Abnormal Uterine Bleeding in Reproductive
... Taking a menstrual history is an important step in determining whether the current bleeding pattern is normal or abnormal. Regularity of menstrual bleeding is clarified by asking about the frequency of the menses and their duration. Other important questions include age at menarche, presence of prem ...
... Taking a menstrual history is an important step in determining whether the current bleeding pattern is normal or abnormal. Regularity of menstrual bleeding is clarified by asking about the frequency of the menses and their duration. Other important questions include age at menarche, presence of prem ...
Induction of fetal demise before abortion
... For decades, the induction of fetal demise has been used before both surgical and medical second-trimester abortion. Intracardiac potassium chloride and intrafetal or intra-amniotic digoxin injections are the pharmacologic agents used most often to induce fetal demise. In the last several years, ind ...
... For decades, the induction of fetal demise has been used before both surgical and medical second-trimester abortion. Intracardiac potassium chloride and intrafetal or intra-amniotic digoxin injections are the pharmacologic agents used most often to induce fetal demise. In the last several years, ind ...
Preeclampsia
... The production of pathogenic factors, which enter the maternal blood flow, is believed to be due to the placental hypoxia4. Once in the blood flow, the pathogenic factors will cause the endothelial dysfunction and other clinical manifestations such as hypertension and leakage of proteins in the urin ...
... The production of pathogenic factors, which enter the maternal blood flow, is believed to be due to the placental hypoxia4. Once in the blood flow, the pathogenic factors will cause the endothelial dysfunction and other clinical manifestations such as hypertension and leakage of proteins in the urin ...
Repeated use of pre- and postcoital hormonal contraception for
... We found 21 studies conducted over the past 40 years. These studies found that using some hormones right before or after sex did prevent pregnancy. In particular, levonorgestrel seemed to work well and was safe and accepted by thousands of women in several large trials. However, most of the studies ...
... We found 21 studies conducted over the past 40 years. These studies found that using some hormones right before or after sex did prevent pregnancy. In particular, levonorgestrel seemed to work well and was safe and accepted by thousands of women in several large trials. However, most of the studies ...
PSPT - PRC Optimization Tool
... The FDA approved medical abortion is a two-step procedure using ru-486. In the first step, the medication mifepristone is taken. Mifepristone causes the death of the fetus by preventing the mother’s natural progesterone from naturally sustaining pregnancy. Three days following ingestion of mifeprist ...
... The FDA approved medical abortion is a two-step procedure using ru-486. In the first step, the medication mifepristone is taken. Mifepristone causes the death of the fetus by preventing the mother’s natural progesterone from naturally sustaining pregnancy. Three days following ingestion of mifeprist ...
Management of Varicella Infection (Chickenpox) in Pregnancy SOGC ClINICAl PRACTICE GuIDElINE
... be instructed to seek medical help following any contact with a person who may have been contagious. (II-3B) 5. In the case of a possible exposure to varicella in a pregnant woman with unknown immune status, serum testing should be performed. If the serum results are negative or unavailable within ...
... be instructed to seek medical help following any contact with a person who may have been contagious. (II-3B) 5. In the case of a possible exposure to varicella in a pregnant woman with unknown immune status, serum testing should be performed. If the serum results are negative or unavailable within ...
Pregnancy and the Kidney Sharon E. Maynard* and Ravi Thadhani
... which estimates GFR using a combination of serum markers and clinical parameters, has become a standard clinical method to estimate renal function in patients with chronic kidney disease (CKD). The use of this formula has not been well studied in the pregnant population, and guidelines on applicatio ...
... which estimates GFR using a combination of serum markers and clinical parameters, has become a standard clinical method to estimate renal function in patients with chronic kidney disease (CKD). The use of this formula has not been well studied in the pregnant population, and guidelines on applicatio ...
The Safety of Methimazole and Propylthiouracil in Pregnancy: A Systematic Review
... of hyperthyroidism is Graves’ disease, an organ-specific autoimmune disorder that is mediated by thyroid stimulatory immunoglobulins.2 These autoantibodies mimic the action of thyroid stimulating hormone, leading to increased thyroid function. The diagnosis of hyperthyroidism is made when serum thyr ...
... of hyperthyroidism is Graves’ disease, an organ-specific autoimmune disorder that is mediated by thyroid stimulatory immunoglobulins.2 These autoantibodies mimic the action of thyroid stimulating hormone, leading to increased thyroid function. The diagnosis of hyperthyroidism is made when serum thyr ...
Maximizing Embryonic and Early Fetal Survival in Dairy Cattle
... relationship of lower fertility to larger, older follicles began to be recognized. Breuel et al. (1993b) observed that cows with larger dominant follicles 5 days before the surge of LH had greater pre-ovulatory concentrations of estradiol and a lower conception rate (36%) than cows with smaller foll ...
... relationship of lower fertility to larger, older follicles began to be recognized. Breuel et al. (1993b) observed that cows with larger dominant follicles 5 days before the surge of LH had greater pre-ovulatory concentrations of estradiol and a lower conception rate (36%) than cows with smaller foll ...
