scholarly journals Association Between Gestational Bell’s Palsy and Preeclampsia and Other Pregnancy-Related Metabolic Disorders: A Retrospective Comparative Case Study

Author(s):  
Sumonthip Leelawai ◽  
Chitkasaem Suwanrath ◽  
Nannapat Pruphetkaew ◽  
Pensri Chongphattararot ◽  
Pornchai Sathirapanya

Abstract BackgroundThe associations between gestational Bell’s palsy (GBP) and preeclampsia (PE) and other pregnancy-related metabolic disorders such as gestational hypertension (GHT) and gestational diabetes mellitus (GDM) remain unclear. We aimed to evaluate these associations and to compare the neonatal outcomes between the newborns of pregnant women with and without GBP.MethodsThis was a retrospective 1:5 comparative case study between pregnant women with and without GBP. GBP cases in Songklanagarind Hospital from 2006 to 2016 were enrolled. The exact maternal age and order of gravidity at the onset of GBP were matched. The associations between GBP and PE, GHT and GDM were evaluated comparatively. Also, the outcomes of newborns from the two pregnant women groups were compared and analyzed by univariable analysis (p<0.05).ResultsEight GBP cases out of 8,756 pregnant women were enrolled. Six of the GBP cases were first or second gravidity pregnancies. Five cases developed GBP during the third trimester. Except for significantly higher median systolic and diastolic blood pressures (SBP and DBP) in the GBP cases, we found no significant associations between GBP and PE, GHT or GDM. Additionally, the neonates of the GBP women had significantly lower mean birth weight.ConclusionsWe found that GBP had no associations with PE, GHT or GDM. However, significantly lower birth weight was found in the newborns of the GBP women. The higher median SBP and DBP found in the GBP women may imply that a common pathogenesis of microvasculopathy between GBP and late pregnancy-related complications exists.

2009 ◽  
Vol 16 (1) ◽  
pp. 71-81
Author(s):  
Emily Haltiwanger ◽  
Theresa Huber ◽  
Joe C. Chang ◽  
Armando Gonzales-Stuart

2017 ◽  
Vol 127 (12) ◽  
pp. 2854-2859 ◽  
Author(s):  
Katie M. Phillips ◽  
Alyssa Heiser ◽  
Robert Gaudin ◽  
Tessa A. Hadlock ◽  
Nate Jowett

2019 ◽  
Vol 16 (3) ◽  
pp. 65-67
Author(s):  
Shambhu Prasad Adhikari ◽  
Jayana N. Shrestha ◽  
Miraj Subedi

Lower motor facial nerve palsy also called Bell’s palsy is of peripheral origin, which is a common condition globally. Different therapeutic interventions have shown improvement in patients with Bell’s palsy. Here, we administered Kabat rehabilitation combined with facial expressive and functional exercises in a patient with Bell’s palsy who was treated for three weeks. Changes with the intervention were measured using Sunny-Brooke classification scoring system and House Brachmann Facial Grading scale. This case study demonstrated faster and good recovery with the combined intervention in early Bell’s palsy compared to the evidence in literatures. Eyes closure was complete. Facial symmetry and well-defined facial expressions were seen after the treatment. However, clinical trials are recommended for its clinical implication.


2021 ◽  
Vol 1 ◽  
pp. 1669-1673
Author(s):  
Lutfiah Febriana ◽  
Nina Zuhana

AbstractAnemia is a condition where the level of hemoglobin in the blood is less than the normal limit (<12 g%) caused by a lack of iron in the body due to malnutrition. While anemia in pregnancy is a condition where the hemoglobin level in pregnant women is <11gr% or <10.5gr% in third trimester pregnant women which generally occurs due to the hemodilution process. The purpose of this case to find out the cause of anemia in late pregnancy and the treatment that can be done to prevent complications that occur with care to routinely consume blood-added tablets (Fe) and recommend foods high in iron. This care design used a comprehensive care method for pregnant women in the third trimester who experience mild anemia (haemoglobin <10,5gr%) in Kalimade Village, Kesesi District, Pekalongan Regency. The results of this care showed an increase in hemoglobin levels in the mother. The conclusion of this case study shows that regularly consuming Fe tablets can increase hemoglobin levels in the blood so that it can prevent and treat anemia. For this reason, pregnant women are expected to routinely consume Fe tablets during pregnancy and midwives are expected to provide education about the benefits of Fe tablets to pregnant women to prevent anemia.Keywords: Haemoglobin; Anemia; Pregnancy AbstrakAnemia merupakan suatu kondisi dimana kadar haemoglobin dalam darah kurang dari batas normal (<12 gr%) yang disebabkan karena kurangnya zat besi didalam tubuh akibat kurang gizi. Sedangkan anemia pada kehamilan adalah kondisi dimana kadar haemoglobin pada ibu hamil <11gr% atau <10,5gr% pada ibu hamil trimester III yang umumnya terjadi karena adanya proses hemodilusi. Tujuan dari kasus ini yaitu untuk mengetahui penyebab terjadinya anemia pada kehamilan lanjut serta penanganan yang dapat dilakukan guna mencegah terjadinya komplikasi yang mungki terjadi dengan asuhan untuk rutin mengkonsumsi tablet tambah darah (Fe) serta anjuran mengkonsumsi makanan tinggi zat besi. Rancangan Asuhan ini menggunakan metode asuhan komprehensif pada ibu hamil trimester III yang mengalami anemia ringan (Haemoglobin <10,5gr%) di Desa Kalimade Kecamatan Kesesi Kabupaten Pekalongan. Hasil asuhan ini menunjukan adanya peningkatan kadar haemoglobin pada ibu. Simpulan studi kasus ini menunjukan bahwa dengan rutin mengkonsumsi tablet Fe dapat meningkatkan kadar Haemoglobin dalam darah sehingga dapat mencegah serta mengobati anemia. Untuk itu ibu hamil diharapkan agar rutin mengkonsumsi tablet Fe selama kehamilan. Bidan diharapkan agar bisa memberikan edukasi tentang manfaat tablet Fe pada ibu hamil guna mencegah terjadinya anemia.Kata kunci: Haemoglobin; Anemia; Kehamilan


