keyword
Keywords medical complications in obste...

medical complications in obstetrician

https://read.qxmd.com/read/38532907/sub-segmental-pulmonary-thromboembolism-in-a-pregnant-woman-with-generalized-lupus-erythematosus-triple-negative-antiphospholipid-syndrome-and-protein-c-deficiency-a-case-report
#1
Arlin Montoya Rodríguez, Mario Mayorga Duarte, Sayonara Sandino López, Víctor Rosales Obregón, Mario Enmanuel López Marenco
Autoimmune diseases and thrombophilic disorders, notably antiphospholipid syndrome (APS) and protein S deficiency, present a formidable challenge in pregnancy, substantially increasing the risk of thromboembolic complications by up to 20%. Pulmonary thromboembolism (PTE), characterized by a significantly higher maternal mortality rate, is of particular concern. APS, defined by the presence of antiphospholipid antibodies, emerges as a pivotal risk factor for PTE during pregnancy, especially in women exhibiting triple negativity...
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38495666/the-impact-of-pregnancy-in-patients-with-thoracic-aortic-disease-epidemiology-risk-assessment-and-management-considerations
#2
REVIEW
Valeria E Duarte, Jessica N Richardson, Michael N Singh
Thoracic aortic disease (TAD) poses substantial risks during pregnancy, particularly for women with genetic conditions such as Marfan syndrome, Loeys-Dietz syndrome, and vascular Ehlers-Danlos syndrome. This review examines the epidemiology, risk assessment, and management of TAD in pregnancy. Preconception counseling is vital considering the hereditary nature of TAD and potential pregnancy-related complications. Genetic testing and imaging surveillance aid in risk assessment. Medical management, including beta-blockade and strict blood pressure control, is essential throughout pregnancy...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38440968/a-global-study-on-knowledge-and-perception-of-hpv-and-hpv-vaccination-among-young-obstetricians-and-gynecologists
#3
JOURNAL ARTICLE
Elif Göknur Topçu, Akaninyene Eseme Ubom, Priyankur Roy, Francisco Ruiloba
OBJECTIVE: Our goal is to improve the understanding of human papillomavirus (HPV) and its vaccination among obstetrics and gynecology trainees and young specialists worldwide. MATERIALS AND METHODS: This cross-sectional study was conducted through an online survey consisting of 28 questions by the World Association of Trainees in Obstetrics and Gynecology between February and August 2023. The questionnaire collected demographic data of the study participants and assessed the respondents' knowledge and perception of HPV, HPV vaccines, and vaccine dosing schedule...
March 4, 2024: Turkish Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38424515/experienced-disrespect-abuse-during-childbirth-and-associated-birth-characteristics-a-cross-sectional-survey-in-the-netherlands
#4
JOURNAL ARTICLE
Denise R Leijerzapf, Marit S G van der Pijl, Martine H Hollander, Elselijn Kingma, Ank de Jonge, Corine J M Verhoeven
BACKGROUND: Experiencing upsetting disrespect and abuse (D&A) during labour and birth negatively affects women's birth experiences. Knowing in what circumstances of birth women experience upsetting situations of D&A can create general awareness and help healthcare providers judge the need for extra attention in their care to help reduce these experiences. However, little is known about how different birth characteristics relate to the experience of D&A. Previous studies showed differences in birth experiences and experienced D&A between primiparous and multiparous women...
February 29, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38377454/postnatal-care-a-comparative-review-of-guidelines
#5
REVIEW
Sonia Giouleka, Ioannis Tsakiridis, Nikolaos Kostakis, Eirini Boureka, Apostolos Mamopoulos, Ioannis Kalogiannidis, Apostolos Athanasiadis, Themistoklis Dagklis
IMPORTANCE: Postnatal care refers to the ongoing health care provision of both the mother and her offspring and contributes to the timely identification and effective management of complications in the postpartum period, to secure maternal and infant short- and long-term well-being. OBJECTIVE: The aim of this study was to review and compare the most recently published influential guidelines on postnatal care practices. EVIDENCE ACQUISITION: A comparative review of guidelines from the American College of Obstetricians and Gynecologists, the World Health Organization, the National Institute for Health and Care Excellence, and the Public Health Agency of Canada regarding postnatal care was conducted...
