Placement of a Continuous Stellate Ganglion Block for Treatment of Refractory Ventricular Fibrillation in the Setting of Known Prinzmetal Angina During Pregnancy: A Case Report

A patient with a history of Prinzmetal angina, refractory ventricular fibrillation, cardiac arrest with an implantable cardioverter-defibrillator, and obesity presented to the emergency department at 17 weeks gestational age with a chief complaint of angina and multiple episodes of defibrillation. A T3/4 thoracic epidural was placed to assess the effectiveness of a partial chemical sympathectomy in alleviating symptoms of angina as well as decreasing the amount of defibrillation episodes. Once this proved to be beneficial in accomplishing both of these goals, a more specific approach was designed. A continuous stellate ganglion block was then placed controlling both her angina and preventing further episodes of defibrillation long enough for her pregnancy to progress beyond 24 weeks gestational age.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research

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Conclusions: Pregnancy planning and women's satisfaction with the discovery of being pregnant favors the performance of prenatal care with better indicators.Resumo Objetivos: analisar a influ ência do planejamento reprodutivo e da satisfação das mulheres com a descoberta da gravidez nas características da assistência pré-natal. Métodos: estudo transversal e quantitativo realizado entre março e julho de 2018 em uma maternidade de risco habitual no Nordeste brasileiro. Foram avali adas 652 puérperas por meio de entrevista e visualização do cartã...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: it was possible to recognize doula as part of the humanized care, to provide subsidies for a reflection of her work, and to reveal the influence of the practice of doulagem for academic formation of doulas at university.Resumo Objetivos: analisar a compreens ão das puérperas, das doulas e da equipe assistencial sobre a presença da doula durante o processo de parturição das gestantes. Métodos: trata-se de estudo qualitativo, utilizando como instrumento de coleta de dados entrevistas semiestruturadas. O critério de saturação foi utilizado para l imit...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: greater adherence to the “ Brazilian traditional ” and “ healthy ” dietary patterns was inversely associated with feelings of depression during pregnancy, possibly mediated by the degree of industrial processing of the foods.Resumo Objetivos: investigar a rela ção entre padrões alimentares e o grau de processamento de alimentos com sentimento de depressão na gestação. Métodos: estudo transversal conduzido entre 784 gestantes adultas de Ribeirão Preto, SP, em 2011-2012. O sentimento de depressão foi obtido por questioná...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: When compared with adolescent women, pregnant women of advanced age presented a higher frequency of cesarean deliveries.Resumo Objetivos: comparar os resultados perinatais adversos em gesta ções de adolescentes e mulheres em idade avançada de rede pública de saúde. Métodos: estudo transversal realizado com gestantes nos extremos de idade reprodutiva segundo classificação do Ministério da Saúde do Brasil (adolescentes aquelas com idade ≤ 19 anos e em idade avan çada aquelas com idade ≥ 35 anos) e seus rec ém-nascidos. Fora...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: the prevalence found was higher than that of other national researches, especially for the female gender. In the male gender, not having internet access, a lesser number of family members and a longer screen time proved to be factors associated with being excess weight.Resumo Objetivos: investigar a preval ência de excesso de peso e fatores associados entre adolescentes de uma comunidade de baixa renda situada na cidade do Recife, Pernambuco. Métodos: estudo transversal, em que foram coletadas informações demográficas, socioeconômicas e comportamentais no período ...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
Conclusions: the frequencies of infections in maternal-fetal health were considered low, highlighting on syphilis and the presence for sickle cell trait.Resumo Objetivos: estimar a taxa de detec ção de patologias da TPN em papel de filtro nas regiões Sul e Sudoeste do Estado da Bahia, bem como delinear o perfil epidemiológico dessas gestantes, calcular e estimar a taxa de adesão e abrangência de cobertura do Programa. Métodos: estudo descritivo, de agosto 2013 a agosto de 2015, de d ados obtidos do Labimuno/ICS/UFBA. Resultados: foram incluídas 64.743 gestantes; as m&e...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research
In this study, the effects of Leucaena on different female reproductive variables were analyzed in two different reproductive conditions: gonadally intact and ovariectomized (OVX) female rats. Leucaena (LEU) was administered to females in both experimental conditions for 30 consecutive days. The effects of the legume extract were compared with those of Daidzein (DAI), a phytoestrogen, and of the female hormone estradiol (E2). In intact females, LEU disrupted the estrous cycle and female sexual behavior, decreased the number of follicles and corpora lutea, increased uterine and vaginal epithelium in proestrus and diestrus p...
Source: Physiology and Behavior - Category: Physiology Source Type: research
This study aimed to compare serum levels of vascular endothelial growth factor (VEGF) and the VEGF receptors, VEGFR-1 and VEGFR-2, free placental growth factor (fPGF), endostatin, and serum pregnancy-associated plasma protein-A (PAPP-A) levels in women with mild and severe preeclampsia and healthy pregnant women. MATERIAL AND METHODS A included patients diagnosed with mild preeclampsia (n=32), severe preeclampsia (n=32), and healthy pregnant women (n=24). Serum levels of VEGF-A, VEGFR-1, VEGFR-2, fPGF, endostatin, and PAPP-A levels were measured by enzyme-linked immunosorbent assay (ELISA). RESULTS In women with mild and s...
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Conclusion: The present study indicates a downward secular trend in the menarcheal age of the Saudi population. Moreover, a negative correlation between BMI and menarcheal age was also documented. PMID: 31522226 [PubMed - in process]
Source: Saudi Medical Journal - Category: Middle East Health Tags: Saudi Med J Source Type: research
Authors: Alshahrani MS Abstract OBJECTIVES: To evaluate the attitudes of pregnant women towards different forms of labor pain relief, preferred methods of pain relief, and the effects of social media on their awareness and knowledge. METHODS: This was a cross-sectional study conducted between April and August 2017 in the Maternity and Children's Hospital, Najran, Saudi Arabia. A total of 416 pregnant women were interviewed and analyzed using IBM Sstatistical Package for Social Sciences version 20 (IBM Corp, Armonk, NY, USA). RESULTS: A total of 62.7% were aware of labor pain. However, 58.7% of the total sam...
Source: Saudi Medical Journal - Category: Middle East Health Tags: Saudi Med J Source Type: research
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