0:07 / 8:12 Miscarriages after IVF - Why do they occur and how to prevent them ?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - September 15, 2020 Category: Reproduction Medicine Source Type: blogs
How My Husband ’s Chronic Depression Forever Changed Our Family — for the Better
I promise to choose you, in good times and in bad. Till death do us part. I was in my early twenties when I pledged those words to my husband. Like many young brides, I promised these things without having experienced a lot of life. Difficult times did come: a miscarriage, health scares, layoffs, losing two parents to long illnesses, and more. But we plowed through and came out on the other side stronger, proudly wearing our scars; living proof that what doesn’t kill you makes you stronger. It felt like there was nothing we couldn’t handle. We are bullet proof, he always says. Then, something happened that we could ...
Source: World of Psychology - August 25, 2020 Category: Psychiatry & Psychology Authors: Christine Uniacke Tags: Depression Personal Source Type: blogs
What's new in midwifery - 24th June 2020
Some recent things you may need to know...ResearchEffect of a Patient-Centered Decision Support Tool on Rates of Trial of Labor After Previous Cesarean Delivery: The PROCEED Randomized Clinical Trial (JAMA) Effect of delayed interval delivery of remaining fetus(es) in multiple pregnancies on survival: a systematic review and meta-analysis (AJOG) Effect of progestogen for women with threatened miscarriage: a systematic review and meta-analysis (BJOG) MAVRIC: a multicenter randomized controlled trial of transabdominal vs transvaginal cervical cerclage (AJOG)Twelve-hour fasting compared with expedited...
Source: Browsing - June 26, 2020 Category: Databases & Libraries Source Type: blogs
Why immune testing for patients with repeated IVF failures and repeated miscarriages is a waste of time and money
Patients who have failed repeated IVF cycles even though apparently perfect embryos were transferred, are understandably upset, frustrated and distressed. They are looking for answers as to why they are not getting pregnant, and a plausible reason is that their body is "rejecting" their embryos. This is why immune testing for patients with reproductive failure has become very fashionable recently. There is a long list of expensive tests which many labs now perform - and these include: DQ Alpha, Leukocyte Antibody Detection, Reproductive Immunophenotype, ANA (Antinuclear Antibody), Anti-DNA/Histone Antibodies, APA (Ant...
Source: Dr.Malpani's Blog - May 28, 2020 Category: Reproduction Medicine Source Type: blogs
What's new in midwifery - 15th April 2020
Things you might want to know about...ResearchThe cost-effectiveness of progesterone in preventing miscarriages in women with early pregnancy bleeding: an economic evaluation based on the PRISM trial (BJOG)Antibiotic prophylaxis for operative vaginal delivery (Cochrane review)Umbilical cord milking in preterm infants: a systematic review and meta-analysis (Archives of Diseases in Childhood)Telehealth Interventions to Improve Obstetric and Gynecologic Health Outcomes: A Systematic Review (Obstetrics and Gynecology)Includes discussion related to smoking cessation, breastfeeding and pre-eclampsia.Ask your librarian if you hav...
Source: Browsing - April 15, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs
IVF Video : Miscarriages after IVF
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - April 6, 2020 Category: Reproduction Medicine Source Type: blogs
Anorexic and Pregnant
I was diagnosed with anorexia nervosa over a decade ago. Blinded by the eating disorder to the damage that was occurring both internally and externally, the possibility of infertility did not occur to me. When I married at 21, my husband and I both dreamed of one day becoming parents and I lived in this optimism for some time. However, after my periods stopped for 7 years, I began to doubt if being a mother would ever be my reality.
As an eating disorder patient, I had been regularly informed of the risk factors of my illness, some of which included amenorrhoea, the absence of menstruation, and a high chance of infertili...
Source: World of Psychology - March 26, 2020 Category: Psychiatry & Psychology Authors: Esther Dark Tags: Anorexia Eating Disorders Personal Pregnancy Infertility Source Type: blogs
Why follow a vaccine schedule?
Right now, many people are hoping for a vaccine to protect against the new coronavirus. While that’s still on the horizon, new research suggests that families who do vaccinate their children may not be following the recommended schedule.
Vaccines are given on a schedule for a reason: to protect children from vaccine-preventable disease. Experts designed the schedule so that children get protection when they need it — and the doses are timed so the vaccine itself can have the best effect. When parents don’t follow the schedule, their children may not be protected.
And yet, many parents do not follow the schedule.
A th...