February 2024: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/38331786/-i-don-t-want-to-be-a-guinea-pig-swedish-women-s-experiences-of-breast-abscess-treatment
#6
JOURNAL ARTICLE
Margareta Johansson, Lisa H Amir
BACKGROUND: It is well known that breastfeeding plays an important role in the health of women and children. However, women are not always given optimal support and most do not reach their breastfeeding goals. About one in five, breastfeeding women report mastitis and a small proportion of these develop a breast abscess. Our aim was to describe the experiences of a group of Swedish breastfeeding women who developed a breast abscess. METHODS: A qualitative cross-sectional study with 18 study participants was undertaken in Sweden in 2017-2018...
February 8, 2024: BMC Women's Health
https://read.qxmd.com/read/38326280/pregnancy-complications-and-loss-an-observational-survey-comparing-anesthesiologists-and-obstetrician-gynecologists
#7
JOURNAL ARTICLE
Natalie R Barnett, Renuka M George, Katherine H Hatter, Norah R Janosy, Samantha J Vizzini, Shubhangi Singh, Rebecca E Lee, Bethany J Wolf, Camila Cabrera, Amy L Duhachek-Stapelman, Daniel Katz
OBJECTIVE: While there is increasing information regarding the occupational risks to pregnant physicians, there is inconsistent and limited subspecialty data. Physicians may be at increased risk for pregnancy complications due to occupational exposure, long work hours, nightshifts, and physical/mental demands. Additionally, little is known regarding the education physicians receive pertaining to pregnancy risks respective to their specialties as well as departmental/institutional support for pregnancy loss or complication...
December 2024: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/38311315/the-management-of-nausea-and-vomiting-in-pregnancy-and-hyperemesis-gravidarum-green-top-guideline-no-69
#8
JOURNAL ARTICLE
Catherine Nelson-Piercy, Caitlin Dean, Manjeet Shehmar, Roger Gadsby, Margaret O'Hara, Kenneth Hodson, Melanie Nana
An objective and validated index of nausea and vomiting such as the Pregnancy-Unique Quantification of Emesis (PUQE) and HyperEmesis Level Prediction (HELP) tools can be used to classify the severity of NVP and HG. [Grade C] Ketonuria is not an indicator of dehydration and should not be used to assess severity. [Grade A] There are safety and efficacy data for first line antiemetics such as anti (H1) histamines, phenothiazines and doxylamine/pyridoxine (Xonvea®) and they should be prescribed initially when required for NVP and HG (Appendix III)...
February 4, 2024: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/38305615/identifying-gestational-diabetes-mellitus-and-assessing-risk-factors-in-affected-women-a-comprehensive-study
#9
JOURNAL ARTICLE
M Canday
OBJECTIVE: Gestational diabetes mellitus (GDM) is a prevalent pregnancy complication associated with adverse health outcomes for both mothers and offspring. This study aimed to identify risk factors for GDM, a condition with a rapidly increasing global prevalence. PATIENTS AND METHODS: We conducted a study involving 474 pregnant women who attended the obstetrics outpatient clinic of Kafkas University Faculty of Medicine Hospital between January 2022 and June 2023...
January 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38280456/extreme-prematurity-factors-associated-with-perinatal-management-and-morbi-mortality-in-western-normandy-france
#10
JOURNAL ARTICLE
Pauline Goupille, Quentin Rollet, Ludovic Prime, Cénéric Alexandre, Patricia Dolley, Michel Dreyfus
BACKGROUND: Extreme prematurity (birth before before 26 weeks of gestation), presents complex challenges and can lead to various complications. Survival rates of extremely preterm infants are lower in France than in other countries. The choice between active and palliative care is decisive in managing these births. OBJECTIVE: To conduct an observational study focused on factors associated with perinatal management, mortality, and morbidity outcomes among extremely preterm births in a regional perinatal network...
January 25, 2024: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/38276248/the-impact-of-endometriosis-on-pregnancy
#11
REVIEW
Panagiotis Tsikouras, Efthimios Oikonomou, Anastasia Bothou, Penelopi Chaitidou, Dimitrios Kyriakou, Konstantinos Nikolettos, Sotirios Andreou, Foteini Gaitatzi, Theopi Nalbanti, Panagiotis Peitsidis, Spyridon Michalopoulos, Stefanos Zervoudis, George Iatrakis, Nikolaos Nikolettos
Despite the increased frequency of endometriosis, it remains one of the most enigmatic disorders regarding its effects on pregnancy. Endometriosis adversely affects both natural and assisted conception. Impaired folliculogenesis, which causes follicular dysfunction and low egg quality, as well as luteal phase problems, reduced fertilization, and abnormal embryogenesis, are some of the mechanisms advocated to explain reproductive dysfunction. There is a rising need for a comprehensive study of the potential negative consequences of this condition on pregnancy outcomes, including the postpartum period, as more women with a medical history of endometriosis become pregnant...
