a PDF version of the entire Perinatal Care Manual
... In June 2010 The Joint Commission categorized its process core performance measures into accountability and non-accountability measures. This approach places more emphasis on an organization’s performance on accountability measures – quality measures that meet four criteria designed to identify meas ...
... In June 2010 The Joint Commission categorized its process core performance measures into accountability and non-accountability measures. This approach places more emphasis on an organization’s performance on accountability measures – quality measures that meet four criteria designed to identify meas ...
Asthma during pregnancy: mechanisms and treatment implications REVIEW
... that the development of atopy in children is more closely associated with maternal asthma or immunoglobulin (Ig)E levels, rather than paternal asthma or IgE [40–42]. Therefore, as well as the immediate implications of poor pregnancy outcomes on the offspring of asthmatic mothers, there may be long-t ...
... that the development of atopy in children is more closely associated with maternal asthma or immunoglobulin (Ig)E levels, rather than paternal asthma or IgE [40–42]. Therefore, as well as the immediate implications of poor pregnancy outcomes on the offspring of asthmatic mothers, there may be long-t ...
Managing Asthma During Pregnancy: Recommendations for Pharmacologic
... served on the Advisory Boards of AstraZeneca, Aventis, Pfizer, and Schering; he has received funding/grant support for research projects from Aventis, Fujisawa, GlaxoSmithKline, Hoffmann LaRoche, Pfizer, and Wyeth; he has served as a consultant for Bristol-Myers Squibb, Dynavax, Fujisawa, Hoffmann L ...
... served on the Advisory Boards of AstraZeneca, Aventis, Pfizer, and Schering; he has received funding/grant support for research projects from Aventis, Fujisawa, GlaxoSmithKline, Hoffmann LaRoche, Pfizer, and Wyeth; he has served as a consultant for Bristol-Myers Squibb, Dynavax, Fujisawa, Hoffmann L ...
Pharmacokinetics of Metformin during Pregnancy
... 2008; Chen et al., 2009). Metformin crosses the placenta readily, and its umbilical cord concentrations at the time of delivery are at least half of the maternal concentrations and in some cases even exceed them (Hague et al., 2003; Vanky et al., 2005; Charles et al., 2006). When metformin is used d ...
... 2008; Chen et al., 2009). Metformin crosses the placenta readily, and its umbilical cord concentrations at the time of delivery are at least half of the maternal concentrations and in some cases even exceed them (Hague et al., 2003; Vanky et al., 2005; Charles et al., 2006). When metformin is used d ...
Pharmacokinetics of Metformin during pregnancy (2010)
... 2008; Chen et al., 2009). Metformin crosses the placenta readily, and its umbilical cord concentrations at the time of delivery are at least half of the maternal concentrations and in some cases even exceed them (Hague et al., 2003; Vanky et al., 2005; Charles et al., 2006). When metformin is used d ...
... 2008; Chen et al., 2009). Metformin crosses the placenta readily, and its umbilical cord concentrations at the time of delivery are at least half of the maternal concentrations and in some cases even exceed them (Hague et al., 2003; Vanky et al., 2005; Charles et al., 2006). When metformin is used d ...
Fostering Hope: Preventing Teen Pregnancy Among Youth in Foster Care (PDF:795KB/32 pgs)
... United States continues to have the highest teen pregnancy and birth rates in the fully industrialized world. Even with recent advances, one in three girls in the United States becomes pregnant before age 20.1 While birth rates have plummeted in some states and among some ethnic groups, the progress ...
... United States continues to have the highest teen pregnancy and birth rates in the fully industrialized world. Even with recent advances, one in three girls in the United States becomes pregnant before age 20.1 While birth rates have plummeted in some states and among some ethnic groups, the progress ...
084-Bleeding During Pregnancy - A Comprehensive Guide
... tissue that are palpated or visualized at the external os. Fetal cardiac activity may be present. Heavy bleeding with an unstable maternal hemodynamic state is an indication for uterine evacuation. Otherwise, inevitable abortion may be managed either expectantly or by evacuating the uterus while tak ...
... tissue that are palpated or visualized at the external os. Fetal cardiac activity may be present. Heavy bleeding with an unstable maternal hemodynamic state is an indication for uterine evacuation. Otherwise, inevitable abortion may be managed either expectantly or by evacuating the uterus while tak ...
