Obstetric Medicine最新文献

Visual loss during pregnancy due to physiological pituitary hyperplasia. 怀孕期间因生理性垂体增生导致的视力丧失。

IF 0.8

Obstetric Medicine Pub Date : 2025-05-21 DOI: 10.1177/1753495X251338154

Andrew Peel, Stephanie Teasdale, Adam Morton

{"title":"Visual loss during pregnancy due to physiological pituitary hyperplasia.","authors":"Andrew Peel, Stephanie Teasdale, Adam Morton","doi":"10.1177/1753495X251338154","DOIUrl":"10.1177/1753495X251338154","url":null,"abstract":"Physiological pituitary hyperplasia is due to adenohypophyseal cell number increase and is characterised by diffuse isodense pituitary enlargement beyond age-appropriate sizes. It most commonly occurs in females undergoing reproductive changes (puberty, pregnancy, menopause). We report a case of pituitary hyperplasia (pituitary height 14 mm) in a 33-year-old female presenting as vision changes at 34 weeks 'gestation. Computer visual fields identified right sided superotemporal visual field loss with current retinal nerve fibre layer assessment suggestive of compressive optic neuropathy. Serial visual assessment was performed, and due to progression, a caesarean section was performed at 38 weeks' gestation. Cabergoline was not utilised, and one month following delivery, visual findings had resolved, and pituitary height had reduced to 11 mm. There is limited data regarding management for pituitary hyperplasia causing compressive neuropathy irrespective of pregnancy. This case highlights the temporary nature of hypertrophy during pregnancy and positive visual outcome with conservative interventions.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251338154"},"PeriodicalIF":0.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of a Maternal Medicine Hub on post-partum haemorrhage in women with inherited bleeding disorders: A retrospective service evaluation. 产妇医学中心对遗传性出血性疾病妇女产后出血的影响：一项回顾性服务评价。

IF 0.8

Obstetric Medicine Pub Date : 2025-05-20 DOI: 10.1177/1753495X251338642

Man Ho Kwok, Angeliki Taniskidi, Louise Bowles, Sonia Wolf, Matthew Hogg, Mandeep K Kaler

{"title":"Impact of a Maternal Medicine Hub on post-partum haemorrhage in women with inherited bleeding disorders: A retrospective service evaluation.","authors":"Man Ho Kwok, Angeliki Taniskidi, Louise Bowles, Sonia Wolf, Matthew Hogg, Mandeep K Kaler","doi":"10.1177/1753495X251338642","DOIUrl":"10.1177/1753495X251338642","url":null,"abstract":"Background: We investigated the impact of the Maternal Medicine Network Hub, established at our centre in 2019, on post-partum haemorrhage (PPH) management in women with inherited bleeding disorders (IBDs).Methods: Data from 63 patients with IBDs between 2020 and 2023 were compared to a general obstetric cohort. Specific data collected included haemoglobin levels, estimated blood loss, and PPH severity.Results: Post-partum haemorrhage rates above 500 mL and 1000 mL were significantly higher in the IBD group (p = .02 and p = .002, respectively). However very severe PPH (>1500 mL) also known as massive obstetric haemorrhage (MOH) was not significantly different from the general obstetric population (p = .7) in our tertiary centre (The Royal London Hospital).Conclusion: Multidisciplinary care at the Maternal Medicine Hub may mitigate the risk of extreme blood loss (MOH) in women with IBDs. This highlights the necessity of specialised care in improving outcomes for women with IBDs during childbirth.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251338642"},"PeriodicalIF":0.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diabetes and pregnancy: The need for standardized terminology. 糖尿病和妊娠：标准化术语的需要。

IF 0.8

Obstetric Medicine Pub Date : 2025-05-19 DOI: 10.1177/1753495X251342929

Roger Gonzales-Valdivieso, Jenyfer María Fuentes-Mendoza, Julia Cristina Coronado-Arroyo, Edwin Augusto Acho-Carranza, Marcio Concepción-Zavaleta

引用次数: 0

Successful aortic valve and ascending aorta replacement during pregnancy. 妊娠期间主动脉瓣和升主动脉置换术成功。

IF 0.8

Obstetric Medicine Pub Date : 2025-05-19 DOI: 10.1177/1753495X251339843

Chani Tromop-van Dalen, Sarah L Fairley, Jade S Lodge

引用次数: 0

Acute fatty liver in pregnancy presenting in the second trimester: A systematic literature review. 妊娠中期出现急性脂肪肝：系统文献综述。

