Nephropathia Epidemica infection during first trimester of pregnancy - normal fetal outcome

Acute liver failure (ALF) during pregnancy is very uncommon. Pregnancy-specific liver conditions like hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome and acute fatty liver of pregnancy can cause ALF at term or postpartum, but, typically occur during the third trimester. Most of these patients recover spontaneously after delivery, but, on occasion, they require liver transplantation in the postpartum period. However, ALF during the first and second trimester of pregnancy requiring antepartum liver transplantation is rare. Only fifteen cases of liver transplantation during pregnancy have been reported, and very few occurred during the first trimester. We report a Woman who developed acute liver failure during the first trimester of pregnancy and underwent successful liver transplantation at 11-week gestation, followed by successful delivery of the fetus at 30 weeks. To our knowledge, this is the earliest case of successful liver transplantation during pregnancy followed by successful fetal outcome. We discuss management of the patient and fetus before, during, and after liver transplantation and review the literature on antepartum liver transplant in pregnancy.

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Adverse fetal outcome following maternal rubella after the first trimester of pregnancy

JAMA ◽

10.1001/jama.207.13.2414 ◽

1969 ◽

Vol 207 (13) ◽

pp. 2414-2420 ◽

Cited By ~ 17

Author(s):

J. B. Hardy

Keyword(s):

First Trimester ◽

Fetal Outcome ◽

First Trimester Of Pregnancy ◽

Adverse Fetal Outcome

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Early Ultrasound Identification of Cord Entanglement in Monochorionic Monoamniotic Twin Pregnancy

Diagnostics ◽

10.3390/diagnostics11030520 ◽

2021 ◽

Vol 11 (3) ◽

pp. 520

Author(s):

Anca Maria Panaitescu ◽

Nicolae Gică ◽

Radu Botezatu ◽

Brîndușa Cimpoca ◽

Alina Veduță ◽

...

Keyword(s):

High Risk ◽

Early Identification ◽

Rare Case ◽

Twin Pregnancy ◽

Correct Diagnosis ◽

First Trimester ◽

Fetal Outcome ◽

Fetal Demise ◽

Ultrasound Findings ◽

First Trimester Of Pregnancy

Monochorionic monoamniotic pregnancy are considered high risk gestations and the fetal outcome is at times unpredictable. Correct diagnosis and counselling are extremely important, especially regarding the risk of unexpected fetal demise. We present the rare case of a monochorionic monoamniotic twin pregnancy with early identification of cord entanglement and the characteristic ultrasound findings in the first trimester of pregnancy.

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W237 SERUM HOMOCYSTEINE LEVELS IN LATE FIRST TRIMESTER OF PREGNANCY AND ITS RELATION TO MATERNAL AND FETAL OUTCOME

International Journal of Gynecology & Obstetrics ◽

10.1016/s0020-7292(12)61961-4 ◽

2012 ◽

Vol 119 ◽

pp. S782-S782

Author(s):

H. Syed ◽

M. Mascarenhas ◽

S. Mg

Keyword(s):

First Trimester ◽

Fetal Outcome ◽

Serum Homocysteine ◽

First Trimester Of Pregnancy

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Pregnancy outcome in women presenting with per vaginal bleeding in first trimester of pregnancy

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20210056 ◽

2021 ◽

Vol 10 (2) ◽

pp. 439

Author(s):

Aisha Moon ◽

Saima Shabbir

Keyword(s):

Vaginal Bleeding ◽

Placenta Previa ◽

Tertiary Care ◽

First Trimester ◽

Fetal Outcome ◽

Care Hospital ◽

Wide Range ◽

Life Threatening ◽

Red Flag ◽

First Trimester Of Pregnancy

Background: Approximately 16%-25% of pregnancies are complicated by first trimester bleeding. The wide range of causes of early pregnancy bleeding, threat to loss the pregnancy and fear of having any life threatening cause puts pregnant female with first trimester bleeding into the state of uncertainty which leads to anxiety and depression. The objective of this study was to determine fetal outcome in women presenting with per vaginal bleeding in first trimester of pregnancy.Methods: This prospective observational study was carried out on 75 women presenting with complain of first trimester bleeding at Kulsumbai Valika hospital, a tertiary care hospital located in SITE area Karachi, Pakistan from July 2019 to July 2020 for a period of 1 year. A Performa was designed to collect information and patient followed until pregnancy is terminated.Results: The majority of participants presented at 8th week of gestation. Out of 75 participants who presented with first trimester bleeding 40% ended up in miscarriage. 6% had ectopic, 2% had molar pregnancy, 4% had placenta previa, 6% had preterm birth and 40% had healthy infant at the end of pregnancy.Conclusions: Bleeding in pregnancy is a red flag sign and needs to be addressed with wise approach to have optimal possible maternal and fetal outcomes.

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Catheter Directed Thrombolysis for Deep Vein Thrombosis during the First Trimester of Pregnancy: Two Case Reports

Journal of the Korean Radiological Society ◽

10.3348/jkrs.2008.58.2.127 ◽

2008 ◽

Vol 58 (2) ◽

pp. 127

Author(s):

Kum Rae Kim ◽

Won Kyu Park ◽

Jae Woon Kim ◽

Woo Hyung Kwun ◽

Bo Yang Suh ◽

...

Keyword(s):

Deep Vein Thrombosis ◽

Case Reports ◽

First Trimester ◽

Vein Thrombosis ◽

Catheter Directed Thrombolysis ◽

First Trimester Of Pregnancy ◽

Deep Vein

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FRACTIONAL DETERMINATIONS OF URINARY 17-KETOSTEROIDS IN HYPEREMESIS GRAVIDARUM

Acta Endocrinologica ◽

10.1530/acta.0.0410123 ◽

1962 ◽

Vol 41 (1) ◽

pp. 123-128 ◽

Cited By ~ 6

Author(s):

Pentti A. Järvinen ◽

Sykkö Pesonen ◽

Pirkko Väänänen

Keyword(s):

Hyperemesis Gravidarum ◽

First Trimester ◽

Control Group ◽

Before And After ◽

Daily Urine ◽

First Trimester Of Pregnancy ◽

The Difference

ABSTRACT The fractional determination of 17-ketosteroids in the daily urine was performed in nine cases of hyperemesis gravidarum and in four control cases, in the first trimester of pregnancy both before and after corticotrophin administration. The excretion of total 17-KS is similar in the two groups. Only in the hyperemesis group does the excretion of total 17-KS increase significantly after corticotrophin administration. The fractional determination reveals no difference between the two groups of patients with regard to the values of the fractions U (unidentified 17-KS), A (androsterone) and Rest (11-oxygenated 17-KS). The excretion of dehydroepiandrosterone is significantly higher in the hyperemesis group than in the control group. The excretion of androstanolone seems to be lower in the hyperemesis group than in the control group, but the difference is not statistically significant. The differences in the correlation between dehydroepiandrosterone and androstanolone in the two groups is significant. The high excretion of dehydroepiandrosterone and low excretion of androstanolone in cases of hyperemesis gravidarum is a sign of adrenal dysfunction.

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