Source: Harvard Health Blog - March 26, 2020 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Adolescent health Children's Health Parenting Vaccines Source Type: blogs
Cesarean scar ectopic pregnancy- MRI
Discussion – Cesarean scar ectopic pregnancy (CSEP) or Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy resulting from implantation of a blastocyst within myometrial scar tissue (old uterine scars) in the anterior lower uterine segment (LUS) at the site of prior Cesarean section. It is considered amongst the rarest type of ectopic pregnancy, although some do not include it in the category of ectopic pregnancy as implantation occurs within the uterus itself. Incidence is on rise due to increasing numbers of elective Cesarean sections as well as improved detection with transv...
Source: Sumer's Radiology Site - March 19, 2020 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Pregnant and worried about the new coronavirus?
COVID-19, the disease caused by a new coronavirus, has rapidly spread globally. The World Health Organization recently labeled COVID-19 a pandemic. Many of my pregnant patients have expressed concerns, both for themselves and their babies, about the impact of COVID-19 on their health. To answer often-asked questions about pregnancy and the new coronavirus, I’ve teamed up with my husband, an infectious disease specialist and internist. Together, we reviewed the extremely limited data available to provide evidence-based responses below.
Pregnancy and the new coronavirus
As you probably know, the virus spreads through respi...
Source: Harvard Health Blog - March 16, 2020 Category: Consumer Health News Authors: Huma Farid, MD Tags: Parenting Pregnancy Women's Health Source Type: blogs
Surrogacy: Who decides to become a gestational carrier?
Why would a woman decide to carry another woman’s baby? One answer is that there are times in life when a loved one is in need of help. This happens when a sister or a cousin or a close friend has suffered repeated miscarriages, or had an illness or surgery that made pregnancy unlikely. In these instances, it is not unusual for a family member or friend to step forward, saying, “I’ll carry your baby.” But what of the woman who decides that she wants to carry for strangers? What prompts her to seek, usually through an agency, an individual or couple in need of a gestational carrier?
Surrogate or gestational carrier?...
Source: Harvard Health Blog - March 5, 2020 Category: Consumer Health News Authors: Ellen S. Glazer, LICSW Tags: Family Planning and Pregnancy Fertility Infertility Parenting Source Type: blogs
Cato ’s Letters: 300 Years
Chris EdwardsI grabbed a book off my shelf the other day that I had not read in years.The English Libertarian Heritage is a sampling of essays written three centuries ago by John Trenchard and Thomas Gordon. The pair as “Cato” published their provocative essays on liberty in theLondon Journal andBritish Journal between 1720 and 1723, naming themselves after Cato the Younger, who defended republican Rome against Julius Caesar.The book ’s foreword says that the essays, calledCato ’s Letters, would years later “exercise a profound influence on the arguments put forward by American colonists in their struggles ...
Source: Cato-at-liberty - February 3, 2020 Category: American Health Authors: Chris Edwards Source Type: blogs
More proof that PGT for aneuploidy testing reduces IVF pregnancy rates
Outcome of in vitro fertilization cycles with preimplantation genetic testing for aneuploidies: let ’s be honest with one anotherRichard J. Paulson, M.D., M.S.The process is, unfortunately, quite inefficient, and 50% of potential implantations are lost, even by clinics that have experience with PGT-A and are good enough to be chosen for the STAR trial. In an intention-to-treat analysis, the pregnancy rate is not increased. The time to pregnancy is not shortened and there is no decrease in miscarriage rates.If 50% of potential implantations are lost, under what circumstances can we justify the use of PGT-A? We should...
Source: Dr.Malpani's Blog - January 31, 2020 Category: Reproduction Medicine Source Type: blogs
Vaccines for women: Before conception, during pregnancy, and after a birth
The rise of vaccine-preventable illnesses, such as measles and hepatitis, in the United States and around the globe has been alarming in recent years. For women — especially those hoping to become pregnant, as well as women who are pregnant or have recently had a baby — vaccines can be a worrisome topic. There are many misconceptions about vaccine safety in and around pregnancy that can lead to confusion and unnecessary fear of a lifesaving medical tool. As a practicing ob/gyn, I often discuss vaccines with my patients and help them sort out fears versus facts.
Which vaccines should you consider before conception?
The ...
Source: Harvard Health Blog - January 10, 2020 Category: Consumer Health News Authors: Ilona T. Goldfarb, MD, MPH Tags: Health Parenting Pregnancy Vaccines Women's Health Source Type: blogs
