scholarly journals A rapidly enlarging cutaneous hemangioma in pregnancy

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Marwan Ma’ayeh ◽  
Nikhil Purandare ◽  
Michelle Harrison ◽  
Michael P. Geary
Keyword(s):  
Literature Search ◽  
Hormonal Factor ◽  
Accelerated Growth ◽  
Pedunculated Tumor ◽  
Cutaneous Hemangioma ◽  
In Pregnancy

This is a case of a rapidly enlarging cutaneous pedunculated tumor on a patient’s thumb during her pregnancy. This was excised and identified as a hemangioma. A literature search identified a possible hormonal factor in causing an accelerated growth of this tumor.

Psychiatric aspects of abortion

1994 ◽  
Vol 11 (2) ◽  
pp. 92-98 ◽  
Author(s):  
Anthony W Clare ◽  
Janette Tyrrell
Keyword(s):  
Literature Search ◽  
Western World ◽  
Extensive Literature ◽  
Legal Abortion ◽  
Psychological Consequences ◽  
Cultural Attitudes ◽  
Unwanted Pregnancies ◽  
Social Difficulties ◽  
Extensive Literature Search ◽  
In Pregnancy

AbstractObjective: To examine the evidence concerning the psychological consequences of abortion, the risk of suicide in pregnancy and the psychological consequences for the mother and the child in cases of refused abortion. Method: An extensive literature search was undertaken and key relevant papers were examined and analysed. Results: Legal abortion has become more widely available throughout the western world and the actual reported incidence of cases of refused abortion is low. The majority of studies indicate that the psychological consequences of abortion itself are in the main mild and transient but there is evidence that women who have strong religious or cultural attitudes negative to abortion do experience high levels of psychological stress following abortion. The risk of suicide is low in pregnancy and suicide is a rare outcome of refused abortion. There is evidence of psychological and social difficulties experienced by mothers of unwanted pregnancies forced to proceed to term and by many offspring of such unwanted pregnancies. Conclusions: Definitive conclusions are difficult to draw from the published studies of refused abortion and many studies are over thirty years old.

scholarly journals Bilateral multifocal renal oncocytoma in pregnancy

Rare Tumors ◽  
2012 ◽  
Vol 4 (4) ◽  
pp. 175-177 ◽  
Author(s):  
Schalk W. Wentzel ◽  
Lodewikus P. Vermeulen
Keyword(s):  
Literature Search ◽  
Renal Tumor ◽  
Elective Caesarean Section ◽  
Renal Oncocytoma ◽  
Renal Neoplasms ◽  
Second Trimester ◽  
Renal Masses ◽  
Renal Oncocytomas ◽  
Recommended Guidelines ◽  
In Pregnancy

Renal oncocytomas are the most common benign solid renal tumor, accounting for 3–7% of renal neoplasms. Oncocytomas are multifocal in 2–12% and bilateral in 4–14% of cases. Multifocal bilateral oncocytomas represent only 1.4% of renal cases. We present an extraordinary case of a patient with multifocal bilateral renal oncocytomas during pregnancy. An electronic literature search revealed fewer than 30 reports of on cases of bilateral multifocal renal oncocytomas, none of them occurring in pregnancy. The management of this patient differed from the recommended guidelines for renal masses suspected to be malignant because elective caesarean section and nephrectomy in the second trimester was refused.

scholarly journals Malnutrition and depression in pregnancy and associations with child behaviour and cognitive function: a review of recent evidence on unique and joint effects

2019 ◽  
Vol 97 (3) ◽  
pp. 158-173 ◽  
Author(s):  
Laura S. Bleker ◽  
Susanne R. de Rooij ◽  
Tessa J. Roseboom
Keyword(s):  
Cognitive Function ◽  
Literature Search ◽  
Synergistic Effects ◽  
Child Behaviour ◽  
Behavioural Problems ◽  
Human Populations ◽  
Attentional Deficits ◽  
Child Neurodevelopment ◽  
Depression In Pregnancy ◽  
In Pregnancy

Accumulating studies suggest that prenatal experiences can shape a child’s neurodevelopment. Malnutrition and depression occur in pregnancy relatively often and may affect child neurodevelopment independently as well as synergistically. We aimed to provide an overview of recent studies that have examined malnutrition and (or) depression in pregnancy and associations with child behavioural problems and cognitive function. We conducted a literature search in PubMed, using the following main search terms: “depression”, “nutrition”, “BMI”, “pregnancy”, “offspring”, “cognition”, and “behaviour”. We included studies in human populations published from 2013 onwards. The literature search yielded 1531 articles, of which 55 were included in the current review. We presented the evidence on the associations between prenatal markers of nutritional status and (or) depression and child behaviour and (or) cognitive function. We additionally discussed interventions and mechanisms. Both malnutrition and depression in pregnancy are associated with increased externalizing behavioural problems and attentional deficits, and to some extent with poorer cognitive function in the child, but the evidence is not conclusive. Studies on synergistic effects of both factors on child behaviour and cognitive function are still scarce, and more research is needed. Potential shared mechanisms include the hypothalamic–pituitary–adrenal axis, the immune system, epigenetics, and oxidative stress.

