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Total 345 results found since Jan 2013.

Hypertensive disorders of pregnancy and long-term risk of maternal stroke —a systematic review and meta-analysis
Hypertensive disorders of pregnancy are associated with a long-term risk for cardiovascular disease among parous patients later in life. However, relatively little is known about whether hypertensive disorders of pregnancy are associated with an increased risk for ischemic stroke or hemorrhagic stroke in later life. This systematic review aimed to synthesize the available literature on the association between hypertensive disorders of pregnancy and the long-term risk for maternal stroke.
Source: American Journal of Obstetrics and Gynecology - March 27, 2023 Category: OBGYN Authors: Matthew P. Brohan, Fionn P. Daly, Louise Kelly, Fergus P. McCarthy, Ali S. Khashan, Karolina Kublickiene, Peter M. Barrett Tags: Systematic Review Source Type: research

Ischemic stroke and the use of etonogestrel implant on adolescent
There is few scientific evidence of good quality on the relationship between an ischemic stroke and the isolated use of progestins. In general, it does not suggest an elevation of this risk. The World Health Organization (WHO) classifies continuation of the etonogestrel implant as category 3 if the event occurred while using it.
Source: Journal of Pediatric and Adolescent Gynecology - March 11, 2023 Category: OBGYN Authors: Liliane Diefenthaeler Herter, Francine Zap Bertoncello, Soraia Schmidt, Noadja Tavares de Fran ça, Mariane Faccin Beust, Rosi Pereira Balbinotto, Liliane Diefenthaeler Herter Source Type: research

Considerations for Contraceptive Use Among Patients with Migraines
AbstractPurpose of ReviewThere is an overlap in the populations of patients who suffer from migraine headaches and patients who seek contraception. The purpose of this review is to present recent studies on contraception among patients with migraines and provide clinical recommendations.Recent FindingsMigraine with aura and combined hormonal contraceptive (CHC) use are associated with increased ischemic stroke risk. The use of CHCs in patients with migraine with aura produces a higher risk of ischemic stroke than either factor individually; therefore, CHC is contraindicated in this population by certain guidelines. However...
Source: Current Obstetrics and Gynecology Reports - March 2, 2023 Category: OBGYN Source Type: research

Stroke in Pregnancy
This article will review current information about the epidemiology, risk factors, pathophysiology, management, and outcomes of conditions associated with maternal stroke.Recent FindingsPregnancy confers a substantially increased risk of stroke in women. The period of highest risk of stroke is the peripartum and 6-week post-partum period, coinciding with the highest risk for hypertensive disorders of pregnancy and peak gestational hypercoagulability. Physiological changes of pregnancy, including hypercoagulable states, venous stasis, and hemodynamic changes, are significant contributors to maternal stroke. However, hyperte...
Source: Current Obstetrics and Gynecology Reports - February 22, 2023 Category: OBGYN Source Type: research

Trends in postpartum stroke and risk for associated adverse outcomes
To determine trends, risk factors, and complications associated with postpartum stroke.
Source: American Journal of Obstetrics and Gynecology - January 1, 2023 Category: OBGYN Authors: Grace Pipes, Alexander M. Friedman, Teresa Logue, Timothy Wen, Eliza C. Miller, Mary E. D'Alton Tags: Poster Session III Source Type: research

Diverse cardiovascular risk of recurrent spontaneous abortion: A prospective cohort study using UK Biobank
Previous studies have reported that history of recurrent spontaneous abortion (RSA) can increase the risk for cardiovascular disease. However, previous studies mainly focused on atherosclerotic cardiovascular disease (ASCVD), such as coronary artery disease or stroke, hence the effect of RSA on non-atherosclerotic cardiovascular diseases (non-ASCVD) remains unknown. In the current study, we examined if women with a history of RSA have an increased risk for long-term cardiovascular outcomes including both ASCVD and non-ASCVD.
Source: American Journal of Obstetrics and Gynecology - January 1, 2023 Category: OBGYN Authors: Jihye Bae, Young Mi Jung, Jeesun Lee, Manu Shivakumar, Chan-Wook Park, Joong Shin Park, Jong Kwan Jun, Dokyoon Kim Tags: Poster Session I Source Type: research

Temporal trends in pregnancy associated stroke: risk factors and associated outcomes, a  national cohort
Our aim was to assess the temporal trend and to ascertain whether risks factors or adverse outcomes in the U.S. differed by timing of pregnancy associated stroke (antepartum versus postpartum).
Source: American Journal of Obstetrics and Gynecology - January 1, 2023 Category: OBGYN Authors: Ghamar Bitar, Han-Yang Chen, Sami Backley, Suneet P. Chauhan, Baha M. Sibai, Michal Fishel Bartal Tags: Poster Session II Source Type: research

