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Pregnancy - American College of Gastroenterology
Pregnancy - American College of Gastroenterology

... diarrhea in pregnancy is the increase in prostaglandins which induce smooth muscle contraction, resulting in enhanced propulsive forces.9 In addition, as is seen with exogenous prostaglandins, such as misoprostol, the gut may be stimulated to secrete water and electrolytes.10 The etiology of diarrhe ...
The Use of Central Nervous System Active Drugs During Pregnancy
The Use of Central Nervous System Active Drugs During Pregnancy

... A significant increase in the presence of pre-existing diabetes was only observed for anticonvulsants. Non-cohabitation was increased in all drug groups—the highest rate was seen for psychostimulants. Only in the two neuroleptic groups, women born outside Sweden showed a higher drug use than Swedish ...
Emergency Contraception for Medical Providers
Emergency Contraception for Medical Providers

...  Pregnancy that is unwanted or mistimed at conception  Does not mean unwanted births/unloved children  Does mean less opportunity to prepare: ...
Welcome to UAB General Obstetrics and Gynecology You have
Welcome to UAB General Obstetrics and Gynecology You have

... makes the fallopian tubes easily accessible through a small incision below the navel. Tubal ligation can be performed when the uterus is small using an instrument known as a laparoscope. As is true with all surgeries, sterilization by tubal ligation does have some risks: • risks of infection, bleedi ...
PDF - Moore OBGYN
PDF - Moore OBGYN

... You might experience morning sickness (mild to severe nausea and vomiting associated with pregnancy) from the hormones. Morning sickness can occur at any time of the day and usually stops by the 3rd or 4th month. Eating saltine crackers before getting out of bed may help with the morning sickness. E ...
Hypertension in pregnancy ASH Position Article Marshall D. Lindheimer, MD
Hypertension in pregnancy ASH Position Article Marshall D. Lindheimer, MD

... the disorder most often associated with severe maternal-fetalneonatal complications (including fatalities). Most women in category 2 have essential hypertension, mostly mild (ⱕ105 mm Hg) in intensity, their pregnancies usually (but not invariably) uncomplicated. On occasion, the high BP is secondary ...
Gestational Diabetes
Gestational Diabetes

... FAQ177: Designed as an aid to patients, this document sets forth current information and opinions related to women’s health. The information does not dictate an exclusive course of treatment or procedure to be followed and should not be construed as excluding other acceptable methods of practice. Va ...
Hypertensive Disease in Twin Pregnancies: A Review
Hypertensive Disease in Twin Pregnancies: A Review

... specificity of 74% (See Figures 1 and 2). Given such observations, increased serum uric acid levels, considered a result of preeclampsia and not a primary cause of it, could be useful in predicting which patients are at risk for hypertensive disease and preeclampsia. Management The clinical goals of ...
Family Medicine Maternal and Newborn Clinical Care Guidelines
Family Medicine Maternal and Newborn Clinical Care Guidelines

... If the patient is considering termination in the case of confirmed anomalies, then testing before 18 weeks is important in terms of arranging a TAB prior to viability. Cell free DNA allows direct testing of fetal DNA through a maternal blood specimen. This is currently an option for women who have a ...
Preparing for a pregnancy after bariatric surgery
Preparing for a pregnancy after bariatric surgery

... would never try to become pregnant after their operations, 30% reported that a future pregnancy was important23. Therefore, it is important for practitioners to counsel patients preoperatively about reproductive changes that can occur after weight loss from bariatric surgery and to discuss contracep ...
Placental Size and Perinatal Outcomes”.
Placental Size and Perinatal Outcomes”.

... J of Evidence Based Med & Hlthcare, pISSN- 2349-2562, eISSN- 2349-2570/ Vol. 2/Issue 11/Mar 16, 2015 ...
SNORING IN PREGNANCY: RISKS, REASONS, AND REMEDIES
SNORING IN PREGNANCY: RISKS, REASONS, AND REMEDIES

... her baby. Unfortunately, many women, pregnant or not, do not breathe optimally. One indicator of this is snoring. Snoring used to be a male thing, but these days many women snore, and an increasing number of pregnant women do. About one in four report frequent snoring during pregnancy. By the third ...
Sveti Duh 64
Sveti Duh 64

