Migration of Intrauterine Devices
... The contraceptive effects of IUDs are multifactorial. IUDs produce chronic inflammatory changes of the endometrium and fallopian tubes that have spermicidal effects, inhibit fertilization, and create an inhospitable environment for implantation. The levonorgestrel-releasing IUD also alters and parti ...
... The contraceptive effects of IUDs are multifactorial. IUDs produce chronic inflammatory changes of the endometrium and fallopian tubes that have spermicidal effects, inhibit fertilization, and create an inhospitable environment for implantation. The levonorgestrel-releasing IUD also alters and parti ...
Management of hematological malignancies during pregnancy
... the second leading cause of maternal death in the United States. However, the incidence is expected to rise with the increasing trend to postpone pregnancy. The majority of cases are solid tumors with hematologic malignancies representing 25% of cancers affecting pregnancy [1]. A low incidence of ca ...
... the second leading cause of maternal death in the United States. However, the incidence is expected to rise with the increasing trend to postpone pregnancy. The majority of cases are solid tumors with hematologic malignancies representing 25% of cancers affecting pregnancy [1]. A low incidence of ca ...
Monitoring of early pregnancy and early embryonic mortality by
... it was suggested that their determination in maternal blood can be useful for predicting foetal well-being and help detect early placental abnormalities, embryonic mortality or abortion (ECTORS et al., 1996). After in vitro production of embryos or cloning, the PAG follow-up in plasma samples collec ...
... it was suggested that their determination in maternal blood can be useful for predicting foetal well-being and help detect early placental abnormalities, embryonic mortality or abortion (ECTORS et al., 1996). After in vitro production of embryos or cloning, the PAG follow-up in plasma samples collec ...
How I treat leukemia in pregnancy
... complications, however the exact timing of chemotherapy must be carefully planned so as not to induce pancytopenia immediately prior to delivery. Early delivery may be considered if the leukaemia presents sufficiently late in pregnancy. If chemotherapy is considered mandatory, then it is important t ...
... complications, however the exact timing of chemotherapy must be carefully planned so as not to induce pancytopenia immediately prior to delivery. Early delivery may be considered if the leukaemia presents sufficiently late in pregnancy. If chemotherapy is considered mandatory, then it is important t ...
Practice Bulletin, Number 150, May 2015, Early Pregnancy
... to account for interobserver variability; however, this already was accounted for in the original study through its use of multiple ultrasonographers (12, 15). Other important limitations in the development of these guidelines should be recognized. For example, there were few cases at or near the me ...
... to account for interobserver variability; however, this already was accounted for in the original study through its use of multiple ultrasonographers (12, 15). Other important limitations in the development of these guidelines should be recognized. For example, there were few cases at or near the me ...
A positive pregnancy test: What now?
... ectopic pregnancy occurs when an embryo implants outside the uterus. The usual location is within the fallopian tubes. Ectopic pregnancies occur in approximately 1-2 percent of all IVF pregnancies and often in patients with pre-existing fallopian tube damage. The transfer of embryos directly into ...
... ectopic pregnancy occurs when an embryo implants outside the uterus. The usual location is within the fallopian tubes. Ectopic pregnancies occur in approximately 1-2 percent of all IVF pregnancies and often in patients with pre-existing fallopian tube damage. The transfer of embryos directly into ...
Management of Early Pregnancy Loss CLINICAL PRACTICE GUIDELINE
... reformulation (with justifications), reformatting, literature update to de novo development.) 6. External review of the adapted guideline 7. Adoption, endorsement and implementation of the adapted guideline. In light of these recommendations Women’s Hospitals Australasia (WHA) convened an Expert Ref ...
... reformulation (with justifications), reformatting, literature update to de novo development.) 6. External review of the adapted guideline 7. Adoption, endorsement and implementation of the adapted guideline. In light of these recommendations Women’s Hospitals Australasia (WHA) convened an Expert Ref ...
ultrasound diagnosis of early pregnancy miscarriage
... the diagnosis of pregnancy of uncertain viability may be made. A repeat ultrasound examination should be arranged after 7-10 days to clarify the diagnosis. An ultrasound diagnosis of fetal demise may be made when there is no fetal heart in a fetus with fetal pole >7mm when using transvaginal ultraso ...
... the diagnosis of pregnancy of uncertain viability may be made. A repeat ultrasound examination should be arranged after 7-10 days to clarify the diagnosis. An ultrasound diagnosis of fetal demise may be made when there is no fetal heart in a fetus with fetal pole >7mm when using transvaginal ultraso ...
Thai Journal of Obstetrics and Gynaecology
... may have no GERD. Most patients are relatively unaware of LPR with only 30 percent reporting heartburn.(1) There are no certain criteria that reliably demonstrate a causal link between acid reflux and LPR symptoms. In fact, the validity of reflux as a cause of LPR symptoms, in the absence of symptom ...
... may have no GERD. Most patients are relatively unaware of LPR with only 30 percent reporting heartburn.(1) There are no certain criteria that reliably demonstrate a causal link between acid reflux and LPR symptoms. In fact, the validity of reflux as a cause of LPR symptoms, in the absence of symptom ...
