Filtered By:
Specialty: OBGYN

This page shows you your search results in order of relevance. This is page number 16.

Order by Relevance | Date

Total 345 results found since Jan 2013.

ACOG Committee Opinion No. 767: Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period.
Authors: Abstract Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset, severe systolic hypertension; severe diastolic hypertension; or both require urgent antihypertensive therapy. Introducing standardized, evidence-based clinical guidelines for the management of patients with preeclampsia and eclampsia has been demonstrated to reduce the incidence of adverse maternal outcomes. Individuals and institutions should have mechanisms in place to initiate the...
Source: Obstetrics and Gynecology - December 19, 2018 Category: OBGYN Tags: Obstet Gynecol Source Type: research

508: Readmission following discharge on labetalol or nifedipine for management of hypertensive disorders of pregnancy
Hypertensive disorders of pregnancy (HDP) confer significant maternal risks postpartum including risks of seizure, stroke and higher rates of postpartum readmission. Following delivery, women with blood pressure elevations are treated primarily with labetalol or nifedipine but it is unknown if one agent is more effective for blood pressure control following hospital discharge. We sought to compare rates of postpartum readmission and adverse maternal outcomes based on discharge on labetalol versus nifedipine.
Source: American Journal of Obstetrics and Gynecology - December 25, 2018 Category: OBGYN Authors: Samantha C. Do, Danielle M. Panelli, Anna I. Girsen, Sanaa Suharwardy, Jaclyn Estes, Ronald S. Gibbs, Yasser El- Sayed, Deirdre J. Lyell, Maurice L. Druzin, Jason Bentley Tags: Poster Session III Source Type: research

441: The burden of preeclampsia and potentially life threatening complications (PLTC) in high versus low- income countries
In Africa, nearly 1 in 10 maternal deaths are due to hypertensive disorders. In the U.S., dangerously high blood pressures are leading causes of maternal mortality/stroke, with 60% of deaths being preventable. Preeclampsia (PE)- associated morbidity and mortality is due to poor disease recognition and delay in diagnosis. Misfolded proteins are present in the urine of women with PE, and disease severity correlates with intensity with which they bind Congo red dye (congophilia). Given the differences in health care infrastructure and quality of care, we compared the frequency and spectrum of PE severity at triage evaluation ...
Source: American Journal of Obstetrics and Gynecology - December 25, 2018 Category: OBGYN Authors: Irina A. Buhimschi, Jennifer Makin, Kara M. Rood, Hillary Bracken, Catalin S. Buhimschi, Robert Pattinson Tags: Poster Session II Source Type: research

429: Echocardiographic markers aid in risk stratification of women with persistent hypertension after preeclamptic pregnancy
Women diagnosed with preeclampsia (PEC) have a higher incidence of chronic hypertension (HTN), heart failure, stroke, and other forms of cardiovascular disease. We hypothesized parameters on echocardiography (ECHO) performed at diagnosis of PEC would be associated with subsequent cardiovascular risk.
Source: American Journal of Obstetrics and Gynecology - December 25, 2018 Category: OBGYN Authors: Arthur J. Vaught, Lara C. Kovell, Dhananjay Vaidya, Pamela Ouyang, Monica Mukherjee, Sammy Zakaria Tags: Poster Session II Source Type: research

38: Hyperoxygenation in pregnancy exerts a more profound effect on hemodynamics than in a non-pregnant state
The hemodynamic effects of oxygen therapy are under recognized and the impact of hyperoxygenation (HO) on maternal hemodynamics is currently unknown. Using transthoracic bioreactance (NICOM), we sought to examine the effect of brief hyperoxygenation on cardiac index (CI), systemic vascular resistance (SVR), blood pressure (BP), stroke volume (SV) and heart rate (HR) in pregnant mothers during the third trimester as compared to those observed in a non-pregnant population subjected to the same period of hyperoxygenation.
Source: American Journal of Obstetrics and Gynecology - December 25, 2018 Category: OBGYN Authors: Ann McHugh, Afif EL-Khuffash, Anne Doherty, Neidin Bussmann, Colm Breatnach, Elizabeth Tully, Orla Franklin, Fionnuala Breathnach Tags: Oral Concurrent 3 Source Type: research

Cerebral pontine infarctions during pregnancy – A case report and review of the literature
Publication date: Available online 23 January 2019Source: Case Reports in Women's HealthAuthor(s): Jenna Kaye Wildman, Bassam H. RimawiAbstractCerebrovascular disease is not uncommon during pregnancy as a result of either venous or arterial occlusion, or a hemorrhagic event, resulting in ischemia. Pregnancy may alter the prognosis of these neurologic disorders, with increased risks of morbidity and mortality for the mother and the developing fetus. Etiologies of stroke during pregnancy and the postpartum period include preeclampsia, eclampsia, HELLP syndrome, posterior reversible encephalopathy syndrome (PRES), amniotic fl...
Source: Case Reports in Womens Health - January 24, 2019 Category: OBGYN Source Type: research