From Severe Stigma to Powerful Resilience
... themselves, and may not seek important education, support, resources, and health services. Young parents’ experience of stigma is intensified due to the daily negative messages they receive from the media, within institutions, and from their communities concerning their options, their choices, and t ...
... themselves, and may not seek important education, support, resources, and health services. Young parents’ experience of stigma is intensified due to the daily negative messages they receive from the media, within institutions, and from their communities concerning their options, their choices, and t ...
The The Sumatriptan/Naratriptan/ Treximet Pregnancy Registry
... assist in the detection of any unusual patterns that may exist among the reported birth defects. Studies have shown the risk of spontaneous abortion is high early in pregnancy and decreases substantially from week 8 to week 28, yielding a cumulative estimated risk of 14%-22% overall (Kline et al, 19 ...
... assist in the detection of any unusual patterns that may exist among the reported birth defects. Studies have shown the risk of spontaneous abortion is high early in pregnancy and decreases substantially from week 8 to week 28, yielding a cumulative estimated risk of 14%-22% overall (Kline et al, 19 ...
POLICY FOR ORAL PRESENTATION OF DATA The sponsor
... the medical division of GlaxoSmithKline manages this Registry as part of an ongoing program in epidemiologic safety monitoring. Lamotrigine is not indicated for use in pregnancy; however, women with epilepsy may require or be unintentionally exposed to lamotrigine during pregnancy. This Registry is ...
... the medical division of GlaxoSmithKline manages this Registry as part of an ongoing program in epidemiologic safety monitoring. Lamotrigine is not indicated for use in pregnancy; however, women with epilepsy may require or be unintentionally exposed to lamotrigine during pregnancy. This Registry is ...
reduced by a change in paternity. For women with INTRODUCTION
... T cells is found to be more prominent in hyperemesis than in women with an uncomplicated pregnancy12. Thus hyperactivation of the maternal immune system may be responsible for the onset of hyperemesis, probably while maternal immune tolerance to the semi-allograft is being established. Various hormo ...
... T cells is found to be more prominent in hyperemesis than in women with an uncomplicated pregnancy12. Thus hyperactivation of the maternal immune system may be responsible for the onset of hyperemesis, probably while maternal immune tolerance to the semi-allograft is being established. Various hormo ...
Drug use in pregnancy Fokaline Vroom
... a child. Insight on the course of the disease during pregnancy and changes in the pharmacotherapy changed this perspective. It is believed that RA does not comprise fetal outcome and approximately 75% of the RA patients experience an improvement of their symptoms during pregnancy.16 In about 65% of ...
... a child. Insight on the course of the disease during pregnancy and changes in the pharmacotherapy changed this perspective. It is believed that RA does not comprise fetal outcome and approximately 75% of the RA patients experience an improvement of their symptoms during pregnancy.16 In about 65% of ...
... all pregnant women regardless of their risk factors. As such, this guideline encompasses the basic components of prenatal care that will be provided to all pregnant women by low-risk providers (such as Certified NurseMidwives, Nurse Practitioners, or Family Practice Care Providers) as well as eviden ...
(LDH) in serum and amniotic fluid. When prolonged pregnancy
... tion, gynecological diseases, diseases of the internal organs and systems, as well as hereditary illness (mental, diseases of the blood), veneriches ¬ Kieu diseases such as gonorrhea, syphilis, AIDS, and others, bad habits (smoking), hard physical labor and harmful production factors (vibration, noi ...
... tion, gynecological diseases, diseases of the internal organs and systems, as well as hereditary illness (mental, diseases of the blood), veneriches ¬ Kieu diseases such as gonorrhea, syphilis, AIDS, and others, bad habits (smoking), hard physical labor and harmful production factors (vibration, noi ...
Asthma in Pregnant Women
... Many recent reports have suggested a 2- 4 fold rise in the prevalence of asthma 2. Managing asthma its complications in pregnancy is quite different as both the illness and the treating of the developing fetus ...
... Many recent reports have suggested a 2- 4 fold rise in the prevalence of asthma 2. Managing asthma its complications in pregnancy is quite different as both the illness and the treating of the developing fetus ...