Chronic Kidney Disease as a Long-term Consequence of Preeclampsia and Hypertensive Disorders in Pregnancy

2016 ◽  
Vol 70 (3) ◽  
pp. 148-152
Author(s):  
Biljana Gerasimovska Kitanovska ◽  
Vesna Gerasimovska
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Literature Search ◽  
Later Life ◽  
Potential Association ◽  
Hypertensive Disorders In Pregnancy ◽  
In Pregnancy

Abstract Introduction. Preeclampsia is a condition characterized by hypertension, proteinuria after 20th week of gestation, dysfunction of other maternal organs or uteroplacentary dysfunction and is associated with short-term renal damage. Recent studies report on potential association of preeclampsia with chronic kidney disease in later life. The aim of this study was to determine this potential association by literature review and our results. Methods. A Pubmed (Medline) literature search on the association of preeclampsia and subsequent chronic kidney disease was carried out. Our study was conducted at the Department of Nephrology of the University Clinical Centre Skopje in 2010 and included women who consulted the Clinic due to hypertension or impaired renal function and who had either preeclampsia or hypertensive disorders in pregnancy. Thirty patients with decreased glomerular filtration that occurred 1-28 years after pregnancy with hypertensive disorder were included in the study. Results. Literature search yielded 227 abstracts, of which 19 papers were selected, and they referred only to chronic kidney disease in the period after delivery in patients with preeclampsia. Various risks for emergence of chronic kidney disease in later life were reported in recent literature, varying from 1.2 to 14 for preeclampsia and in patients with superimposed preeclampsia, the risk was 45 times higher. In our study, risk of reduction in glomerular filtration rate was highest in the first 5 years (OR 3.6, 95% CI 1.06-22.5). Delivery before 27 weeks of gestation insignificantly increased the risk of reduced glomerular filtration in the later period (OR 1.33 95% CI 0.2-8.5). Preeclampsia is not a direct risk factor for chronic kidney disease, however, proteinuria over 0.3 g/24h in the group of patients with hypertension or preeclampsia in pregnancy, increased the risk of reduced glomerular filtration rate by 28 times (OR 28.5, 95% CI 2.7-30.9). Conclusions. Patients with preeclampsia need careful monitoring in postpartal and long-term period, not only for cardiovascular but for chronic kidney disease.

scholarly journals Determinants of uptake of intermittent preventive treatment during pregnancy: a review

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Elaine Roman ◽  
Kristin Andrejko ◽  
Katherine Wolf ◽  
Marianne Henry ◽  
Susan Youll ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Reproductive Health ◽  
Malaria Control ◽  
Literature Search ◽  
Intermittent Preventive Treatment ◽  
Preventive Treatment ◽  
Persistent Problem ◽  
Country Level ◽  
Maternal And Neonatal Outcomes ◽  
In Pregnancy

AbstractMalaria in pregnancy (MiP) contributes to devastating maternal and neonatal outcomes. Coverage of intermittent preventive treatment during pregnancy (IPTp) remains alarmingly low. Data was compiled from MiP programme reviews and performed a literature search on access to and determinants of IPTp. National malaria control and reproductive health (RH) policies may be discordant. Integration may improve coverage. Medication stock-outs are a persistent problem. Quality improvement programmes are often not standardized. Capacity building varies across countries. Community engagement efforts primarily focus on promotion of services. The majority of challenges can be addressed at country level to improve IPTp coverage.

scholarly journals Minerals in Pregnancy and Their Impact on Child Growth and Development

Molecules ◽  
2020 ◽  
Vol 25 (23) ◽  
pp. 5630
Author(s):  
Patricia Miranda Farias ◽  
Gabriela Marcelino ◽  
Lidiani Figueiredo Santana ◽  
Eliane Borges de Almeida ◽  
Rita de Cássia Avellaneda Guimarães ◽  
...  
Keyword(s):  
Brain Function ◽  
Growth And Development ◽  
Prenatal Development ◽  
Child Growth ◽  
Physiological Changes ◽  
Third Trimester ◽  
Expectant Mother ◽  
Accelerated Growth ◽  
Calcium And Magnesium ◽  
In Pregnancy

