Read by QxMD icon Read

abdominal pregnancy

Ameen Barghi, Mark Wu, Viet Nguyen, Rebecca Osgood, Arundhati Ghosh
A 26-year-old, otherwise healthy female presented to the Emergency Room for the evaluation of abdominal pain. It was immediately apparent that she had a massively distended abdomen. History revealed progressive abdominal distension over several years. Evaluation for pregnancy was negative and a computed tomography (CT) scan demonstrated a 38 × 32 × 23 cm septated cystic mass. Careful controlled partial needle decompression of the cyst, removing 18.5 l of fluid, was followed by a mini-laparotomy with complete removal of a multi-loculated cystic ovarian mass approximately 45 lb in weight...
November 2018: Journal of Surgical Case Reports
Ingrid Guerra Azevedo, Saionara Maria Aires da Câmara, Catherine McLean Pirkle, Álvaro Campos Cavalcanti Maciel, Elizabel de Souza Ramalho Viana
OBJECTIVE: Previous studies show that multiparity and a number of chronic conditions are correlated among women. Also, low respiratory muscle strength has been associated to adverse health outcomes such as chronic lung disease and early mortality. This study aimed to investigate associations between the number of lifetime pregnancies and maximal inspiratory/expiratory pressures. METHODS: In a cross-sectional study, 204 women ages 41-80 years-old, from the rural community of Santa Cruz, Brazil, provided data regarding demographics, socioeconomic characteristics, health behaviors, and number of lifetime pregnancies (≤3, 4-6 or ≥7)...
2018: PloS One
Liran Hiersch, Rania Okby, Howie Freeman, Hadar Rosen, Ori Nevo, Jon Barrett, Nir Melamed
OBJECTIVE: Twin fetuses growth is delayed during the third trimester compared to singletons. Whether this phenomenon should be considered a normal physiologic characteristic of twins or a pathologic process inherent to twin pregnancies is currently unclear. Information on the growth rate of the individual fetal biometric indices may provide more insight into the mechanisms underlying these differences between twins and singletons. Our aim was to compare fetal growth pattern between twin and singleton fetuses...
December 2, 2018: Journal of Maternal-fetal & Neonatal Medicine
Nadine Melman, Stefanie E Damhuis, Hans G I van Weering
A 23-year-old pregnant woman presented with acute right-sided abdominal pain and vomiting in the 21st week of gestation. An MRI scan showed an ovarian torsion and a dermoid cyst. On the same day, laproscopy was performed. After removal of the cyst, the pregnancy and the childbirth progressed without complications.
November 27, 2018: Nederlands Tijdschrift Voor Geneeskunde
Masumeh Babayi, Mahmood-Reza Azghani, Sakineh Hajebrahimi, Bary Berghmans
AIMS: To evaluate the role of soft tissue and ligaments damage and level of pelvic muscles activation versus intra-abdominal pressure, on pelvic organ prolapse. METHODS: This was a computational modeling based on the finite element analysis. Three pelvic muscles, four pelvic ligaments, and three organs (urethra, vagina, and rectum) were simulated. The model was subjected to total 41 472 analysis cases including three intra-abdominal pressures, two damaging levels for the ligaments, three damaging levels for the muscles, and four intentional levels of activation for muscles...
November 29, 2018: Neurourology and Urodynamics
Roxanna A Irani, Ann Santa-Ines, Robert W Elder, Heather S Lipkind, Michael J Paidas, Katherine H Campbell
Background: Women with mechanical heart valves (MHV) requiring anticoagulation (AC) are at high risk for hemorrhagic complications. Despite guidelines to manage antenatal and peripartum AC, there are few evidence-based recommendations to guide the initiation of postpartum AC. We reviewed our institutional experience of pregnant women with MHV to lay the groundwork for recommendations of immediate postpartum AC therapy. Study design: This descriptive retrospective cohort used ICD-9 and -10 codes to identify pregnant women with MHV on AC at the Yale-New Haven Hospital from 2007 to 2018...
2018: International Journal of Women's Health
S H Jayanth, Girish Chandra, S Praveen
A 26-year-old unmarried female with a history of acute abdominal pain and bleeding per vagina was brought unresponsive to the hospital. She was in shock on arrival and could not be resuscitated. Death was registered as a medico-legal case. Further investigation by the police revealed that she had amenorrhoea for eight weeks and had tested positive for pregnancy. She had consumed abortion pills purchased from a local pharmacist without consulting a doctor and had developed acute abdominal pain after 48 h. Autopsy revealed a ruptured ectopic pregnancy (tubal type)...