Author(s):  
Sumonthip Leelawai ◽  
Chitkasaem Suwanrath ◽  
Nannapat Pruphetkaew ◽  
Pensri Chongphattararot ◽  
Pornchai Sathirapanya

The associations between gestational Bell’s palsy (GBP) and late obstetric complications (LOCs), i.e., preeclampsia (PE), eclampsia (EC), gestational hypertension (GHT), and gestational diabetes mellitus (GDM) remain unclear. This study aimed to evaluate these associations and the neonatal health of the newborns born from pregnant women with and without GBP. A retrospective 1:5 case-control study matching exact maternal age and gravidity between pregnant women with and without GBP in Songklanagarind Hospital from 2006 to 2016 was conducted. The associations between GBP and PE, EC, GHT, and GDM, as well as comparison of the newborns’ health indices were analyzed by bivariate analysis (p < 0.05). Eight GBP cases out of 8,756 pregnant women were recruited. Six GBP cases were first or second gravid. GBP occurred during the third trimester in five cases. Except for higher median systolic blood pressure (125 (114.2, 127.5) vs. (110 (107.0, 116.0), p = 0.045) and diastolic blood pressures (77 (73.0, 80.8) vs. 70 (65.0, 73.2), p = 0.021) in the GBP cases, associations between GBP and all LOCs could not be concluded due to the lack of power. However, a significantly lower mean birth weight in the newborns of GBP mothers was found (2672.2 (744.0) vs. 3154.8 (464.7), p = 0.016) with statistically significant power. Except for the higher blood pressures and lower birth weights of the newborns of GBP mothers, an association between GBP and LOCs remains inconclusive.


Author(s):  
Bharat Govardhan Ubale Ubale

Ardita is a disease-causing Vakrata (deviation) of Mukha Ardha (half of the face). In Modern science, it can be compared to Bell ’s palsy caused by the involvement of the 7th cranial nerve. It is characterized by the deviation of half of the face & associated with the sudden impairment of motor and sensory function of the affected side of the face. In modern science administration of steroids is the treatment of choice for Bell’s palsy. A 22 yr. an old male patient diagnosed as Ardit Vata treated with Ayurvedic shaman Aushadh along with Ksheerbala taila Nasya,Shirodhara, Abhangya & Nadi Sweda. This Ayurvedic treatment gives a significant improvement in this case. No conventional drugs used during treatment. This is evidence to demonstrate the effectiveness of Ayurveda treatment in the case of Ardita Vata.  


2021 ◽  
Vol 9 (4) ◽  
pp. 272
Author(s):  
Preeti Patel ◽  
Swarnakant Jena ◽  
SantoshK Bhatted ◽  
Prasanth Dharmarajan

Author(s):  
So Young Kim ◽  
Jee Hye Wee ◽  
Chanyang Min ◽  
Dae-Myoung Yoo ◽  
Hyo Geun Choi

We intended to determine the relationship between previous statin use and Bell’s palsy in a large study population receiving statins for the past 2 years. The Korean National Health Insurance Service—Health Screening Cohort data from 2002 to 2015 were collected. Participants with Bell’s palsy (n = 3203) were matched with participants without Bell’s palsy (n = 12,812). The number of days of previous statin use for 2 years before the onset of Bell’s palsy was analyzed using conditional logistic regression. Subgroups of age, sex, obesity, smoking, alcohol consumption, total cholesterol, and blood pressure were analyzed for any association between Bell’s palsy and prior statin use. The Bell’s palsy group reported greater statin use than the non-Bell’s palsy group (84.6 (standard deviation, SD = 201.7) vs. 74.4(SD = 189.4), p = 0.009). Previous statin use was associated with Bell’s palsy in the crude model (95% confidence intervals = 1.03–1.19, p = 0.006). However, this relationship disappeared when the possible covariates were adjusted for in model 2. All subgroups showed no increased odds for Bell’s palsy in previous statin users. We did not find an association between Bell’s palsy and previous statin use in this Korean population aged ≥40 years.


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