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Amniotic Fluid Testing - American Medical Technologists
Amniotic Fluid Testing - American Medical Technologists

... An additional use of amniocentesis besides diagnostic purposes is for therapy. An example where therapeutic amniocentesis is advantageous is twin-twin transfusion syndrome (TTTS). TTTS occurs in identical twins who share a placenta. In this condition, there is an imbalance of blood flow between the ...
8th Edition APGO Objectives for Medical Students
8th Edition APGO Objectives for Medical Students

... In the near future, other medical therapies may become standard. Currently, gonadotropin-releasing hormone antagonists and progesterone antagonist mifepristone (RU 486) are under investigation. Gene therapies may be developed as we learn more about leiomyoma formation and growth. ...
A kid with Hepatitis A can return to school 1 week within the onset of
A kid with Hepatitis A can return to school 1 week within the onset of

... In prioritizing cardiac patients, check the pt with INDIGESTION first because that could be a sign of MI. ABG's need to be placed on ice and sent to the lab ASAP. If active TB is suspected, a sputum culture for acid-fast bacillus is the only metod to actually confirm active TB (NOT a mantoux skin te ...
Normal Labor & Delivery
Normal Labor & Delivery

... – “Bloody show”: pink-tinged mucus (from a bit of blood), caused by cervical effacement and/or dilation; capillaries break and mix with mucus – Mucous plug: inner os filled with plug during PG; is usually yellowish-brown. May lose this before or during labor and is a sign that the cervix is changing ...
Fertility Magazine, Volume 4
Fertility Magazine, Volume 4

... context this offers the breeder a unique opportunity to pre-select the offspring rather than culling individuals postnatally. Finally, since most production traits in domestic animals are quantitative genetic traits controlled by numerous genes, intensive research into developing markers for such tr ...
Postural hypotension
Postural hypotension

... standing. If the patient cannot stand or is bedridden, a sitting measurement can be taken, but the sensitivity of the test may be reduced. Postural hypotension is considered clinically important if a reduction in blood pressure (≥20 mm Hg in systolic, ≥10 mm Hg in diastolic) is sustained at or beyon ...
Breast Lift - Dr. Anne Taylor
Breast Lift - Dr. Anne Taylor

... and vertically down to the fold. The pattern is commonly called “the lollipop”. If your require a larger reduction it may be necessary to add a horizontal scar in the fold, called the “anchor” incision or “inverted T”. You need to be prepared for this trade off, as your nipple will be higher and you ...
Management of postpartum haemorrhage
Management of postpartum haemorrhage

... the enormous increase in uterine size. Some investigators have observed a slight decrease in platelet count during pregnancy, whereas others have observed no change. In gestational thrombocytopaenia, however, platelet counts usually vary between 80 and 150  109/l.10,14 The aetiology remains uncerta ...
Dehydration
Dehydration

... production. Hypovolemia causes decreased tissue perfusion and increased lactic acid production. Decreased renal perfusion causes decreased glomerular filtration rate, which, in turn, leads to decreased hydrogen (H+) ion excretion. These factors combine to produce a metabolic acidosis. ...
Infant Feeding - Management of Low Breast Milk Supply
Infant Feeding - Management of Low Breast Milk Supply

... Ongoing treatment - some women may require treatment for several weeks, especially if they are expressing milk for a preterm infant or inducing lactation. If treatment beyond 4 weeks is contemplated, evaluation for the need, safety and effectiveness of the medicine should be considered. Once an adeq ...
2015 American Thyroid Association Management Guidelines for
2015 American Thyroid Association Management Guidelines for

... D. Withdrawing ATD treatment after conception. Women with a stable euthyroid state on 5-10 mg MMI per day achieved within a few months, and a falling TRAb level are likely candidates to withdraw from ATD therapy in early pregnancy. Based on the latter studies, the risk of relapse of hyperthyroidi ...
Idayo AJMS Vol 4 Num 3 page 8-14
Idayo AJMS Vol 4 Num 3 page 8-14

... ascertain their good health and those of their foetuses from time to time hence they are prone to contact with microorganisms that are of clinical importance. Nosocomial infections therefore can be contracted by these unassuming ordinarily “healthy patients” i.e. not necessarily presenting any sympt ...
60x36 Poster Template
60x36 Poster Template

... abortion, prolapsed fibroid, or cervical cancer.8 Clinical presentation of CEP is similar to intrauterine miscarriage: per vaginal bleed associated with abdominal pain. In certain case, urinary symptoms secondary to mechanical irritation or compression of the urethra, maybe found in CEP other than o ...
The Management of Hypertensive Disorders of Pregnancy 2014
The Management of Hypertensive Disorders of Pregnancy 2014

