Treating Pain in Pregnancy with Acupuncture: Observational Study Results from a Free Clinic in New Zealand

Discussion Patient-reported and treatment-related lumbopelvic pain symptom reduction findings provide further evidence that acupuncture in pregnancy is safe and beneficial in a field setting. We discuss this study's unique contributions in providing guidance for clinicians who practice acupuncture in pregnancy, including midwives, physiotherapists, and physicians. Teaser PRECIS: Pregnant women treated for lumbopelvic pain with acupuncture in a hospital-based clinic in New Zealand reported significant pain reduction and few adverse events.
Source: Journal of Acupuncture and Meridian Studies - Category: Complementary Medicine Source Type: research

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Publication date: Available online 20 February 2019Source: The American Journal of SurgeryAuthor(s): Timothy Bax, Matthew Macha, John MayberryAbstractAbdCT for the evaluation of AAP in the ED in the US may be excessive and is potentially (although rarely) misleading and harmful. A selective policy of ‘AbdUS first’ combined with an observation unit and/or surgeon evaluation prior to AbdCT is preferred to a ‘routine AbdCT’ policy. Repeated AbdCTs for abdominal pain are not recommended because of cumulative radiation exposure. Standardized and complete history and physical examination, such as that ori...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
The objective of this study was to use TGCS to evaluate potential associations between EA and cesarean and assisted vaginal delivery rates, according to the TGCS groups.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
(N Engl J Med. 2018;379:1562–1570) A 36-year-old pregnant woman was evaluated at 33 weeks gestation because of newly diagnosed adenocarcinoma. At 32 weeks’ admission, the patient had presented to another hospital with a history of 3 days of nonradiating, severe pain accompanied by nausea in her lower back that rated 10 on a scale of 10 and originated in the epigastric region and migrated to the upper right quadrant and lower back. On examination, there was tenderness in the right upper quadrant. The gravid uterus was soft, and no abnormal fetal findings were observed. An incidental finding of renal ultrasonogr...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Case Reports Source Type: research
A 31-year-old G2P1 woman who had undergone gastric bypass 4 years prior and is 36 weeks pregnant presents with acute abdominal signs and symptoms that persist after an uncomplicated delivery; a CT scan reveals mesenteric vascular compromise. What is the diagnosis and what would you do next?
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research
Some recent things you might want to know about:HEEMaternity Support Worker Competency, Education and Career Development Framework, a project to develop the role of maternity support worker: NHS England Atlas of Shared LearningThe use of social media to support weight management in pregnancy - a case studyNICENICE are consulting on updating their guidance on hypertension in pregnancy: diagnosis and management.Nursing and Midwifery CouncilFuture midwife consultation.  Consultation that proposes to overhaul midwifery education, setting out draft skills and knowledge needed by midwives.  &nb...
Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs
Introduction: Almost 4% of all pregnant women will have uterine fibroids, the vast majority of which will cause no problems during pregnancy. Antenatal myomectomy is generally contra-indicated. However in exceptional circumstances, acute severe abdominal pain which is unresponsive to conservative management due to fibroid torsion, red degeneration or rapid increase in size, is an indication for intervention during pregnancy. Although uncommon, myomectomy in pregnancy is being used ever more frequently worldwide and has been shown to be a safe treatment option.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Movies Case Reports 4 – Tumors and Embolism Source Type: research
Introduction: An ectopic pregnancy occurs when a fertilised egg implants outside the uterine cavity, mostly in one of the Fallopian tubes. In the developed countries, between 1% and 2% of all reported pregnancies are extrauterine gravidities. The classic clinical triad of ectopic pregnancy is pain, amenorrhea, and vaginal bleeding; however, only about 50% of patients present with all 3 symptoms. Ectopic pregnancy is common in women of reproductive age, therefore its treatment requires special attention and ideal management strategies.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 22 – Early Pregnancy, intrauterine insemination and PCOS Source Type: research
Introduction: 45 year old lady, Para 2+2, background history of hypercholesterolemia and pancreatitis, presented to the ED with left sided pain, shoulder tip pain and amenorrhea for four weeks, and positive pregnancy test. Gynaecology team took over her care to investigate for an ectopic pregnancy. The serum beta Hcg was 2206mU/L, however, pelvic US showed an empty uterus with large amount of free fluid consistent with hemoperitoneum. She was taken for a diagnostic laparoscopy. Intraoperative findings included normal ovaries and tubes with no bleeding or hyperemia but spleen appeared large and inflamed with capsular rupture.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 18 – Complications and cases gone wrong Source Type: research
Introduction: Endometriosis is an enigmatic disease affecting up to 10% of reproductive-aged women causing pain and infertility. Deep infiltrating endometriosis (DIE) is the most severe form of the disease. The impact of surgical treatment for deep endometriosis on fertility success rate of assisted reproduction techniques (ART) is not clear.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 24 – Reproductive Medicine Source Type: research
This article reviews several controversial aspects of management of nonobstetric surgery during pregnancy, including the optimal timing for nonurgent surgery, when to perform intraoperative fetal monitoring, modifications to anesthetic techniques to account for the physiologic changes of pregnancy, and management of maternal cardiac arrest.Recent FindingsThere have been several advances in the management of nonobstetric surgery during pregnancy, including the increased use of laparoscopic techniques, an improved understanding of the importance of adequate pain management, and new initiatives to improve the maternal cardiac...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
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