Filtered By:
Specialty: OBGYN

This page shows you your search results in order of date. This is page number 13.

Order by Relevance | Date

Total 345 results found since Jan 2013.

Antihypertensive Use At Delivery Rising in Preeclampsia (CME/CE)
(MedPage Today) -- Study also found rate of stroke declined in this population
Source: MedPage Today OB/GYN - February 9, 2018 Category: OBGYN Source Type: news

Use of Antihypertensive Medications During Delivery Hospitalizations Complicated by Preeclampsia.
CONCLUSION: Use of multiple antihypertensive agents to treat preeclamptic women increased over the study period for women with mild, superimposed, and severe preeclampsia. There was substantial hospital variation in use of antihypertensive agents. This trend was associated with decreased risk of maternal stroke. PMID: 29420396 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - February 5, 2018 Category: OBGYN Authors: Cleary KL, Siddiq Z, Ananth CV, Wright JD, Too G, DʼAlton ME, Friedman AM Tags: Obstet Gynecol Source Type: research

Breast cancer, endometrial cancer, and cardiovascular events in participants who used vaginal estrogen in the Women's Health Initiative Observational Study
Conclusions:The risks of cardiovascular disease and cancer were not elevated among postmenopausal women using vaginal estrogens, providing reassurance about the safety of treatment. Objective: To determine the association between use of vaginal estrogen and risk of a global index event (GIE), defined as time to first occurrence of coronary heart disease (CHD), invasive breast cancer, stroke, pulmonary embolism, hip fracture, colorectal cancer, endometrial cancer, or death from any cause. Methods: For this prospective observational cohort study, we used data from participants of the Women's Health Initiative Observat...
Source: Menopause - January 1, 2018 Category: OBGYN Tags: Original Articles Source Type: research

43: Contraction associated maternal heart rate decelerations: a pragmatic marker of intrapartum volume status
Echocardiography has demonstrated uterine contractions increase cardiac preload and stroke volume through auto-transfusion. These hemodynamic changes may be associated with a compensatory decrease in maternal heart rate. Our objective was to evaluate a visual maternal Contraction-Associated Heart Rate Deceleration (CAHD) pattern as a potential marker of relative hypovolemia.
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Justin R. Lappen, Edward K. Chien, Brian M. Mercer Tags: Oral Plenary II Source Type: research

799: 33-Year single center experience with pregnancy-associated strokes
To evaluate the incidence, presentation, and causes of pregnancy-related strokes at our single-center institution in relation to timing, characterization of stroke, risk factors, pregnancy outcomes, and residual neurologic deficits in order to identify at risk patients and to improve outcomes.
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Amanda Zofkie, F. Gary Cunningham Tags: Poster Session IV Source Type: research

343: Use of antihypertensive medications during delivery hospitalizations complicated by preeclampsia and risk of stroke
The objectives of this study were to (i) evaluate use of antihypertensives during delivery hospitalizations with preeclampsia, and (ii) evaluate trends in stroke risk during the study period.
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Kirsten E. Cleary, Zainab Siddiq, Cande Ananth, Jason D. Wright, Gloria Too, Mary D'Alton, Alexander M. Friedman Tags: Poster Session II Source Type: research

96: Hyperoxygenation therapy in the third trimester leads to hemodynamic changes in maternal circulation
The impact of hyperoxygenation (HO) on maternal hemodynamics is currently unknown. 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 using transthoracic bioreactance (TRB).
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Ann McHugh, Liam Dwyer, Colm Breathnach, Elizabeth Tully, Orla Franklin, Afif El-Khuffash, Fionnuala Breathnach Tags: Oral Concurrent 8 Source Type: research

Breast cancer, endometrial cancer, and cardiovascular events in participants who used vaginal estrogen in the Women's Health Initiative Observational Study
Conclusions:The risks of cardiovascular disease and cancer were not elevated among postmenopausal women using vaginal estrogens, providing reassurance about the safety of treatment. Objective: To determine the association between use of vaginal estrogen and risk of a global index event (GIE), defined as time to first occurrence of coronary heart disease (CHD), invasive breast cancer, stroke, pulmonary embolism, hip fracture, colorectal cancer, endometrial cancer, or death from any cause. Methods: For this prospective observational cohort study, we used data from participants of the Women's Health Initiative Observat...
Source: Menopause - December 22, 2017 Category: OBGYN Tags: Original Articles Source Type: research

