Obstetric Medicine最新文献

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Gastric band slippage in pregnancy: A diagnostic dilemma. 妊娠期胃束带滑脱:诊断难题
IF 0.8
Obstetric Medicine Pub Date : 2024-12-01 Epub Date: 2023-02-19 DOI: 10.1177/1753495X231155961
Victoria Verstraeten, Jonas Erzeel, Simon van de Vrande, Kathleen Scharpé
{"title":"Gastric band slippage in pregnancy: A diagnostic dilemma.","authors":"Victoria Verstraeten, Jonas Erzeel, Simon van de Vrande, Kathleen Scharpé","doi":"10.1177/1753495X231155961","DOIUrl":"10.1177/1753495X231155961","url":null,"abstract":"<p><p>Pregnancy after laparoscopic adjusted gastric banding (LAGB) is thought to be safe and lowers the risk for maternal obstetric complications, without causing a difference in birth weight or a higher incidence of neonatal complications. Even though LAGB complications in pregnancy are rare, they are often severe and can cause significant maternal and neonatal morbidity. This report outlines the case of a pregnant 32-year-old female with gastric band slippage in the third trimester and provides a summary of the literature on LAGB complications in pregnancy and their management.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"233-235"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45318299","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
Erratum: Editors' note: "Streptococcus oralis meningitis in pregnancy". 勘误:编者注:"妊娠期口腔链球菌脑膜炎"。
IF 0.8
Obstetric Medicine Pub Date : 2024-12-01 Epub Date: 2024-08-21 DOI: 10.1177/1753495X241266356
{"title":"Erratum: Editors' note: \"Streptococcus oralis meningitis in pregnancy\".","authors":"","doi":"10.1177/1753495X241266356","DOIUrl":"10.1177/1753495X241266356","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/1753495X221118168.][This corrects the article DOI: 10.1002/anr3.12133.].</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"243"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649452","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
Pustular psoriasis of pregnancy: A rare cause of placental insufficiency. 妊娠期脓疱性银屑病:胎盘功能不全的罕见原因
IF 0.8
Obstetric Medicine Pub Date : 2024-12-01 Epub Date: 2023-01-10 DOI: 10.1177/1753495X221149134
Daniel McStay, Sandy McBride, Sharleen Hill, Jonathan Sutton, Amber Saleem, Vinita Singh
{"title":"Pustular psoriasis of pregnancy: A rare cause of placental insufficiency.","authors":"Daniel McStay, Sandy McBride, Sharleen Hill, Jonathan Sutton, Amber Saleem, Vinita Singh","doi":"10.1177/1753495X221149134","DOIUrl":"10.1177/1753495X221149134","url":null,"abstract":"<p><p>Generalised pustular psoriasis of pregnancy (GPPP) is a rare dermatosis that presents in the third trimester. It merits careful clinical assessment given the difficulty in diagnosis, impact on maternal health and association with placental insufficiency. We present a case of generalised pustulosis in a pregnant woman at 30 weeks' gestation and describe the clinico-pathological challenges in obtaining a diagnosis of GPPP. Furthermore, we provide evidence from cardiotocography and ultrasound of evolving fetal compromise and describe how intensive management can facilitate a positive maternal-fetal outcome.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"236-239"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43909333","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
Case report and discussion of pregnancy in a woman with Labrune syndrome and neurofibromatosis type 1. 1例阴唇综合征合并1型神经纤维瘤病妇女妊娠的病例报告和讨论
IF 0.8
Obstetric Medicine Pub Date : 2024-12-01 Epub Date: 2023-01-08 DOI: 10.1177/1753495X221149161
Alison Wilson, Anke Hensiek, Megan Jones
{"title":"Case report and discussion of pregnancy in a woman with Labrune syndrome and neurofibromatosis type 1.","authors":"Alison Wilson, Anke Hensiek, Megan Jones","doi":"10.1177/1753495X221149161","DOIUrl":"10.1177/1753495X221149161","url":null,"abstract":"<p><p>Labrune syndrome is a rare neurological autosomal recessive condition characterised by leukoencephalopathy, cerebral calcification and parenchymal cysts. Pregnancy has not been previously reported in an individual with this condition. This case report details the pregnancy of a primiparous woman with Labrune syndrome and neurofibromatosis type 1 who experienced a seizure in the second trimester of pregnancy, but went on to deliver her baby at term with good outcome for mother and baby. The case highlights the importance of pre-pregnancy advice in women with genetic conditions, and a multidisciplinary approach to the care of women with rare and complicated medical conditions during pregnancy.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"240-242"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45232041","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
Kasabach-Merritt syndrome associated with infiltrating giant colonic hemangioma in a pregnant woman: Report of a fatal case. 卡萨巴赫-梅里特综合征合并浸润性巨大结肠血管瘤1例孕妇:1例死亡报告
IF 0.8
Obstetric Medicine Pub Date : 2024-12-01 Epub Date: 2023-05-10 DOI: 10.1177/1753495X231172618