During pregnancy, women undergo metabolic and physiological changes, and their needs are higher, to maintain growth and development of the fetus. If the nutritional status of the expectant mother is not satisfactory, some maternal and neonatal complications can occur. In the second and third trimester of pregnancy, there is a reserve of nutrients in the fetus that can be utilized after birth; thereby, children present an accelerated growth in the first years of life, which is a proven response to the available nutrition pattern. However, if such a pattern is insufficient, there will be deficits during development, including brain function. Therefore, despite many recent published works about gestational nutrition, uncertainties still remain on the mechanisms of absorption, distribution, and excretion of micronutrients. Further elucidation is needed to better understand the impacts caused either by deficiency or excess of some micronutrients. Thus, to illustrate the contributions of minerals during prenatal development and in children, iodine, selenium, iron, zinc, calcium, and magnesium were selected. Our study sought to review the consequences related to gestational deficiency of the referred minerals and their impact on growth and development in children born from mothers with such deficiencies

scholarly journals Henoch-Schönlein Purpura, a Rare Disease in Pregnancy

1970 ◽  
Vol 23 (2) ◽  
pp. 73-77
Author(s):  
Tabassum Parveen ◽  
Firoza Begum
Keyword(s):  
Rare Disease ◽  
Literature Search ◽  
Elective Caesarean Section ◽  
Laboratory Evaluation ◽  
Small Vessel Vasculitis ◽  
Bloody Stool ◽  
Henoch Schonlein Purpura ◽  
Schonlein Purpura ◽  
Henoch Schönlein Purpura ◽  
In Pregnancy

Introduction: Henoch-Schönlein purpura is an IgA-mediated small vessel vasculitis involving mainly skin, gastrointestinal system and kidneys. It is predominantly a disease of young children. Most common symptoms are rash (95-100%), sometimes necrotizing involving specially the legs, subcutaneous oedema (20-50%), abdominal pain and vomiting(85%), bloody stool and joint pain (60-80%) involving mainly the knees and ankles. Diagnosis is clinical and not based on laboratory evaluation. Its occurrence during pregnancy is exceptional. Materials & Methods: On literature search, till date only 17-18 cases of Henoch-Schönlein purpura in pregnancy were found. Case: Here we present a case report on this rare disease in pregnancy. A 39 year old lady, para 1+ 8 abortions, diagnosed as Henoch-Schönlein purpura at 24 weeks of gestation, treated with steroids and was cured almost completely. She was readmitted at 37 weeks of gestation with few purpuric rashes. Elective caesarean section was planned and a healthy male baby was delivered. But sub-total hysterectomy was needed for intractable bleeding from placental bed. Her post operative period was uneventful. Conclusion: Very few information we got on literature search on Henoch-Schönlein purpura in pregnancy. Corticosteroids and plasmapheresis have been practiced as treatment during pregnancy. If kidneys are unaffected, obstetrical prognosis is good. Key Words- Henoch-Schönlein Purpura; Pregnancy DOI: 10.3329/bjog.v23i2.4964 Bangladesh J Obstet Gynaecol, 2008; Vol. 23(2) : 73-77

scholarly journals Protocol for the development of a core outcome set for studies of pregnant women with pre-existing multimorbidity

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e044919
Author(s):  
Siang Ing Lee ◽  
Kelly-Ann Eastwood ◽  
Ngawai Moss ◽  
Amaya Azcoaga-Lorenzo ◽  
Anuradhaa Subramanian ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Lived Experience ◽  
Literature Search ◽  
Social Care ◽  
Core Outcome Set ◽  
Systematic Literature Search ◽  
Core Outcome ◽  
Outcome Set ◽  
Initial List ◽  
In Pregnancy

IntroductionIncreasingly more pregnant women are living with pre-existing multimorbidity (≥two long-term physical or mental health conditions). This may adversely affect maternal and offspring outcomes. This study aims to develop a core outcome set (COS) for maternal and offspring outcomes in pregnant women with pre-existing multimorbidity. It is intended for use in observational and interventional studies in all pregnancy settings.Methods and analysisWe propose a four stage study design: (1) systematic literature search, (2) focus groups, (3) Delphi surveys and (4) consensus group meeting. The study will be conducted from June 2021 to August 2022. First, an initial list of outcomes will be identified through a systematic literature search of reported outcomes in studies of pregnant women with multimorbidity. We will search the Cochrane library, Medline, EMBASE and CINAHL. This will be supplemented with relevant outcomes from published COS for pregnancies and childbirth in general, and multimorbidity. Second, focus groups will be conducted among (1) women with lived experience of managing pre-existing multimorbidity in pregnancy (and/or their partners) and (2) their healthcare/social care professionals to identify outcomes important to them. Third, these initial lists of outcomes will be prioritised through a three-round online Delphi survey using predefined score criteria for consensus. Participants will be invited to suggest additional outcomes that were not included in the initial list. Finally, a consensus meeting using the nominal group technique will be held to agree on the final COS. The stakeholders will include (1) women (and/or their partners) with lived experience of managing multimorbidity in pregnancy, (2) healthcare/social care professionals involved in their care and (3) researchers in this field.Ethics and disseminationThis study has been approved by the University of Birmingham’s ethical review committee. The final COS will be disseminated through peer-reviewed publication and conferences and to all stakeholders.

Levetiracetam Induced Acute Pancreatitis Case in Pregnancy

2013 ◽  
Vol 40 (06) ◽  
pp. 896 ◽  
Author(s):  
Murat Sarikaya ◽  
Nesibe Taser ◽  
Zeynal Dogan ◽  
Bilal Ergul ◽  
F. Irsel Tezer ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
In Pregnancy
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