Obstetric Medicine最新文献_第8页

Stumbling on new knowledge: The loss of serendipity. 偶然发现新知识：偶然性的丧失

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2023-05-01 DOI: 10.1177/1753495X231172619

Sandra A Lowe

引用次数: 0

Management and complications of complete heart block in pregnancy. 妊娠期完全性心脏传导阻滞的处理及并发症。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 DOI: 10.1177/1753495X211033489

A P Christensen, V Singh, A J England, R Khiani, A S Herrey

引用次数: 1

Non-alcoholic fatty liver disease in pregnancy. 妊娠期非酒精性脂肪肝。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-08-27 DOI: 10.1177/1753495X211034709

Charlotte S Benson, Jeremy F Cobbold, Charlotte J Frise

引用次数: 0

Pregnancy and delivery in patients with Charcot-Marie-Tooth disease and related disorders. 沙克-玛丽-图斯病及相关疾病患者的妊娠和分娩

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 DOI: 10.1177/1753495X221107328

Mariola Skorupinska, Gita Ramdharry, Bridgette Byrne, Matilde Laurá, Mary M Reilly

{"title":"Pregnancy and delivery in patients with Charcot-Marie-Tooth disease and related disorders.","authors":"Mariola Skorupinska, Gita Ramdharry, Bridgette Byrne, Matilde Laurá, Mary M Reilly","doi":"10.1177/1753495X221107328","DOIUrl":"https://doi.org/10.1177/1753495X221107328","url":null,"abstract":"Background: Charcot-Marie-Tooth disease is the most common inherited peripheral neuropathy and many patients with Charcot-Marie-Tooth are women of childbearing age. Guidelines for managing pregnancy in Charcot-Marie-Tooth are lacking.Aims: To assess the impact of pregnancy on Charcot-Marie-Tooth and how Charcot-Marie-Tooth affects pregnancy, delivery and postnatal care.Methods: A retrospective questionnaire exploring disease course during pregnancy, delivery, pregnancy complications, anaesthetic management and puerperium was administered to 92 patients with Charcot-Marie-Tooth and related disorders.Results: Worsening of Charcot-Marie-Tooth symptoms were reported in 37% of pregnant patients which resolved after delivery in half of the patients. No significant increase in pregnancy, delivery and anaesthetic complications were observed and the type of delivery did not significantly differ from the normal population.Conclusions: While these results are reassuring, ideally an international prospective study should be done to confirm these results and to develop practice guidelines on the management of pregnancy in Charcot-Marie-Tooth.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"83-87"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353084","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: 1

Hypoglycaemia in non-diabetic pregnancy. 非糖尿病孕妇的低血糖症。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-08-14 DOI: 10.1177/1753495X211032787

Adam Morton

引用次数: 0

Therapeutic plasma exchange for Graves' disease in pregnancy. 妊娠期巴塞杜氏病的治疗性血浆置换。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-08-23 DOI: 10.1177/1753495X211031328

Matthew Lumchee, Mimi Yue, Josephine Laurie, Adam Morton

引用次数: 0

Survey of Australian clinicians' antenatal care and management practices in pregnant women with a history of bariatric surgery. 澳大利亚临床医生对有减肥手术史孕妇的产前护理和管理方法调查。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2022-07-06 DOI: 10.1177/1753495X221106085

Elaina C Elder-Robinson, Susan de Jersey, Helen Porteous, Shannon L Huxtable, Michelle A Palmer

{"title":"Survey of Australian clinicians' antenatal care and management practices in pregnant women with a history of bariatric surgery.","authors":"Elaina C Elder-Robinson, Susan de Jersey, Helen Porteous, Shannon L Huxtable, Michelle A Palmer","doi":"10.1177/1753495X221106085","DOIUrl":"10.1177/1753495X221106085","url":null,"abstract":"Background: Pregnancy following bariatric surgery requires tailored care. The current Australian care provision and its alignment with consensus guidelines is unclear.Methods: Antenatal care clinicians were invited to complete a web-based survey assessing multidisciplinary referral, gestational diabetes mellitus (GDM) and micronutrient management practices.Results: Respondents (n = 100) cared for pregnant women with a history of bariatric surgery at least monthly (63%) with most (54%) not using a specific guideline to direct care. GDM screening methods included one-week of home blood glucose monitoring (43%) or the oral glucose tolerance test (42%). Pregnancy multivitamin supplementation changes (59%) with bariatric surgery type were common. Half (54%) screened for micronutrient deficiencies every trimester and conducted additional growth ultrasounds (50%).Conclusion: The care clinicians report providing may not align with current international consensus guidelines. Further studies with increased obstetric clinician response may aid increased understanding of current practices. The development of workplace management guidelines for pregnancy in women with a history of bariatric surgery may assist with providing consistent evidence-based care.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"88-97"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10648354","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