Early warning system hypertension thresholds to predict adverse outcomes in pre-eclampsia: A prospective cohort study
Conclusion The CRADLE VSA, with integrated traffic light early warning system, can identify women who are hypertensive, at increased risk of severe pre-eclampsia complications and in need of escalation of care. Women who triggered a red light were at increased risk of kidney injury, magnesium sulfate use and CCU admission.
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - December 16, 2017 Category: OBGYN Source Type: research

Timing and Risk Factors of Postpartum Stroke.
CONCLUSION: Although patients with chronic hypertension and hypertensive diseases of pregnancy are at higher risk of postpartum stroke, they account for a minority of such strokes. The majority of readmissions for postpartum stroke occur within 10 days of discharge; optimal blood pressure management may be particularly important during this period. PMID: 29215510 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - December 4, 2017 Category: OBGYN Authors: Too G, Wen T, Boehme AK, Miller EC, Leffert LR, Attenello FJ, Mack WJ, DʼAlton ME, Friedman AM Tags: Obstet Gynecol Source Type: research

Lifestyle in Progression From Hypertensive Disorders of Pregnancy to Chronic Hypertension in Nurses' Health Study II: Observational Cohort Study
(Abstracted from BMJ 2017;358:j3024) Hypertensive disorders of pregnancy (HDPs: preeclampsia and gestational hypertension) are associated with earlier onset of chronic hypertension and a higher risk of ischemic heart disease and stroke and affect between 5% and 10% of parous women. There is little guidance for the prevention of chronic hypertension among women with a history of HDPs, and the role of lifestyle in the progression from HDPs to chronic hypertension is unclear, including whether established lifestyle interventions are as effective in women with a history of HDPs as in the general population.
Source: Obstetrical and Gynecological Survey - December 1, 2017 Category: OBGYN Tags: Obstetrics: Medical Complications of Pregnancy Source Type: research

Reply
We thank Drs Driul and Londero for their interest in our study.1 We agree that thrombogenic mutations may be a contributing factor in migraine-related stroke. We did not adjust for known thrombogenic mutations; however, because combined hormonal contraceptives (CHCs) are not recommended for use by women with known thrombogenic mutations because of safety concerns,2 we expect that there would be only a small number of women with those disorders who use CHCs. Our analysis adjusted for the important confounders mentioned by Drs Driul and Londero, namely age, hypertension, smoking, and obesity as well as others that included d...
Source: American Journal of Obstetrics and Gynecology - November 23, 2017 Category: OBGYN Authors: Naomi K. Tepper, Kathryn M. Curtis, Steven W. Champaloux Tags: Letter to the Editors Source Type: research

Migraine with aura and screening for biological  thrombophilia
We read with interest the article of Champaloux et  al1: “Use of combined hormonal contraceptives among women with migraines and risk of ischemic stroke.” We believe that the study limitations do not sufficiently highlight the lack of adjustment for thrombophilia in the analysis as a limitation.
Source: American Journal of Obstetrics and Gynecology - November 23, 2017 Category: OBGYN Authors: Driul Lorenza, A.P. Londero Tags: Letter to the Editors Source Type: research

Long-term Risk of a Seizure Disorder After Eclampsia.
CONCLUSION: Women with eclampsia should be reassured that, although the relative risk of a seizure disorder is higher than unaffected women, the absolute risk is extremely low (approximately one seizure/2,200 person-years). PMID: 29112665 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - November 3, 2017 Category: OBGYN Authors: Nerenberg KA, Park AL, Vigod SN, Saposnik G, Berger H, Hladunewich MA, Gandhi S, Silversides CK, Ray JG Tags: Obstet Gynecol Source Type: research

Comparison of clinical outcomes among users of oral and transdermal estrogen therapy in the Women's Health Initiative Observational Study
Conclusions: The summary index of risks versus benefits was similar for oral CEE versus oral or transdermal E2-containing regimens. CEE + P containing less than 0.625 mg/d of CEE (vs 0.625 mg/d) for less than 5 years appeared safer.
Source: Menopause - September 23, 2017 Category: OBGYN Tags: Original Articles Source Type: research