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Total 345 results found since Jan 2013.

Less-Tight Versus Tight Control of Hypertension in Pregnancy
This study was an open, multicenter, international, randomized controlled trial that included women with nonsevere, nonproteinuric preexisting hypertension/gestational hypertension. All women had gestational periods of 14 weeks 0 days to 33 weeks 6 days with preexisting hypertension with a diastolic blood pressure of 90 mm Hg or higher at 20 weeks. Women were randomized 1:1 to less-tight control group (100 mm Hg) or tight control group (85 mm Hg). Primary outcomes focused on pregnancy loss or need for high-level neonatal care more than 48 hours to 28 days after birth. The secondary outcomes focused on “serious” materna...
Source: Obstetrical and Gynecological Survey - May 1, 2015 Category: OBGYN Tags: Obstetrics: Medical Complications of Pregnancy Source Type: research

Blood pressure measurement in pregnancy
Key content Accurate blood pressure (BP) measurement is fundamental to early diagnosis of hypertensive disorders in pregnancy. Poor auscultatory technique and lack of training leads to inaccuracies in BP measurement using sphygmomanometry with mercury and aneroid devices. Automated devices limit user error but require validation of accuracy because they tend to underestimate BP in pre‐eclampsia. Systolic hypertension may better predict risk of adverse outcome (such as haemorrhagic stroke) than diastolic hypertension. Ambulatory/self‐monitoring increases the number of representative readings available on which to ...
Source: The Obstetrician and Gynaecologist - April 1, 2015 Category: OBGYN Authors: Hannah L Nathan, Kate Duhig, Natasha L Hezelgrave, Lucy C Chappell, Andrew H Shennan Tags: Review Source Type: research

Validation of thoracic impedance cardiography by echocardiography in healthy late pregnancy
Conclusions: Absolute values of SV as determined by ICG are not valid in pregnancy. Further work is required to examine the ability of ICG to assess relative changes in maternal haemodynamics in late pregnancy.
Source: BMC Pregnancy and Childbirth - March 28, 2015 Category: OBGYN Authors: Jordan McIntyreKevin EllyettEdwin MitchellGina QuillJohn ThompsonAlistair StewartRobert DoughtyPeter Stonethe Maternal Sleep in Pregnancy Study Group Source Type: research

Cholesterol – the super-stealthy invisible illness
Sourced from The Hysterectomy Association: Hysterectomy Association - Hysterectomy Association - hysterectomy, menopause and hormone replacement therapy (hrt) information and support for women. As far as invisible illnesses go, they don’t come much stealthier than high cholesterol. It’s easily ignored because it builds up gradually, often showing no symptoms whatsoever. A person with high or increasing cholesterol levels will most likely feel perfectly healthy. It’s a scary though that the first sign of high cholesterol may be a heart attack or stroke – and could even prove fatal! Fortunately, medical professionals...
Source: The Hysterectomy Association - March 26, 2015 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Health Conditions cholesterol invisible illness Source Type: news

Migraine et contraception
Publication date: March 2015 Source:Gynécologie Obstétrique & Fertilité, Volume 43, Issue 3 Author(s): H. Cappy , C. Lucas , S. Catteau-Jonard , G. Robin La migraine est une pathologie fréquente chez la femme. La maladie migraineuse répond à une définition stricte définie par l’International Headache Society et est à différencier des autres types de céphalées. La survenue des crises est fréquemment liée au cycle menstruel. De nombreuses études ont fait le lien entre fluctuations hormonales et survenue de la crise migraineuse. La migraine avec aura est actuellement un facteur de risque identifié ...
Source: Gynecologie Obstetrique and Fertilite - March 22, 2015 Category: OBGYN Source Type: research

Severe adverse effects of bromocriptine in lactation inhibition: a pharmacovigilance survey
ConclusionsThis survey, together with published data, provides further evidence that serious ADRs still occur after bromocriptine use in lactation inhibition, and that most of these ADRs could have been avoided. The use of bromocriptine should therefore be limited to cases where no other options are available to inhibit lactation.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - March 11, 2015 Category: OBGYN Authors: N Bernard, H Jantzem, M Becker, C Pecriaux, A Bénard‐Laribière, JL Montastruc, J Descotes, T Vial, Tags: Original Article Source Type: research

Severe adverse effects of bromocriptine in lactation inhibition: a pharmacovigilance survey.
CONCLUSIONS: This survey, together with published data, provides further evidence that serious ADRs still occur after bromocriptine use in lactation inhibition, and that most of these ADRs could have been avoided. The use of bromocriptine should therefore be limited to cases where no other options are available to inhibit lactation. PMID: 25761676 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - March 11, 2015 Category: OBGYN Authors: Bernard N, Jantzem H, Becker M, Pecriaux C, Bénard-Laribière A, Montastruc JL, Descotes J, Vial T, French Network of Regional Pharmacovigilance Centres Tags: BJOG Source Type: research