Spontaneous pneumomediastinum: A report of two cases at a district general hospital. 自发性气胸：一家地区综合医院的两例病例报告。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-06-02 DOI: 10.1177/1753495X211019231

Nathanael Yong, Oladimeji Olowu

引用次数: 0

Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS). 产妇和新生儿在分娩过程中的并发症，根据有医疗条件的产妇在第二产程中的被动和主动情况（ComPActSS）。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2022-03-30 DOI: 10.1177/1753495X221089206

Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé

{"title":"Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS).","authors":"Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé","doi":"10.1177/1753495X221089206","DOIUrl":"10.1177/1753495X221089206","url":null,"abstract":"Background: The incidence of serious complications during vaginal delivery with a passive second stage in women with medical conditions is unknown.Methods: Our retrospective cohort study with matched groups (pairing 1 passive with 2 active second stage) included women who had a medical delivery plan from the high risk obstetric team at our center. The primary outcome was a composite of major maternal and neonatal complications.Results: The primary outcome occurred in 50% (12/24) of women in the passive group versus 35.4% (17/48) (p = 0.24) in the active group. In the passive group, we observed a longer passive second stage of labor (28 vs. 8 min, p < 0.001), a tendency towards more assisted vaginal births (29.2% vs. 12.5%, p = 0.08), and more traumatic deliveries (16.7% vs. 0%, p = 0.012).Conclusion: The higher proportion of complications in women who had a passive second stage should encourage physicians to make this recommendation only in selected cases.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"109-115"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10648355","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

Successful treatment with eculizumab in a patient with pregnancy-associated atypical hemolytic uremic syndrome. 使用依库珠单抗成功治疗一名妊娠相关非典型溶血性尿毒症综合征患者。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-06-24 DOI: 10.1177/1753495X211019902

Mehmet Nuri Duran, Fatma Beyazit, Mesut Erbaş, Onur Özkavak, Celal Acar, Serkan Bakirdogen

{"title":"Successful treatment with eculizumab in a patient with pregnancy-associated atypical hemolytic uremic syndrome.","authors":"Mehmet Nuri Duran, Fatma Beyazit, Mesut Erbaş, Onur Özkavak, Celal Acar, Serkan Bakirdogen","doi":"10.1177/1753495X211019902","DOIUrl":"10.1177/1753495X211019902","url":null,"abstract":"Pregnancy-associated atypical haemolytic uraemic syndrome is a rare and potentially lethal complement-mediated disorder. It can mimic preeclampsia, gestational hypertension, thrombotic thrombocytopenic purpura and hemolysis, elevated liver enzymes and low platelets syndrome. Thus, it can be hard to distinguish pregnancy-associated atypical haemolytic uraemic syndrome from other causes in peri/post-partum women presenting with features of microangiopathic haemolytic anemia, thrombocytopenia and acute kidney injury. We present a case of a 35-year-old woman in her third pregnancy at 32 weeks' gestation who underwent caesarean section due to fetal distress. She developed severe renal impairment, thrombocytopenia and neurologic symptoms within 24 hours after delivery. A diagnosis of pregnancy-associated atypical haemolytic uraemic syndrome was provided, and treatment with plasma therapy followed by eculizumab was initiated. A rapid improvement of both clinical and laboratory parameters was observed. This case demonstrates the significance of early initiation of anti-complement therapy to prevent irreversible renal damage and possible death in women with pregnancy-associated atypical haemolytic uraemic syndrome.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"130-133"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9820544","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