scholarly journals Re: Effects of antenatal corticosteroids on maternal cardiovascular system, an underestimated notion in pregnant women

2021 ◽  
Author(s):  
Pei‐Yin Tsai
Keyword(s):  
Pregnant Women ◽  
Cardiovascular System ◽  
Antenatal Corticosteroids

scholarly journals Hemodynamic gestational adaptation in bitches

2017 ◽  
Vol 47 (7) ◽  
Author(s):  
Vívian Tavares de Almeida ◽  
Ricardo Andres Ramirez Uscategui ◽  
Priscila Del Aguila da Silva ◽  
Michele Lopes Avante ◽  
Ana Paula Rodrigues Simões ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cardiovascular System ◽  
Vascular Resistance ◽  
Diagnostic Tool ◽  
Fetal Development ◽  
Vascular System ◽  
Literature Analysis ◽  
Vasoactive Peptides ◽  
Uterine Perfusion ◽  
Available Information

ABSTRACT: Throughout pregnancy, maternal hemodynamic adaptation is needed to ensure proper uterine perfusion and fetal development. When the uteroplacental vascular system is formed, starting with reduced resistance to uterine arterial flow, this results in decreased total vascular resistance, an activation of neuroendocrine vasoactive peptides, an increase in circulating blood and changes in the cardiovascular system morphophysiology to respond to the increasing demands of uterine perfusion. There has been considerable study of hemodynamic adaptation in pregnant women and this assessment has become a diagnostic tool for fatal obstetric disorders. However, in bitches the available information in this regard is limited; therefore a parallel was drawn between other species of animals and women, in order to subsidize the paucity of information about this process and facilitate the understanding of maternal-fetal hemodynamic adaptation in pregnant bitches. This review and literature analysis aimed\ to discuss morphophysiological cardiovascular adaptations during pregnancy and the possible disorders that can affect this process in pregnant female dogs.

scholarly journals Состояние гемодинамики у беременных с ожирением

2015 ◽  
Author(s):  
М. М Матлубов ◽  
А. А. Семенихин ◽  
С. А Рузибаев ◽  
Н. И Закирова ◽  
О. В Ким
Keyword(s):  
Adverse Effect ◽  
Body Mass Index ◽  
Pregnant Women ◽  
Cardiovascular System ◽  
Functional State ◽  
Control Group ◽  
Hemodynamic Status ◽  
Uncomplicated Pregnancy ◽  
Normal Body Weight ◽  
Survey Results

СОСТОЯНИЕ ГЕМОДИНАМИКИ У БЕРЕМЕННЫХ С ОЖИРЕНИЕМ - В данной статье представлены изменения состояния гемодинамики у беременных с ожирением при неосложнённой беременности. В исследование включены результаты комплексного обследования 84 беременных в возрасте от 23 до 28 лет с ожирением различной степени выраженности при сроках гестации 36-38 недель. В контрольную группу вошла 21 беременная аналогичного возраста и срока гестации с нормальной массой тела. У всех наблюдаемых пациентов беременность согласно консультациям акушер-гинекологов была признана неосложнённой. Степень ожирения оценивали по индексу массы тела. Проведённое исследование показало, что избыточный вес тела по мере её прогрессирования оказывает крайне неблагоприятное влияние на гемодинамику и функциональное состояние сердечно-сосудистой системы в целом, снижает коронарные резервы. Наиболее выраженные нарушения функционального состояния сердечно-сосудистой системы имеют место при ожирении II и III степеней.<br />СТАН ГЕМОДИНАМІКИ У ВАГІТНИХ З ОЖИРІННЯМ - Уданій статті представлено зміни стану гемодинаміки у вагітних з ожирінням при неускладненій вагітності. У дослідження включені результати комплексного обстеження 84 вагітних у віці від 23 до 28 років з ожирінням різного ступеня вираження при термінах гестації 36-38 тижнів. У контрольну групу ввійшла 21 вагітна аналогічного віку та терміну гестації з нормальною масою тіла. У всіх спостережуваних пацієнтів вагітність згідно з консультаціями акушер-гінекологів була визнана неусклад- неною. Ступінь ожиріння оцінювали за індексом маси тіла. Проведене дослідження показало, що надлишкова маса тіла в міру її прогресування украй несприятливо впливає на гемо- динаміку і функціональний стан серцево-судинної системи в цілому, знижує коронарні резерви. Найбільш виражені порушення функціонального стану серцево-судинної системи мають місце при ожирінні II і III ступенів.<br />HEMODYNAMIC STATUS OF PREGNANT WOMEN WITH OBESITY - In this article are represented the changes in hemodynamic status of pregnant women with obesity in uncomplicated pregnancy. In the study was included the full survey results of 84 pregnant women aged between 23 and 28 years with obesity of varying severity at 36-38 weeks gestation. The control group included 21 pregnant women of similar age and gestational age with normal body weight. All observed patients, pregnancy according obstetrical consultation was recognized uncomplicated. The degree of obesity was assessed by body mass index. Researchers conducted showed that overweight as its progression has a very adverse effect on hemodynamics and functional state of the cardiovascular system as a whole, reduces coronary reserve. The most pronounced violation of the functional state of the cardiovascular system occurs in obesity 2nd and 3rd degree.<br />Ключевые слова: беременность, ожирение, гемодинамика.<br />Ключові слова: вагітність, ожиріння, гемодинаміка