Relationship between granular cytoplasm of oocytes and pregnancy
... oocytes. A similarly low rate of pregnancy was reported (Serhal et al., 1997) with CLCG oocytes. It is not known what factors are responsible for cytoplasmic granulation. Chromosomal abnormality may be a reason for cytoplasmic granulation, but the number of the biopsied blastomeres was very low in o ...
... oocytes. A similarly low rate of pregnancy was reported (Serhal et al., 1997) with CLCG oocytes. It is not known what factors are responsible for cytoplasmic granulation. Chromosomal abnormality may be a reason for cytoplasmic granulation, but the number of the biopsied blastomeres was very low in o ...
Combined Screening for Early Detection of Pre-Eclampsia
... resistance of the uteroplacental circulation can be measured noninvasively by uterine artery Doppler ultrasound [37]. Uterine artery Doppler screening is a useful screening program for prediction of PE. Color flow mapping is used to identify vessels, either transabdominally at the apparent crossover ...
... resistance of the uteroplacental circulation can be measured noninvasively by uterine artery Doppler ultrasound [37]. Uterine artery Doppler screening is a useful screening program for prediction of PE. Color flow mapping is used to identify vessels, either transabdominally at the apparent crossover ...
incidence, risk factors and neonatal outcomes of placenta
... addition, our being a referral institute, we received more cases of pregnancies complicated with placenta previa presenting with APH. The incidence of placenta previa is higher early in gestation than at term. In our study, placenta previa was present in 71% women at less than 36 weeks of gestation, ...
... addition, our being a referral institute, we received more cases of pregnancies complicated with placenta previa presenting with APH. The incidence of placenta previa is higher early in gestation than at term. In our study, placenta previa was present in 71% women at less than 36 weeks of gestation, ...
Clinical validation of embryo culture and selection by morphokinetic
... Design: Prospective, randomized, double-blinded, controlled study. Setting: University-affiliated private in vitro fertilization (IVF) clinic. Patient(s): Eight hundred forty-three infertile couples undergoing intracytoplasmic sperm injection (ICSI). Intervention(s): No patient intervention; embryos ...
... Design: Prospective, randomized, double-blinded, controlled study. Setting: University-affiliated private in vitro fertilization (IVF) clinic. Patient(s): Eight hundred forty-three infertile couples undergoing intracytoplasmic sperm injection (ICSI). Intervention(s): No patient intervention; embryos ...
PPT File
... Initial ↓ [β-hCG] with pregnancies obtained after PGD Control: Biochemical pregnancy rate, clinical miscarriage rate, take-home infant rate: Similar in both groups • May result from the blastomere biopsy – ↓ β-hCG-producing activity of the trophoblast, especially at early pregnancy – A delayed imp ...
... Initial ↓ [β-hCG] with pregnancies obtained after PGD Control: Biochemical pregnancy rate, clinical miscarriage rate, take-home infant rate: Similar in both groups • May result from the blastomere biopsy – ↓ β-hCG-producing activity of the trophoblast, especially at early pregnancy – A delayed imp ...
Care of pregnant /foaling mares
... may stand and lie down again several times during the process, especially before the head is delivered. The mare actively strains, usually in series of 3 or 4 followed by a short rest. Within about 10 minutes of her water breaking, a whitish translucent fluid filled balloon (the amnion) should appea ...
... may stand and lie down again several times during the process, especially before the head is delivered. The mare actively strains, usually in series of 3 or 4 followed by a short rest. Within about 10 minutes of her water breaking, a whitish translucent fluid filled balloon (the amnion) should appea ...
PRETERM biRTh - Intermountain Healthcare
... practice has been hampered by numerous challenges: the pathophysiology of preterm labor remains poorly understood; there are few interventions supported by evidence; the few available interventions don’t work for all women. 5,6 Nevertheless, studies suggest that we can improve clinical outcomes if w ...
... practice has been hampered by numerous challenges: the pathophysiology of preterm labor remains poorly understood; there are few interventions supported by evidence; the few available interventions don’t work for all women. 5,6 Nevertheless, studies suggest that we can improve clinical outcomes if w ...
Progesterone Therapy Patient Information
... The ovary, specifically the corpus luteum, secretes progesterone following ovulation. If pregnancy occurs, the corpus luteum produces even more progesterone to support the ongoing pregnancy. If pregnancy does not occur, the progesterone secretion falls and the lining is shed. The regular shedding of ...
... The ovary, specifically the corpus luteum, secretes progesterone following ovulation. If pregnancy occurs, the corpus luteum produces even more progesterone to support the ongoing pregnancy. If pregnancy does not occur, the progesterone secretion falls and the lining is shed. The regular shedding of ...
this PDF file - International Journal of Reproduction
... hypertension. The waist hip ratio (WHR) is one of the measures of body fat distribution. This research work aims to study whether WHR in early pregnancy correlates with serum lipid levels so as to serve as a clinical indicator of dyslipidemia, and as a predictor of pregnancy complications. Methods: ...
