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Gastroenterology Sep 2022
Topics: Crohn Disease; Female; Humans; Intestinal Fistula; Pregnancy; Pregnancy Complications
PubMed: 35580662
DOI: 10.1053/j.gastro.2022.05.018 -
Advances in Experimental Medicine and... 2017Chronic hypertension is frequently encountered during pregnancy and needs to be distinguished from other hypertensive complications of pregnancy, such as preeclampsia... (Review)
Review
Chronic hypertension is frequently encountered during pregnancy and needs to be distinguished from other hypertensive complications of pregnancy, such as preeclampsia and gestational hypertension. The prevalence of this pregnancy complication is attributable to the increased prevalence of obesity and maternal age at childbearing. Women with chronic arterial hypertension are at increased risk for several pregnancy complications, including superimposed preeclampsia, caesarean delivery, preterm delivery <37 weeks gestation, birth weight <2500 g, neonatal unit admission, and perinatal death. Therefore, specialized attention should be given to these women as part of family planning before conception to provide counseling about the pregnancy risks, to inform about surveillance of fetal well-being, to determine the timing of delivery, and to optimize BP control before, during, and after birth.
Topics: Age Factors; Antihypertensive Agents; Arterial Pressure; Chronic Disease; Diagnosis, Differential; Female; Humans; Hypertension; Hypertension, Pregnancy-Induced; Obesity; Perinatal Care; Predictive Value of Tests; Pregnancy; Pregnancy Outcome; Prevalence; Risk Factors; Treatment Outcome; Weight Gain
PubMed: 27722962
DOI: 10.1007/5584_2016_81 -
Best Practice & Research. Clinical... May 2016Malignancy complicating pregnancy is fortunately rare, affecting one in 1000 to one in 1500 pregnancies. Optimal treatment involves balancing the benefit of treatment...
Malignancy complicating pregnancy is fortunately rare, affecting one in 1000 to one in 1500 pregnancies. Optimal treatment involves balancing the benefit of treatment for the mother while minimizing harm to the fetus. This balance is dependent on the extent of the disease, the recommended course of treatment, and the gestational age at which treatment is considered. Both surgery and chemotherapy are generally safe in pregnancy, whereas radiation therapy is relatively contraindicated. Iatrogenic prematurity is the most common pregnancy complication, as infants are often delivered for maternal benefit. In general, however, survival does not differ from the nonpregnant population. These patients require a multidisciplinary approach for management with providers having experience in caring for these complex patients. The aim of this review was to provide an overview for obstetricians of the diagnosis and management of malignancy in pregnancy.
Topics: Antineoplastic Agents; Breast Neoplasms; Colonic Neoplasms; Contraindications; Female; Hematologic Neoplasms; Humans; Melanoma; Ovarian Neoplasms; Pregnancy; Pregnancy Complications, Neoplastic; Pregnancy Trimesters; Radiotherapy; Thyroid Neoplasms; Uterine Cervical Neoplasms
PubMed: 26542928
DOI: 10.1016/j.bpobgyn.2015.10.004 -
Obstetrics and Gynecology Clinics of... Mar 2014Mid-trimester pregnancy loss (MTL) occurs between 12 and 24 weeks' gestation. The true incidence of this pregnancy complication is unknown, because research into MTL in... (Review)
Review
Mid-trimester pregnancy loss (MTL) occurs between 12 and 24 weeks' gestation. The true incidence of this pregnancy complication is unknown, because research into MTL in isolation is scarce, although the estimated incidence has been noted to be 2% to 3% of pregnancies. A comprehensive preconceptual screening protocol is recommended, because the cause for an MTL may be present in isolation or combined (dual pathology), and is often heterogeneous. Patients with a history of MTL are at an increased risk of future miscarriage and preterm delivery. This risk is increased further depending on the number of associative factors diagnosed.
Topics: Abortion, Spontaneous; Adult; Antiphospholipid Syndrome; Cerclage, Cervical; Evidence-Based Medicine; Female; Gestational Age; Humans; Placenta Diseases; Pregnancy; Pregnancy Complications, Infectious; Pregnancy Trimester, Second; Quality Assurance, Health Care; Risk Factors; Urogenital Abnormalities; Uterine Cervical Diseases; Uterus; Vaginosis, Bacterial
PubMed: 24491985
DOI: 10.1016/j.ogc.2013.10.007 -
Best Practice & Research. Clinical... Mar 2024Preeclampsia is a relatively common pregnancy complication and constitutes a major cause of morbidity and mortality for mothers and children worldwide. It... (Review)
Review
Preeclampsia is a relatively common pregnancy complication and constitutes a major cause of morbidity and mortality for mothers and children worldwide. It disproportionally affects low-resource countries. Appropriate identification of individuals at increased risk and prevention of the disease and its complications remain healthcare and research priorities, and the investigation of potential interventions to prevent preeclampsia has driven much of the obstetric research in recent decades. In this article, we review the scientific literature on the topic, highlighting established benefits and remaining questions regarding different non-pharmacological and pharmacological strategies, including exercise, the timing of birth, aspirin and calcium use, among others, as well as potential novel therapies under investigation.
