Pre eclampsy

OBJECTIVE: To identify strategies to reduce maternal and neonatal morbidity related to preeclampsia. MATERIAL AND METHODS: The quality of evidence of the literature was assessed following the GRADE® method with questions formulated in the PICO format (Patients, Intervention, Comparison, Outcome) and outcomes defined a priori and classified according to their importance. An extensive bibliographic search was performed on PubMed, Cochrane, EMBASE and Google Scholar databases...

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Reversible posterior encephalopathy syndrome (PRES) is a rare clinico-radiological syndrome. Diagnosis is suspected in pregnant women suffering from eclampsia when brain CT scan shows radiological images suggestive of this disease. We here report the case of a 25-year-old pregnant woman at 33 weeks' gestation with a history of pre-eclampsia presenting with convulsive seizures and high blood pressure following cesarean section. The patient was admitted to the Intensive Care Unit; clinical and radiological investigations revealed PRES syndrome...

OBJECTIVE: To provide national guidelines for the management of women with severe preeclampsia. DESIGN: A consensus committee of 26 experts was formed. A formal conflict of interest (COI) policy was developed at the onset of the process and enforced throughout. The entire guidelines process was conducted independently of any industrial funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) system to guide assessment of quality of evidence...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

CONTEXTE: L'hématome du grand droit (HGD) est une cause rare mais importante de douleur abdominale pendant la grossesse. CAS: Une femme de 32 ans a consulté à 316  semaines de grossesse en raison de douleurs abdominales du côté droit. L'échographie a révélé une structure hétérogène compatible avec un HGD. Une prise en charge s'est composée d'un traitement symptomatique au moyen d'analgésiques et d'un suivi obstétrical et échographique. L'échographie a révélé la résorption de l'HGD après 6 semaines...

Data from epidemiological and clinical studies published in the past two decades indicate certain association between periodontal disease and increased risk for preterm birth or low birth weight. Although the strength of those observed associations is weak, periodontitis today is considered as one of the potentially modifiable risk factors for adverse pregnancy outcomes. The aims of the publication are to summarize the epidemiological and clinical evidence for the impact of periodontal disease on adverse pregnancy outcomes and to make an attempt to overview the potential biological mechanism behind this association...

Discovery of telocytes has become an important and key challenge in past few years. These cells are interstitial cells extending very long cytoplasmic processes named telopodes, by which they create functional networks in the interstitium of different organs. Telocytes are considered to be connective tissue elements that create contacts among each other, but they also function as intercellular structures, functionally connected with cells of the immune system, neurons and smooth muscle cells. Telocytes can be found also in the different parts of female reproductive system with functions and purpose, which is summarized in our overview...

OBJECTIFS: Hémolysis, Elevated Liver enzyme, Löw Platelets ou HELLP Syndrome est une complication de la pré-éclampsie dans 10 à 20 %. Le HELLP Syndrome n'a pas d'influence sur la morbidité néonatale. Les complications sont essentiellement imputables à la prématurité induite. La mortalité périnatale est évaluée à 22,6 %. Le but de cette étude est d'étudier l'incidence de la prématurité dans le HELLP Syndrome. MéTHODES: Étude prospective mono-centrique réalisée au Service de Gynéco-Obstetrique de EHUO...

OBJECTIFS: L'objectif de cette étude est d'évaluer la stabilité hémodynamique, l'analgésie peropératoire, ainsi que l'effet sur le nouveau-né des rachianesthésies pratiquées avec une faible dose de bupivacaine isobare associées à des doses variables de fentanyl chez les parturientes souffrant de prééclampsie. MéTHODES: 30 parturientes, consentantes, ont été colligées de façon prospective et admises au bloc de gynécologie obstétrique pour césarienne programmée sur pré-éclampsie (PE) sévère...

OBJECTIFS: La pré-éclampsie est un désordre hypertensif de la grossesse caractérisé par une dysfonction placentaire et vasculaire maternelle. L'objectif de notre étude est d'estimer la fréquence des facteurs de risque reconnus de pré-éclampsie et l'incidence des complications maternelles et fœtales. MéTHODES: Étude rétrospective menée au Service de Gynécologie Obstétrique Farhat Hached de Sousse en Tunisie, s'étendant sur une période de 12 mois (2014) et incluant des patientes présentant une pré-éclampsie associée à un ou plusieurs signes cliniques ou biologiques de gravité...

The article presents reference limits of concentrations of placental growth factor and fms-similar tyrosine kinase-1 and values of their ratio in dynamics of physiologic pregnancy and in female patients with pre-eclampsy of different degree of severity in 1 and III trimesters of pregnancy. It is established that in female patients with pre-eclampsy ratio of fms-similar tyrosine kinase-1 and placental growth factor significantly exceed ratio in female patients with physiological course of pregnancy. The degree of increase of values of ration between fms-similar tyrosine kinase-1 and placental growth factor correlates with degree of severity of pre-eclampsy...

UNLABELLED: Digoxin is typically prescribed in the treatment of heart failure. Its limited therapeutic range requires systematic monitoring of plasmatic concentration through immunoreactive tests. Laboratory results, however, can be altered by the presence of digoxin-like immunoreactive factors (DLIF) which are released in all clinical conditions involving volemic expansion. CASE REPORT: An 86-year-old woman arrived in emergency with severe dyspnoea, atrial flutter and a medical history of ischemic cardiopathy...

An analysis of brain magnetic resonance examinations in patients with neurological complications of preeclampsia published in English-language medical journals from 1980 to 2008 has been performed. Data systematization enabled to analyze the incidence of some MR-signs of brain injury typical for this pathology. Incidence, symmetry and volume of injury have been estimated. The most common areas of injury are occipital lobes of brain, which leads to typical visual impairments. All lobe injuries are generally symmetric...

Using data about births from the perinatal information system (PIS) registered in Montevideo (Uruguay), we estimated the probability of having a Caesarian section delivery, controlled by risk factors and the endogeneity of the choice of hospital. In public hospitals in Montevideo there is a fixed payment system, but in private hospitals this procedure has to be paid for separately. In the former, there is no effect on the doctor's income if he performs a Caesarian, but in the latter there is a positive effect...

OBJECTIVE: To compare the clinical aptitude in preeclampsy and eclampsy attention in medical personnel that work in first level of attention. MATERIALS AND METHODS: A cross-sectional, prospective comparative study was performed to compare the clinical aptitude in pre-eclampsy and eclampsy attention in family practice physicians. A questionnaire comprising four clinical real cases, that belong to maternal death cases developed in the previous year of the study, was applied to 77 doctors that work at a familiar medicine unit...

INTRODUCTION: Neonatal stroke (NNS) incidence appears to be increasing over the last years. This is believed to be a consequence of diagnostic accuracy rather than a real amplification of this entity. Nowadays, NNS incidence is estimated to be 1:4000 full newborns. CASE REPORT: Child with left middle cerebral artery territory infarction in which several thromboembolic risk factors were documented both in the child (neonatal sepsis and factor V Leiden) and his mother (lupus anticoagulant, pre-eclampsy and factor V Leiden)...