Endocrine disorders during pregnancy

... increase the risk for poor pregnancy outcome; conversely, in some instances pregnancy may adversely impact an underlying medical disorder Hypertension (See also Chap 2 41) In pregnancy, cardiac output ... ~10 beats/min during the third trimester In the second trimester of pregnancy, systemic vascular resistance decreases and this is associated with a fall in blood pressure During...

Ngày tải lên: 06/07/2014, 08:20

... pregnancy Baseline evaluation of renal function is necessary to help differentiate the effects of chronic hypertension versus superimposed preeclampsia should the hypertension worsen during pregnancy ... thorough prepregnancy evaluation, both to identify remediable causes of hypertension and to ensure that the prescribed antihypertensive agents are not associated with an adverse outcome...

Ngày tải lên: 06/07/2014, 08:20

... the most common cardiac problem complicating pregnancy Mitral Stenosis This is the valvular disease most likely to cause death during pregnancy The pregnancy- induced increase in blood volume, ... usually well tolerated during pregnancy in the absence of pulmonary hypertension, provided that the woman's prepregnancy cardiac status is favorable Use of air filters on IV sets during...

Ngày tải lên: 06/07/2014, 08:20

... Leiden mutation increases the risk for DVT and pulmonary embolism during pregnancy Approximately 25% of women with DVT during pregnancy carry the factor V Leiden allele The presence of the factor ... (See also Chap 2 44) Maternal mortality in the setting of severe pulmonary hypertension is high, and primary pulmonary hypertension is a contraindication to pregnancy Termination of p...

Ngày tải lên: 06/07/2014, 08:20

... Once pregnancy is established, glucose control should be managed more aggressively than in the nonpregnant ... sonography) and fetoplacental oxygenation (fetal heart rate monitoring or biophysical profile) optimizes pregnancy outcome Pregnant diabetic patients without vascular disease are at greater risk for delivering ... growth restriction, which is associated with an increased risk of...

Ngày tải lên: 06/07/2014, 08:20

... with an elevated serum TSH (and a normal total thyroxine) during pregnancy have impaired performance on neuropsychologic tests During pregnancy, the dose of thyroxine required to keep the TSH ... range was 0.1 mg daily before pregnancy, and it increased to 0.15 mg daily during pregnancy Since the increased thyroxine requirement occurs as early as the fifth week of pregnancy, one...

Ngày tải lên: 06/07/2014, 08:20

... disease is commonly observed during pregnancy In part this may be due to pregnancy- induced alteration in the metabolism of bile and fatty acids Intrahepatic cholestasis of pregnancy is generally a ... infection More commonly, primary CMV infection during pregnancy creates a risk of congenital CMV No currently accepted treatment of CMV during pregnancy has been demonstrated to...

Ngày tải lên: 06/07/2014, 08:20

... Parvovirus infection (human parvovirus B19) may occur during pregnancy It rarely causes sequelae, but susceptible women infected during pregnancy may be at risk for fetal hydrops secondary to ... increases in levothyroxine requirements during pregnancy in women with hypothyroidism N Engl J Med 351:292, 2005 Bates SM et al: Use of antithrombotic agents during pregnancy: The Seve...

Ngày tải lên: 06/07/2014, 08:20

... Lange, 1982 CHAPTER 13 HYPERTENSIVE DISORDERS DURING PREGNANCY 399 hypertension The use of antihypertensive therapy during pregnancy in all of preceding high-risk chronic hypertensive patients ... norepinephrine, and aldosterone CHAPTER 13 HYPERTENSIVE DISORDERS DURING PREGNANCY 383 SODIUM AND WATER RETENTION Sodium retention is an adjunct of growth and is normal duri...

Ngày tải lên: 05/08/2014, 16:20

... maternal use of loratadine and second- or third-degree hypospadias was demonstrated [22] Similarly, in an Israeli study [20], no increased risk of hypospadias was demonstrated in the loratadine group ... Swedish Birth Registry, the database we used is one of the largest in the world for studying the safety of drugs used in pregnancy and previous studies have...

Ngày tải lên: 02/11/2012, 10:09

... prevalence of infusion during the study pregnancy in any CA-groups On the other hand the maternal infusion during the study pregnancy showed 139 a lower occurrence in two CA-groups: hypospadias ... prevalence of maternal infusion in the group of total CAs, and within them, of hypospadias and multiple CAs Thus, we were not able to detect any teratogenic potential of...

Ngày tải lên: 02/11/2012, 11:08

... thinking of experts as well as the general population The false balance of risk and benefit of drug use during pregnancy is seriously augmented by the defensive policy of pharmaceutical companies and ... defensive attitude of some doctors and is partly understandable They may not be well informed and may exaggerate the risk by relying on manufacturers drug pamphlet...

Ngày tải lên: 02/11/2012, 11:12

... where the risk is 1% In addition, there are large differences between each of the hereditary heart disease conditions, and the risk for descendants is dependent on whether only the mother, only the ... subsequent pregnancy. 225 The earlier the onset of hypertension in the first pregnancy, the greater the risk of recurrence.226 9.6.3 Long-term cardiovascular cons...

Ngày tải lên: 12/02/2014, 12:20

... Cite this article as: Han et al.: Physiologic variations of serum tumor markers in gynecological malignancies during pregnancy: a systematic review BMC Medicine 2012 10:86 Page 10 of 10 Submit ... Templeton A, Knight PG: A longitudinal study of maternal serum inhibin -A, inhibin-B, activin -A, activin-AB, proalphaC and follistatin during pregnancy Hum Re...

Ngày tải lên: 13/02/2014, 06:20

... doi:10.1186/1476-069X-9-6 Cite this article as: Ballester et al.: Air pollution exposure during pregnancy and reduced birth size: a prospective birth cohort study in Valencia, Spain Environmental Health 2010 9:6 Submit ... Valencia, Spain 5Andalusian School of Public Health (EASP), Campus de la Cartuja s/n, Granada, Spain 6Department of Public Health, R...

Ngày tải lên: 17/02/2014, 22:20