scholarly journals Safety of pregnancy in uterine fibroids

2018 ◽  
Vol 7 (8) ◽  
pp. 2985
Author(s):  
Maha Alhainiah ◽  
Elaf Aljifry ◽  
Ayman Alghamdi ◽  
Lujain Alrabghi ◽  
Abdullah Alharbi ◽  
...  
Keyword(s):  
Intrauterine Growth Retardation ◽  
Uterine Fibroids ◽  
Reproductive Age ◽  
Premature Labor ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Abruptio Placentae ◽  
Intrauterine Growth ◽  
Peripartum Hemorrhage ◽  
Highly Correlated

Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Pregnancy and uterine fibroids are highly correlated. Pregnancy-related hormones influence the size of uterine fibroids, and fibroids have many impacts on pregnancy. Although most if the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. The main complications include abortion, premature rupture of membranes, premature labor, abruptio placentae, peripartum hemorrhage, fetal malpresentation, fetal intrauterine growth retardation, small for gestational age infants, and fetal anomalies. The main risk factors for complications are related to the fibroid number, size, volume, location, and type. Large, multiple, retroplacental, submucosal, subserosal, pedunculated, or low-lying fibroids carries the highest risk for complications during pregnancy. This review will address the prevalence of uterine fibroids during pregnancy, its effects, and complications.

scholarly journals EATING DISORDERS AND PREGNANCY: LITERATURE REVIEW

2019 ◽  
Vol 6 (3) ◽  
pp. 116-120
Author(s):  
Evgeniya V. Poznukhova ◽  
A. A Murashko ◽  
A. N Kurinova
Keyword(s):  
Eating Disorders ◽  
Intrauterine Growth Retardation ◽  
Unplanned Pregnancy ◽  
Reproductive Age ◽  
Depression And Anxiety ◽  
Premature Labor ◽  
Women Of Reproductive Age ◽  
Intrauterine Growth ◽  
Fertility Disorders ◽  
Risk Of Relapse

This review highlights the features that affect fertility and pregnancy in women with eating disorders, possible complications and clinical management of such patients by an obstetrician-gynecologist. Such obstetric and gynecological aspects associated with eating disorders as fertility disorders, unplanned pregnancy, intrauterine growth retardation, miscarriage and premature labor, deficit of lactation and others are considered. We also describe the influence of pregnancy on the course of eating disorders: the possibility of remission, followed by a high risk of relapse, postpartum depression and anxiety disorders. Moreover, we talk about the necessity of screening eating disorders among women of reproductive age and the importance of multidisciplinary management of pregnancy in such patients.

scholarly journals A Review of Obstetrical Outcomes and Complications in Pregnant Women after Bariatric Surgery

2019 ◽  
Vol 19 (4) ◽  
pp. 284 ◽  
Author(s):  
Yasmeen A. Haseeb
Keyword(s):  
Bariatric Surgery ◽  
Intrauterine Growth Restriction ◽  
Nutritional Deficiencies ◽  
Premature Rupture Of Membranes ◽  
National Library ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Novel Treatment ◽  
Hypertensive Disorders In Pregnancy ◽  
Surgical Injuries

Bariatric surgery (BS) is a novel treatment for weight reduction with longer lasting health benefits. This review aimed to summarise the available evidence regarding the fetomaternal outcomes and the most common challenges and complications in pregnancies following BS. Google Scholar (Google LLC, Mountain View, California, USA) and PubMed<sup>®</sup> (National Library of Medicine, Bethesda, Maryland, USA) databases were searched for articles published until December 2018. A total of 64 articles were included in this review and results showed that BS mitigates the risk of gestational diabetes mellitus, hypertensive disorders in pregnancy and fetal macrosomia. However, it can also have detrimental effects on fetomaternal health. There is paucity of data regarding small for gestational age intrauterine growth restriction, premature rupture of membranes and longterm effects on the children born to women who underwent BS.Keywords: Bariatric Surgery; Nutritional Deficiencies; Obesity; Pregnancy; Surgical Injuries.

