Miscarriage: Keep breaking the silence

I’m heartened to see more public discourse about the pain of miscarriage. Recently, Mark Zuckerberg, the CEO of Facebook, went public on his Facebook page with the pregnancy losses that he and his partner suffered. Beyonce and Jay-Z wrote a song about their first pregnancy loss. Nicole Kidman, Mariah Carey, Celine Dion, Courteney Cox, and Brooke Shields have all publicly shared their miscarriage experiences. But all too often, I still find women and their partners suffering in silence and alone. Recently, researchers at Albert Einstein College of Medicine in New York City surveyed over, 1,000 adults in the United States to determine what the general public knows about the causes of miscarriage and its emotional effects. Their results were published earlier this year in a paper called “A National Survey on Public Perceptions of Miscarriage.” Fifteen percent of those surveyed said that they (or a partner) had experienced a miscarriage. Over half of the respondents believed that miscarriages were uncommon, even though studies show that approximately one in four pregnancies ends in miscarriage. Over three-quarters of respondents thought miscarriage resulted from stress, and over a quarter also thought that the most important causes were lifestyle choices made during pregnancy. But in fact, most miscarriages are the result of chromosomal abnormalities in the developing fetus, structural abnormalities of the uterus, or endocrine or autoimmune disorders in the moth...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Behavioral Health Family Planning and Pregnancy Mental Health Parenting Women's Health Source Type: news

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DiscussionIt is important to consider the possibility of an underlying malignant process in the differential diagnosis since its early identification can be determinant for prognosis.ResumenObjetivoDescribir las diferentes características clínicas de los pacientes ingresados en el Servicio de Reumatología por manifestaciones reumáticas como primera expresión de un proceso tumoral no conocido.Pacientes y métodosEstudio observacional retrospectivo y descriptivo protocolizado por la revisión de las historias clínicas de los ingresados en Reumatología del Hospital ...
Source: Reumatologia Clinica - Category: Rheumatology Source Type: research
ConclusionThere is a paucity of treatment guidelines for acute lung injury secondary to marijuana inhalation. We advocate early use of short-term steroids and also more awareness on quitting marijuana smoking to prevent life-threatening complications like myocardial infarction, diffuse alveolar hemorrhage and acute respiratory distress syndrome.
Source: Heart and Lung: The Journal of Acute and Critical Care - Category: Respiratory Medicine Source Type: research
Conclusion: Our results suggest that hip osteoarthritis and sacroiliac joint degeneration are related, and that with further investigation, the sacroiliac joint may become a new treatment target in hip osteoarthritis. Published on 2019-05-23 10:23:16
Source: Journal of the Belgian Society of Radiology - Category: Radiology Source Type: research
ABSTRACT Our aim was to report the unusual case of an anencephalic fetus that was born with the umbilical cord attached to its cephalic pole. The patient was a 16-year-old pregnant woman. Ultrasound evaluation at 17 weeks revealed a single fetus without cranial vault and brain parenchyma, compatible with anencephaly. Postnatal evaluation, through an autopsy, was consistent with this diagnosis. Moreover, it was observed that the umbilical cord was attached to the area cerebrovasculosa and there was the presence of a fibrous tissue, suggestive of an amniotic band. We have found only one similar case described in the literatu...
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial - Category: Pathology Source Type: research
Publication date: Available online 22 May 2019Source: Journal of Arthroscopy and Joint SurgeryAuthor(s): Shwan Khoschnau, Hans Larsson, Hojat Elhami, Hans Rahme, Bakir KadumAbstractIntroductionSubacromial decompression is a common surgical procedure in patients with subacromial impingement. The results are often good, although some patients develop prolonged morbidity with postoperative pain and stiffness. The main aim of the present study was to analyze the reaction of the joint capsule 3 months after subacromial decompression using MRI without contrast. We also wanted to study if there was a relation between the capsular...
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
Publication date: Available online 22 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Andrew P. Dekker, Nirad Joshi, Marie Morgan, Marius Espag, Amol Tambe, David I. ClarkAbstractBackgroundMedium-term clinical results and survival of the Copeland resurfacing hemiarthroplasty of the shoulder (CRHA) in a large consecutive group are presented with a comparison of outcomes for underlying pathologies.MethodsA consecutive series of patients undergoing CRHA over 14 years was retrospectively analysed with no exclusions. Patients had a minimum 2-year follow-up by an independent assessor. Functional outcome was...
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
Publication date: Available online 22 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Jihad M. Ajlouni, Ula N. Isleem, Ahmad E. Al ElaumiAbstractOsteogenesis Imperfecta is an inherited disease characterized by easily-broken bones, which manifests as multiple fractures with minimal trauma, joint laxity, sclerosis, blue sclera, and several other manifestations. Protrusio acetabuli is defined as the displacement of the femoral head so that it lies medial to the ischioilial line. In a skeletally mature patient with both Marfan syndrome and PA, an eventual hip arthroplasty is the only method available for ...
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
ConclusionThe administration of an ACB as an adjunct to a multimodal pain protocol for primary TKA patients is effective at minimizing post-operative pain and narcotic consumption, and plays a critical role in facilitating fast track and same day discharge in our practice.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
Conclusion: Congenital retinal macrovessels can be complicated by macular edema. The high levels of hormones during pregnancy can affect the vessels' permeability and make this condition symptomatic through cystoid macular edema development.
Source: Retinal Cases and Brief Reports - Category: Opthalmology Tags: Case Report Source Type: research
Abstract Objective Frozen section examination is a rapid method for identifying products of conception in endometrial curetting, yet its accuracy is inconclusive. The purposes of this study is to determine the accuracy of frozen section analysis of endometrial curetting in pregnancies of unknown location, and to verify the relation of β -human chorionic gonadotrophin (hCG) level and endometrial thickness to the assessed accuracy. Methods We reviewed data from January 2009 to December 2014 of diagnostic curettages from women with suspected ectopic pregnancies sent for frozen section examination at a medical center. A f...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
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