ACOG Committee Opinion No. 767 Summary: Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period.
Authors: Abstract Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset, severe systolic hypertension; severe diastolic hypertension; or both require urgent antihypertensive therapy. Introducing standardized, evidence-based clinical guidelines for the management of patients with preeclampsia and eclampsia has been demonstrated to reduce the incidence of adverse maternal outcomes. Individuals and institutions should have mechanisms in place to initiate the...
Source: Obstetrics and Gynecology - January 27, 2019 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Changes in adiposity and other factors in relation to age at natural menopause: analyses from the coronary artery risk development (CARDIA) study
Conclusion: These findings show that age at natural menopause is partly determined by modifiable factors such as premenopausal hypertension and baseline adiposity. These results highlight the importance of both control and prevention of cardiovascular risk factors such as excess weight in early to mid-adulthood before menopause onset.
Source: Menopause - January 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Congenital thrombocytopenia, intractable menorrhagia at menarche and Ischemic stroke
We present a rare case of severe intractable menorrhagia occurring with the first period in a 12-year-old girl who has a positive family history of bleeding disorder. She presented with a series of challenges in terms of diagnosis, management, and therapy.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 19, 2019 Category: OBGYN Authors: Manal Taha, Olubunmi Oniya Tags: Session 18 – Complications and cases gone wrong Source Type: research

Accidental ultrasound detection of Galen vein aneurysm at term pregnancy
Introduction: Galen vein aneurysm is the most common congenital arteriovenous (AV) malformation. It consists of an arteriovenous shunt dilating vascular bed. Brain structures of the posterior cranial fossa are often compressed by this dilatation. The most often manifestations are ischemic changes of neonatal brain as a stroke, steal phenomenon, hydrocephalus or heart failure.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 19, 2019 Category: OBGYN Authors: Eva Matejkov á, Marie Raszyková, Michaela Bukovanská, David Matura, Erika Doležálková, Richard Špacek, Ondrej Šimetka Tags: Movies Case Reports 2 – PPH, Puerperium and Neurology Source Type: research

Neurological diseases in pregnancy
Purpose of review To summarize recent research findings and current concepts related to care of neurologic diseases in pregnancy and the risks of pregnancy to the mother–infant dyad. Recent publications related to best practices for neurologic care, risks of pregnancy, rate of relapse during and after pregnancy, as well as medication safety in pregnancy and lactation for more commonly used neurologic medications are reviewed. Recent findings Data continues to grow that women with neurologic conditions can experience pregnancy with minimal risks. Additionally, as more data is being published on medication safety in p...
Source: Current Opinion in Obstetrics and Gynecology - March 5, 2019 Category: OBGYN Tags: MATERNAL FETAL MEDICINE: Edited by Deirdre Lyell, Mark Boddy, and Martha Rode Source Type: research

Mode of anesthesia and major perioperative outcomes associated with vaginal surgery
DiscussionMajor perioperative complications in vaginal reconstructive surgery were uncommon, and no differences were observed between monitored, regional, and general anesthesia outcomes.
Source: International Urogynecology Journal - March 11, 2019 Category: OBGYN Source Type: research

Diagnosis airhead: a case of pneumocephalus in  labor
This noncontrast computer tomography of the head reveals pneumocephalus, caused by air entering the meninges during epidural placement. The 36 year old gravida 7 para 3033 at 40 weeks complained of right-sided swelling around her eyes and cheek shortly after epidural placement. She was noted to have right-sided ptosis and hemianesthesia of the right side of her face. A neurology consult was called because of concern for stroke and the computer tomography was obtained (Figures  1 and 2). The images reveal a focus of air adjacent to the right internal carotid artery, consistent with cranial nerve 3 irritation, leading to th...
Source: American Journal of Obstetrics and Gynecology - March 4, 2019 Category: OBGYN Authors: Jenani S. Jayakumaran, Ushma Thomas, Meike Schuster Tags: Images in Obstetrics Source Type: research

Supplement to January 2019 (vol. 220, no. 1, page S549)
Clifford C, Ankumah N-A, Valenzuela A, et  al. 841: Stroke in pregnancy. Am J Obstet Gynecol 2019;220:S549.
Source: American Journal of Obstetrics and Gynecology - April 4, 2019 Category: OBGYN Tags: Correction Source Type: research

Markers of maternal cardiac dysfunction in pre-eclampsia and superimposed pre-eclampsia
Women who experience hypertensive disorders of pregnancy have an increased risk of developing cardiovascular diseases including hypertension, stroke, and ischaemic heart disease later in life.1 –3 This risk is evident shortly after an affected pregnancy and persists for decades.4 The mechanism underlying this association is not known, particularly whether women who develop hypertensive disorders are at higher risk pre-pregnancy and pregnancy unmasks their cardiovascular risk, or whether hypertensive disorders of pregnancy are an index event causing cardiovascular damage.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - April 18, 2019 Category: OBGYN Authors: Frances Conti-Ramsden, Carolyn Gill, Paul T. Seed, Kate Bramham, Lucy C. Chappell, Fergus P. McCarthy Tags: Full length article Source Type: research