scholarly journals ACTUAL VIEW ON THE VITAMIN D EFFECT ON WOMEN’S HEALTH

2019 ◽  
Vol 6 (2) ◽  
pp. 73-79 ◽  
Author(s):  
T. N Savchenko ◽  
I. A Dergacheva ◽  
Lyudmila A. Ozolinya
Keyword(s):  
Vitamin D ◽  
Cell Proliferation ◽  
Gestational Diabetes ◽  
Autoimmune Diseases ◽  
Pregnant Women ◽  
Cardiovascular System ◽  
Vitamin D Deficiency ◽  
Inverse Correlation ◽  
Acquired Immunity ◽  
Pathological Conditions

According to last research, receptors for vitamin D are found in many organs and tissues. Vitamin D deficiency leads to the development of pathological conditions in children and adults. The non-classical effects of vitamin D are important in modulating congenital and acquired immunity, regulating cell proliferation, in the progress of diabetes, the pathology of the cardiovascular system, and autoimmune diseases. The inverse correlation between the level of 25(OH)D3 and the incidence of cancer has been determined. Vitamin D affects the course of pregnancy, and the decidual and placental tissues synthesize 1.25(OH)2D. Vitamin deficiency is found in pregnant women with preeclampsia and gestational diabetes. Timely diagnosis and adequate correction of the level of vitamin D in the blood reduces the risk of developing diseases.

scholarly journals LABORATORY CONTROL OF ANTICOAGULANT PROPHYLAXIS IN PREGNANT WOMEN WITH CARDIOVASCULAR DISEASES

World Science ◽  
2021 ◽  
Author(s):  
V. Medved ◽  
T. Savka
Keyword(s):  
Heart Disease ◽  
Side Effects ◽  
Pregnant Women ◽  
Cardiovascular System ◽  
Laboratory Research ◽  
Primary Hemostasis ◽  
Different Types ◽  
Mechanisms Of Formation ◽  
Negative Effect ◽  
Anticoagulant Prophylaxis

This article examines the effect of anticoagulant prophylaxis on pregnancy, childbirth and the postpartum period in women with heart disease. Тhe main mechanisms of formation of side effects from anticoagulant prophylaxis in pregnant women with diseases of the cardiovascular system were studied by means of laboratory research methods,. Have been studied the effects and interaction of different types of anticoagulant prophylaxis and aspirin prophylaxis on primary hemostasis. An algorithm for diagnosing the negative effect of anticoagulants on platelets has been developed. The study examines the possibility of drug correction of the development of side effects from anticoagulant thromboprophylaxis for women with diseases of the cardiovascular system.