Ritodrine Hcl for the Prevention of Premature Labor in Twin Pregnancies

1976 ◽  
Vol 25 (1) ◽  
pp. 321-324 ◽  
Author(s):  
C. L. Cetrulo ◽  
R. K. Freeman
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Double Blind Study ◽  
Premature Labor ◽  
Double Blind ◽  
Intrauterine Growth ◽  
Sympathomimetic Drug ◽  
Perinatal Mortality Rate

The perinatal mortality rate for twin gestation is in the range of 15 %, and this is due predominantly to prematurity, although twins may also be born growth retarded. Ritodrine HCl, a beta sympathomimetic drug, has been shown to be effective, both in stopping premature labor and in preventing intrauterine growth retardation. With this in mind, a double-blind study using ritodrine HCl or placebo was begun in order to study its effect on premature labor, intrauterine growth retardation, and the perinatal mortality rate in twins. Thus far, 30 patients have delivered and have been followed to 6 weeks postpartum. Although the results on individual patients have remained blinded to the investigators, an initial evaluation of the ritodrine and placebo groups have revealed no difference with respect to gestational age, birth weight, or perinatal mortality. These preliminary results are not significant. However, it appears that ritodrine HCl is a safe oral agent for the antepartum gravida and her fetus. The study will be continued until approximately 100 patients have been enrolled.

scholarly journals Pregnancy after Bariatric Surgery: A Review

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
N. L. Hezelgrave ◽  
Eugene Oteng-Ntim
Keyword(s):  
Bariatric Surgery ◽  
Maternal Obesity ◽  
Case Reports ◽  
Current Evidence ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Positive Effects ◽  
Obstetric Morbidity ◽  
Group A

Maternal obesity is a major cause of obstetric morbidity and mortality. With surgical procedures to facilitate weight loss becoming more widely available and demanded and increasing number of women becoming pregnant after undergoing bariatric surgery, it is important and timely to consider the outcome of pregnancy following bariatric surgery. This paper aims to synthesize the current evidence regarding pregnancy outcomes after bariatric surgery. It concludes that bariatric surgery appears to have positive effects on fertility and reduces the risk of gestational diabetes and preeclampsia. Moreover, there appears to be a reduced incidence of fetal macrosomia post-bariatric procedure, although there remains uncertainty about the increased rates of small-for-gestational age and intrauterine growth restricted infants, as well as premature rupture of membranes in this group. A number of case reports highlight that pregnancy following bariatric surgery is not without complications and it must be managed as high risk by the multidisciplinary team.

Chorangiosis and chorangioma in three cohorts of placentas from Nepal, Tibet, and Japan

1995 ◽  
Vol 7 (6) ◽  
pp. 1533 ◽  
Author(s):  
H Soma ◽  
Y Watanabe ◽  
T Hata
Keyword(s):  
Intrauterine Growth Retardation ◽  
Fetal Death ◽  
Pathological Change ◽  
Placenta Praevia ◽  
Intrauterine Fetal Death ◽  
Abruptio Placentae ◽  
Intrauterine Growth ◽  
Significant Difference ◽  
Group 5 ◽  
Japanese Group

It has been reported that both chorangiosis and chorangioma are increased in placentas at high altitudes. In this study, 1.14% of 2448 Japanese placentas obtained at 30-300 m had chorangiosis or chorangioma, compared with 3.24% of the Nepalese placentas (1300-3000 m) and 9.09% of the Tibetan samples (3800-4200 m). The incidence of both pathologies was significantly higher in the Himalayan groups than those of the Japanese group (P < 0.05). Obstetric complications of the 28 Japanese placentas with chorangiosis and chorangioma included Caesarean section 16 (57.1%), abruptio placentae 2 (7.14%), intrauterine growth retardation 3 (10.7%), intrauterine fetal death 4 (14.2%) and placenta praevia 4 (14.2%). Four infants (14.2%) had Apgar scores ranging from 0 to 3. Among 48 Himalayan placentas with chorangiosis and chorangioma, incidence of marked subchorionic fibrin was significantly higher (25%) than in the Japanese group (3.57%) (P < 0.05). The incidence of abnormal insertion of the cord was significantly higher (14.2%) in the Japanese group than in the Himalayan group (5%) (P < 0.05). There was no significant difference in the frequencies of intervillous thrombosis and infarction between the two groups. These findings suggest that the incidence of pathological change such as chorangiosis and chorangioma may be increased in placentas at Himalayan altitudes.

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