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Pregnancy-associated stroke and the recurrence of stroke and other complications in subsequent pregnancies: Population-based retrospective cohort study
CONCLUSIONS: Subsequent pregnancies of women with a history of PAS are more often complicated with hypertensive disorders of pregnancy and any diabetes during pregnancy. PAS recurrence risk is considerable.PMID:37088716 | DOI:10.1111/1471-0528.17503
Source: BJOG : An International Journal of Obstetrics and Gynaecology - April 23, 2023 Category: OBGYN Authors: Liisa Verho Minna Tikkanen Outi Äyräs Karoliina Aarnio Kirsi Rantanen Aino Korhonen Anna Richardt Hannele Laivuori Mika Gissler Petra Ij äs Source Type: research

Preventing Adverse Cardiovascular Outcomes in Pregnancy Complicated by Obesity
AbstractPurpose of ReviewObesity is a chronic disease that is becoming increasingly prevalent, and more individuals of reproductive age have obesity prior to becoming pregnant. Obesity in pregnancy is associated with short- and long-term adverse consequences for both the birthing person and their offspring which have been associated with increased long-term cardiovascular morbidity and mortality. The goal of this review is to discuss what is currently understood about the relationship between maternal obesity and adverse pregnancy outcomes (APOs), the association between APOs and future cardiovascular disease (CVD) risk, a...
Source: Current Obstetrics and Gynecology Reports - April 6, 2023 Category: OBGYN Source Type: research

Exploring education preferences of Australian women regarding long-term health after hypertensive disorders of pregnancy: a qualitative perspective
Hypertensive disorders of pregnancy (HDP) affect 5 –10% of pregnant women. Long-term health issues for these women include 2–3 times the risk of heart attacks, stroke and diabetes, starting within 10 years afte...
Source: BMC Women's Health - November 1, 2021 Category: OBGYN Authors: Heike Roth, Amanda Henry, Lynne Roberts, Lisa Hanley and Caroline S. E. Homer Tags: Research Source Type: research

Adverse Cardiovascular Events Associated With Female Pelvic Reconstructive Surgery
Objective To evaluate national trends in major adverse cardiovascular and cerebrovascular events (MACCE) in female pelvic reconstructive surgery (FPRS). Methods Data from the National Inpatient Sample was used to identify women undergoing FPRS between 2012 and 2016. Demographic, procedural, and comorbidity data were collected. Patients were stratified into those with and without MACCE (defined as all-cause mortality, cardiac arrest, myocardial infarction (MI) and acute ischemic stroke). Descriptive statistics are expressed as medians and interquartile ranges. Pairwise analysis was performed using Wilcoxon rank-s...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 31, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Fetal cardiovascular hemodynamics in type 1 diabetic pregnancies at near ‐term gestation
ConclusionsIn maternal type 1 diabetes pregnancies, fetal cardiovascular hemodynamics is impaired. Maternal type 1 diabetes does not seem to alter placental vascular impedance or induce placental inflammation.
Source: Acta Obstetricia et Gynecologica Scandinavica - January 20, 2021 Category: OBGYN Authors: Lara Lehtoranta, Mervi Haapsamo, Olli Vuolteenaho, Pertti Palo, Eeva Ekholm, Juha R äsänen Tags: ORIGINAL ARTICLE Source Type: research

Pharmacist ’s knowledge regarding the management of overactive bladder in elderly women
Anticholinergic drugs used to treat overactive bladder (OAB), have common side effects, including constipation, dry eyes and dry mouth. They can also cause central nervous system effects such as confusion and reduction in cognitive function [1]. Polypharmacy and an increase in blood brain barrier permeability increase these effects [2] which, are more likely in the elderly [3] as aging, as well as trauma, multiple sclerosis, hypertension, stroke and diabetes [4], leads to increased blood brain barrier permeability.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - January 16, 2021 Category: OBGYN Authors: George Araklitis, Angie Rantell, Georgina Baines, Richard Flint, Dudley Robinson, Linda Cardozo Tags: Full length article Source Type: research