Ana Lilia Peralta-Amaro, Carlos Ublester Cadena-Corona, Luis Fernando Domínguez-Valdez, Orestes de Jesús Cobos-Quevedo, Olga Lidia Vera-Lastra, María Del Pilar Cruz-Domínguez, Elsa Acosta-Jiménez, Karla Lourdes González-González
{"title":"Kasabach-Merritt syndrome associated with infiltrating giant colonic hemangioma in a pregnant woman: Report of a fatal case.","authors":"Ana Lilia Peralta-Amaro, Carlos Ublester Cadena-Corona, Luis Fernando Domínguez-Valdez, Orestes de Jesús Cobos-Quevedo, Olga Lidia Vera-Lastra, María Del Pilar Cruz-Domínguez, Elsa Acosta-Jiménez, Karla Lourdes González-González","doi":"10.1177/1753495X231172618","DOIUrl":"10.1177/1753495X231172618","url":null,"abstract":"<p><p>Kasabach-Merritt syndrome (KMS) is a coagulopathy characterized by thrombocytopenia and hypofibrinogenemia associated with large vascular tumors. KMS can lead to disseminated intravascular coagulation which, if not treated promptly, can be life-threatening. There are few reported cases of this syndrome and its evolution in pregnant women.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"226-229"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45416119","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
Primary aldosteronism during pregnancy and eplerenone use - a case report. 妊娠期原发性醛固酮增多症及使用eperenone 1例报告
IF 0.8
Obstetric Medicine Pub Date : 2024-12-01 Epub Date: 2023-03-13 DOI: 10.1177/1753495X231160322
Divya Mecheril Balachandran, Murali Subbaiah, Gowri Dorairajan
{"title":"Primary aldosteronism during pregnancy and eplerenone use - a case report.","authors":"Divya Mecheril Balachandran, Murali Subbaiah, Gowri Dorairajan","doi":"10.1177/1753495X231160322","DOIUrl":"10.1177/1753495X231160322","url":null,"abstract":"<p><p>Primary aldosteronism is one of the important causes of secondary hypertension. However, pregnancy with primary aldosteronism is rare. Eplerenone is an aldosterone antagonist which is used in the treatment of primary aldosteronism. This is a case of successful pregnancy outcome in a young woman who was known to have primary aldosteronism and was on oral eplerenone from preconception. There are only five case reports on eplerenone use during pregnancy in the literature.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"230-232"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45875305","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
Case report: Ulcerative colitis-related spondyloarthritis treated with golimumab until 27 weeks of gestation. 病例报告:使用戈利木单抗治疗溃疡性结肠炎相关脊柱关节炎至妊娠 27 周。
IF 0.8
Obstetric Medicine Pub Date : 2024-11-26 DOI: 10.1177/1753495X241297559
Ryuichi Okazaki, Ikkou Hirata, Hinako Ikegami, Ryou Rokutanda, Ryohkan Funakoshi
{"title":"Case report: Ulcerative colitis-related spondyloarthritis treated with golimumab until 27 weeks of gestation.","authors":"Ryuichi Okazaki, Ikkou Hirata, Hinako Ikegami, Ryou Rokutanda, Ryohkan Funakoshi","doi":"10.1177/1753495X241297559","DOIUrl":"10.1177/1753495X241297559","url":null,"abstract":"<p><p>Although tumor necrosis factor inhibitors are recommended for preventing flare-ups in pregnant women with ulcerative colitis (UC), studies on golimumab use during pregnancy are scant. Herein, we present a 39-year-old woman with UC and spondyloarthritis. The patient preferred treatment with a long dosing interval that minimally affects the working life of the patient. Golimumab, considering its long dosing interval, was prescribed after discussion with the patient, physician and pharmacists. Clinical remission was achieved during pregnancy, and the patient delivered a healthy baby. The vaccines were administered according to the vaccine schedule: during the first year after birth, there were neither infections caused by live vaccines nor diseases that the administered vaccines are meant to prevent. Overall, this case suggests that golimumab treatment during pregnancy may be compatible; however, further evaluations, including drug-level analysis, are needed.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X241297559"},"PeriodicalIF":0.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741212","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
Changes in functional status during and after pregnancy in people with cerebral palsy: An international observational study. 脑瘫患者怀孕期间和怀孕后功能状态的变化:一项国际观察研究。
IF 0.8
Obstetric Medicine Pub Date : 2024-11-13 DOI: 10.1177/1753495X241297560
Georgia Condran, Hayley Lipworth, Anne Berndl