January 22, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38256403/effect-of-pethidine-injection-on-the-duration-of-labor-and-pregnancy-outcomes-a-retrospective-cohort-study
#12
JOURNAL ARTICLE
Eun Byeol Cho, Hyun Joo Chae, Jung Min Ryu, Hyo Jin Lee, Seong Yeon Hong, Jin Young Bae
Background and Objectives : Long and ineffective labor causes hardships for mothers and doctors and increases the rate of cesarean sections and medical comorbidities. Several factors contribute to effective and less painful labor, including maternal age, parity, fetal characteristics, and the medications or procedures that obstetricians use for labor. We aimed to study the factors that affect labor duration and identify those that make labor more effective. Materials and Methods : This retrospective study included 141 patients who underwent normal vaginal deliveries at the Daegu Catholic University Medical Center between April 2013 and April 2022...
January 12, 2024: Medicina
https://read.qxmd.com/read/38192520/uterine-prolapse-in-a-term-pregnancy-a-case-report
#13
Lina Ba'Abbad, Marwa Turki, Ghada Aldossary, Nouar Elzewawi, Heba Abu Saleem
Uterine prolapse is a rare condition in pregnancy that may lead to serious antepartum, intrapartum and postpartum complications for the mother and fetus. This is the case of a 30-year-old woman who presented at 38 weeks of gestation of her third pregnancy with spontaneous rupture of membranes and labor pain. Pelvic examination in dorsal lithotomy position revealed a stage 3 uterine prolapse, with a 3 cm dilated thick edematous cervix and rupture of membranes with clear liquor. Four hours after admission, the cervix became more edematous and there had been no change in cervical dilatation...
March 2024: Case Reports in Women's Health
https://read.qxmd.com/read/38134339/fetal-growth-restriction-a-comprehensive-review-of-major-guidelines
#14
REVIEW
Sonia Giouleka, Ioannis Tsakiridis, Apostolos Mamopoulos, Ioannis Kalogiannidis, Apostolos Athanasiadis, Themistoklis Dagklis
IMPORTANCE: Fetal growth restriction (FGR) is a common pregnancy complication and a significant contributor of fetal and neonatal morbidity and mortality, mainly due to the lack of effective screening, prevention, and management policies. OBJECTIVE: The aim of this study was to review and compare the most recently published influential guidelines on the management of pregnancies complicated by FGR. EVIDENCE ACQUISITION: A descriptive review of guidelines from the American College of Obstetricians and Gynecologists (ACOG), the Society for Maternal-Fetal Medicine, the International Federation of Gynecology and Obstetrics, the International Society of Ultrasound in Obstetrics and Gynecology, the Royal College of Obstetricians and Gynecologists, the Society of Obstetricians and Gynecologists of Canada (SOGC), the Perinatal Society of Australia and New Zealand, the Royal College of Physicians of Ireland, the French College of Gynecologists and Obstetricians (FCGO), and the German Society of Gynecology and Obstetrics on FGR was carried out...
November 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/38084271/twin-pregnancy-live-fetus-with-complete-hydatidiform-molar-a-case-report
#15
Georges Yared, Fatima Dahrouj, Charlotte El Hajjar, Khaled Habib, Mohammad El Jawad El Kazwini, Kariman Ghazal
Gestational trophoblastic disease encompasses a range of lesions, each culminating in varied clinical manifestations. Among these, the simultaneous occurrence of molar changes within the placenta and a viable fetus remains a particularly elusive and challenging presentation, posing intricate dilemmas for obstetricians. In this article, we delineate a distinct case involving a 21-year-old woman with a history of consanguineous marriage. She was referred from Médecins Sans Frontières to the Rafic Hariri University Hospital during her 19th week of gestation...
