CEREBROVASCULAR DISEASE AND PREGNANCY

2010 ◽  
Vol 21 (2) ◽  
pp. 114-162 ◽  
Author(s):  
MAYA KATZ ◽  
JENNIFER LESKO ◽  
KATHRYN F KIRCHOFF-TORRES ◽  
VICTOR ZACH ◽  
STEVEN R LEVINE
Keyword(s):  
Cerebrovascular Disease ◽  
District Of Columbia ◽  
Death Certificates ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Causes Of Mortality ◽  
In Pregnancy

Approximately 12%–27% of cerebrovascular disease in women of childbearing age is associated with pregnancy. The reported incidence of stroke in pregnancy ranges from 0.01%–0.05%. While these events are uncommon, they are often clinically devastating. The Center for Disease Control's (CDC) review of death certificates in all 50 states and the District of Columbia found that neurologic or neurovascular problems are one of the leading causes of mortality in pregnancy.

Diabetes in pregnancy: a practical guide for midwives

2019 ◽  
Vol 27 (7) ◽  
pp. 413-419
Author(s):  
Aarthi Surendran ◽  
Danielle Dixon ◽  
Martin Whyte
Keyword(s):  
Gestational Diabetes ◽  
Diabetes Management ◽  
Antenatal Clinic ◽  
Women Of Childbearing Age ◽  
Diabetes In Pregnancy ◽  
Childbearing Age ◽  
Pregnancy And Childbirth ◽  
Rising Incidence ◽  
Concise Guide ◽  
In Pregnancy

Diabetes is a growing concern. With the rising incidence of obesity in the younger people, the incidence of diabetes has also increased. This has resulted in more women of childbearing age attending antenatal clinic with a diagnosis of either pre-existing or gestational diabetes. Management of these women is vital to avoid complications in both the mother and the child during pregnancy and childbirth. This article aims to provide a concise guide to the management of diabetes in pregnancy for midwives, who are often the first point of contact for these women.

Challenges of Takayasu Arteritis in Pregnancy: A Case Report

2017 ◽  
Vol 51 (4) ◽  
pp. 195-198 ◽  
Author(s):  
Sarah Soo-Hoo ◽  
Jenny Seong ◽  
Brandon R. Porten ◽  
Nedaa Skeik
Keyword(s):  
Heart Failure ◽  
Takayasu Arteritis ◽  
Cardiovascular Complications ◽  
Unknown Etiology ◽  
Optimal Management ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Clinical Challenge ◽  
Increased Risk ◽  
In Pregnancy

Takayasu arteritis is a rare, chronic vasculitis of unknown etiology characterized by inflammation of the aorta and its main branches. Although Takayasu arteritis mostly affects women of childbearing age, there is a paucity in the literature on pregnancy associated with Takayasu arteritis. Pregnant patients are at increased risk of cardiovascular complications, including hypertension and congestive heart failure, which may jeopardize both maternal and fetal outcomes. Furthermore, optimal management has not yet been established for pregnant patients with Takayasu arteritis, posing a clinical challenge. We present a case of a young woman with Takayasu arteritis whose symptoms and disease activity improved during 2 pregnancies. Although her first pregnancy was complicated with preeclampsia, gestational diabetes, and preterm vaginal delivery, her second pregnancy was uneventful. This case provides a rare glimpse of Takayasu arteritis in pregnancy and highlights the challenges of medical management in gravid patients.

scholarly journals Introduction of Community-Based Preconception Care for Men and Women of Childbearing Age in Seoul

2020 ◽  
Vol 24 (3) ◽  
pp. 123-132
Author(s):  
Baeg Ju Na ◽  
Mi Jeom Lee ◽  
Hwa Sun Lee ◽  
Seung Ki Min ◽  
Hye Ok Kim ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Preconception Care ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Community Based ◽  
Men And Women ◽  
Korean Society ◽  
And Child Health ◽  
In Pregnancy

Community-based preconception care for men and women of childbearing age has been introduced in Seoul. The program aims to focus on problem areas such as low birth rate, fertility issues potentially due to late marriages, preterm or premature births, and low-birthweight in newborn babies. The district administration officials of Seoul, as well as, academics from the Korean Society of Maternal and Child Health, developed a protocol by using a questionnaire and laboratory test for screening risk factors in pregnancy. The protocol was tested on a trial basis in four local districts in Seoul from July 2017 to 2018, extended to 12 local districts in 2019, and all 25 districts in Seoul in 2020. The protocol includes Anti-Mullerian Hormone tests to assess women’s ovarian reserve and male health checkups that include semen analysis and physical examinations of genitalia. These tests are conducted for early detection and treatment of infertility, especially in cases of late marriages. In order to prevent women being abandoned during pregnancy (leading them to single-parenting), the protocol also emphasizes building a gender-sensitive environment by encouraging more male participation. A monitoring group comprised of Seoul city district officials and academics from the Korean Society of Maternal and Child Health, regularly visited the local districts to observe improvements and keep the program officials up to date. In addition, the group also conducted a mobile phone survey for feedback on the program. The interest and support of the residents in Seoul city, and positive results and development in pregnancy care and childbirth, are needed to stabilize and extend this protocol.

