scholarly journals Current concepts in migraine and their relevance to pregnancy

2018 ◽  
Vol 11 (4) ◽  
pp. 154-159 ◽  
Author(s):  
Shazia K Afridi

The prevalence of migraine in women of childbearing age is high, estimated at 24%. Migraine management during pregnancy and lactation can be challenging. Our understanding of the way in which medications affect the unborn fetus is still incomplete and the evidence is constantly changing with more recent emphasis on longitudinal studies and childhood development. The aim of this article is to describe the relationship between migraine and pregnancy and review the current evidence on treatment options in pregnancy and lactation.

2020 ◽  
Vol 4 (2) ◽  
pp. 251-260
Author(s):  
Restu Susanti ◽  
Syamel Muhammad

Migraine is a common headache characterized by unilateral throbbing-like headache and pulsating in nature and sometimes associated with aura. Migraine is a disabling disorder that among adults is more prevalent among women than men. It is primary headache that is often found in pregnancy. Migraine is a common disorder in women of childbearing age, and usually requires pharmacological treatment. Migraine can be considered an important risk factor for hypertensive and vascular diseases during pregnancy. Migraine therapy in pregnancy is very challenging, it must taken into a consideration about the health of the mother and fetus.  Several effective antimigraine medications are reasonably safe for use by pregnant and breastfeeding women. Prophylactic theraphy should be given to patient with recurrent migraine attacks in pregnancy. Nonpharmacological strategies are always first-line treatment options for mild migraine, and should also be used complementarily whenever pharmacological treatment is required. Women with migraine should be offered periconceptional counselling to promote a safe and healthy pregnancy. Keywords: migraine; pregnancy; therapy


2020 ◽  
Vol 4 (2) ◽  
pp. 280-288
Author(s):  
Restu Susanti ◽  
Syamel Muhammad

Migraine is a common headache characterized by unilateral throbbing-like headache and pulsating in nature and sometimes associated with aura. Migraine is a disabling disorder that among adults is more prevalent among women than men. It is primary headache that is often found in pregnancy. Migraine is a common disorder in women of childbearing age, and usually requires pharmacological treatment. Migraine can be considered an important risk factor for hypertensive and vascular diseases during pregnancy. Migraine therapy in pregnancy is very challenging, it must taken into a consideration about the health of the mother and fetus.  Several effective antimigraine medications are reasonably safe for use by pregnant and breastfeeding women. Prophylactic theraphy should be given to patient with recurrent migraine attacks in pregnancy. Nonpharmacological strategies are always first-line treatment options for mild migraine, and should also be used complementarily whenever pharmacological treatment is required. Women with migraine should be offered periconceptional counselling to promote a safe and healthy pregnancy. Keywords: migraine; pregnancy; therapy


GYNECOLOGY ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 48-52
Author(s):  
E N Kravchenko ◽  
R A Morgunov

The aim of the study. Assess the importance of pregravid preparation and outcomes of pregnancy and childbirth, depending on the reproductive attitudes of women in the city of Omsk. Materials and methods. The study included 92 women who were divided into groups: group A (n=43) - women whose pregnancy was planned; group B (n=49) - women whose pregnancy occurred accidentally. Each group was divided into subgroups depending on age: from 18 to 30 and from 31 to 49 years. For each patient included in the study, a specially designed map was filled out. These patients were interviewed at the City Clinical Perinatal Center. Results. Comparative analysis revealed the relationship between the reproductive settings of women of childbearing age and the peculiarity of the course of pregnancy and childbirth in these patients. Summary. The majority of women of fertile age are married: in subgroup AA - 25 (96.2%), AB - 13 (76.5%), BA - 25 (92.6%), BB - 20 (91.0%). The predominant number of women of fertile age have one or more abortions: in subgroup AA - 12 (46.2%), AB - 6 (35.3%), in subgroups of comparison BA - 8 (29.6%), BB - 6 (27.3%). More than half of the women of fertile age surveyed have a history of untreated cervical pathology (from 40.8% to 64.7%). The course of pregnancy in women planning pregnancy in most cases proceeded without complications: in subgroup AA - 13 (50.0%), AB - 11 (64.7%). The most common cause of complicated pregnancy in women whose pregnancy occurred accidentally is the threat of spontaneous miscarriage: in subgroup BA - 15 (55.6%), BB - 16 (72.7%). The uncomplicated course of labor more often [subgroup AA - 19 (73.0%), AB - 12 (70.6%)] was observed in women whose pregnancy was planned and they were motivated to give birth to a healthy child.


1959 ◽  
Vol 52 (3) ◽  
pp. i-i

In the communication: ‘Studies of the skeleton of the sheep. III. The relationship between phosphorus intake and resorption and repair of the skeleton in pregnancy and lactation’, D. Benzie, A. W. Boyne, A. C. Dalgarno, J. Duckworth & R. Hill, J. Agric. Sci. (1959), 52, 1–12, Plates 3 a and 3 b have been interchanged.