IF 0.8

Obstetric Medicine Pub Date : 2025-05-08 DOI: 10.1177/1753495X251338746

Laurence Bourque, Michèle Mahone

{"title":"Acute fatty liver in pregnancy presenting in the second trimester: A systematic literature review.","authors":"Laurence Bourque, Michèle Mahone","doi":"10.1177/1753495X251338746","DOIUrl":"https://doi.org/10.1177/1753495X251338746","url":null,"abstract":"Objective: We present clinical features and outcomes of second-trimester acute fatty liver of pregnancy (AFLP), a serious but rare condition.Results: Fourteen pregnant women with AFLP or compatible biopsy were identified in the literature. Diagnosis occurred between 20 and 27 + 6 weeks of gestational age. In total, 50% were primigravid. Thirteen cases met the Swansea criteria while the other case had a compatible liver biopsy. In total, 10 out of 11 cases had microvesicular steatosis on their liver biopsy. Common maternal complications included acute renal failure, hypoglycaemia, liver failure, encephalopathy, intensive care unit admission and need for blood transfusions. Seven deliveries were on the day of diagnosis, five within four weeks, and two within three months. One maternal death, seven fetal deaths and three neonatal deaths occurred.Conclusion: AFLP diagnosed in the second trimester is a rare condition. Neonatal mortality and maternal morbidity are high. Most cases had nonspecific symptoms and clinical findings, but a majority had compatible biopsies.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251338746"},"PeriodicalIF":0.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PICC-associated tricuspid valve endocarditis in pregnancy managed with AngioVac. 妊娠期picc相关的三尖瓣心内膜炎用angioovac治疗。

IF 0.8

Obstetric Medicine Pub Date : 2025-04-24 DOI: 10.1177/1753495X251335360

Lindsay Anderson, Lisa Nguyen

引用次数: 0

ABO blood group and risk of pre-eclampsia. A case-control study. ABO血型和先兆子痫的风险。病例对照研究。

IF 0.8

Obstetric Medicine Pub Date : 2025-04-18 DOI: 10.1177/1753495X251333629

Holy Bezanahary, Jonathan Thiolon, François Dalmay, Jean-Luc Eyraud, Baher Youssef, Yves Aubard, Philippe Lacroix, Lucie Chastaingt, Perrine Coste-Mazeau

{"title":"ABO blood group and risk of pre-eclampsia. A case-control study.","authors":"Holy Bezanahary, Jonathan Thiolon, François Dalmay, Jean-Luc Eyraud, Baher Youssef, Yves Aubard, Philippe Lacroix, Lucie Chastaingt, Perrine Coste-Mazeau","doi":"10.1177/1753495X251333629","DOIUrl":"https://doi.org/10.1177/1753495X251333629","url":null,"abstract":"Background: It appears that some ABO blood groups may be a risk factor for venous thrombosis. The association between ABO group and risk of pre-eclampsia remains controversial. The purpose of this study was to evaluate the relationship between pre-eclampsia and ABO groups.Methods: A retrospective case-control (1:2) study in a prospective monocentric registry including 20171 pregnancies was performed. Women with pre-eclampsia and severe pre-eclampsia were identified. Controls were matched according to age, parity, year of delivery and body mass index. Blood groups were considered.Results: Two hundred fifty-three cases and 506 controls were included. No difference in distribution was found between cases and controls for non-O group (57.51% vs 62.56, p: 0.19), group A (39.92% vs 44.05, p: 0.29), group B (13.83% vs 15.42, p: 0.57) group AB (3.75 vs 3.08, p: 0.64). The analysis extended to severe pre-eclampsia showed no difference.Conclusion: This study did not document any relationship between ABO groups and the risk of preeclampsia.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251333629"},"PeriodicalIF":0.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 0.8

Obstetric Medicine Pub Date : 2025-04-16 DOI: 10.1177/1753495X251334520

Sivaranjani P, Bhabani Pegu, Murali Subbaiah, Pooja D, Prabhu Manivannan, Gowri Dorairajan

引用次数: 0

A rare example of humoral-related hypercalcaemia in pregnancy secondary to a uterine fibroid: a case report. 妊娠期继发子宫肌瘤的体液相关高钙血症一例：1例报告。

IF 0.8

Obstetric Medicine Pub Date : 2025-04-11 DOI: 10.1177/1753495X251326130

Chloe Gilkinson, Hannah Beresford, Carol Postlethwaite, Catherine Nelson-Piercy, Karan Sampat

引用次数: 0

Implications of the USAID U-turn on women's health globally. 美国国际开发署180度大转弯对全球妇女健康的影响。

IF 0.8