November 29, 2018: Medico-legal Journal
A H Khan, M M Rahman, M F Rahaman, M Rahman, M K Mondal, M A Chowdhury
Antiphospholipid Syndrome (APS) is characterized by arterial, venous or small vessel thromboses and/or pregnancy morbidity in the presence of persistently elevated titers of antiphospholipid antibodies. Since virtually any organ can be involved, the clinical presentation of APS is very varied. Abdominal manifestations are rare but may be life-threatening, and include Budd-Chiari Syndrome. We report the case of a 26-year-old woman with primary APS, on aspirin treatment, who presented to us at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh in March 2017 with ascites for which she had been receiving treatment for abdominal tuberculosis...
October 2018: Mymensingh Medical Journal: MMJ
Ozgur Ozyuncu, Atakan Tanacan, Sinem Ayse Duru, Mehmet Sinan Beksac
OBJECTIVE:  Our aim is to demonstrate the importance of methotrexate (MTX) therapy for the treatment of ectopic pregnancy (EP). METHODS:  This retrospective study consisted of 99 patients (72 tubal EPs, 20 pregnancies of unknown location (PUL), 4 cesarean section (CS) scar EPs and 3 cervical EPs) treated with MTX. RESULTS:  Methotrexate therapy was successful in 68.5% of EPs. There were statistically significant differences between the MTX success and failure groups based on ultrasonographic findings, patient complaints, gestational week and serum human chorionic gonadotropin (hCG) values...
November 2018: Revista Brasileira de Ginecologia e Obstetrícia
Barbara Heude, Morgane Le Guern, Anne Forhan, Pauline Scherdel, Manik Kadawathagedara, Marie-Noëlle Dufourg, Corinne Bois, Marie Cheminat, François Goffinet, Jérémie Botton, Marie-Aline Charles, Jennifer Zeitlin
BACKGROUND: The Intergrowth-21st (IG) project proposed prescriptive fetal growth standards for global use based on ultrasound measurements from a multicounty study of low-risk pregnancies selected using strict criteria. We examined whether the IG standards are appropriate for fetal growth monitoring in France and whether potential differences could be due to IG criteria for "healthy" pregnancies. METHOD: We analysed data on femur length and abdominal circumference at the second and/or the third recommended ultrasound examination from 14 607 singleton pregnancies from the Elfe national birth cohort...
November 28, 2018: Paediatric and Perinatal Epidemiology
Georgios Doulaveris, Patience Gallagher, Elizabeth Romney, Michael Richley, Juliana Gebb, Mara Rosner, Dar M D Pe'er
BACKGROUND: Infants that are small for gestational age (SGA) at birth are at increased risk for morbidity and mortality. Unfortunately, the antenatal prediction of SGA is suboptimal. OBJECTIVES: We sought to: 1. examine the association between second trimester fetal abdominal circumference < 10% (2T-AClag) with SGA and other gestational and neonatal adverse outcomes; 2. assess 2T-AClag as a predictor of SGA. STUDY DESIGN: Retrospective study of 212 singleton gestations with 2T-AClag on routine ultrasound between 18-24 weeks...
November 27, 2018: Journal of Maternal-fetal & Neonatal Medicine
Gabrielle G Snyder, Claudia Holzman, Tao Sun, Bertha Bullen, Marnie Bertolet, Janet M Catov
BACKGROUND: Abdominal obesity is an important indicator of cardiometabolic dysfunction in later life. Prior studies have observed an inverse association between breastfeeding and maternal waist circumference (WC) in the years after pregnancy, but this may be due to bias resulting from systematic differences in women who do and do not breastfeed. MATERIALS AND METHODS: A total of 678 women enrolled in the Pregnancy Outcomes and Community Health (POUCH) cohort also participated in the POUCHmoms Study 7-15 years after delivery...
November 27, 2018: Journal of Women's Health
Jacqueline Matthew, Christina Malamateniou, Caroline L Knight, Kelly P Baruteau, Tara Fletcher, Alice Davidson, Laura McCabe, Dharmintra Pasupathy, Mary Rutherford
Objective: To compare the intra and interobserver variability of ultrasound and magnetic resonance imaging in the assessment of common fetal biometry and estimated fetal weight in the second trimester. Methods: Retrospective measurements on preselected image planes were performed independently by two pairs of observers for contemporaneous ultrasound and magnetic resonance imaging studies of the same fetus. Four common fetal measurements (biparietal diameter, head circumference, abdominal circumference and femur length) and an estimated fetal weight were analysed for 44 'low risk' cases...