ESC CardioMed ◽  
2018 ◽  
pp. 2876-2882
Author(s):  
Stefan Verlohren

Pregnant women with pre-existing cardiovascular disease may require drug therapy during their pregnancy and lactation period. There are no uniform recommendations for selection of medications, dosing, and timing of treatment. Possible adverse or teratogenic effects of the drugs on the fetus must be weighed against the maternal indication of drug treatment. This chapter gives an overview of medical treatment options for cardiovascular diseases in pregnancy. Furthermore, sources of evidence which can be used for risk classification of drugs applied during pregnancy are shown.


2019 ◽  
Vol 27 (7) ◽  
pp. 413-419
Author(s):  
Aarthi Surendran ◽  
Danielle Dixon ◽  
Martin Whyte

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.


1959 ◽  
Vol 52 (1) ◽  
pp. 1-12 ◽  
Author(s):  
D. Benzie ◽  
A. W. Boyne ◽  
A. C. Dalgarno ◽  
J. Duckworth ◽  
R. Hill

1. The ash content of the skeleton of Cheviot ewes fed a daily ration containing about 4·5 g. of phosphorus fell by 18·8% between mid-gestation and mid-lactation, and 2 months after the end of lactation the loss was fully replaced.2. In ewes fed a daily ration containing about 1·5 g. of phosphorus the loss of skeletal ash was 39·9% at mid-lactation, and this was not replaced 2 months after the end of lactation. When the phosphorus intake was raised in mid-lactation from 1·5 to 4·5 g. repair was greater but was still not complete.3. Resorption was greater in bones rich in cancellous tissue, such as the cervical vertebrae, than in those rich in compact tissue, such as the shafts of long bones, but when severe resorption took place significant losses were found in the shafts of long bones as well as in other bones.4. Whole blood inorganic phosphorus values were very low, particularly during lactation, in ewes fed on the low-phosphorus ration. When extra phosphorus was fed from mid-lactation onwards blood phosphorus values rose to normal in less than four weeks, a much more rapid recovery than that which took place in the skeleton.5. Resorption of the skeletons of ewes on both moderate and low-phosphorus rations could be detected using radiographs taken of the radius in the living animal at mid-lactation, and severe resorption found in ewes fed on the low-phosphorus ration could be distinguished readily from the milder resorption found in ewes fed on the moderate-phosphorus ration.


2021 ◽  
Vol 5 (1) ◽  
pp. 107-119
Author(s):  
Tini Jufri ◽  
Katmini Katmini

Cervical cancer is the leading cause of death in the world, with 311,365 cervical cancer deaths. recorded globally in 2018. Cervical cancer is caused by the Human Papilloma Virus (HPV). This viral infection is often found in sexually active women who have multiple partners. Therefore, cervical cancer can be prevented by conducting early examination through Visual Acetate Inspection (IVA). The purpose of the literature review is to determine whether there is a relationship between theory of planned behavior and participation in IVA examinations in women of fertile age. The method uses Literature reviews from the Pubmed, Microsoft Academic, BASE and Google Scholar databases, published in 2015 to 2020, and manually selects and analyzes relevant articles. The results of the literature review show that of the 20 journals found and in accordance with the research questions, namely, 1 journal that discusses the Intention Relationship of the IVA test, 7 journals that discuss the Relationship of the IVA Test Behavior, 9 journals that discuss the Attitude Relationship of the IVA test, 3 journals that discuss the Relationship of Subjective Norms for the IVA test and from the 20 journals that were found active IVA examination, 4 journals and 16 journals that were not active performed the IVA examination. From the results of the analysis of the journal, it was found that there was a lack of knowledge and information about IVA tests so that women of childbearing age did not actively carry out IVA examinations, the importance of counseling and health education regarding early detection of cervical cancer, especially IVA tests, not only for women of childbearing age, but also for their husbands, so that they understand the importance of early detection of cervical cancer and can increase the intention, behavior, attitude and subjective norms towards the activity of the IVA test.


2020 ◽  
Author(s):  
Elham Kor ◽  
Seyed Reza Saadat Mostafavi ◽  
Zahra Ahmadian Mazhin ◽  
Adeleh Dadkhah ◽  
Anis Kor ◽  
...  

Abstract Objectives: About 10-15% of women of childbearing age have endometriosis. The present study aimed to investigate the relationship between the severity of symptoms of endometriosis and the spread as well as the stage of the disease on ultrasonography. The present cross-sectional study evaluates the relationship between the severity of endometriosis symptoms and the spread of disease on ultrasonography in patients with endometriosis.Results: Considering different analyses, the cumulative size of posterior Deep Infiltrative Endometriosis (DIE) (less than 1 cm) is significantly correlated with minimal severity of dyspareunia and chronic pelvic pain. The incidence of dyspareunia was more prevalent in patients with complete stenosis of Douglas pouch than those with incomplete stenosis. Furthermore, the incidence of severe and very severe pain in patients with Douglas pouch stenosis is relatively higher than that in patients without stenosis. Only dyspareunia is related to the stage of endometriosis, and patients with dyspareunia are five times more at risk of a higher stage of the disease. The severity of dyspareunia is related to the stage of endometriosis and the severity of Douglas pouch stenosis. The results showed a correlation between chronic pelvic pain and r-ASRM score (revised American Society for Reproductive Medicine score).


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