Pregnancy in Women with Complex Congenital Heart Disease. A Constant Challenge
Abstract Background: The improvement in surgical techniques has contributed to an increasing number of childbearing women with complex congenital heart disease (CCC). However, adequate counseling about pregnancy in this situation is uncertain, due to a wide variety of residual cardiac lesions. Objectives: To evaluate fetal and maternal outcomes in pregnant women with CCC and to analyze the predictive variables of prognosis. Methods: During 10 years we followed 435 consecutive pregnancies in patients (pts) with congenital heart disease. Among of them, we selected 42 pregnancies in 40 (mean age of 25.5 ± 4.5 years) pts with CCC, who had been advised against pregnancy. The distribution of underlying cardiac lesions were: D-Transposition of the great arteries, pulmonary atresia, tricuspid atresia, single ventricle, double-outlet ventricle and truncus arteriosus. The surgical procedures performed be fore gestation were: Fontan, Jatene, Rastelli, Senning, Mustard and other surgical techniques, including Blalock, Taussing, and Glenn. Eight (20,0%) pts did not have previous surgery. Nineteen 19 (47.5%) pts had hypoxemia. The clinical follow-up protocol included oxygen saturation recording, hemoglo bin and hematocrit values; medication adjustment to pregnancy, anticoagulation use, when necessary, and hospitalization from 28 weeks, in severe cases. The statistical significance level considered was p
This report describes that the prevalences of prepregnancy obesity and gestational diabetes were higher among pregnant women hospitalized for COVID-19-related illness than among those admitted for pregnancy-related treatment or procedures and found to have COVID-19.
This report describes clinical characteristics and birth outcomes of hospitalized U.S. pregnant women with COVID-19 during March 1-August 22, 2020.
In this study, we describe 4 cases of abortion and neonatal deaths from pregnant mares and a she-donkey from different localities in Egypt during the period from May 2015 to October 2017. Attempts were made to isolate and identify EHV-1, in addition to compare the different pathological lesions in various tissues of the necropsied cases. EHV-1 was successfully isolated from two aborted fetuses and one dead neonatal foal from mares, beside one aborted fetus from a she-donkey. The positive cases showed cytopathic effect on embryonated chicken eggs scattered on chorioallantoic membrane. Moreover, PCR was applied for the pock ...
Conclusions: Analysis of CBT via continuous recording reveals patterns in the interactions of circadian and infradian CBT rhythms capable of accurately predicting the fertility window and hormonal patterns suggesting oligo-ovulation and subfertility. New wearable technologies can facilitate employment of hormone-associated changes in CBT for pregnancy planning and offer clinical insight to infertility and menopause. Published on 2020-09-24 10:10:10
I might get myself in a bit of trouble with my daughters with this post, but I recently sat in on the Brownie’s session with her therapist (she’s learning disabled). We were discussing ways to regulate moods. She used to have anger issues, and although those days are behind us, she still doesn’t know what to do with strong, negative feelings like disappointment, irritation, and frustration. I can’t recall exactly how the topic came up, but I used my“Heartbroken” playlist as an example to make a point.This playlist used to be a point of contention for my older daughters. After the divorce...
CONCLUSIONS: Oral DHEA supplementation improves both ovarian reserve and pregnancy rates in women with POR. PMID: 32965000 [PubMed - as supplied by publisher]
Conditions: Pregnancy Complications; Pregnancy, High Risk; Pregnancy Induced Hypertension; Newborn Morbidity; Fetal Growth Retardation; Fetus Disorder; Weight Gain, Maternal; Maternal-Fetal Relations Interventions: Other: Exercise program; Other: Healthy lifestyle advise Sponsors: Universidad Politecnica de Madrid; Hospital Severo Ochoa; Puerta de Hierro University Hospital; Hospital Vall ...
Condition: The Relationship Between Oral Vitamin A Administration and the Incidence of BPD in Preterm Infants Born Before Week 29 of Pregnancy Intervention: Dietary Supplement: Oral Vitamin A Sponsor: Sheba Medical Center Not yet recruiting
[East African] Bill Gates, co-founder of tech giant Microsoft, philanthropist, and one of the world's richest men scares some people, especially those on the extreme political right.
[New Era] The Katutura Magistrate's Court has scheduled the trial hearing of a teenage girl who was arrested for allegedly dumping her dead infant last year after giving birth.