José Paz-Ibarra, Marcio Concepción-Zavaleta, Juan Quiroz-Aldave, Julia Coronado-Arroyo
{"title":"Author's response to Letter to the Editor re: Paz-Ilbarra C-ZM et al. A giant parathyroid cyst causing primary hyperparathyroidism in a pregnant woman: Case report and literature review. <i>Obstetric Medicine</i> 2024: 1-6. DOI: https://doi.org/10.1177/1753495X2412492.","authors":"José Paz-Ibarra, Marcio Concepción-Zavaleta, Juan Quiroz-Aldave, Julia Coronado-Arroyo","doi":"10.1177/1753495X251328111","DOIUrl":"10.1177/1753495X251328111","url":null,"abstract":"","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251328111"},"PeriodicalIF":0.8,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755901","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}
Yuyun Lisnawati, Budi Haryanto, Sri Pudyastuti, D Cahyarini, P Rinaldi, Agnes Yunie P, Jully Neily Kasie, Rita Rogayah
{"title":"Investigation of the presence of SARS-CoV-2 in the maternal-fetal compartment: Study of pregnant women with confirmed COVID-19 at Persahabatan Hospital, Jakarta.","authors":"Yuyun Lisnawati, Budi Haryanto, Sri Pudyastuti, D Cahyarini, P Rinaldi, Agnes Yunie P, Jully Neily Kasie, Rita Rogayah","doi":"10.1177/1753495X251326458","DOIUrl":"10.1177/1753495X251326458","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in amniotic fluid, umbilical cord blood, both the maternal and fetal sides of placenta, as well as neonatal nasopharyngeal among infants born to mothers with COVID-19.</p><p><strong>Methods: </strong>The inclusion criteria was pregnant women with confirmed COVID-19 who delivered by caesarean section at Persahabatan General Hospital, University of Indonesia, Jakarta, Indonesia, from May 2020 to August 2020. SARS-CoV-2 presence was assessed in vaginal mucus, anal, amniotic fluid, umbilical cord blood, both maternal and fetal sides of placenta, as well as neonatal nasopharynx.</p><p><strong>Results: </strong>During the study period, 24 pregnant women met the criteria. A total of 132 swab samples were obtained from vaginal mucus, anal swab, amniotic fluid, umbilical cord blood, both maternal and fetal sides of placenta, as well as neonatal nasopharynx. Reverse transcription polymerase chain reaction test yielded negative results for SARS-CoV-2 in all samples except one sample from anal.</p><p><strong>Conclusions: </strong>There was no evidence of SARS-CoV-2 in vaginal mucus, anal, amniotic fluid, umbilical cord blood, placenta, and neonatal nasopharyngeal samples. The exception of one positive anal sample, necessitating further investigation.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251326458"},"PeriodicalIF":0.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702023","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}
{"title":"Amniotic fluid embolism: A case-series.","authors":"Sandra Lynn Jaya-Bodestyne, Wei Ching Tan, Devendra Kanagalingam, Tze Tein Yong, Ravichandran Nadarajah, Lay Kok Tan, Liying Yang","doi":"10.1177/1753495X251326125","DOIUrl":"10.1177/1753495X251326125","url":null,"abstract":"<p><p>Amniotic fluid embolism (AFE) is a rare but potentially catastrophic pregnancy complication. This is a 10-year retrospective study on women with AFE from 2014 to 2023. Cases that met Clark's criteria or in whom a clinical diagnosis was made after exclusion of other causes were included. Information on clinical characteristics, treatment, complications and outcomes were collected and analysed. Four cases of AFE were identified. Two met Clark's criteria and presented with cardiac arrest requiring extracorporeal membrane oxygenation, of which one had cognitive and functional impairment. Two women had atypical AFE, one with disseminated intravascular coagulation (DIC)-type AFE who did not survive, and another who had paradoxical intracranial emboli from a patent foramen ovale, who had full recovery. All had coagulopathy and postpartum haemorrhage. Early recognition and initiation of cardiovascular support is crucial in AFE. DIC and haemorrhage should be treated aggressively. Survival and good outcomes of AFE are possible.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251326125"},"PeriodicalIF":0.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702006","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}
Jessica Phillips, Isra Iftikhar, Gargeswari Sunanda, Lisa Jeffs
{"title":"Refractory hypokalaemia and hypertension in pregnancy in a woman with renal artery stenosis.","authors":"Jessica Phillips, Isra Iftikhar, Gargeswari Sunanda, Lisa Jeffs","doi":"10.1177/1753495X251321893","DOIUrl":"https://doi.org/10.1177/1753495X251321893","url":null,"abstract":"<p><p>Renal artery stenosis is rare in pregnancy. Patients generally present with hypertension and/or pre-eclampsia. Accompanying hypokalaemia is usually mild or absent. Our case demonstrates the unusual finding of severe and refractory hypokalaemia together with hypertension in a woman with renal artery stenosis in pregnancy. The differential diagnosis of hypokalaemia with hypertension in pregnancy is discussed.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X251321893"},"PeriodicalIF":0.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651974","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}
{"title":"Letter to the Editor re: Paz-Ilbarra C-ZM et al. A giant parathyroid cyst causing primary hyperparathyroidism in a pregnant woman: Case report and literature review. <i>Obstetric Medicine</i> 2024: 1-6. DOI: https://doi.org/10.1177/1753495X2412492.","authors":"Adam Morton","doi":"10.1177/1753495X241301818","DOIUrl":"10.1177/1753495X241301818","url":null,"abstract":"","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X241301818"},"PeriodicalIF":0.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568798","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}
Obstetric MedicinePub Date : 2025-03-01Epub Date: 2023-06-29DOI: 10.1177/1753495X231180943
John D Hall, Abigail Finder, Zachary Connerton, Candace Marr