Pregnancy associated stroke and hypertension: a national cohort evaluating temporal trends, risk factors, and mortality
Our aim was to evaluate the association between pregnancy associated stroke (PAS) and hypertensive disorder in the U.S.
Source: American Journal of Obstetrics and Gynecology - January 1, 2023 Category: OBGYN Authors: Ghamar Bitar, Baha M. Sibai, Han-Yang Chen, Sami Backley, Suneet P. Chauhan, Michal Fishel Bartal Tags: Poster Session II Source Type: research

Furosemide to lower antenatal severe hypertension (FLASH): a randomized placebo-controlled trial
In high cardiac output hypertension, reducing volume may be an effective strategy in lowering blood pressure (BP). We evaluated whether the addition of IV furosemide to first-line antihypertensive agents reduces systolic BP (SBP) for the management of acute-onset, severe (SBP ≥160 mmHg and/or diastolic BP (DBP) ≥110 mmHg) antenatal hypertension with wide (≥60 mmHg) pulse pressure (PP), a proxy for stroke volume.
Source: American Journal of Obstetrics and Gynecology - January 1, 2023 Category: OBGYN Authors: Melanie Maykin, Elizabeth Mercer, Kevin Saiki, Bliss Kaneshiro, Corrie Miller, Pai Jong Tsai Tags: Poster Session III Source Type: research

The association between incidentally found breast arterial calcification on routine screening mammography and the development of coronary artery disease and stroke: results of a 10-year prospective study
The objective of this study is to assess whether the presence of breast arterial calcifications (BACs) found on routine mammography is prospectively associated with the development of cardiovascular disease (CVD) events after 10 years of follow-up. Methods Women presenting for screening mammography were enrolled in this prospective cohort. Baseline data were collected including history of CVD and CVD risk factors. Mammograms were assessed for the presence or absence of BAC. Participants completed questionnaires 10 years after baseline that assessed the development of CVD (coronary artery disease [CAD] and stroke) an...
Source: Menopause - December 1, 2022 Category: OBGYN Tags: Original Studies Source Type: research

Hypertensive Crisis in Pregnancy
Severe hypertension in pregnancy is a medical emergency, defined as systolic blood pressure (BP) ≥ 160 mm Hg and/or diastolic BP ≥ 110 mm Hg taken 15 minutes to 4 or more hours apart. Outside pregnancy, acute severe hypertension (HTN) is defined as a BP greater than 180/110 to 120 reproducible on 2 occasions. The lower threshold for severe HTN in pregnancy reflects the increased risk for adverse outcomes, particularly maternal stroke and death, and may be a source of under-recognition and treatment delay, particularly in nonobstetrical health care settings. Once a severe hypertension episode is recognized, antihyper...
Source: Obstetrics and Gynecology Clinics - September 1, 2022 Category: OBGYN Authors: Cynthie K. Wautlet, Maria C. Hoffman Source Type: research

Maternal hemodynamics and computerized cardiotocography during labor with epidural analgesia
ConclusionMaternal hemodynamic status at the onset of labor can make a difference in fetal response to the administration of epidural analgesia.
Source: Archives of Gynecology and Obstetrics - June 15, 2022 Category: OBGYN Source Type: research

Pregnancy-Related Stroke: A Review
Conclusions and Relevance Early recognition and management are integral in decreasing the morbidity and mortality associated with a stroke in pregnancy. Relevance Statement This study was an evidence-based review of stroke in pregnancy and how to diagnose and mange a pregnancy complicated by a stroke. Target Audience Obstetricians and gynecologist, family physicians Learning Objectives After completing this learning activity, the participant should be better able to identify the pregnancy-related risk factors for a stroke; explain the presenting signs and symptoms of a stroke in pregnancy; describe...
Source: Obstetrical and Gynecological Survey - June 1, 2022 Category: OBGYN Tags: CME ARTICLES Source Type: research

A Revised Markov Model Evaluating Oophorectomy at the Time of Hysterectomy for Benign Indication: Age 65 Years Revisited
CONCLUSION: This updated Markov model argues for the consideration of concurrent salpingo-oophorectomy for patients who are undergoing hysterectomy at age 50 and older and suggests that initiating estrogen in those who need salpingo-oophorectomy before age 50 years mitigates increased mortality risk.PMID:35576331 | DOI:10.1097/AOG.0000000000004732
Source: Obstetrics and Gynecology - May 16, 2022 Category: OBGYN Authors: Shannon K Rush Xiuyu Ma Michael A Newton Stephen L Rose Source Type: research