophilias are at particularly high risk of VTE during pregnancy, and thromboprophylaxis may be advisable in some cases. Thrombophilia is also associated with complications of pregnancy, including fetal loss, pre-eclampsia, intra-uterine growth restriction, and placental abruption. The antithrombotic agents available for the prevention and treatment of VTE during pregnancy, and pregnancy complications, include unfractionated heparin (UFH), low-molecular-weight heparin (LMWH) and aspirin. Vitamin K antagonists are contra-indicated in pregnancy. Low-dose aspirin may have a role in the prevention of some pregnancy complications, although its safety in early and late pregnancy is uncertain. The efficacy and safety of LMWHs have been demonstrated for the prevention and treatment of VTE in pregnancy. These agents are increasingly being used in place of UFH, which is associated with a higher incidence of side effects compared with LMWH, in addition to the need for regular laboratory monitoring. Evidence is also emerging to support the use of LMWH in the prevention of recurrent fetal loss, although further trials are needed to explore the role of LMWHs in this indication and in the prevention of other complications of pregnacy.

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Vieira, Viviane Cazetta de Lima, Mayckel da Silva Barreto, Verônica Francisqueti Marquete, Rebeca Rosa de Souza, Mayara Maria Johann Batista Fischer, and Sonia Silva Marcon. "Vulnerability of high-risk pregnancy in the perception of pregnant women and their families." Rev Rene 20 (April 25, 2019): e40207. http://dx.doi.org/10.15253/2175-6783.20192040207.

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Parikh, Dr Purvi M., Dr Akshay C. Shah, Dr Rupa C. Vyas, Dr Tirtha N. Shah, Dr Babulal S. Patel, and Dr Nikhar M. Vaghela. "Feto-maternal Outcome in Teenage Pregnancy." BJKines National Journal of Basic & Applied Sciences 15, no. 02 (December 10, 2023): 98–102. http://dx.doi.org/10.56018/20231215.

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Background:According to WHO any pregnancy in which a girl is between 10-19 years of age at the time of delivery is defined as teenage pregnancy1.Teenage pregnancy have been associated with adverse pregnancy outcome specially maternal anemia, hypertensive disorder, placental abnormalities, PPH, UTI, low birth weight, small for gestational age, pre maturity and a high neonatal and post neonatal mortality14,15.Aims and Objectives:To study the prevalence, socio-demographic factors associated with teenage pregnancies at our institute, and to study the incidence of antenatal, intrapartum, postpartum complications, perinatal morbidity and mortality of mother and fetus, among teenage patients at our institute. Also, to study the incidence of MTPs and awareness and prevalence of contraceptive practices among teenage pregnancies.Material and Methods:This was a retrospective analytical study and the study was carried out at the Department of Obstetrics and Gynaecology of our institute during the period - February 2021 to February 2023.Result and Conclusion:The study was conducted to evaluate maternal and fetal outcome associated with teenage pregnancy. Our present study suggested the common complications associated with teenage pregnancy are anemia, hypertensive disorders of pregnancy, higher incidence of operative delivery, lactation related issues, pyscho-social issues because of age related immaturity and social taboopre-term labour, low birth weight, still birth. There is substantial increased maternal and fetal morbidity and mortality associated with teenage pregnancy. Keywords:Teenage pregnancy, adolescent mothers, adverse pregnancy outcome, anemia, CPD, contraceptive awareness

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Agrawal, Saloni. "A Case of Pregnancy with Bicornuate Unicollis Uterus and Rh Negative Pregnancy." International Journal of Science and Research (IJSR) 12, no. 5 (May 5, 2023): 2215–16. http://dx.doi.org/10.21275/mr23518182926.

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Gupta, Pooja, and S. K Singh. "Acute Fatty Liver of Pregnancy - A Fatal Complication in Pregnancy: Case Series." Indian Journal of Obstetrics and Gynecology 8, no. 4 (December 15, 2020): 275–78. http://dx.doi.org/10.21088/ijog.2321.1636.8420.13.

