Could Poor Periodontal Status be a Warning Sign for Worse Pregnancy Outcome?

Nov ák, Tibor / Németh, Gábor / Kozinszky, Zoltan / Urbán, Edit / Gorzó, István / Radnai, MártaPage 165 - 170Purpose: The aim of the present study was to analyse the role of the main diagnostic signs of poor periodontal status, probing depth (PD) ≥4 mm and bleeding on probing (BOP) ≥50%, both simultaneously and individually in preterm birth (PB) and their effect on the birth weight (BW). Prematurity is a major health concern and it is the leading contributing factor to neonatal morbidity and mortality worldwide. Conflicting results exist on the relation between poor maternal, periodontal status and adverse pregnancy outcome, including preterm deliveries and low birth weight (LBW).Materials and Methods: Seventy-seven PBs and 165 deliveries at term were analysed out of 242 patients. The perinatal factors such as gestational age (GA) and BW were analysed by BOP, categorised as ≥50% (high BOP) vs
Source: Oral health and Preventive dentistry - Category: Dentistry Source Type: research

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Uterine fibroids (UF; leiomyomas) are common, benign, gynecological smooth-muscle tumors occurring in up to 80 % of women by 50 years of age [1 –4]. Symptoms include heavy menstrual bleeding (HMB), anemia, moderate/severe pain, pressure, infertility, and pregnancy complications [3–5], which have a considerable effect on women’s quality of life (QoL), causing psychological distress and placing substantial financial burden on patients a nd healthcare systems [1,6–8].
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Source Type: research
Authors: Wheeler AP, Hemingway C, Gailani D Abstract INTRODUCTION: Factor XI (FXI) deficiency is associated with highly variable bleeding, including excessive gynecologic and obstetrical bleeding. Since approximately 20% of FXI-deficient women will experience pregnancy-related bleeding, careful planning and knowledge of appropriate hemostatic management is pivotal for their care. AREAS COVERED: In this manuscript, authors present our current understanding of the role of FXI in hemostasis, the nature of the bleeding phenotype caused by its deficiency, and the impact of deficiency on obstetrical care. The authors...
Source: Expert Review of Hematology - Category: Hematology Tags: Expert Rev Hematol Source Type: research
First trimester vaginal bleeding occurs in 7% to 27% of pregnancies, with many causes that range from a normal pregnancy to an ectopic pregnancy (pregnancy outside the uterus). The main imaging test recommended is transvaginal ultrasound (US), which when combined with blood tests and the mother ’s signs and symptoms can identify the cause of bleeding.
Source: Journal of the American College of Radiology : JACR - Category: Radiology Authors: Tags: Appropriate use criteria Source Type: research
Abstract Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic inflammatory disease, cigarette smoking, fallopian tube surgery, previous ectopic pregnancy, and infertility. Ectopic pregnancy should be considered in any patient presenting early in pregnancy with vaginal bleeding or lower abdominal pain in whom intrauterine pregnancy has not yet been established. The definitive diagnosi...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
Interpersonal violence, such as sexual assault and intimate partner violence (IPV), is a significant public health problem affecting the well-being of thousands of women during their reproductive years. An estimated 2% –35% of women experience physical IPV during pregnancy; 9%–40% experience sexual IPV.1 Pregnant women who experience any form of IPV are more likely to delay seeking prenatal care and are at higher risk for high blood pressure, vaginal bleeding, vomiting, dehydration, urinary tract infections, a nxiety, depression, and posttraumatic stress disorder.
Source: The Journal for Nurse Practitioners - Category: Nursing Authors: Tags: Quality Care for Women ’s Health Source Type: research
This report describes a healthy 28-year-old woman who developed AFE during a cesarean section. Because of a previous cesarean section, the patient underwent an elective cesarean section, under combined spinal-epidural anesthesia, at 38 weeks of pregnancy. She began coughing 5 minutes after delivery of the fetus, subsequently becoming unconscious and developing glossoptosis and bradycardia. Her blood pressure decreased to 76/43 mmHg, and AFE was suspected. Her uterus was atonic, and she experienced persistent noncoagulant bleeding, with a final blood loss of 6300 ml. Considerable blood transfusion was required. The patient ...
Source: Journal of Medical Investigation - Category: General Medicine Tags: J Med Invest Source Type: research
Conclusion: In our case, treatment of CNC-associated hypercortisolism in pregnancy with metyrapone was effective. Maternal side effects did not occur. The newborn presented with transient hypocortisolism most likely due to transplacental drug effect. Our case illustrates that the treatment of rare diseases in pregnancy represents a challenge requiring interdisciplinary team work.
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
Case Summary: A 28-year-old nulliparous woman presented with rectal bleeding. Colonoscopy revealed a 4-cm malignant-appearing mass in the proximal rectum, and biopsies confirmed invasive adenocarcinoma of the rectum. Computed tomography scan showed no evidence of metastatic disease. Staging MRI found transmural extension with minimal stranding in the adjacent fat, as well as no evidence of pathological pelvic adenopathy, consistent with a T3N0 lesion. The proposed treatment plan involved neoadjuvant chemotherapy and radiation therapy before primary surgical resection. The patient desired fertility preservation and was re...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Resident’s Corner Source Type: research
Headache is a very common condition that affects up to 60% of the world’s population. In general, headache can be classified into two main categories: primary and secondary headaches. A primary headache is related to increased sensitivities, but not structural alterations of brain tissues. Common primary headaches are migraine with and without aura, tension-type headache, and trigeminal autonomic cephalalgias (headaches, such as cluster headache, that also involve facial pain and autonomic symptoms such as tear production and nasal congestion). Secondary headaches have various underlying causes including structural v...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Headache Tests and procedures Source Type: blogs
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Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research
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