... Management options included maternal corticosteroid therapy (prednisone 10 mg tds) and intravascular fetal transfusion. The indication for prednisone therapy was the presence of antigens against fetal RBC in maternal blood independently on the titer values. This was stopped after year 2001. We use ...
Pregnancy - Restless Legs Syndrome Foundation
Pregnancy - Restless Legs Syndrome Foundation

... and leg edema.4 RLS can begin during pregnancy, or a woman already affected by RLS may notice that it becomes more severe during pregnancy. RLS affects approximately one in five pregnant women in Western countries, less in some Asian countries.4-9 RLS symptoms are likely to occur or increase later i ...
Relation of Hemoglobin Measured at Different
Relation of Hemoglobin Measured at Different

... known to have anemia. Those trials that have been conducted have been too small to generate definitive conclusions, and most have been conducted in populations where iron-deficiency anemia is rare (3, 4). Several prospective studies have reported an association between pregnancy anemia and low birth ...
Balanced reciprocal translocation at amniocentesis - FUNPEC-RP
Balanced reciprocal translocation at amniocentesis - FUNPEC-RP

... Microscopy can only detect gross chromosome abnormalities; therefore, chromosomal microarray analysis is used to identify additional, clinically significant cytogenetic information. It is at least as good at identifying aneuploidies and unbalanced rearrangements as karyotyping. However, it is not ab ...
Vaginal leiomyoma in pregnancy presenting
Vaginal leiomyoma in pregnancy presenting

... route. A Foley catheter was placed to avoid injury to the urethra during the operation. Surgical excision was performed vaginally without difficulty. After making a 2-cm incision on anterior vaginal wall, the mass was removed completely (Fig c). The vagina was repaired by the two-layer closure proce ...
Non-homogeneous hyperechogenic pattern 3 days after embryo
Non-homogeneous hyperechogenic pattern 3 days after embryo

... stimulation had any influence on pregnancy outcome according to echo patterns 3 days after embryo transfer by comparing pregnancy and implantation rates in oocyte retrieval cycles versus the transfer of frozen embryos. Materials and methods A prospective observational study was conducted in which al ...
17 Hydroxyprogesterone for the Prevention of Preterm Delivery
17 Hydroxyprogesterone for the Prevention of Preterm Delivery

... became widely used and focused mainly on the use of tocolytic drugs to halt preterm labor after it had begun. Although trials of various tocolytic drugs have shown effectiveness in halting labor for up to several days, the use of these drugs has not reduced the incidence of preterm delivery and has ...
Complications In Pregnancy Part II: Hypertensive
Complications In Pregnancy Part II: Hypertensive

... Chronic renal disease Thrombophilias Collagen vascular diseases Hydropic placenta Hydatidiform mole Diabetes ...
Isolated single umbilical artery and fetal karyotype
Isolated single umbilical artery and fetal karyotype

... third trimesters of pregnancy have reported chromosomal abnormalities in about 10% of fetuses with SUA, most commonly trisomy 18 (Table 1)2 – 19 . It has therefore been recommended that such pregnancies should be offered fetal karyotyping. However, in most chromosomally abnormal fetuses there were f ...
MJN-1205 Global Maternal Monograph.indd
MJN-1205 Global Maternal Monograph.indd

... her full cognitive potential. In addition, maternal overweight and obesity are increasing globally and present major challenges for health care providers and their clients since overweight and obesity are associated with several adverse pregnancy outcomes including birth defects, gestational diabete ...
Update on the Use of Antihypertensive Drugs in
Update on the Use of Antihypertensive Drugs in

... *Food and Drug Administration classification, C indicates that either studies in animals have revealed adverse effects on the fetus (teratogenic, embryocidal, or other) and/or there are no controlled studies in women or studies in women and animals are not available. Drugs should only be given if th ...
Nutrition in pregnancy
Nutrition in pregnancy

... are environmental pollutants. Pregnant women are also advised to avoid marlin, shark and swordfish, and limit their intake of tuna due to the risk of exposure to methylmercury, which at high levels can be harmful to the developing nervous system of the fetus. There are certain considerations with re ...
The ART of Fertility: a patient guide
The ART of Fertility: a patient guide

... What is ICSI? In some cases, including those of male infertility, the usual mixing of egg and sperm may not result in a fertilized egg. A technique termed ICSI (intracytoplasmic sperm injection) in which a single sperm is injected directly inside the egg with a microscopic needle, may offer a soluti ...
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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.
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