{"title":"Changes in functional status during and after pregnancy in people with cerebral palsy: An international observational study.","authors":"Georgia Condran, Hayley Lipworth, Anne Berndl","doi":"10.1177/1753495X241297560","DOIUrl":"10.1177/1753495X241297560","url":null,"abstract":"<p><strong>Background: </strong>There is limited information surrounding physical changes people with cerebral palsy (CP) experience during pregnancy.</p><p><strong>Methodology: </strong>This is a subgroup analysis of an international online questionnaire, developed with input from individuals with CP. Data collection included demographics, baseline functional status, and functional status changes during pregnancy. Descriptive analysis was used.</p><p><strong>Results: </strong>158 participants from 15 countries participated of which 30 had a total of 49 pregnancies resulting in birth. Worsened strength, spasticity, bladder function and fatigue occurred in 56.5% (13/23), 47.8% (11/23), 56.5% (13/23) and 87.0% (20/23) of participants. 9/23 (40.9%) required new mobility devices. Worsening of fatigue, strength, spasticity and need for a new mobility device was reported by all groups regardless of functional status.</p><p><strong>Conclusions: </strong>People with CP may experience significant functional changes during pregnancy, even those who mobilized independently prior to pregnancy. These findings may inform obstetricians, nurses, neurologists and physiatrists, and contribute to preconception counselling.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X241297560"},"PeriodicalIF":0.8,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649447","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
A review of the use of CT pulmonary angiography in pregnant and postpartum women at an academic centre. 一家学术中心对孕妇和产后妇女使用 CT 肺血管造影术的回顾。
IF 0.8
Obstetric Medicine Pub Date : 2024-10-26 DOI: 10.1177/1753495X241290551
Wilhelm Herbst, Shastra Bhoora, Halvani Moodley, Ashesh Ranchod, Tracy Westgarth-Taylor, Jarrod Zamparini
{"title":"A review of the use of CT pulmonary angiography in pregnant and postpartum women at an academic centre.","authors":"Wilhelm Herbst, Shastra Bhoora, Halvani Moodley, Ashesh Ranchod, Tracy Westgarth-Taylor, Jarrod Zamparini","doi":"10.1177/1753495X241290551","DOIUrl":"10.1177/1753495X241290551","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary embolism (PE) is a common cause of maternal death during pregnancy and the puerperium yet data on its prevalence in middle-income countries is lacking.</p><p><strong>Methods: </strong>We examined the medical records and CTPA (computed tomography pulmonary angiography) images of 67 women in an obstetric high care unit during pregnancy and the puerperium. We aimed to determine the prevalence of PE in a high-risk obstetric population undergoing CTPA, assess associated clinical features in this cohort, and determine the prevalence of alternative CT findings.</p><p><strong>Results: </strong>CTPA detected PE in 11 women (16.42%) and alternative CT findings in 46 (68.6%). Women with PE had a lower systolic blood pressure than those without PE (<i>P</i> = 0.001). Multiple gestation, preterm rupture of membranes, and gestational diabetes were linked to higher PE prevalence.</p><p><strong>Conclusions: </strong>This study, set in an upper middle-income country, demonstrated a higher CTPA yield for PE and alternative diagnoses than in international literature, emphasising context-specific assessments.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X241290551"},"PeriodicalIF":0.8,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649444","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
Native kidney biopsy in pregnancy and postpartum: A single centre experience from India. 孕期和产后原位肾活检:印度单个中心的经验。
IF 0.8
Obstetric Medicine Pub Date : 2024-10-24 DOI: 10.1177/1753495X241290664
Shreya Srinivas Mondemu, Sreejith Parameswaran, Rajesh Nachiappa Ganesh, Anish Keepanasseril
{"title":"Native kidney biopsy in pregnancy and postpartum: A single centre experience from India.","authors":"Shreya Srinivas Mondemu, Sreejith Parameswaran, Rajesh Nachiappa Ganesh, Anish Keepanasseril","doi":"10.1177/1753495X241290664","DOIUrl":"10.1177/1753495X241290664","url":null,"abstract":"<p><strong>Background: </strong>With the advances in medicine and imaging, renal biopsy is increasingly utilised for identifying pathologies during pregnancy.</p><p><strong>Methods: </strong>This retrospective observational study aimed to assess indications and complications among 32 women who underwent native renal biopsies during pregnancy and postpartum from 2015 to 2022.</p><p><strong>Results: </strong>The commonest indications for performing the biopsy were nephrotic syndrome and acute kidney injury during pregnancy or immediately postpartum. Most (62.5%) had biopsies performed in the antenatal period. Lupus nephritis was the most common finding on biopsy, and there were no procedure-related serious adverse effects. Most pregnancies were complicated by hypertensive disorders and preterm birth. All except six women with perinatal loss had healthy neonates.</p><p><strong>Conclusions: </strong>Even as kidney biopsy remains the gold standard for diagnosing renal pathologies, it should be reserved for women where management in pregnancy would be altered by the result.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X241290664"},"PeriodicalIF":0.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649416","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
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