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Introduction: Acute fatty liver of pregnancy (AFLP) is a rare, but potentially fatal condition, characterized by hepatic failure typically in the third trimester of pregnancy that is associated with multiorgan involvement resulting in several clinical and laboratory abnormalities. Aim and Objectives: To study the course of acute fatty liver of pregnancy which will help later to early diagnose, prompt delivery, and providing supportive care to improved maternal morbidity and mortality rates. Materials and Methods: The authors report an observational case series of patients who developed acute fatty liver of pregnancy and managed in critical care in a year that illustrated the compound challenges in recognition, monitoring, and management. One of the cases has been imprinted with maternal mortality because of deterioration of the condition leading to sepsis along with multiorgan dysfunction syndrome. Results: A total of three cases of acute fatty liver of pregnancy were found in a year. Nausea, vomiting, and anorexia were the most common symptoms among all. Jaundice and ascites were the most common findings. Deterioration of the condition can lead to complications like sepsis, Disseminated Intravascular Coagulation, multiorgan failure, and death. Conclusions: Early detection, delivery, and supportive care are sufficient to reduce fatality but in cases of deterioration of patients’ condition despite proper management can lead to multiple complications and ultimately mortality. Regular antenatal health check-ups can help in early detection.

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Sharma, Gp Captain J. C., Brig Praveen kumar, and Rupa Talukdar. "Is heterotopic pregnancy uncommon?" Asian Pacific Journal of Health Sciences 1, no. 4 (October 2014): 458–60. http://dx.doi.org/10.21276/apjhs.2014.1.4.25.

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Kaur, Amanjot. "Pregnancy following Sheehan’s Syndrome." Indian Journal of Obstetrics and Gynecology 7, no. 1 (2019): 108–11. http://dx.doi.org/10.21088/ijog.2321.1636.7119.19.

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Laamari, Kaoutar. "Genital Herpes and pregnancy." Journal of Clinical Research and Reports 2, no. 1 (January 13, 2020): 01. http://dx.doi.org/10.31579/2690-1919/011.

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Female patient aged 30, at 7 months of pregnancy, admitted to gynecology for genital pain associated with pruritus that has been evolving for one week . On clinical examination, she presents a vulvar edema, ulceration with polycyclic contours and some vesicles on the periphery. The diagnosis of herpes genital was confirmed. The patient took an antiviral treatment. Genital herpes is a sexually transmitted disease caused by the herpes simplex virus (HSV). It is the most frequent cause of genital ulceration worldwide.

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Laamari, Kaoutar. "Genital Herpes and pregnancy." Journal of Clinical Research and Reports 2, no. 1 (January 9, 2020): 01. http://dx.doi.org/10.31579/jcrr/2020/011.

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Ambulkar, Sunil, Parimal Tayde, Makarand Randive, and Mukund Ganeriwal. "Diabetes mellitus in pregnancy." New Indian Journal of OBGYN 4, no. 1 (July 2017): 4–9. http://dx.doi.org/10.21276/obgyn.2017.4.1.2.

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I, Manzoor. "Corona Virus and Pregnancy." Open Access Journal of Gynecology 8, no. 1 (January 10, 2023): 1–5. http://dx.doi.org/10.23880/oajg-16000251.

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The objective of this research was to know about the complications of corona virus during pregnancy. The coronavirus is a deadly virus which is pandemic and an emergency situation which is spreading in the whole world like a fire in the forest. The number of cases and deaths increases day by day. It drastically affects the socio-economic condition of every country in the world. Pregnancy is physiological state in which a woman is more prone towards the infectious diseases and results in serious complications for the mother as well as for the newborn baby. This literature review is about the complications of the coronavirus affected mother and her baby

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Burman, Sohini. "Portal Hypertension in Pregnancy." International Journal of Science and Research (IJSR) 12, no. 4 (April 5, 2023): 1381–82. http://dx.doi.org/10.21275/mr23421124334.

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S, Divya. "Pregnancy with Torch Complex." International Journal of Science and Research (IJSR) 13, no. 4 (April 5, 2024): 165–68. http://dx.doi.org/10.21275/sr24329214022.

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Svobodová, Natália, Peter Kaščák, and Marek Bojda. "Haemorrhagic stroke in pregnancy." Česká gynekologie 89, no. 2 (April 22, 2024): 108–12. http://dx.doi.org/10.48095/cccg2024108.

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Objective: To present a case of acute haemorrhagic stroke during 3rd trimester of pregnancy and to describe management and successful delivery of healthy baby. Case report: Haemorrhagic stroke is responsible for significant morbidity and mortality. Prognosis can be improved only by urgent diagnosis and care. We report a case of pregnant woman at 37th week of pregnancy with acute haemorrhagic stroke of unknown etiology with clinical appearance of thunderclap headaches and overall disorientation. We describe diagnostic approach and a successful management followed by further differential diagnosis and treatment. The foetus was delivered by acute caesarean section at 37th week of pregnancy. Conclusion: Occurrence of haemorrhagic stroke in pregnancy is rare. There are no specific guidelines that recommend the time and mode of delivery; therefore, each case is assessed individually. Key words: haemorrhagic stroke – pregnancy – stroke management

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Gaur, Vishal, Abhishek Pal, and Priyanka Thakur. "Vaccine Safety in Pregnancy." Indian Journal of Trauma and Emergency Pediatrics 14, no. 2 (June 15, 2022): 53–54. http://dx.doi.org/10.21088/ijtep.2348.9987.14222.6.