Progesterone Hormone LAuren Fuller
... In women, progesterone levels are relatively low during the preovulatory phase of the menstrual cycle, rise after ovulation, and are elevated during the luteal phase. In women, the progesterone levels change frequently depending on the menopausal stage, ovulation and pregnancy. Young women and preme ...
... In women, progesterone levels are relatively low during the preovulatory phase of the menstrual cycle, rise after ovulation, and are elevated during the luteal phase. In women, the progesterone levels change frequently depending on the menopausal stage, ovulation and pregnancy. Young women and preme ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
... 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 criteria for diagnosis and monitoring of asthma do not change. The physiological changes such as inc ...
... 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 criteria for diagnosis and monitoring of asthma do not change. The physiological changes such as inc ...
Obstetric Cholestasis
... pregnancy-specific ranges should be applied. For transaminases, gamma-glutamyl transferase and bilirubin, the upper limit of normal throughout pregnancy is 20% lower than the non-pregnant range.4 Many laboratories will use pregnancy-specific ranges for bile salts, but this should not be assumed. Bil ...
... pregnancy-specific ranges should be applied. For transaminases, gamma-glutamyl transferase and bilirubin, the upper limit of normal throughout pregnancy is 20% lower than the non-pregnant range.4 Many laboratories will use pregnancy-specific ranges for bile salts, but this should not be assumed. Bil ...
The Physiology of Early Pregnancy in the Mare
... performed on morulae but the success rate falls dramatically if the embryo is showing even the earliest signs of blastulation when bisected.16,17 Similarly, the success of deep-freezing embryos in liquid nitrogen falls off sharply with increasing developmental age and size of the embryo,18 due proba ...
... performed on morulae but the success rate falls dramatically if the embryo is showing even the earliest signs of blastulation when bisected.16,17 Similarly, the success of deep-freezing embryos in liquid nitrogen falls off sharply with increasing developmental age and size of the embryo,18 due proba ...
A descriptive study of the reasons and consequences of pregnancy
... for material gain. Silberschimidt and ...
... for material gain. Silberschimidt and ...
placenta accreta in st vincents university hospital 2008-2011
... This is a prospective, longitudinal, observational cohort study as part of the SCOPE(Screening for Pregnancy Endpoints) Ireland study. Low risk, primiparous women were recruited at15 weeks’ gestation and completed a standardised/validated questionnaire regarding pelvic floor function focusing on pre ...
... This is a prospective, longitudinal, observational cohort study as part of the SCOPE(Screening for Pregnancy Endpoints) Ireland study. Low risk, primiparous women were recruited at15 weeks’ gestation and completed a standardised/validated questionnaire regarding pelvic floor function focusing on pre ...
King’s College London School of Medicine MBBS Year 4 Reproductive & Sexual Health Block
... general look over the seminar guidelines within the first two weeks of the block. This should give a you a good grounding in the principles and breadth of the subject early in the course. Read the seminar guidelines before each seminar and attempt the self‐assessment questions. We suggest you ...
... general look over the seminar guidelines within the first two weeks of the block. This should give a you a good grounding in the principles and breadth of the subject early in the course. Read the seminar guidelines before each seminar and attempt the self‐assessment questions. We suggest you ...
Acupuncture and its use in the management of low back and pelvic
... PGP in pregnancy. Factors that increase the likelihood of developing LBP or PGP in pregnancy include a previous history of these conditions, pelvic assymmetry, smoking and strenuous work (Östgaard et al. 1994; Wu et al. 2004). Symptoms usually start between the sixth and ninth month of pregnancy, bu ...
... PGP in pregnancy. Factors that increase the likelihood of developing LBP or PGP in pregnancy include a previous history of these conditions, pelvic assymmetry, smoking and strenuous work (Östgaard et al. 1994; Wu et al. 2004). Symptoms usually start between the sixth and ninth month of pregnancy, bu ...
Use of Psychiatric Medications During Pregnancy and Lactation Clinical Management Guidelines
... illnesses that either predate or emerge during pregnancy, and an estimated one third of all pregnant women are exposed to a psychotropic medication at some point during pregnancy (1). The use of psychotropic medications is a cause of concern for physicians and their patients because of the potential ...
... illnesses that either predate or emerge during pregnancy, and an estimated one third of all pregnant women are exposed to a psychotropic medication at some point during pregnancy (1). The use of psychotropic medications is a cause of concern for physicians and their patients because of the potential ...
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.