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Management of Biliary Disease in the Pregnant Patient
Management of Biliary Disease in the Pregnant Patient

... to appendectomy as the most common nonobstetric surgical procedure performed during pregnancy  Complications from nonoperative management of gallstone disease result in an increase in maternal & fetal mortality  For expectantly managed gallstone pancreatitis, maternal mortality of 15% and fetal mo ...
A General Glossary of Terms for Brave New World
A General Glossary of Terms for Brave New World

... Bradlaugh, Diesel, Engels, Deterding: Most of the surnames in the Brave New World are the names of well-known thinkers and scientists. Bumblepuppy or nineholes: A simple game in which balls or marbles are rolled into holes. Here it has developed into a new game that requires an expensive piece of ma ...
CORONARY ARTERY DISEASE - Heart Disease and Pregnancy
CORONARY ARTERY DISEASE - Heart Disease and Pregnancy

... recommended that induction of labour or scheduled cesarean section be delayed, if possible, for at least two to three weeks after an acute MI. However, there are no clinical trials that have prospectively evaluated the optimal timing of surgical procedures or labor and delivery after an acute (one t ...
Some time difficult in pregnancy
Some time difficult in pregnancy

... Affects 2.5% of all pregnancies In iodine sufficient areas, most common cause is Hashimoto’s thyroiditis Diagnosis of maternal hypothyroidism is important as has implication on both maternal and fetal outcomes ...
Common Medical Problems in Pregnancy
Common Medical Problems in Pregnancy

... preterm delivery, or low birth weight infants compared to non-asthmatic women – Patients with more severe asthma have a 30 to 100 percent increased risk# *Kwon HL, et al. Ann Epidemiol. 2003;13(5):317 # Kallen, B, et al. Eur J Epidem 2000; 16:167. ...
Pregnancy-Related Conditions as Disabilities under the ADA
Pregnancy-Related Conditions as Disabilities under the ADA

... same as other workers with a similar ability or inability to work.4 This mandate means that pregnant women, who often experience diseases identical to those experienced in the general population, are to be afforded the same accommodations. For example, pregnant women frequently get carpal tunnel syn ...
Pregnancy Testing Prior to Anesthesia and Surgery
Pregnancy Testing Prior to Anesthesia and Surgery

... No currently used anesthetic agents have been shown to have any teratogenic effects in humans of any age when using standard clinical doses.2 The 2012 ASA Practice Advisory for Preanesthesia Evaluation concluded that the scientific literature is inadequate to inform patients or physicians on whether ...
Antenatal care
Antenatal care

... It is not necessary to limit exercise as long as she does not get excessively fatigued or there is a risk to injury herself. Women accustomed to exercise before pregnancy should be allowed to continue but avoid starting new exercise programs walking is the best to recommend. Regular exercise improve ...
Use in Special Circumstances Concerns during Pregnancy
Use in Special Circumstances Concerns during Pregnancy

... PK not significantly altered. High placental transfer. No evidence of human teratogenicity. Increased risk of potentially life-threatening hepatotoxicity (often rash-associated) in women with high CD4 count at the time of NVP initiation. If CD4 is >250 cells/µL, start NVP only if benefit clearly out ...
O&G REVISION LECTURE 2012
O&G REVISION LECTURE 2012

... bloods-FBC, crossmatch 4 U, coagulation screen Fetal monitoring (CTG) USS for placental localization ...
C a s
C a s

... study found that although 39 percent of women reported an increase in seizure activity during their pregnancy, 33 percent actually reported a decrease in seizures and 28 percent no change. The health of the babies born was similar to that found in women who do not have epilepsy. ...
Acute Abdomen in Pregnancy - Department of Surgery University of
Acute Abdomen in Pregnancy - Department of Surgery University of

... Sir Zachary Cope 1921 ...
Revision Lecture March 2014
Revision Lecture March 2014

... Mrs Turvey is a 28 year old woman and attends the ANC at 36 weeks gestation in her first pregnancy with a singleton breech presentation a) What is the definition of presentation in obstetric practice The part of the fetus that is at the pelvic inlet/lower pole of the uterus b) List three possible re ...
Ectopic Pregnancy
Ectopic Pregnancy

... Molar Pregnancy Symptoms Vaginal bleeding may be present with pain Increase hCG LGA- rapid growth Hyperemesis This is the most common of all the symptoms ...
Preconception counseling & evaluation OB Rotation By Alisha
Preconception counseling & evaluation OB Rotation By Alisha

... with chest tightness & wheezing and was found to be having an acute asthma exacerbation. PE was ruled out. She was also complaining of Mild contractions in the lower abdomen. + fetal movement, denies vaginal bleeding, or leakage of ...
Haematology of Pregnancy
Haematology of Pregnancy

... serial blood films should allow exclusion of serious disease such as acute leukaemia. ...
The are of the pregnant patient with GI disease
The are of the pregnant patient with GI disease

... Lubiprostone (C)* PEG (C)* ...
Treatment of gastro-oesophageal reflux disease (GORD)
Treatment of gastro-oesophageal reflux disease (GORD)