FAQ126 -- Morning Sickness: Nausea and Vomiting of Pregnancy
... • History of motion sickness or migraines • Being pregnant with a female fetus ...
... • History of motion sickness or migraines • Being pregnant with a female fetus ...
for ICD-10
... The first two weeks from the first trimester are calculated as the first two weeks of pregnancy even though the pregnancy does not actually exist. These two weeks are the two weeks before conception and include the woman’s last period. The third week is the week in which fertilization occurs and the ...
... The first two weeks from the first trimester are calculated as the first two weeks of pregnancy even though the pregnancy does not actually exist. These two weeks are the two weeks before conception and include the woman’s last period. The third week is the week in which fertilization occurs and the ...
Case of Pregnancy Favorable Outcome in a Patient
... Motherhood is neither more nor less than the state of the female body determined by child-bearing, child birth and breastfeeding, involving her into a new quality of existence. Medical supervision is important at every step, from diagnosis of pregnancy to delivery. It is known that early detection o ...
... Motherhood is neither more nor less than the state of the female body determined by child-bearing, child birth and breastfeeding, involving her into a new quality of existence. Medical supervision is important at every step, from diagnosis of pregnancy to delivery. It is known that early detection o ...
Hyperandrogenic states in pregnancy
... non-pregnant women. The main reason is the high level of SHBG which is able to bind most sex hormones. Affinity is greatest with dihydrotestosterone (DHT) that is bound from 59%. This is followed by testosterone (44%), estradiol (19.6%) and estrone (7.4%). The remaining steroids have a very weak and ...
... non-pregnant women. The main reason is the high level of SHBG which is able to bind most sex hormones. Affinity is greatest with dihydrotestosterone (DHT) that is bound from 59%. This is followed by testosterone (44%), estradiol (19.6%) and estrone (7.4%). The remaining steroids have a very weak and ...
ICD-10-CM/PCS Coding for OB/GYN
... Puerperium, the period of about six weeks after childbirth during which the mother's reproductive organs return to their original non-pregnant condition ...
... Puerperium, the period of about six weeks after childbirth during which the mother's reproductive organs return to their original non-pregnant condition ...
National Medicines Information Centre FREQUENTLY ASKED QUESTIONS ON USE OF
... babies.48 Clinical studies undertaken in pregnant women who continue to smoke during pregnancy reported that nicotine concentrations in placenta, amniotic fluid and foetal serum, were consistently higher than maternal serum values at various stages during pregnancy.49 The foetus is exposed not only ...
... babies.48 Clinical studies undertaken in pregnant women who continue to smoke during pregnancy reported that nicotine concentrations in placenta, amniotic fluid and foetal serum, were consistently higher than maternal serum values at various stages during pregnancy.49 The foetus is exposed not only ...
Pregnancy and gallbladder disease
... sludge in 61% of those women who had previously demonstrated sludge, and the disappearance of stones in 28% of those who had had stones. Therefore, the study concluded that some patients who have symptomatic cholelithiasis during pregnancy may not have it after delivery.12 Unfortunately, about 50% o ...
... sludge in 61% of those women who had previously demonstrated sludge, and the disappearance of stones in 28% of those who had had stones. Therefore, the study concluded that some patients who have symptomatic cholelithiasis during pregnancy may not have it after delivery.12 Unfortunately, about 50% o ...
Duloxetine and Pregnancy Outcomes
... analysis, versus 12% (8), 3% (9), 2% (10, 11), 0.6% (12) in the general population. It is recognized that such comparisons with population rates have limitations. These include a bias towards reporting abnormal versus normal outcomes where outcomes are reported as potential safety signals. There is ...
... analysis, versus 12% (8), 3% (9), 2% (10, 11), 0.6% (12) in the general population. It is recognized that such comparisons with population rates have limitations. These include a bias towards reporting abnormal versus normal outcomes where outcomes are reported as potential safety signals. There is ...
Anatomy and Physiology of Pregnancy 2015 use this one
... Maternal adaptations are attributed to the hormones of pregnancy and to mechanical pressures arising from the enlarging uterus and other tissues. Adaptations to pregnancy protect the woman’s normal physiologic functioning, meet the metabolic demands that pregnancy imposes, and provide for fetal deve ...
... Maternal adaptations are attributed to the hormones of pregnancy and to mechanical pressures arising from the enlarging uterus and other tissues. Adaptations to pregnancy protect the woman’s normal physiologic functioning, meet the metabolic demands that pregnancy imposes, and provide for fetal deve ...
Case One, Question 1 - American Academy of Dermatology
... d. Sparing of the umbilicus (Both PG and PUPPP can involve the umbilicus) ...
... d. Sparing of the umbilicus (Both PG and PUPPP can involve the umbilicus) ...
Pregnancy Dermatoses - American Academy of Dermatology
... d. Sparing of the umbilicus (Both PG and PUPPP can involve the umbilicus) ...
