Cardiac Disease

Oct 17, 2016 by in GYNECOLOGY Comments Off on Cardiac Disease

High-risk conditions Intermediate-risk conditions Low-risk conditions Severe systemic ventricular dysfunction (LVEF < 30 % OR NYHA III and IV) Uncorrected cyanosis, repaired complex CHD Repaired simple congenital heart disease without residual cardiac…

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Diabetes and Pregnancy

Oct 17, 2016 by in GYNECOLOGY Comments Off on Diabetes and Pregnancy

Fetal and infant risks Maternal risks Miscarriage or stillbirtha Congenital anomaliesa • Caudal regression syndrome • CNS abnormalities—spina bifida, anencephaly, hydrocephalous • Cardiac Macrosomia Organomegaly Hypoxic events including intrauterine fetal demise Operative delivery…

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Headaches and Seizures

Oct 17, 2016 by in GYNECOLOGY Comments Off on Headaches and Seizures

Cause of headache Common features Treatment in pregnancy Treatment postpartum Migraine Frontal (often unilateral), prolonged, and pulsatile Other: nausea, vomiting, and aversion to loud noise, bright light, and physical activity…

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Mood Disorders

Oct 17, 2016 by in GYNECOLOGY Comments Off on Mood Disorders

A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either…

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Interstitial Pregnancy

Oct 17, 2016 by in GYNECOLOGY Comments Off on Interstitial Pregnancy

Fig. 11.1 Transvaginal ultrasound (TVUS). a An empty uterine cavity (UC) with echogenic line (arrows) leading towards gestational sac (P). b 3D TVUS rendering showed thin myometrial edge marked with…

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Inadvertent Methotrexate Administration

Oct 17, 2016 by in GYNECOLOGY Comments Off on Inadvertent Methotrexate Administration

Fig. 9.1 Note short forearms (From Seidahmed et al., A Case of methotrexate embryopathy with holoprosencephaly, expanding the phenotype, Birth Defects Research (Part A) 2006;76:138–142. Reproduce with permission.) Fig. 9.2…

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Fertility After Tubal Ectopic Pregnancy

Oct 17, 2016 by in GYNECOLOGY Comments Off on Fertility After Tubal Ectopic Pregnancy

Study Type of study Medical treatment Conservative surgery HR p n Spontaneous IUPa rate (%) n Spontaneous IUPa rate (%) De Bennetot et al. [12] Prospective observational (registry) 119 76 …

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Rudimentary Uterine Horn Pregnancy

Oct 17, 2016 by in GYNECOLOGY Comments Off on Rudimentary Uterine Horn Pregnancy

Fig. 20.1 Variations of the unicorneate uterus: a communicating, b noncommunicating rudimentary horn, c rudimentary horn without a cavity, and d isolated unicorneate uterus [1] Fig. 20.2 Pregnancy in a…

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