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Total 345 results found since Jan 2013.

Systolic Hypertension, Preeclampsia-Related Mortality, and Stroke in California.
CONCLUSION: Stroke is the major cause of maternal mortality associated with preeclampsia or eclampsia. All but one patient in this series of strokes demonstrated severe elevation of systolic blood pressure, whereas other variables were less consistently observed. Antihypertensive treatment was not implemented in the majority of cases. Opportunities for care improvement exist and may significantly affect maternal mortality. PMID: 31135728 [PubMed - in process]
Source: Obstetrics and Gynecology - May 29, 2019 Category: OBGYN Authors: Judy AE, McCain CL, Lawton ES, Morton CH, Main EK, Druzin ML Tags: Obstet Gynecol Source Type: research

Pregnancy-associated stroke –a systematic review of subsequent pregnancies and maternal health
Pregnancy-associated stroke is a rare but life-threatening event, with an estimated incidence of 30/100000 deliveries. Data on the risk of stroke recurrence and the risk of other adverse pregnancy outcomes are...
Source: BMC Pregnancy and Childbirth - May 28, 2019 Category: OBGYN Authors: Liisa Karjalainen, Minna Tikkanen, Kirsi Rantanen, Hannele Laivuori, Mika Gissler and Petra Ij äs Tags: Research article Source Type: research

Severe Maternal Morbidity in Canada: Temporal Trends and Regional Variations, 2003-2016.
CONCLUSION: This surveillance report helps inform clinical practice and public health policy for improving maternal health in Canada. PMID: 31060985 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - May 9, 2019 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Systolic Hypertension, Preeclampsia-Related Mortality, and Stroke in California.
CONCLUSION: Stroke is the major cause of maternal mortality associated with preeclampsia or eclampsia. All but one patient in this series of strokes demonstrated severe elevation of systolic blood pressure, whereas other variables were less consistently observed. Antihypertensive treatment was not implemented in the majority of cases. Opportunities for care improvement exist and may significantly affect maternal mortality. PMID: 31083120 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - May 8, 2019 Category: OBGYN Authors: Judy AE, McCain CL, Lawton ES, Morton CH, Main EK, Druzin ML Tags: Obstet Gynecol Source Type: research

The Quality of Information on Combined Oral Contraceptives Available on the Internet.
CONCLUSION: Online information on COCs was variable in quality, often missing key information for making informed decisions. Health care providers should be aware of information gaps when advising women to seek information online. PMID: 31003948 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - April 21, 2019 Category: OBGYN Tags: J Obstet Gynaecol Can 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

Acute Management of Ischemic Stroke During Pregnancy.
Abstract Acute stroke in pregnancy can be devastating. Although neurologists will at some point be involved in the management, most of these patients are likely to first be evaluated by an obstetric care provider. It is, therefore, important for obstetric care providers to have an understanding of the presentation and management of stroke, particularly in the initial period when the window of opportunity for therapy is critical. Once suspected, a head computed tomography (CT) without contrast media should be performed without delay to rule out a hemorrhagic component. Patients presenting within 4.5 hours of sympto...
Source: Obstetrics and Gynecology - April 4, 2019 Category: OBGYN Authors: Pacheco LD, Hankins GDV, Saad AF, Saade GR Tags: Obstet Gynecol 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

Sex Differences in Care and Long-Term Mortality After Stroke: Australian Stroke Clinical Registry
Journal of Women's Health, Ahead of Print.
Source: Journal of Women - March 20, 2019 Category: OBGYN Authors: Hoang T. Phan Seana L. Gall Christopher L. Blizzard Natasha A. Lannin Amanda G. Thrift Craig S. Anderson Joosup Kim Rohan Grimley Helen C. Castley Peter Hand Dominique A. Cadilhac Source Type: research

Stroke recurrence in pregnancy: Experience at a regional referral center
ConclusionThere was no stroke recurrence during pregnancy or the postpartum period for the three groups of stroke.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - March 13, 2019 Category: OBGYN 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

Stroke recurrence in pregnancy: Experience at a regional referral center
Although stroke is more common with advancing age, especially in the elderly, women of reproductive age may still suffer from stroke, and from its deleterious consequences. Women of reproductive age who suffer a stroke may do so either due to a specific predisposition, or due to pregnancy-related hypertensive emergencies.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - March 11, 2019 Category: OBGYN Authors: Adeeb Khalifeh, Andrea Berghella, Sindy Moreno, Kathryn Corelli, Emily Leubner, Gabriele Saccone, Badih Daou, Pascal Jabbour 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

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

Cerebellar stroke in pregnancy
Introduction: Gestational cerebral vascular ischaemia is a rare diagnosis affecting about 4 per 100,000 deliveries. It is commonest during the third trimester and in the puerperium. Cerebellar stroke accounts for 2% of all strokes during pregnancy.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 19, 2019 Category: OBGYN Authors: Theresia Dalli, Silvaine Dalli, Luke Saliba, Joshua Smith, Isabelle Saliba Tags: Movies Case Reports 2 – PPH, Puerperium and Neurology Source Type: research