... (although not always) associated with a small for gestational age (SGA) fetus and is often associated with features suggestive of placental disease including abnormal umbilical artery Dopplers or oligohydramnios. In women with chronic hypertension, the incidence of SGA is increased (see Section 9). ...
Therapy Morbidity Rupture for Reduction
Therapy Morbidity Rupture for Reduction

... P=.03), respiratory distress (40.8% vs 50.6%; P=.03), overall sepsis (8.4% vs 15.6%; P=.01), pneumonia (2.9% vs 7.0%; P=.04), and other morbidities. Among GBS-negative women, significant pregnancy prolongation was seen with antibiotics (P<.001). Conclusions.\p=m-\We recommend that women with expecta ...
Interpretation of Lab Test Profiles
Interpretation of Lab Test Profiles

... postrenal obstruction of urine flow, and in high protein intake states. Decreased serum urea nitrogen (BUN) is seen in high carbohydrate/low protein diets, states characterized by increased anabolic demand (late pregnancy, infancy, acromegaly), malabsorption states, and severe liver damage. In Europ ...
Effectiveness of Otago exercise program on reducing the fall
Effectiveness of Otago exercise program on reducing the fall

... prevention literature on the importance of balance training for preventing falls,23 it is likely that strength training is also important since strength declines steadily after the age of 65 years24and impaired lower limb muscle strength has been identified as an important fall risk factor. Exercise ...
Chapter 10 - Women and HIV
Chapter 10 - Women and HIV

... Because of suboptimal immune response in some preterm infants, the current American Academy of Pediatrics recommendation is to delay the start of hepatitis B immunization in low-risk preterm infants (whose mothers are HBsAg negative) who weigh less than 2,000 g at birth until they reach the chronolo ...
AOA Cardiology Review 2009
AOA Cardiology Review 2009

...  A 45 year-old woman presents to her primary care physician complaining of fatigue, weight gain, and shortness of breath. She has always been an active athlete, but in the past 2 weeks, has found it impossible to jog for more than a few minutes, after which she feels tired and winded. She feels her ...
Case Studies Weekly Independent Group Study Sessions
Case Studies Weekly Independent Group Study Sessions

... At the conclusion of this exercise, the student will be able to: A. Describe the initial assessment of the laboring patient B. Describe the stages and mechanism of normal labor and delivery C. Understand and interpret methods of monitoring the mother and fetus D. Describe management of normal delive ...
incidence of breast cancer
incidence of breast cancer

... • Most studies have not shown an increased risk of breast cancer with oral contraceptive use . • However, a meta-analysis showed a significant but small increase in relative risk of breast cancer . • A concern about the meta-analysis is that follow-up was limited. ...
Delayed bleeding after prophylactic bilateral internal iliac artery
Delayed bleeding after prophylactic bilateral internal iliac artery

... mortality, especially related with life-threatening postpartum haemorrhage with a 7% risk of maternal mortality.1 Although the choice treatment for placenta accrete is puerperal hysterectomy, it involves greater risk of intraoperative haemorrhage.8 The bleeding is usually treated with bilateral liga ...
Placenta adherens
Placenta adherens

... analgesia should be achieved with regional or general anesthesia, or conscious sedation. The procedure should be performed in a room where aseptic technique is easily achieved and appropriate personnel, medications, and equipment are available to deal with any complications (eg, hemorrhage, placenta ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... The hormonal, immunological and physiological changes of pregnancy affect the asthma symptoms. Values of FEV1 throughout pregnancy are not significantly different from the non pregnant condition, and similarly the ratio of FEV1/VC or peak flow in patients with asthma; this stability means that crite ...
Normal Pregnancy - Operational Medicine
Normal Pregnancy - Operational Medicine

... • Urinary frequency (1st & 3rd TM) • Patient thinks she’s pregnant ...
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Maternal physiological changes in pregnancy



Maternal physiological changes in pregnancy are the normal adaptations that a woman undergoes during pregnancy to better accommodate the embryo or fetus. They are physiological changes, that is, they are entirely normal, and include cardiovascular, hematologic, metabolic, renal and respiratory changes that become very important in the event of complications. The body must change its physiological and homeostatic mechanisms in pregnancy to ensure the fetus is provided for. Increases in blood sugar, breathing and cardiac output are all required. Levels of progesterone and estrogens rise continually throughout pregnancy, suppressing the hypothalamic axis and subsequently the menstrual cycle. The woman and the placenta also produce many hormones.The body must change its physiological and homeostatic mechanisms in pregnancy to ensure the fetus grows properly and receives adequate nutrition. Increases in blood sugar, breathing and cardiac output are all required.
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