Topics: Pregnancy; Female; Child; Humans; Pre-Eclampsia; Aspirin; Pregnancy Complications
PubMed: 38373378
DOI: 10.1016/j.bpobgyn.2024.102481 -
Obstetrics and Gynecology Clinics of... Dec 1995At this time, the growth of uterine myomas during pregnancy cannot be predicted. Major complications of pregnancy appear to be related to whether the placenta and the... (Review)
Review
At this time, the growth of uterine myomas during pregnancy cannot be predicted. Major complications of pregnancy appear to be related to whether the placenta and the myoma are in contact. The location and number of myomas, especially in the lower uterine segment, increases the likelihood of cesarean birth and malpresentation. Frequent ultrasound evaluations to monitor fetal growth and presentation and the size of the myoma should be considered in pregnant women with uterine myomas. Surgical resection of myomas should be reserved for those pregnant women with symptomatic pedunculated myomas with a small stalk. In those women with a pregnancy complication owing to the myoma, resection should be considered prior to the next pregnancy.
Topics: Female; Humans; Leiomyoma; Pregnancy; Pregnancy Complications, Neoplastic; Uterine Neoplasms
PubMed: 8786883
DOI: No ID Found -
Ugeskrift For Laeger Mar 2021Depression is common in pregnant women and is often not treated. It can have major consequences for both mother and child. It is associated with several complications,... (Review)
Review
Depression is common in pregnant women and is often not treated. It can have major consequences for both mother and child. It is associated with several complications, including miscarriages, vaginal bleeding and preterm birth. It is important, that healthcare professionals, who have contact with pregnant women, have knowledge about dealing with pregnant women with depression and its symptoms, as a large proportion of these depressions continue post-partum. In this review, we describe the aetiology, assessment, potential complication, antenatal care and treatment of pregnant women with depression.
Topics: Abortion, Spontaneous; Child; Depression; Female; Humans; Infant, Newborn; Pregnancy; Pregnancy Complications; Premature Birth; Prenatal Care
PubMed: 33734070
DOI: No ID Found -
Clinical Obstetrics and Gynecology Mar 2015With the advent of routine obstetrical ultrasound, the diagnosis of an adnexal mass in pregnancy has become increasingly common. Although the reported incidence and... (Review)
Review
With the advent of routine obstetrical ultrasound, the diagnosis of an adnexal mass in pregnancy has become increasingly common. Although the reported incidence and expected clinical course varies based on the gestational age at the time of diagnosis and the criteria used to define an adnexal mass, the majority of adnexal masses diagnosed in pregnancy are benign and are likely to resolve without complication or intervention. This review will discuss the epidemiology of adnexal masses in pregnancy, diagnostic tools, potential complications, and management options during pregnancy.
Topics: Adnexal Diseases; Biomarkers, Tumor; Female; Humans; Laparoscopy; Magnetic Resonance Imaging; Ovarian Cysts; Pregnancy; Pregnancy Complications; Pregnancy Complications, Neoplastic; Torsion Abnormality; Ultrasonography; Watchful Waiting
PubMed: 25551696
DOI: 10.1097/GRF.0000000000000088 -
Taiwanese Journal of Obstetrics &... Jan 2022Flood is one of the natural disasters with high prevalence in the world. The aim of this research was to investigate the effect of flood on pregnancy outcome and... (Review)
Review
Flood is one of the natural disasters with high prevalence in the world. The aim of this research was to investigate the effect of flood on pregnancy outcome and pregnancy complication such as preterm birth, LBW, SGA, stillbirth, spontaneous abortion, preeclampsia and eclampsia. This is a systematic review based on the PRISMA model that examines pregnancy disorder, pregnancy complication, and reproductive outcomes in floods. For fulfilling of the objectives of the research, related keywords were identified using Mesh and Emtree databases. Then the search was done in the electronic database of Medline, Web of Science, Embase, scopus until 2021.2.10. The search strategy in the Medline database. Database searches resulted in 823 non-duplicate records. After reading the abstracts, 808 articles were excluded. 15 abstracts were eligible for the study, which their full texts were provided. Finally based on inclusion and exclusion criteria 7 articles were included in this study. After flood, the rate of LBW birth and gestational hypertension increases. However, there is no significant difference in preterm birth rates. Pregnancy complications can be reduced or prevented by starting prenatal care early and also by controlling risk factors such as reducing smoking and alcohol consumption.
Topics: Female; Floods; Humans; Infant, Low Birth Weight; Infant, Newborn; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Premature Birth; Stillbirth
PubMed: 35181015
DOI: 10.1016/j.tjog.2021.11.005 -
Emergency Medicine Clinics of North... May 2019The period just after delivery is a high-risk period for women with associated morbidity and even mortality. There are large variations in complication rates across... (Review)
Review
The period just after delivery is a high-risk period for women with associated morbidity and even mortality. There are large variations in complication rates across various groups in the United States. This article covers complications commonly encountered in the emergency department in late pregnancy and the early postpartum period. It specifically addresses postpartum depression, peripartum cardiomyopathy, and the late pregnant or postpartum patient presenting with headache or neurologic complaints. Emergency physicians should be well versed in common and life-threatening postpartum pathologies.
Topics: Depression, Postpartum; Emergency Service, Hospital; Female; Headache; Humans; Postpartum Period; Pregnancy; Pregnancy Complications; Pregnancy Trimester, Third; Puerperal Disorders
PubMed: 30940372
DOI: 10.1016/j.emc.2019.01.013