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Immunize dubious infectious disease are accountable for significant maternal, neonatal and young infant despair and loss of life. While there is emerging confirmation as well as theoretical thought indicating that certain. Vaccine Sarerisk free for pregnant women and fetuses, policy– formulation is difficult because of behold potential danger to the fetus. The immature adaptive immune system of neonate impulsive infant build them particularly vulnerable despair and loss of life due to infection. Vaccinated pregnant women can defend the fetus. It can also directly defend the fetus via specific transplant from the mother in time of pregnancy. Keywords :Theoretical; Policy-formulation; Vulnerable; Transplant.

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Akshara, P., Vattikuti Sonica, and Y. Annapoorna. "Pregnancy after Tubal Sterilization." Indian Journal of Obstetrics and Gynecology 9, no. 4 (December 15, 2021): 213–18. http://dx.doi.org/10.21088/ijog.2321.1636.9421.3.

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Objectives: In our study, we have tried to evaluate the causative factors for sterilization failure and also to discuss preventive measures to avoid maternal morbidities and unwanted pregnancies and as a result of sterilization failure especially in developing countries like India and tried to establish methods to decrease the rates of failed sterilization. Materials and Methods: This study is a retrospective study that was done on all the women presented with failed sterilization in the Department of obstetrics and gynaecology, GSL medical college and general hospital from May 2018 to May 2019. Results: During 1 year 20 cases of post-sterilization failure were reported, out of which 16 (80%) cases were intra-uterine pregnancies and 4 (20%) were ectopic pregnancies. Among which 17 (85%) cases underwent sterilization by modified Pomeroy’s method & 3(15%) underwent laparoscopic sterilization.14 (70%) cases presented to opd within 12 wks of gestation, out of which 2 cases (10%) underwent first trimester MTP.10 (50%)cases delivered at term by normal vaginal delivery, 1case delivered as preterm & 4 (20%) delivered at term by elective cesarean section. 7 cases underwent resterilisation by fimbriectomy & 13 cases underwent sterilization by bilateral salpingectomy. Conclusion: In the present study open method of sterilization was the most common cause of post sterilization failure than laparoscopic sterilization. Conversely, sterilization failure after one year is more likely due to natural tubal lumen regeneration through tubal recanalization or fistula formation. Hence proper counselling before sterilization should be done regarding the procedure, failure rates and morbidity. Surgical procedures should document Intra-operative adhesions, difficulty in identifying tubes, slipped rings or bands. Despite few failure rates tubal sterilization remains the most chosen method to control the population.

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Din, Shazia Shukar-ud, and Sadaf Ahmed Asim. "PREGNANCY." Professional Medical Journal 22, no. 06 (June 10, 2015): 776–81. http://dx.doi.org/10.29309/tpmj/2015.22.06.1247.

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Objective: To determine frequency and pattern of skin changes duringpregnancy. Study Design: Cross sectional study. Setting: Outpatient department ofDermatology and Gynaecology at Dow University Hospital, Ojha campus in Karachi. Period:May 10, 2013 and January 10, 2014. (8 months). Patients & Methods: It comprises 80consecutive pregnant women with skin problem, who presented in outpatient department ofDermatology with referral cases from Obs&Gynae outpatient department.Information wascollected on predesigned questionnaire after taking informed consent. Results: Total 80pregnant women were included in study with different skin problems. The results indicatethatmost of women 72.5% presented during third trimester and 43.8% women were primigravida.Striagravidarum and lneanigra was commonest physiological changes, reported in 54%, 52%women consecutively. Eczema,utricaria and candidiasis were reported in 16.3% and 15% and15% women consecutively. Prurigo of pregnancy was reported in 17.5% followed by pruriticfolliculitis of pregnancy in 6.3% women. Conclusions: This study concluded that skin changesduring pregnancy are frequent in Pakistani women. These changes could be physiological orpathological.

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Ahsan, Muhammad Aslam, and Muhammad Rafique Cheema. "PREGNANCY." Professional Medical Journal 23, no. 03 (March 10, 2016): 284–87. http://dx.doi.org/10.29309/tpmj/2016.23.03.1474.