scholarly journals Rubella in Denmark

2004 ◽  
Vol 9 (4) ◽  
pp. 9-10 ◽  
Author(s):  
S Glismann
Keyword(s):  
Mandatory Reporting ◽  
Women Of Childbearing Age ◽  
Mmr Vaccine ◽  
Childbearing Age ◽  
Health Security ◽  
Security Scheme ◽  
Congenital Rubella ◽  
Low Incidence ◽  
In Pregnancy ◽  
Current Incidence

An average of 20 000 rubella cases were recorded annually in Denmark until 1987. In 1989, however, only 1006 cases were reported, and the true current incidence of rubella infection in Denmark is unknown but considered to be very low and <1 per 100 000 population. The significant decrease in the inci-dence of rubella mirrors the success of vaccination of rubella seronegative women of childbearing age, which was initiated in Denmark in 1980. From 1982 and onwards the national health security scheme also refunded vaccina-tion of children and the MMR vaccine was introduced in the Danish child-hood vaccination program in 1987. The low incidence has been sustainable due to these interventions, and since 1994 congenital rubella syndrome and rubella in pregnancy have been listed as notifiable infectious diseases in Denmark. Nevertheless, in order to meet the WHO goal of control of rubella in the Region, the introduction of mandatory reporting of all laboratory diagnosed rubella cases is now being considered.

Catastrophic complications of urolithiasis in pregnancy

2021 ◽  
Vol 14 (5) ◽  
pp. e241597
Author(s):  
Harkirat Singh Talwar ◽  
Vikas Kumar Panwar ◽  
Rudra Prasad Ghorai ◽  
Ankur Mittal
Keyword(s):  
Pregnancy Loss ◽  
Stone Disease ◽  
Intrauterine Death ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
History Of ◽  
Definitive Management ◽  
In Pregnancy

Urolithiasis is the most common non-obstetric complication in pregnancy and has the potential to cause grave consequences resulting in pregnancy loss. We present two such cases. First, a 24-year-old woman, 5 weeks pregnant with a history of urolithiasis presented with right flank pain and fever. She was found to have a right perinephric collection and during the course of her treatment suffered an abortion. The second case was a 25-year-old woman who presented in septic shock. She underwent emergency lower segment caesarean section elsewhere 10 days ago for intrauterine death at 38 weeks of gestation. On evaluation, she was found to have bilateral stone disease with a left subcapsular haematoma. Both the cases were managed conservatively and are planned for definitive management. Thus, women of childbearing age with diagnosed urolithiasis should get themselves evaluated and be free of stone disease before planning a family to prevent increased obstetric complications during pregnancy.

Acute Myocardial Infarction in the First Trimester of Pregnancy

2005 ◽  
Vol 13 (2) ◽  
pp. 175-177 ◽  
Author(s):  
Amar M Salam
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Acute Myocardial Infarction ◽  
First Trimester ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Anterior Myocardial Infarction ◽  
First Trimester Of Pregnancy ◽  
Artery Disease ◽  
In Pregnancy

Acute myocardial infarction rarely occurs in women during pregnancy. However, when it does occur, it usually carries a high risk of maternal and perinatal mortality. There is a lack of awareness that this condition can occur in pregnancy since coronary artery disease is uncommon in women of childbearing age. In this report, a 43-year-old lady with acute anterior myocardial infarction in her eighth week of pregnancy is presented. The challenges involved in diagnosing this condition in pregnancy are briefly discussed.

Hypertension in Pregnancy and Women of Childbearing Age

2009 ◽  
Vol 122 (10) ◽  
pp. 890-895 ◽  
Author(s):  
Scott R. Yoder ◽  
Loralei L. Thornburg ◽  
John D. Bisognano
Keyword(s):  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

scholarly journals Clinical guideline: epilepsy in pregnancy and women of childbearing age

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Perfecto O. González-Vargas ◽  
Yamil Matuk-Pérez ◽  
José L. Sosa Hernández ◽  
Gerardo Quiñones-Canales ◽  
Sandra E. Silva-Sánchez ◽  
...  
Keyword(s):  
Clinical Guideline ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
In Pregnancy

scholarly journals Illicit substance use in pregnancy – a review

2010 ◽  
Vol 3 (3) ◽  
pp. 94-100 ◽  
Author(s):  
Katherine Scott ◽  
Karin Lust
Keyword(s):  
Substance Use ◽  
Indirect Effects ◽  
Psychiatric Illness ◽  
Direct Effects ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Suggested Approach ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
In Pregnancy

Illicit substance use is not uncommon in women of childbearing age. The direct effects of illicit substance use on the mother, pregnancy and the fetus are not well understood, in contrast to the indirect effects of social disadvantage and intercurrent medical and psychiatric illness, which are well documented. We have undertaken a review of the current literature regarding the effects of illicit substance use in pregnancy and include a suggested approach to identification and management of at-risk women.

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