November 2018: Ultrasound: Journal of the British Medical Ultrasound Society
I Salim, A Cavallaro, C Ciofolo-Veit, L Rouet, C Raynaud, B Mory, A Collet Billon, G Harrison, D Roundhill, A T Papageorghiou
OBJECTIVE: To determine whether an automated tool can automatically measure the fetal head circumference (HC), abdominal circumference (AC) and femur length (FL) on frozen 2D ultrasound images. METHODS: Ultrasound images from 100 pregnancies between 20 to 40 weeks of gestation were assessed, ensuring equal distribution of data throughout gestational age. For each pregnancy, three standard biometric variables (HC, AC, FL) were measured three times (nine independent image acquisitions)...
November 27, 2018: Ultrasound in Obstetrics & Gynecology
Paul Tyan, Jamal Mourad, Brian Wright, Marc Winter, Devon Garza, Rachael Smith, Janel Brink, Chapman Wei, Gaby Moawad
OBJECTIVE: High-risk pregnancy stratification and the use of Progesterone and prophylactic cerclage based on prior obstetrical outcomes and cervical length screening have been successful in curbing the impact of preterm birth. However, a large number of women will still suffer from preterm delivery even with optimal management. Experts agree that a transabdominal cerclage is the next best option for women who fail a transvaginal cerclage in a prior pregnancy. Our primary objective with this study is to assess the obstetric benefits and feasibility of robotic-assisted transabdominal cerclage in high-risk women projected to have poor obstetric outcomes...
November 12, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Maryam Boumezrag, Sormeh Harounzadeh, Hamza Ijaz, Angeline Johny, Lorna Richards, Yan Ma, Maxine A Le Saux, Paige Kulie, Caitlin Davis, Andrew C Meltzer
STUDY OBJECTIVES: The primary objective of this study was to compare Emergency Department patients with first-time versus recurrent acute pancreatitis. METHODS: This study was a retrospective chart review of patients with a diagnosis of acute pancreatitis who presented to a single academic urban emergency department from 2012 to 2016. Criteria for inclusion were clinical symptoms of pancreatitis, age greater than or equal to 18 years, ED diagnosis of acute pancreatitis, and an abdominal CT scan within 24 h of triage...
November 9, 2018: American Journal of Emergency Medicine
Erin Clark, Christy Isler, Diana Strickland, Amy Gross McMillan, Xiangming Fang, Devon Kuehn, Srikanth Ravisankar, Cody Strom, Linda E May
BACKGROUND: Maternal BMI, lipid levels (cholesterol, triglyceride, LDL, HDL), and exercise amount are interrelated and each influence offspring body size. This study proposed to determine the influence of exercise on maternal lipid levels and infant body size. METHODS: We had 36 participants complete these measures. Participants in the aerobic exercise intervention (n = 14) completed three 50-min sessions weekly from 16 weeks gestation to delivery and were compared with a non-exercise control group (n = 22)...
November 21, 2018: International Journal of Obesity: Journal of the International Association for the Study of Obesity
Doudou K Nzaumvila, Indiran Govender, Gboyega A Ogunbanjo
BACKGROUND:  Ectopic pregnancy (EP) is a life-threatening condition; at Odi Hospital, approximately 7-10 EPs are managed weekly. Our study is the first to assess the management of this life-threatening condition at Odi Hospital. AIM:  This study aimed to determine the incidence of EP and to assess the profile of women who presented with EP at Odi District Hospital from 01 January 2010 to 31 December 2014. SETTING:  The study was conducted at Odi District Hospital, located in Mabopane, a township in Gauteng province, 45 km north of Tshwane, South Africa (SA)...
October 30, 2018: African Journal of Primary Health Care & Family Medicine
Deepak Shrestha, Shreyashi Aryal, Binita Sharma
BACKGROUND: With the legalization of medical abortion in Nepal, mifepristone-misoprostol combination via different routes has been widely used for early abortion. This study aims to evaluate the efficacy and acceptability of 200 milligrams mifepristone orally followed by 800 micrograms sublingual misoprostol in outpatient setting. METHODS: It was an open-label prospective study conducted in outpatient department of a tertiary hospital over a period of 13 months...
October 30, 2018: Journal of Nepal Health Research Council
Sansan Rodrigue Sib, Issa Ouédraogo, Moussa Sanogo, Sibraogo Kiemtoré, Yobi Alexis Sawadogo, Hyacinthe Zamané, Blandine Bonané
BACKGROUND: Abdominal pregnancy is defined as the partial or total insertion of the embryo into the abdominal cavity. It is rare, and can evolve towards the full term if it is not recognized in the early pregnancy. It carries a high risk of maternal-fetal morbidity and mortality. CASE PRESENTATION: We report a case of a 22 year-old gravida IV, para II with an asymptomatic and undiagnosed abdominal pregnancy presumed full term, in a context of health centers under-equipment...
November 19, 2018: BMC Pregnancy and Childbirth
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"