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Secondary postpartum haemorrhage 继发性产后出血
Fetal and maternal medicine review Pub Date : 2012-02-01 DOI: 10.1017/S096553951100012X
C. Aiken, M. Mehasseb, A. Prentice
{"title":"Secondary postpartum haemorrhage","authors":"C. Aiken, M. Mehasseb, A. Prentice","doi":"10.1017/S096553951100012X","DOIUrl":"https://doi.org/10.1017/S096553951100012X","url":null,"abstract":"Secondary postpartum haemorrhage is defined as any abnormal or excessive bleeding from the birth canal occurring between 24 hours and up to 12 weeks postpartum. The quantity of blood loss that constitutes secondary postpartum bleeding, unlike primary postpartum hemorrhage, is not clearly defined. Subjective estimation of the amount of blood loss constituting ‘haemorrhage’ accounts for at least some of the variation in reported incidence of secondary postpartum haemorrhage from 0.47% to 2%","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"23 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S096553951100012X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
REVIEW OF OPIOID PCA FOR LABOUR ANALGESIA 阿片类药物用于分娩镇痛的研究进展
Fetal and maternal medicine review Pub Date : 2012-02-01 DOI: 10.1017/S0965539512000010
D. Hill, Paul McMACKIN
{"title":"REVIEW OF OPIOID PCA FOR LABOUR ANALGESIA","authors":"D. Hill, Paul McMACKIN","doi":"10.1017/S0965539512000010","DOIUrl":"https://doi.org/10.1017/S0965539512000010","url":null,"abstract":"The epidural route is currently the gold standard for labour analgesia, although it is not without serious consequences, especially when incorrect placement goes unrecognised. Intravascular, intrathecal and subdural placements have been reported to occur with incidences of 1 in 5000, 1 in 2900 and 1 in 4200 respectively. Until recent years there has not been a viable alternative to epidural analgesia.","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"23 1","pages":"15-31"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539512000010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
SEPSIS IN PREGNANCY 妊娠期败血症
Fetal and maternal medicine review Pub Date : 2011-11-01 DOI: 10.1017/S0965539511000155
Eileen Sung, J. George, M. Porter
{"title":"SEPSIS IN PREGNANCY","authors":"Eileen Sung, J. George, M. Porter","doi":"10.1017/S0965539511000155","DOIUrl":"https://doi.org/10.1017/S0965539511000155","url":null,"abstract":"Sepsis is associated with high morbidity and mortality worldwide. Although, it is not the major reason for intensive care unit admissions during pregnancy, several physiological changes that occur during pregnancy limit the ability of the pregnant woman to compensate for the derangements produced by severe sepsis, often resulting in severe organ dysfunction. Moreover, there are several disorders peculiar to the pregnant state, including preeclampsia, placental abruption, amniotic fluid embolism and postpartum haemorrhage, all of which can produce potentially life-threatening organ failure and may be present concurrently with sepsis contributing to maternal mortality. Evidence-based guidelines advocate assessment and monitoring aimed at early recognition and treatment of sepsis. Early goal-directed therapy, adequate blood glucose control, and corticosteroid replacement when indicated are improving outcomes in patients with severe sepsis, although most of these have not been validated in pregnancy.","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 1","pages":"287-305"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539511000155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
OBSTETRIC ANTIPHOSPHOLIPID SYNDROME - A REVIEW 产科抗磷脂综合征综述
Fetal and maternal medicine review Pub Date : 2011-11-01 DOI: 10.1017/S0965539511000131
K. Schreiber, O. Ateka-Barrutia, M. Khamashta, G. Hughes
{"title":"OBSTETRIC ANTIPHOSPHOLIPID SYNDROME - A REVIEW","authors":"K. Schreiber, O. Ateka-Barrutia, M. Khamashta, G. Hughes","doi":"10.1017/S0965539511000131","DOIUrl":"https://doi.org/10.1017/S0965539511000131","url":null,"abstract":"The Antiphospholipid syndrome (APS) is one of the current hot topics embracing rheumatology and obstetrics.The first clinical description of APS was in 1983. Venous or arterial thrombosis, abortion and cerebral manifestations along with circulating antibodies were the first described hallmarks of the syndrome. In the following years other clinical features, which include pregnancy complications, such as recurrent miscarriages (RM), pre-eclampsia or severe placental insufficiency were described.","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 1","pages":"265-286"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539511000131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
UPDATE ON THE NEW MODALITIES ON THE PREVENTION AND MANAGEMENT OF POSTPARTUM HAEMORRHAGE 产后出血预防和管理新模式的最新进展
Fetal and maternal medicine review Pub Date : 2011-11-01 DOI: 10.1017/S0965539511000143
G. Senoun, M. Singh, H. Mousa, Z. Alfirevic
{"title":"UPDATE ON THE NEW MODALITIES ON THE PREVENTION AND MANAGEMENT OF POSTPARTUM HAEMORRHAGE","authors":"G. Senoun, M. Singh, H. Mousa, Z. Alfirevic","doi":"10.1017/S0965539511000143","DOIUrl":"https://doi.org/10.1017/S0965539511000143","url":null,"abstract":"Some half a million women die annually across the world from causes related to pregnancy and childbirth. Approximately one-quarter of these deaths are caused by complications of the third stage of labour, mainly postpartum haemorrhage (PPH). In the developing world, the risk of maternal death from PPH is approximately one in 1000 deliveries. In the United Kingdom the risk of maternal death from obstetric haemorrhage is about 0.39 in 100000 deliveries.","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 1","pages":"247-264"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539511000143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
AMNIOINFUSION FOR VERY EARLY RUPTURE OF MEMBRANES 羊膜输注用于早期破膜
Fetal and maternal medicine review Pub Date : 2011-08-01 DOI: 10.1017/S0965539511000106
