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Total 345 results found since Jan 2013.

Management of Hypertensive Crisis for the Obstetrician/Gynecologist
Publication date: Available online 14 October 2016 Source:Obstetrics and Gynecology Clinics of North America Author(s): Jamil ElFarra, Cynthia Bean, James N. MartinTeaser Hypertensive disorders of pregnancy are among the leading preventable contributors of maternal and fetal adverse outcomes, including maternal and fetal death. Blood pressure increase has a strong association with unfavorable pregnancy outcomes, including stroke and pulmonary edema. A persistent blood pressure measurement greater than or equal to 160/110 mm Hg lasting for more than 15 minutes, during pregnancy or postpartum, is considered an obstetric eme...
Source: Obstetrics and Gynecology Clinics of North America - October 14, 2016 Category: OBGYN Source Type: research

Cardiovascular disease incidence among females in South Carolina by type of oral contraceptives, 2000 –2013: a retrospective cohort study
ConclusionIn light of an association between POC use and decreased heart disease and stroke, women ’s CVD risk factors should be carefully considered when choosing which OC to use. Baseline CVD risk should be a part of the discussion between women and their primary care providers when making choices regarding OCs.
Source: Archives of Gynecology and Obstetrics - October 5, 2016 Category: OBGYN Source Type: research

3 Is BP level achieved related to maternal and perinatal outcomes? A secondary analysis of bp values from the chips (control of hypertension in pregnancy study) randomised controlled trial
Conclusions Higher BP is a biomarker for adverse outcomes, even when target BP is low as in‘tight’ control. Although CHIPS showed that BP-lowering with antihypertensive therapy can reduce maternal risk (i.e., less severe hypertension), CHIPS did not show that perinatal risk is lowered (or increased). BP variability has a significant complex relationship with outcomes, possibly related to an adaptive response from the feto-placental unit. Our data suggest that when antihypertensive therapy is not achieving target BP values or BP is not stable, enhanced surveillance may be prudent.
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - October 3, 2016 Category: OBGYN Source Type: research

20 Defective placental bed vascular remodeling precedes manifestations of superimposed preeclampsia in stroke-prone spontaneously hypertensive rats
Conclusion Our data confirms the characterization of pregnant SHRSP as a model reproducing clinical diagnostic traits and the underlying placental pathology observed in preeclampsia superimposed on chronic hypertension. This novel model provides an attractive system for interventional studies and dissection of the multifactorial origins of hypertensive disorders of pregnancy.
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - October 3, 2016 Category: OBGYN Source Type: research

27 The added value of the biomarkers sFlt-1, PlGF and their ratio on prediction of prolongation of pregnancy and maternal and fetal complications in (suspected) preeclampsia
Conclusions The biomarkers sFlt-1, PlGF and sFlt-1/PlGF ratio are strong predictors for maternal and fetal complications and pregnancy prolongation. Particularly the sFlt-1/PlGF ratio has much added value for the prediction of fetal complications and pregnancy prolongation.
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - October 3, 2016 Category: OBGYN Source Type: research

Distinguishing Arterial Ischemic Stroke From Hypoxic-Ischemic Encephalopathy in the Neonate at Birth.
CONCLUSION: Stroke is associated with increased initial platelet counts and is not associated with cesarean delivery for nonreassuring fetal heart rate tracings, sentinel events, or perinatal metabolic acidosis. Stroke is a form of neonatal brain injury not associated with perinatal risk factors that allow early identification. PMID: 27607878 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - September 4, 2016 Category: OBGYN Authors: Adami RR, Grundy ME, Poretti A, Felling RJ, Lemmon M, Graham EM Tags: Obstet Gynecol Source Type: research

Hormone therapy and clinical and surrogate cardiovascular endpoints in women with chronic kidney disease: a systematic review and meta-analysis
Conclusions: Studies examining the effect of postmenopausal HT on CV outcomes in women with CKD are lacking. Further prospective study of the role of postmenopausal HT in this high-risk group is required.
Source: Menopause - August 26, 2016 Category: OBGYN Tags: Review Articles Source Type: research

All-Cause and Cause-Specific Mortality After Hypertensive Disease of Pregnancy.
CONCLUSION: Women with hypertensive disease of pregnancy have increased mortality risk, particularly for Alzheimer disease, diabetes, ischemic heart disease, and stroke. PMID: 27400006 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - July 6, 2016 Category: OBGYN Authors: Theilen LH, Fraser A, Hollingshaus MS, Schliep KC, Varner MW, Smith KR, Esplin MS Tags: Obstet Gynecol Source Type: research

Use of Intravenous Thrombolysis to Treat Postoperative Ischemic Stroke After Gynecologic Surgery
Journal of Gynecologic Surgery Jun 2016, Vol. 32, No. 3: 201-203.
Source: Journal of Gynecologic Surgery - May 19, 2016 Category: OBGYN Authors: Alex S. MillerSusan W. DurhamJasmine J. Han Source Type: research

Safety of hormonal contraceptives among women with migraine: a systematic review
Migraine is common among women of reproductive age and is associated with an increased risk of ischemic stroke. Combined oral contraceptives (COCs) are also associated with an increased risk of ischemic stroke. Use of hormonal contraception among women with migraine might further elevate the risk of stroke among women of reproductive age.
Source: Contraception - May 2, 2016 Category: OBGYN Authors: Naomi K. Tepper, Maura K. Whiteman, Lauren B. Zapata, Polly A. Marchbanks, Kathryn M. Curtis Tags: Review article Source Type: research

Safety of hormonal contraceptives among women with migraine: A systematic review
Migraine is common among women of reproductive age and is associated with an increased risk of ischemic stroke. Combined oral contraceptives (COCs) are also associated with an increased risk of ischemic stroke. Use of hormonal contraception among women with migraine might further elevate the risk of stroke among women of reproductive age.
Source: Contraception - May 2, 2016 Category: OBGYN Authors: Naomi K. Tepper, Maura K. Whiteman, Lauren B. Zapata, Polly A. Marchbanks, Kathryn M. Curtis Tags: Review article Source Type: research

Brain imaging suggests link between stress and cardiovascular events
Stress seems to be a strong driver of cardiovascular events, including heart attack, stroke, and even death. For the first time, brain imaging has confirmed a link that has long been suspected:...
Source: Ob.Gyn. News - March 24, 2016 Category: OBGYN Source Type: research

Violence May Raise a Woman's Risk for Stroke
Title: Violence May Raise a Woman's Risk for StrokeCategory: Health NewsCreated: 3/3/2016 12:00:00 AMLast Editorial Review: 3/4/2016 12:00:00 AM
Source: MedicineNet Womens Health General - March 4, 2016 Category: OBGYN Source Type: news

Ventricular outputs, central blood flow distribution and flow pattern through the aortic isthmus of fetuses with simple transposition of the great arteries
ConclusionCentral distribution of combined cardiac output of fetuses with simple TGA is characterized by a greater QLUNGS leading to a dominant LV. In prenatal TGA, changes in QLUNGS could be monitored by measuring ISI. The clinical importance of this last observation deserves further investigations.This article is protected by copyright. All rights reserved.
Source: Acta Obstetricia et Gynecologica Scandinavica - March 4, 2016 Category: OBGYN Authors: Julie Blanc, Jean‐Claude Fouron, Sven‐Erik Sonesson, Marie‐Josée Raboisson, Ian Huggon, Roxanne Gendron, Annie Berger, Sophie Brisebois Tags: Original Research Article Source Type: research