... d. Sparing of the umbilicus (Both PG and PUPPP can involve the umbilicus) ...
Why Methotrexate is an Immoral Response to Ectopic Pregnancy
... progesterone… [and] cause[s] the endometrial glands to secrete and prepare the endometrium for implantation of the blastocyst”34). This was its conclusion: Methotrexate most likely primarily affects trophoblast production of human chorionic gonadotropin, as evidenced by a blunting of the expected in ...
... progesterone… [and] cause[s] the endometrial glands to secrete and prepare the endometrium for implantation of the blastocyst”34). This was its conclusion: Methotrexate most likely primarily affects trophoblast production of human chorionic gonadotropin, as evidenced by a blunting of the expected in ...
Policy for Pregnancy Testing Prior To Surgery of Young People
... 1.4. There is evidence that some treatments can carry the risk of spontaneous abortion, prematurity and intrauterine growth restriction. 1.5. Patient history of menstrual period, contraception, sexual activity and the possibility of pregnancy could be unreliable. 1.6. In order to reduce the risk to ...
... 1.4. There is evidence that some treatments can carry the risk of spontaneous abortion, prematurity and intrauterine growth restriction. 1.5. Patient history of menstrual period, contraception, sexual activity and the possibility of pregnancy could be unreliable. 1.6. In order to reduce the risk to ...
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
... that particular gestational age and was considered abnormal if it showed any deviation from the findings considered normal for that particular gestation . The yolk sac was studied in detail. Then the patient’s perception of transvaginal ultrasound was also assessed by asking her certain questions. T ...
... that particular gestational age and was considered abnormal if it showed any deviation from the findings considered normal for that particular gestation . The yolk sac was studied in detail. Then the patient’s perception of transvaginal ultrasound was also assessed by asking her certain questions. T ...
Office Management of Early Pregnancy Loss
... cases. Physical examination should routinely include a bimanual examination for size-dates discrepancy and extrauterine tenderness or masses that may indicate ectopic pregnancy or rupture. Speculum examination can be diagnostic if the products of conception are visible in the cervical os or vaginal ...
... cases. Physical examination should routinely include a bimanual examination for size-dates discrepancy and extrauterine tenderness or masses that may indicate ectopic pregnancy or rupture. Speculum examination can be diagnostic if the products of conception are visible in the cervical os or vaginal ...
Pregnancy - Dermatology
... affects the cheeks primarily but can occur on the forehead, upper lips, and chin. The skin in these areas darkens and takes on a masklike quality. While the actual cause of melasma has yet to be determined, it's clear that its occurrence has a great deal to do with hormonal fluctuations. Women who a ...
... affects the cheeks primarily but can occur on the forehead, upper lips, and chin. The skin in these areas darkens and takes on a masklike quality. While the actual cause of melasma has yet to be determined, it's clear that its occurrence has a great deal to do with hormonal fluctuations. Women who a ...
Ectopic pregnancy
Ectopic pregnancy, also known as eccyesis or tubal pregnancy, is a complication of pregnancy in which the embryo attaches outside the uterus. Signs and symptoms classically include abdominal pain and vaginal bleeding. Less than 50 percent of women, however, have both these symptoms. The pain may be described as sharp, dull, or crampy. Pain may also spread to the shoulder if bleeding into the abdomen has occurred. Severe bleeding may result in a fast heart rate, fainting, or shock. With very rare exceptions the fetus is unable to survive.Risk factors for ectopic pregnancy include: pelvic inflammatory disease, often due to Chlamydia infection, tobacco smoking, and the use of assisted reproductive technology. Those who have previously had an ectopic pregnancy are at much higher risk of having another one. Most ectopic pregnancies (90%) occur in the Fallopian tube which are known as tubal pregnancies. Implantation can also occur on the cervix, ovaries, or within the abdomen. Detection of ectopic pregnancy is typically by blood tests for human chorionic gonadotropin (hCG) and ultrasound. This may require testing on more than one occasion. Ultrasound works best when performed from within the vagina. Other causes of similar symptoms include: miscarriage, ovarian torsion, and acute appendicitis.Prevention is by decreasing risk factors such as chlamydia infections through screening and treatment. While some ectopic pregnancies will resolve without treatment, this approach has not been well studied as of 2014. The use of the medication methotrexate works as well as surgery in some cases. Specifically it works well when the beta-HCG is low and the size of the ectopic is small. Surgery is still typically recommended if the tube has ruptured, there is a fetal heartbeat, or the person's vital signs are unstable. The surgery may be laparoscopic or through a larger incision, known as a laparotomy. Outcomes are generally good with treatment.The rate of ectopic pregnancy is about 1 and 2% that of live births in developed countries, though it may be as high as 4% among those using assisted reproductive technology. It is the most common cause of death during the first trimester at approximately 10% of the total. In the developed world outcomes have improved while in the developing world they often remain poor. The risk of death among those in the developed world is between 0.1 and 0.3 percent while in the developing world it is between one and three percent. The first known description of an ectopic pregnancy is by Albucasis in the 11th century.