Long-term cardiometabolic disease risk in women with PCOS: a systematic review and meta-analysis
AbstractBACKGROUNDPolycystic ovary syndrome (PCOS) is associated with cardiometabolic disease, but recent systematic reviews and meta-analyses of longitudinal studies that quantify these associations are lacking.OBJECTIVE AND RATIONALEIs PCOS a risk factor for cardiometabolic disease?SEARCH METHODSWe searched from inception to September 2019 in MEDLINE and EMBASE using controlled terms (e.g. MESH) and text words for PCOS and cardiometabolic outcomes, including cardiovascular disease (CVD), stroke, myocardial infarction, hypertension (HT), type 2 diabetes (T2D), metabolic syndrome and dyslipidaemia. Cohort studies and case ...
Source: Human Reproduction Update - September 30, 2020 Category: OBGYN Source Type: research

Fetal cardiovascular hemodynamics in type 1 diabetic pregnancies at near ‐term gestation
ConclusionsIn maternal type 1 diabetes pregnancies, fetal cardiovascular hemodynamics is impaired. Maternal type 1 diabetes does not seem to alter placental vascular impedance or induce placental inflammation.
Source: Acta Obstetricia et Gynecologica Scandinavica - September 23, 2020 Category: OBGYN Authors: Lara Lehtoranta, Mervi Haapsamo, Olli Vuolteenaho, Pertti Palo, Eeva Ekholm, Juha R äsänen Tags: ORIGINAL ARTICLE Source Type: research

Fetal cardiovascular hemodynamics in type 1 diabetic pregnancies at near term gestation
ConclusionsIn maternal type 1 diabetes pregnancies, fetal cardiovascular hemodynamics is impaired. Maternal type 1 diabetes does not seem to alter placental vascular impedance or induce placental inflammation.
Source: Acta Obstetricia et Gynecologica Scandinavica - September 1, 2020 Category: OBGYN Authors: Lara Lehtoranta, Mervi Haapsamo, Olli Vuolteenaho, Pertti Palo, Eeva Ekholm, Juha R äsänen Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Multi-compartment MRI as a promising tool for measurement of placental perfusion and oxygenation in early onset Fetal Growth Restriction.
Abstract Placental insufficiency, the main cause of Fetal Growth Restriction (FGR), is associated with adverse outcomes for both the mother and infant in the short term, but also with negative longer-term effects (such as heart disease, diabetes and stroke). Doppler Ultrasound is the main means of assessing placental function in clinical practice, but does not necessarily allow a precise distinction between placental insufficiency with secondary FGR, and normal placental function with a constitutionally small fetus. PMID: 32772422 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - August 7, 2020 Category: OBGYN Authors: Jacquier M, Salomon LJ Tags: BJOG Source Type: research

The Real Maternal Risks in a Pregnancy: A Structured Review to Enhance Maternal Understanding and Education.
Authors: Wilson RD Abstract This review sought to use high-level published data sources for system knowledge translation, collaborative enhanced maternal education and understanding, and prospective maternal quality and safety care planning. The goal was to answer the following question: What are the short- and long-term maternal risks ("near misses," adverse events, severe morbidity and mortality) associated with pregnancy and childbirth? A structured analysis of the literature (systematic review, meta-analysis, observational case-control cohort), focusing on publications between 2016 and April 2019, was undertake...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - July 28, 2020 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Personality traits and the risk of coronary heart disease or stroke in women with diabetes – an epidemiological study based on the Women's Health Initiative
Conclusions: Hostility was associated with incidence of CHD among postmenopausal women with diabetes, especially among incident diabetes. These results provide a basis for targeted prevention programs for women with a high level of hostility and diabetes.
Source: Menopause - September 28, 2019 Category: OBGYN Tags: Original Articles Source Type: research

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