{"title":"The first case of <i>Janibacter</i> bacteremia in pregnancy: A case report and review.","authors":"John D Hall, Abigail Finder, Zachary Connerton, Candace Marr","doi":"10.1177/1753495X231180943","DOIUrl":"10.1177/1753495X231180943","url":null,"abstract":"<p><p>Clinical infection with <i>Janibacter</i> species is an infrequently reported event. There are a small number of cases of patients with <i>Janibacter</i> bacteremia recognized to date. We report the first case of <i>Janibacter</i> bacteremia in a pregnant woman. The bacteremia was associated with pneumonia. Such cases can be difficult to manage due to the lack of antibiotic susceptibility data for these bacteria. We also report susceptibility data for the <i>Janibacter hoylei</i> that was isolated in our patient. This case demonstrates that <i>J. hoylei</i> can be a pathogen in otherwise immunocompetent pregnant women.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"36-39"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47809477","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}
Obstetric MedicinePub Date : 2025-03-01Epub Date: 2023-05-08DOI: 10.1177/1753495X231173061
Maya Deeb, Parul Tandon, Vivian Huang, Zane R Gallinger
{"title":"Pregnancy-onset inflammatory bowel disease: A case report.","authors":"Maya Deeb, Parul Tandon, Vivian Huang, Zane R Gallinger","doi":"10.1177/1753495X231173061","DOIUrl":"10.1177/1753495X231173061","url":null,"abstract":"<p><p>Pregnancy-onset inflammatory bowel disease (POIBD) is a rare diagnosis that has been associated with diagnostic delay and increased risk of hospitalization compared with inflammatory bowel disease diagnosed outside of pregnancy. There is a paucity of data on the clinical presentation and risk factors associated with maternal and fetal outcomes of POIBD. We present a 29-year-old patient who presented with acute severe ulcerative colitis at 24 weeks gestational age whose course was complicated by delayed diagnosis and therapy, colonic perforation, colectomy, prolonged hospitalization, and neonatal prematurity. The case illustrates the high index for suspicion required for making this diagnosis and the prevention of maternal and neonatal morbidity, together with a growing need to advocate for timely investigations and in-patient management in unwell pregnant patients.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"1 1","pages":"46-49"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41803939","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}
Obstetric MedicinePub Date : 2025-03-01Epub Date: 2023-05-09DOI: 10.1177/1753495X231172541
Anna Lieschke, Muhammad Haziq Hasnol, Annabel Martin, Ted Tsai
{"title":"A rare case of adult-onset Still's disease presenting in the early postpartum period.","authors":"Anna Lieschke, Muhammad Haziq Hasnol, Annabel Martin, Ted Tsai","doi":"10.1177/1753495X231172541","DOIUrl":"10.1177/1753495X231172541","url":null,"abstract":"<p><p>The interplay of pregnancy, the immune system and its impact on autoimmune disease is an area of growing interest. Adult-onset Still's disease is a rare auto-inflammatory disorder characterised by fever, rash, arthralgia and leucocytosis. We describe a rare case of the disease presenting for the first time in the immediate postpartum period, highlighting pregnancy and birth as possible triggers for this condition.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"50-53"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44938821","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}
Obstetric MedicinePub Date : 2025-03-01Epub Date: 2023-05-22DOI: 10.1177/1753495X231174380
Drew H Smith, Joann Gold, Yusuf Dundar, Joehassin Cordero, Christine D'Aguillo
{"title":"Development of tonsil stones during pregnancy.","authors":"Drew H Smith, Joann Gold, Yusuf Dundar, Joehassin Cordero, Christine D'Aguillo","doi":"10.1177/1753495X231174380","DOIUrl":"10.1177/1753495X231174380","url":null,"abstract":"<p><p>Despite widespread anecdotal evidence of an increase in tonsil stone formation during pregnancy, including messages on internet pregnancy forums, there is little published research on this topic. Here we present three patients who experienced new or worsening of existing tonsil stones during various points of their pregnancy. Additionally, common presentations of tonsil stones as well as the medical and surgical management options are discussed. Physiological changes during pregnancy could be a contributing factor to an increase in tonsil stones during this period. Since patients may voice complaints of tonsil stones to their obstetricians prior to establishing care with an otolaryngologist, it is important that obstetricians are aware of this disease process and its management.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"40-42"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48320030","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}
Obstetric MedicinePub Date : 2025-03-01Epub Date: 2023-05-17DOI: 10.1177/1753495X231173822
Vandana Mohan, Anshuja Singla, Rachna Agarwal
{"title":"Gestational gigantomastia: The sentinel event to systemic lupus erythematosus.","authors":"Vandana Mohan, Anshuja Singla, Rachna Agarwal","doi":"10.1177/1753495X231173822","DOIUrl":"10.1177/1753495X231173822","url":null,"abstract":"<p><p>Gestational gigantomastia or gravid macromastia is a rare condition presenting as incapacitating breast enlargement during pregnancy. It is physically and psychologically debilitating for the patient. Fewer than 100 cases have been published to date. The etiology of the condition is unknown, but various theories have been proposed. Here we report a case of a 27 year old woman in her second pregnancy, with an abnormal increase in the size of breasts. Her breast size increased from 34B to 52D brassiere size. Routine antenatal, hormone, and initial autoimmune investigations were within normal limits. The patient was managed conservatively with breast support and had a spontaneous resolution in the postpartum period. During follow up she was diagnosed with systemic lupus erythematosus, making the association of the two conditions a possibility. Good knowledge about this rare condition is necessary for all doctors, especially obstetricians.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"43-45"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48679891","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}