... hypertension. The waist hip ratio (WHR) is one of the measures of body fat distribution. This research work aims to study whether WHR in early pregnancy correlates with serum lipid levels so as to serve as a clinical indicator of dyslipidemia, and as a predictor of pregnancy complications. Methods: ...
Hypertension in Pregnancy: Medical Management of
... management and is followed by resolution, generally over a few days but sometimes much longer. Obstetric consultation is mandatory in all women with severe pre eclampsia. In those women with preeclampsia presenting at extreme preterm gestations consultation with KEMH should be arranged.At mature ges ...
... management and is followed by resolution, generally over a few days but sometimes much longer. Obstetric consultation is mandatory in all women with severe pre eclampsia. In those women with preeclampsia presenting at extreme preterm gestations consultation with KEMH should be arranged.At mature ges ...
appendix - iii
... develops with the principal function of providing nutrients and oxygen to the fetus3. Adequate fetal growth and subsequent normal birth weight depends on the efficient delivery of nutrients from the mother to the fetus via normally functioning utero-placental organ4. It is clear that normal developm ...
... develops with the principal function of providing nutrients and oxygen to the fetus3. Adequate fetal growth and subsequent normal birth weight depends on the efficient delivery of nutrients from the mother to the fetus via normally functioning utero-placental organ4. It is clear that normal developm ...
PDF - Circulation
... the long-term survival of patients with congenital heart disease (CHD). Thus, most women born with CHD will reach reproductive age. The ability to bear children is a major point of care for this growing population. As a result, pregnancy counseling and management are among the major noncardiac issue ...
... the long-term survival of patients with congenital heart disease (CHD). Thus, most women born with CHD will reach reproductive age. The ability to bear children is a major point of care for this growing population. As a result, pregnancy counseling and management are among the major noncardiac issue ...
SMFM 35th Annual Meeting — The Pregnancy MeetingTM
... 1. Learn how to appropriately integrate multiple findings on ultrasound for risk prediction of fetal aneuploidy for better patient counseling and diagnostic testing ...
... 1. Learn how to appropriately integrate multiple findings on ultrasound for risk prediction of fetal aneuploidy for better patient counseling and diagnostic testing ...
Handbook on Medical Methods of Abortion
... receptors in the endometrium and decidua causing the necrosis of uterine lining and detachment of implanted embryo. It also causes cervical softening and increased production of prostaglandins, causing uterine contractions. It sensitizes the uterus to the effect of prostaglandins. ...
... receptors in the endometrium and decidua causing the necrosis of uterine lining and detachment of implanted embryo. It also causes cervical softening and increased production of prostaglandins, causing uterine contractions. It sensitizes the uterus to the effect of prostaglandins. ...
Use of Oral Fluconazole during Pregnancy and the Risk of
... The secondary analyses included exposure to itraconazole and ketoconazole and assessed the outcome of birth defects overall. The covariates in our adjusted regression models were based on information available in registries and on the potential for association with both exposure to antifungal agents ...
... The secondary analyses included exposure to itraconazole and ketoconazole and assessed the outcome of birth defects overall. The covariates in our adjusted regression models were based on information available in registries and on the potential for association with both exposure to antifungal agents ...
Miscarriage
Miscarriage, also known as spontaneous abortion and pregnancy loss, is the natural death of an embryo or fetus before it is able to survive independently. Some use the cutoff of 20 weeks of gestation after which fetal death is known as a stillbirth. The most common symptoms of a miscarriage is vaginal bleeding. This may occur with or without pain. Tissue or clot like material may also come out the vagina. Sadness, anxiety, and guilt may also occur.Risk factors for miscarriage include an older mother or father, previous miscarriage, exposure to tobacco smoke, obesity, diabetes, and drug or alcohol use, among others. In those under the age of 35 the risk is about 10% while it is about 45% in those over the age of 40. Risk begins to increase around the age of 30. About 80% of miscarriages occur in the first 12 weeks of pregnancy (the first trimester). The underlying mechanism in about half of cases involves chromosomal abnormalities. Other conditions that can produce similar symptoms include an ectopic pregnancy and implantation bleeding. Diagnosis of a miscarriage may involve checking to see if the cervix is open or closed, testing blood levels of human chorionic gonadotropin (hCG), and an ultrasound.Prevention is occasionally possible with good prenatal care. This may involve avoiding drugs and alcohol, infectious diseases, and radiation. No specific treatment is usually needed during the first 7 to 14 days. Most women will complete the miscarriage without interventions. Occasionally the medication misoprostol or a procedure known as dilation and curettage (D&C) is required to remove the failed pregnancy. Women who are rhesus negative may require Rho(D) immune globulin. Pain medication and emotional support may be beneficial.Miscarriage is the most common complication of early pregnancy. Among women who know they are pregnant, the miscarriage rate is roughly 10% to 20% while rates among all conceptions is around 30% to 50%. About 5% of women have two miscarriages in a row. Some recommend not using the term ""abortion"" in discussions with those experiencing a miscarriage in an effort to decrease distress.