scholarly journals Interdisciplinary Approach for the Medical Management of Gestational Gigantomastia

2020 ◽  
Vol 10 (03) ◽  
pp. e304-e308 ◽  
Author(s):  
Camila Cabrera ◽  
Mackenzy Radolec ◽  
Angela Prescott ◽  
Carolyn De La Cruz ◽  
Stacy Beck
Keyword(s):  
Medical Management ◽  
Breast Reduction ◽  
Interdisciplinary Approach ◽  
Breast Size ◽  
Management Approach ◽  
Vitro Fertilization ◽  
History Of ◽  
Hormonal Preparation ◽  
Breast Weight

Abstract Background Gestational gigantomastia is a rare and debilitating condition that is thought to result from hormone hypersensitivity. Several definitions have been proposed using breast weight and change in body mass index, but the breast growth is best summarized as rapid, diffuse, and excessive. Case We report a case of a 31-year-old woman with a history of infertility and cystic fibrosis that developed pathologic breast growth during hormonal preparation for in vitro fertilization. Her serum laboratories were unremarkable, and she was medically managed until 31 weeks of gestation. After delivery, she experienced rapid decrease in breast size and was followed by plastic surgery with plan to allow spontaneous regression with interval breast reduction Conclusion We highlight a successful interdisciplinary medical management approach, which helped to avoid a morbid, intrapartum breast reduction.

scholarly journals Quadruple Term Gestation of Quadri-Chorionic Quadri-Amniotic Pregnancy After Artificial Insemination: A Case Report

2022 ◽  
Author(s):  
Mauricio Caballero-Reyes ◽  
Diana Medina-Rivera ◽  
César Alas-Pineda ◽  
Beatriz Mejía-Raudales ◽  
Kristhel Gaitán-Zambrano ◽  
...  
Keyword(s):  
Artificial Insemination ◽  
Modern Science ◽  
Management Approach ◽  
Maternal Complications ◽  
Vitro Fertilization ◽  
Successful Resolution ◽  
Fetal Complications ◽  
Reproductive Techniques ◽  
History Of

Abstract Background: To solve infertility, modern science has promoted assisted reproduction techniques such as in vitro fertilization, ovulation induction, and artificial insemination. Quadruple-type multiple pregnancies occur in 1 of every 500,000 pregnancies, and it is estimated that 90% occur due to assisted reproductive techniques, which often lead to numerous complications. Case presentation: Here we present a case of a 33-year-old woman, who desired pregnancy, but had a history of primary infertility diagnosed by hysterosalpingography, and endometriosis, which was treated by fulguration and medical management. Concomitantly, the patient was anovulatory. To fulfill her wish, she underwent homologous artificial insemination, after treatment, she successfully conceived quadri-chorionic quadri-amniotic infants, who were born at 37.2 weeks, without perinatal or maternal complications.Conclusion: This paper presented the parameters of prenatal care, appropriate management approach, and successful resolution without maternal-fetal complications despite the inherent risks of this type of pregnancy.

Achieving pregnancy at a late reproductive age in a patient with a history of multiple failed in vitro fertilization attempts

2021 ◽  
Vol 7_2021 ◽  
pp. 202-209
Author(s):  
Kirienko K.V. Kirienko ◽  
Osina E.A. Osina ◽  
Apryshko V.P. Apryshko ◽  
Voloshanenko V.V. Voloshanenko V ◽  
Yakovenko S.A. Yakovenko S ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Reproductive Age ◽  
Vitro Fertilization ◽  
History Of

Ovarian hyperstimulation and the in vitro fertilization procedure do not influence early neuromotor development; a history of subfertility does

2010 ◽  
Vol 93 (2) ◽  
pp. 544-553 ◽  
Author(s):  
Karin J. Middelburg ◽  
Maaike L. Haadsma ◽  
Maas Jan Heineman ◽  
Arend F. Bos ◽  
Mijna Hadders-Algra
Keyword(s):  
In Vitro Fertilization ◽  
Ovarian Hyperstimulation ◽  
Vitro Fertilization ◽  
History Of ◽  
Neuromotor Development

A ROLE FOR CONJOINT ANALYSIS IN TECHNOLOGY ASSESSMENT IN HEALTH CARE?