Pain Management Strategies for Urogynecologic Surgery: A Review
ABSTRACT: Surgery-related pain is common and is difficult to manage during the postoperative period. In some studies, more than 30% of patients who underwent either vaginal surgery or abdominal surgery reported inadequate pain control at postoperative days 3 and 7. Poor pain control during the acute postoperative period causes heightened sympathetic discharge (increasing the risk for myocardial infarction and stroke) and decreased ambulation (increasing the risk for thromboembolism). Poor acute postoperative pain control can also result in poor inspiratory effort, resulting in an increased risk for postoperative pneumonia,...
Source: Obstetrical and Gynecological Survey - March 1, 2015 Category: OBGYN Tags: Gynecology: Urogynecology Source Type: research

Migraine and contraception.
Abstract Migraine is a common pathology in women. Migraine disease is well defined by the International Headache Society and has to be distinguished from others types of headaches. The occurrence of migraine attacks is frequently linked to the menstrual cycle. Many studies have related a connexion with hormonal fluctuations and migraine event. Migraine with aura is currently identified as a stroke risk factor and this risk dramatically increases in case of oestroprogestative pill intake and smoking. The World Health Organization established guidelines about oestroprogestative intake in case of migraine while stric...
Source: Gynecologie, Obstetrique et Fertilite - February 26, 2015 Category: OBGYN Authors: Cappy H, Lucas C, Catteau-Jonard S, Robin G Tags: Gynecol Obstet Fertil Source Type: research

Effect of external airflow resistive load on postural and exercise-associated cardiovascular and pulmonary responses in pregnancy: a case control study
Background: Facial coverings (e.g., balaclavas, niqabs, medical/surgical masks, respirators, etc.), that impose low levels of airflow resistive loads, are worn by millions of pregnant women worldwide, but little data exist addressing their impact on pregnancy-associated cardiovascular and pulmonary responses. Methods: 16 pregnant and 16 non-pregnant women were monitored physiologically (heart rate, blood pressure, mean arterial pressure, total peripheral resistance, stroke volume, cardiac output, oxygen saturation, transcutaneous carbon dioxide, fetal heart rate) and subjectively (exertion) for 1 h of mixed sedentary post...
Source: BMC Pregnancy and Childbirth - February 22, 2015 Category: OBGYN Authors: Jung-Hyun KimRaymond RobergeJeffrey Powell Source Type: research

Association of breast arterial calcification with stroke and angiographically proven coronary artery disease: a meta-analysis
Objective: We conducted a meta-analysis of the current literature to deduce the strength of association between breast arterial calcification (BAC) and coronary artery disease (CAD) and/or stroke. Methods: PubMed, Google Scholar, ClinicalTrials.gov, and Ovid were searched for English-language literature up to August 2013 using the terms “breast arterial calcification,” “breast vascular calcification,” “coronary artery disease,” “coronary heart disease,” “cardiovascular disease,” “abnormal coronary angiography,” and “stroke.” A hand search of the reference lists of key articles was performed to s...
Source: Menopause - January 29, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Facing the noncommunicable disease (NCD) global epidemic – The battle of prevention starts in utero – The FIGO challenge
Publication date: January 2015 Source:Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 29, Issue 1 Author(s): Lluis Cabero Roura , Sir Sabaratnam Arulkumaran Noncommunicable diseases (NCDs) are responsible for 36 million deaths every year. Of this death toll, nearly 80% (29 million) occur in low- and median-income countries. More than 9 million deaths attributed to NCDs occur in people under 60 years of age. National economies are suffering considerable losses due to premature death or disability to work resulting from heart disease, stroke, and diabetes. The knowledge that in utero and ...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - January 24, 2015 Category: OBGYN Source Type: research

Hypertensive disorders and pregnancy-related stroke: frequency, trends, risk factors, and outcomes.
CONCLUSION: Having traditional stroke risk factors substantially increased the stroke risk among hypertensive disorders of pregnancy hospitalizations. Stroke with hypertensive disorders in pregnancy had two distinctive characteristics: a greater increase in frequency since the mid-1990s and significantly higher stroke-related complication rates. LEVEL OF EVIDENCE: : III. PMID: 25560114 [PubMed - in process]
Source: Obstetrics and Gynecology - January 1, 2015 Category: OBGYN Authors: Leffert LR, Clancy CR, Bateman BT, Bryant AS, Kuklina EV Tags: Obstet Gynecol Source Type: research

Medical treatment of ureteral obstruction associated with ovarian remnants and/or endometriosis: report of 3 cases and review of the literature
Conclusions Low dose intermittent danazol or GnRH-a alone or with add-back, may be effective long-term therapies in endometriosis-associated ureteral obstruction when surgery is contraindicated, refused or difficult to perform.
Source: Journal of Minimally Invasive Gynecology - December 20, 2014 Category: OBGYN Source Type: research

462: The effects of maternal position and habitus on left ventricular stroke volume during pregnancy measured by cardiac magnetic resonance
To evaluate left ventricular stroke volume (LVSV) changes according to maternal position and habitus throughout normal pregnancy using serial cardiac magnetic resonance imaging (CMRI).
Source: American Journal of Obstetrics and Gynecology - December 19, 2014 Category: OBGYN Authors: David Nelson, Robert Stewart, Susan Matulevicius, Donald McIntire, Mark Drazner, F. Gary Cunningham Tags: Poster session III Source Type: research