Is Appropriate Administration of Antenatal Corticosteroids Associated with Maternal Race?

2020 ◽  
Author(s):  
Devlynne S. Ondusko ◽  
Bharti Garg ◽  
Aaron B. Caughey ◽  
Rachel A. Pilliod ◽  
Emily H. Carter
Keyword(s):  
At Risk ◽  
Native American ◽  
Pregnant Women ◽  
Preterm Delivery ◽  
Population Based ◽  
Assisted Ventilation ◽  
Antenatal Corticosteroids ◽  
Chi Square ◽  
Logistic Regression Models ◽  
Maternal Race

Objective Antenatal corticosteroids (ACSs) improve outcomes for premature infants; however, not all pregnant women at risk for preterm delivery receive ACS. Racial minorities are less likely to receive adequate prenatal care and more likely to deliver preterm. The objective of this study was to determine if maternal race is associated with a lower rate of ACS administration in Washington for women at risk of preterm labor (between 23 and 34 weeks). Study Design This was a population-based retrospective cohort study of singleton, nonanomalous, premature deliveries in Washington state between 2007 and 2014. Descriptive data included maternal sociodemographics, pregnancy complications, facility of birth, and neonatal characteristics. The primary outcome was maternal receipt of ACS and the independent variable was maternal race/ethnicity. The secondary outcomes included neonatal need for assisted ventilation, both initially and for more than 6 hours, and administration of surfactant. Data were analyzed using chi-square tests and logistic regression models. Results A total of 8,530 nonanomalous, singleton neonates were born between 23 and 34 weeks' gestation. Of those, 55.8% of mothers were self-identified as white, 7.5% as black, 21.4% as Hispanic, 10.9% as Asian, and 4.3% as Native American. After adjusting for confounders, black woman–neonate dyads had significantly lower odds of receiving ACS, (adjusted odds ratio [aOR] = 0.62; 95% confidence interval [CI]: 0.51–0.76), assisted ventilation immediately following delivery (aOR = 0.76; 95% CI: 0.61–0.94) and for more than 6 hours (aOR = 0.64; 95% CI: 0.49–0.84) and surfactant therapy (aOR = 0.62; 95% CI: 0.42–0.92) as compared with whites. Conclusion These findings contribute to the current body of literature by describing racial disparities in ACS administration for pregnant women at risk for preterm delivery. To better understand the association between black race and administration of ACS, future studies should focus on differences within and between hospitals (including quality, location, resources), patient health literacy, social determinants of health, and exposure to systemic racism and discrimination. Key Points

scholarly journals 24-Hour Fetal/Maternal Monitoring System Based on Phonocardiogram Analysis

2018 ◽  
Vol 155 ◽  
pp. 01046 ◽  
Author(s):  
Dmitry Zhdanov ◽  
Artem Bureev ◽  
Yana Kosteley
Keyword(s):  
Pregnant Women ◽  
Cardiovascular System ◽  
Monitoring System ◽  
Functional State ◽  
Design Concept ◽  
Software System ◽  
Antenatal Period ◽  
Maternal Monitoring ◽  
Interpretation Process ◽  
Hardware And Software System

The article describes an engineering prototype of the Device for 24-hour monitoring over the functional state of the fetus and mother’s cardiovascular system in the antenatal period of pregnancy. The Device is a hardware and software system that ensures the registration and analysis of fetus and mother’s phonocardiograms with further processing and interpretation. The interpretation process is designed to timely detect conditions that constitute a threat to a fetus. The Device operates as part of a telemedicine network that allows obstetricians-gynecologists managing pregnant women to remotely control their state. The article describes the Device design concept and features of its specific components. The engineering prototype of the Device was used to carry out biomedical tests that confirmed its suitability for 24-hour monitoring over the functional state of fetus and mother’s cardiovascular system in home settings.

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