D. Roberts
{"title":"AMNIOINFUSION FOR VERY EARLY RUPTURE OF MEMBRANES","authors":"D. Roberts","doi":"10.1017/S0965539511000106","DOIUrl":"https://doi.org/10.1017/S0965539511000106","url":null,"abstract":"Premature rupture of membranes (PROM) is a major cause of perinatal mortality and morbidity associated with preterm delivery in a third of cases. Fetal survival is even more compromised when the membranes rupture early in the second trimester (very early PROM). Survival is associated with problems of delivery of the very preterm fetus as well as associated risks of feto-maternal infection. In the context of studies of amnioinfusion, very early rupture of membranes is defined as rupture between 16 and 26 weeks of pregnancy.","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 1","pages":"207-218"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539511000106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COMPLICATIONS OF PREGNANCY IN WOMEN WITH POLYCYSTIC OVARIAN SYNDROME 多囊卵巢综合征妇女的妊娠并发症
Fetal and maternal medicine review Pub Date : 2011-08-01 DOI: 10.1017/S0965539511000088
Mallika Azizia, P. Hardiman
{"title":"COMPLICATIONS OF PREGNANCY IN WOMEN WITH POLYCYSTIC OVARIAN SYNDROME","authors":"Mallika Azizia, P. Hardiman","doi":"10.1017/S0965539511000088","DOIUrl":"https://doi.org/10.1017/S0965539511000088","url":null,"abstract":"Polycystic ovary syndrome (PCOS) is a common hormonal disorder affecting around 5-8% of women of reproductive age. It has a variable clinical spectrum including hyperandrogenism, menstrual abnormalities, polycystic ovaries and metabolic features like diabetes mellitus, obesity and dyslipidaemia. The manifestation of PCOS and its impact especially on reproductive function and pregnancy are profoundly affected by associated features of obesity/raised body mass index and metabolic syndrome. © Cambridge University Press 2011.","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 1","pages":"188-206"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539511000088","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
MATERNAL OBESITY AND OXIDATIVE STRESS IN THE FETUS: MECHANISMS UNDERLYING EARLY LIFE SHIFTS IN SKELETAL MUSCLE METABOLISM 母体肥胖和胎儿氧化应激:骨骼肌代谢早期变化的机制
Fetal and maternal medicine review Pub Date : 2011-08-01 DOI: 10.1017/S0965539511000118
K. Boyle, J. Friedman
{"title":"MATERNAL OBESITY AND OXIDATIVE STRESS IN THE FETUS: MECHANISMS UNDERLYING EARLY LIFE SHIFTS IN SKELETAL MUSCLE METABOLISM","authors":"K. Boyle, J. Friedman","doi":"10.1017/S0965539511000118","DOIUrl":"https://doi.org/10.1017/S0965539511000118","url":null,"abstract":"","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 1","pages":"219-246"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539511000118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BARIATRIC SURGERY IN PREGNANCY: BENEFITS, RISKS AND OBSTETRIC MANAGEMENT 妊娠期减肥手术:益处、风险和产科管理
Fetal and maternal medicine review Pub Date : 2011-05-01 DOI: 10.1017/S0965539511000052
M. Gidiri, I. Greer
{"title":"BARIATRIC SURGERY IN PREGNANCY: BENEFITS, RISKS AND OBSTETRIC MANAGEMENT","authors":"M. Gidiri, I. Greer","doi":"10.1017/S0965539511000052","DOIUrl":"https://doi.org/10.1017/S0965539511000052","url":null,"abstract":"Obesity is a growing problem in obstetric practice. A recent study from Glasgow (UK) showed that 50% of women of childbearing age are either overweight (Body Mass Index [BMI] = 24.9–29.9kg/m 2 ) or obese with 18% starting pregnancy as obese. Obesity prevalence has doubled over a decade from the early 1990’s. In the US it is estimated that 30% of reproductive-age women have a BMI greater than 30 kg/m while 7% have a BMI > 40 kg/m 2 . A recent report from the UK found that 5% of women had a BMI >35 kg/m 2 , 2% > 40 kg/m 2 and 0.2% >50 kg/m 2 with an association not only with social deprivation, but also with a higher prevalence of pre-existing medical disorders such as diabetes and hypertension and medical complications of pregnancy such as preeclampsia. Obesity was also associated with increased rates of macrosomia, operative delivery and postpartum haemorrhage. These data highlight the fact that obesity is an increasing health concern particularly in young women of childbearing age. Obesity will expose them to significant pregnancy complications ranging from miscarriage and fetal abnormality through to operative delivery and thromboembolism. There are also challenges for the delivery of maternity care to meet the needs of these women. As obesity is associated with significant pregnancy complications it is important that women enter pregnancy with an optimum body weight. Many complications, such as fetal abnormality occur in the first trimester and so pre-pregnancy weight reduction is preferred. Further, there is insufficient evidence to recommend specific dietary and/or physical activity interventions to reduce weight or moderate weight gain during pregnancy.","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 1","pages":"109-122"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0965539511000052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56977558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Seizures in Women with Preeclampsia: Mechanisms and Management. 惊厥妇女先兆子痫：机制和管理。
Fetal and maternal medicine review Pub Date : 2011-05-01 DOI: 10.1017/S0965539511000040
Marilyn J Cipolla, Richard P Kraig
{"title":"Seizures in Women with Preeclampsia: Mechanisms and Management.","authors":"Marilyn J Cipolla, Richard P Kraig","doi":"10.1017/S0965539511000040","DOIUrl":"10.1017/S0965539511000040","url":null,"abstract":"","PeriodicalId":89369,"journal":{"name":"Fetal and maternal medicine review","volume":"22 2","pages":"91-108"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119563/pdf/nihms283979.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29968099","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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