1999 ◽  
Vol 15 (3) ◽  
pp. 443-457 ◽  
Author(s):  
Mandy Ryan
Keyword(s):  
Health Care ◽  
Conjoint Analysis ◽  
Technology Assessment ◽  
Assessment Instruments ◽  
Relative Importance ◽  
Services Research ◽  
Vitro Fertilization ◽  
Trade Offs ◽  
History Of

The aim of this paper is to demonstrate the use of conjoint analysis (CA) in health services research. Conjoint analysis is first explained, with emphasis on the history of the technique, followed by an explanation of how to carry out such a study and how the results from such a study can be used. The technique is demonstrated with reference to a study that looks at the benefits of in vitro fertilization. It is shown how CA can be used to estimate the relative importance of attributes, the trade-offs individuals make between these attributes, willingness to pay if cost is included as an attribute, and utility or benefit scores for different ways of providing a service. The paper then considers the potential advantages of CA over other, more commonly used benefit assessment instruments. Finally, there is discussion of the issues raised in the design and analysis of CA studies. It is concluded that these issues must be addressed before the technique becomes an established instrument for technology assessment.

scholarly journals Fetal Echocardiography:Short Term Profile from Shahid Gangalal National Heart Centre, Kathmandu, Nepal

2016 ◽  
Vol 13 (1) ◽  
pp. 9-12
Author(s):  
Sudhir Regmi ◽  
Deewakar Sharma
Keyword(s):  
Pregnant Women ◽  
Congenital Heart ◽  
Fetal Echocardiography ◽  
Tertiary Care ◽  
Outcome Data ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
History Of ◽  
Sectional Analysis

Background and Aims: Fetal echocardiography is helpful in early detection of Congenital Heart Disease. Our study was conducted to evaluate the most common indications of referral and outcome in a tertiary-care fetal echocardiography practice.Methods: A Cross-sectional analysis of all pregnant women referred by obstetricians to cardiology unit for fetal echocardiography over a 1-year period (July 2014 and July 2015) was performed. The primary indications for referral for fetal echocardiography were obtained from the obstetric referral forms. Outcome data were extracted from performa containing client’s demographic, physical examination and the fetal echocardiograhic data. Postnatal Echocardiography was advised to all cases having positive echocardiographic finding.Results: A series of 251 fetal cardiac studies were reviewed. Average gestational age was 25.6 weeks (range, 18 to 38 weeks). Thirty-eight (15.1%) pregnant women had abnormal fetal cardiac findings. The most common referral for fetal cardiac scan was related to maternal indications (48.6%). Other indications were abnormal prenatal fetal findings in ultrasonography (23.1%), family history of CHD (12%), general screening (15.5%), and follow up of IVF (In-vitro fertilization) (0.8%). The highest yield of significant abnormal findings was there among patients referred with abnormal prenatal fetal finding in ultrasonography (47%).Conclusion: Majority of referral were for abnormal prenatal ultrasonographic findings. So, fetal Echocardiography is an important part of overall management of the pregnancy at risk for producing an infant with congenital heart disease.Nepalese Heart Journal 2016; 13(1): 9-12

Reproductive Medicine—An Interdisciplinary Open Access Journal for an Interdisciplinary and Growing Community

2020 ◽  
Vol 1 (1) ◽  
pp. 15-16
Author(s):  
Berthold Huppertz
Keyword(s):  
Open Access ◽  
Reproductive Medicine ◽  
Interdisciplinary Approach ◽  
Open Access Journal ◽  
Scientific Data ◽  
Editorial Team ◽  
Free Access ◽  
Vitro Fertilization ◽  
Founding Editor

The journal Reproductive Medicine just started as an open access journal with an excellent editorial team. As founding editor-in-chief it is my belief that this new journal will find its specific niche in the field of reproduction. It is not only the free access to scientific data that is very important today and that comes with this journal; this journal also builds the bridge between IVF (In Vitro Fertilization) and ART (Assisted Reproductive Technology) on the one hand and pregnancy and pregnancy pathologies on the other hand, combined in one journal. This interdisciplinary approach is needed as the last decade has shown that there are more links between the mode of conception and the outcome of pregnancy than we ever thought. We encourage our readers to scroll through the list of papers that will be published in this journal to open their view for all aspects of reproduction from the ovarian reserve to the epigenetic changes of a newborn due to fetal programming.

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