2023: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38066847/managing-pregnancy-in-patients-with-sickle-cell-disease-from-a-transfusion-perspective
#16
JOURNAL ARTICLE
Anoosha Habibi, Alexandra Benachi, Edouard Lecarpentier
Advances in the management of sickle cell disease (SCD) have made it possible for most female patients (whether homozygous or compound heterozygous) to reach childbearing age and become pregnant. However, even in the less symptomatic forms of SCD a high risk of complications during pregnancy and the postpartum period can occur for both the mother (1% to 2% mortality) and the fetus. Coordinated care from the obstetrician and the sickle cell disease expert is essential, together with the active participation of the patient...
December 8, 2023: Hematology—the Education Program of the American Society of Hematology
https://read.qxmd.com/read/38023361/treatment-and-diagnosis-of-hyperlipidemia-acute-pancreatitis-in-pregnancy-associated-with-pre%C3%A2-pregnancy-obesity-and-diabetes-a-case-report
#17
Weiping Cao, Xia Ni, Mengwen Gan, Bing Xie, Yurong Xie, Qin Wang, Lishi Meng, Chao He, Juan Chen, Xinzhi Wang
Hyperlipidemia acute pancreatitis (HLAP) is a specific type of pancreatitis mainly caused by elevated serum triglyceride (TG) levels. Therefore, knowledge of patients' medical history is crucial to the identification of those at high risk of HLAP. Diabetes and obesity are associated with high levels of triglycerides, a risk factor for the development of HLAP, which should be controlled before pregnancy. Moreover, HLAP is associated with additional diagnostic and management challenges related to hyperlipidemia (HL) and pregnancy...
December 2023: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/38022243/knowledge-attitude-and-practice-regarding-periodontal-and-dental-diseases-during-pregnancy-among-obstetricians-and-dentists-in-king-saud-university-medical-city
#18
JOURNAL ARTICLE
Hani AlHalal, Rawan M Albayyat, Nawaf K Alfhaed, Omar Fatani, Bader Fatani
BACKGROUND: Providing effective dental treatment during pregnancy is related to controlling oral diseases and helps maintain a healthy oral cavity. One of the possible treatment options for endodontic disease is to treat the odontogenic infection, maintain a healthy oral environment, and minimize the expected complications that can occur later in pregnancy or during the postpartum period. Sufficient awareness among obstetricians and dentists is essential to delivering appropriate preventive and curative care to pregnant patients...
October 2023: Curēus
https://read.qxmd.com/read/37976303/cervical-cerclage-a-comprehensive-review-of-major-guidelines
#19
REVIEW
Sonia Giouleka, Eirini Boureka, Ioannis Tsakiridis, Antonios Siargkas, Apostolos Mamopoulos, Ioannis Kalogiannidis, Apostolos Athanasiadis, Themistoklis Dagklis
IMPORTANCE: Cervical cerclage (CC) represents one of the few effective measures currently available for the prevention of preterm delivery caused by cervical insufficiency, thus contributing in the reduction of neonatal morbidity and mortality rates. OBJECTIVE: The aim of this study was to review and compare the most recently published major guidelines on the indications, contraindications, techniques, and timing of placing and removal of CC. EVIDENCE ACQUISITION: A descriptive review of guidelines from the American College of Obstetricians and Gynecologists (ACOG), the Royal College of Obstetricians and Gynaecologists (RCOG), the Society of Obstetricians and Gynaecologists of Canada (SOGC), and the International Federation of Gynecology and Obstetrics (FIGO) on CC was carried out...
September 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/37976293/-it-s-complicated%C3%A2-exploring-second-stage-caesarean-sections-and-reasons-for-non-performance-of-assisted-vaginal-births-in-kenya-a-mixed-methods-study
#20
JOURNAL ARTICLE
Fiona M Dickinson, Helen Allott, Paul Nyongesa, Martin Eyinda, Onesmus M Muchemi, Stephen W Karangau, Evans Ogoti, Nassir A Shaban, Pamela Godia, Lucy Nyaga, Charles A Ameh
Unnecessary Caesarean Section (CS) can have adverse effects on women and their newborns. Assisted vaginal birth/delivery (AVB/AVD) using a suction device or obstetric forceps is a potential alternative when delays or complications occur in the second stage of labour. Unlike CS, AVB using a suction device does not require regional or general anaesthesia, can often be performed by midwives, and does not scar the uterus, lowering the risk of maternal mortality and morbidity, in this and subsequent pregnancies...
2023: PLOS Glob Public Health
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