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Thromboembolic complications are considered as the major cause of deathin pregnant ladies. Objectives: To evaluate the presence of this complication. Design:Retrospective and comparative study. Setting: Services Hospital Lahore. Period: From 2010 to2012. Materials and Methods: Forty pregnant ladies admitted in Services Hospital Lahore weresubjected to estimation of fibrinogen level, FDP level and plasma D-dimer level within 24 hoursof delivery. Results: Twenty controls and 40 patients (pregnant ladies) were studied. Fibrinogenlevel, FDP level and plasma D-dimer levels were increased in all patients as compared to thecontrols and this increase in all three investigations was statistically significant (P˂ O.O5).Conclusion: Significant changes in Fibrinogen level, FDP level and plasma D-dimer level werefound in pregnant ladies immediately after delivery (within 24 hours).

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TAHIRA, TASNIM, and SUMERA TAHIR. "PREGNANCY;." Professional Medical Journal 19, no. 02 (February 22, 2012): 145–49. http://dx.doi.org/10.29309/tpmj/2012.19.02.1963.

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Objective: To determine pregnancy outcome in patients presenting with heart disease during pregnancy and labour. Design:Descriptive study. Place & Duration of study: This study was conducted in Gynae Unit-I, Allied Hospital affiliated with Punjab Medical College,Faisalabad, during a period of 2 years from January 2009 to December 2010. Materials & Methods: This study included 74 patients whopresented with congenital or acquired heart disease during pregnancy or labour. Patients were evaluated for their cardiovascular status bycardiologist. Relevant investigations done to assess maternal and fetal condition. Results: 50 patients (67.6%) were in age group 20-25 years.Congenital heart disease was present in 8 (1.8%) patients while acquired heart disease was present in 66 patients (98.2%). 52 patients (70.3%)achieved term delivery, while 8 patients (10.8%) had spontaneous miscarriage and 14 patients (18.9%) had preterm delivery. 50 patients (76%)had live birth with normal birth weight, 12 patients (18%) had fetuses which were small for gestational age (SGA), 2 patients (3%) had stillbirthand 2 patients (3%) had early neonatal death due to prematurity. Conclusions: Heart disease in pregnancy is a high risk condition.Multidisciplinary approach should be adopted in the management of cardiac patient to achieve good obstetric and fetal outcome.

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AKHTAR, AMBREEN, and WASEEM TALIB. "PREGNANCY." Professional Medical Journal 18, no. 01 (March 10, 2011): 5–10. http://dx.doi.org/10.29309/tpmj/2011.18.01.1849.

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Aims and Objectives: To evaluate whether serial monitoring of fetuses beyond 40 weeks with biophysical profile and non-stress test improves the fetal outcome in terms of morbidity and mortality determined by APGAR score at 5 minutes, presence of meconium in liquor, weight of baby and admission of neonate in nursery and to compare the maternal morbidity associated with prolonged pregnancy, labour induction and mode of delivery in the study and control group. Materials and Methods: It is a prospective controlled study conducted in the department of obstetrics and gynaecology Ghurki Trust Teaching Hospital, Lahore from 1st September 2007 to 31st August 2009. 200 patients at 40 weeks of pregnancy matching the inclusion criteria were enrolled for the study. They were divided into a study and a control group consisting of 100 patients each. Patients in the study group were subjected to fetal monitoring in the form of cardiotocography (CTG) and biophysical profile (BPP) while those in the control group were evaluated clinically and by kick count chart (KCC). The outcome of the two groups beyond 40 weeks was compared with each other. Results: The percentage of patients reaching 42 weeks was 4 in each group. The rest went into spontaneous labour, were induced or had emergency caesarean sections due to various reasons. The difference between the rest of the parameters like maternal morbidity, mode of delivery, fetal APGAR score and admission in neonatal intensive care unit (NICU) between the two groups were not statistically different. Conclusions: After 40 weeks of gestation fetal monitoring should be started with proper counseling of the patient, clinical assessment and fetal kick chart. NST and biophysical profile should be used selectively in patients with sluggish fetal movement or suspected reduced liquor clinically. All patients who reach 42 weeks must be induced.

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Johnston, Craig A., and Jennette P. Moreno. "Pregnancy." American Journal of Lifestyle Medicine 8, no. 2 (December 11, 2013): 93–96. http://dx.doi.org/10.1177/1559827613514695.

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cárdenas, micha. "Pregnancy." TSQ: Transgender Studies Quarterly 3, no. 1-2 (May 2016): 48–57. http://dx.doi.org/10.1215/23289252-3334187.

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Johnson, David. "Pregnancy." Nephrology 11 (April 2006): S41—S43. http://dx.doi.org/10.1111/j.1440-1797.2006.00608.x.

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