... Treatment of gastro-oesophageal reflux disease (GORD) during pregnancy Background GORD is a common complaint during pregnancy. Approximately 80% of pregnant women experience heartburn at some point and some studies suggest that up to 50% of women will have symptoms during the first trimester. Starti ...
Routine Antenatal Assessment in the Absence of Pregnancy
Routine Antenatal Assessment in the Absence of Pregnancy

... As always, of greatest importance is a careful medical history and thorough clinical examination. The following investigations are recommended (in the absence of specific complications): Full blood examination Particular note should be taken of the Mean Corpuscular Volume as a potential indicator of ...
Chapter 14 Summary
Chapter 14 Summary

... blastocyst form the fetus, and others join with maternal tissues to form the placenta. The placenta transfers nutrients, gases, hormones, and other products between the mother and the fetus. By the end of the embryonic period the basic structures of all major body organs have been formed. Substances ...
KHAULA REHMAN MD
KHAULA REHMAN MD

... most common potentially serious medical conditions to complicate pregnancy.  Poorly controlled asthma can lead to serious medical problems for pregnant women and their fetuses. Maternal asthma is associated with increased risk of infant death, preeclampsia (a serious condition marked by high blood ...
High Risk Pregnancy High Risk Pregnancy: Complicated Antepartum
High Risk Pregnancy High Risk Pregnancy: Complicated Antepartum

... observation of bleeding, fetal monitoring. C/S is planned for complete or partial previa. Labor may be tried for low-lying placenta if bleeding slows and fetus is OK. ...
Management of first trimester pregnancy complications
Management of first trimester pregnancy complications

... for Early Pregnancy Loss • Non-viable pregnancy is diagnosed by ultrasound and/or ...
Venous thrombo-embolism during pregnancy and the puerperium
Venous thrombo-embolism during pregnancy and the puerperium

...  When thrombolysis has been given, the loading dose of UFH should be omitted and an infusion started at a rate of 18 U/kg/h.  After stabilization of the patient, UFH can be switched to LMWH for the residual duration of ...
Mood Stabilizers and Their Use in Pregnancy
Mood Stabilizers and Their Use in Pregnancy

... Encourage pregnant women to enroll in the Antiepileptic Drug Treatment Registry by calling 1-888233-2334 At this time, medical practitioners cannot enroll pregnant women into this study, but participation will be crucial for gathering information to further understand the benefits and risks of antic ...
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Pregnancy



Pregnancy, also known as gravidity or gestation, is the time during which one or more offspring develops inside a woman. A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy can occur by sexual intercourse or assisted reproductive technology. It usually lasts around 40 weeks from the last menstrual period (LMP) and ends in childbirth. This is just over 9 lunar months, where each month is about 29½ days. When measured from conception it is about 38 weeks. An embryo is the developing offspring during the first 8 weeks following conception, after which, the term fetus is used until birth. Symptom of early pregnancy may include a missed periods, tender breasts, nausea and vomiting, hunger, and frequent urination. Pregnancy may be confirmed with a pregnancy test.Pregnancy is typically divided into three trimesters. The first trimester is from week one through twelve and includes conception. Conception is followed by the fertilized egg traveling down the fallopian tube and attaching to the inside of the uterus, where it begins to form the fetus and placenta. The first trimester carries the highest risk of miscarriage (natural death of embryo or fetus). The second trimester is from week 13 through 28. Around the middle of the second trimester, movement of the fetus may be felt. At 28 weeks, more than 90% of babies can survive outside of the uterus if provided high-quality medical care. The third trimester is from 29 weeks through 40 weeks.Prenatal care improves pregnancy outcomes. This may include taking extra folic acid, avoiding drugs and alcohol, regular exercise, blood tests, and regular physical examinations. Complications of pregnancy may include high blood pressure of pregnancy, gestational diabetes, iron-deficiency anemia, and severe nausea and vomiting among others. Term pregnancy is 37 weeks to 41 weeks, with early term being 37 and 38 weeks, full term 39 and 40 weeks, and late term 41 weeks. After 41 weeks, it is known as post term. Babies born before 37 weeks are preterm and are at higher risk of health problems such as cerebral palsy. It is recommended that delivery not be artificially started with either labor induction or caesarean section before 39 weeks unless required for other medical reasons.About 213 million pregnancies occurred in 2012, of which, 190 million were in the developing world and 23 million were in the developed world. This is about 133 pregnancies per 1,000 women between the ages of 15 and 44. About 10% to 15% of recognized pregnancies end in miscarriage. In 2013, complications of pregnancy resulted in 293,000 deaths, down from 377,000 deaths in 1990. Common causes include maternal bleeding, complications of abortion, high blood pressure of pregnancy, maternal sepsis, and obstructed labor. Globally, 40% of pregnancies are unplanned. Half of unplanned pregnancies are aborted. Among unintended pregnancies in the United States, 60% of the women used birth control to some extent during the month pregnancy occurred.
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