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Headache in Pregnancy

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181. The Effects of Connective Tissue Massage and Lifestyle Modifications in Adolescents Tension Type Headache

and pressure pain threshold rates. The patients will be accepted to study according to 'The International Classification of Headache Disorders-III' criteria. Including criteria are; being between 10-19 ages adolescents, suffering from tension type headache at least for 6 months, pain severity between 4-7 on visual analog scale. Excluding criteria are; current pregnancy, having any history of cancer, traffic accident, head trauma and any kind of neurological disorder. Patients will be divided into two (...) Phase Headache Disorders, Primary Other: Connective tissue massage Not Applicable Detailed Description: The patients will be accepted to study according to 'The International Classification of Headache Disorders-III'. Including criteria are; being between 10-19 aged adolescents, suffering from tension type headache at least for 6 months, pain severity between 4-7 on visual analog scale. Excluding criteria are; current pregnancy, having any history of cancer, traffic accident, head trauma and any

2015 Clinical Trials

182. Pilot Study of DFN-11 Injection in Medication Overuse Headache

-11-CD-007 First Posted: October 22, 2015 Results First Posted: April 3, 2018 Last Update Posted: April 3, 2018 Last Verified: February 2018 Additional relevant MeSH terms: Layout table for MeSH terms Headache Headache Disorders, Secondary Pain Neurologic Manifestations Signs and Symptoms Headache Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases (...) Pilot Study of DFN-11 Injection in Medication Overuse Headache Pilot Study of DFN-11 Injection in Medication Overuse Headache - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Pilot Study of DFN-11 Injection

2015 Clinical Trials

183. A Study of LY2951742 in Participants With Episodic Cluster Headache

: A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement. URL: https://www.clinicalstudydatarequest.com/ Layout table for additional information Studies a U.S. FDA-regulated Drug Product: Yes Additional relevant MeSH terms: Layout table for MeSH terms Headache Cluster Headache Pain Neurologic Manifestations Signs and Symptoms Trigeminal Autonomic Cephalalgias Headache Disorders, Primary Headache Disorders Brain Diseases Central Nervous System (...) Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Have a diagnosis of cluster headache as defined by International Headache Society (IHS) International Classification of Headache Disorders (ICHD)-3 beta guidelines with a history of episodic cluster headache with at least two cluster periods lasting from 7 days to 1 year (when untreated) and separated by pain-free remission periods of >=1 month. Participants are able to distinguish cluster headache attacks from other headaches. Exclusion

2015 Clinical Trials

184. A Prospective Observational Registry of Primary Headache Patients Treated With Ausanil

: VR1 Corporation Information provided by (Responsible Party): VR1 Corporation Study Details Study Description Go to Brief Summary: This study is an observational study with the primary objective to assess the safety and tolerability of Ausanil in the treatment of primary headache disorders. The secondary objective is to assess headache pain, functional outcome, time loss to headache and patient satisfaction with Ausanil treatment. Condition or disease Intervention/treatment Primary Headache (...) provided by VR1 Corporation: migraine cluster headache primary headache Ausanil capsicum annuum Additional relevant MeSH terms: Layout table for MeSH terms Headache Headache Disorders Headache Disorders, Primary Pain Neurologic Manifestations Signs and Symptoms Brain Diseases Central Nervous System Diseases Nervous System Diseases

2015 Clinical Trials

185. Auditory function following post-dural puncture headache treated with epidural blood patch. A long-term follow-up. (Abstract)

Auditory function following post-dural puncture headache treated with epidural blood patch. A long-term follow-up. Epidural analgesia is commonly used for pain management during labor. Sometimes, accidental dural puncture (ADP) occurs causing severely debilitating headache, which may be associated with transient hearing loss. We investigated if auditory function may be impaired several years after ADP treated with epidural blood patch (EBP).Sixty women (ADP group) without documented hearing (...) disability, who received EBP following ADP during labor between the years 2005-2011 were investigated in 2013 for auditory function using the following tests: otoscopic examination, tympanometry, pure tone audiometry, and transient-evoked otoacoustic emissions. Additionally, they responded to a questionnaire, the Speech, Spatial and Qualities (SSQ) of hearing, concerning perceived hearing impairment. The results were compared to a control group of 20 healthy, non-pregnant women in the same age group.The

2015 Acta Anaesthesiologica Scandinavica

186. Effectiveness of Manual Treatment on Pregnancy Symptoms: Usefulness of Manual Treatment in Treating Pregnancy Symptoms Full Text available with Trip Pro

was unsuccessful underwent second round of treatment after a pause of a minimum 3 days. Patients for whom the treatment was initially successful but later relapsed also repeated whole procedure. Pregnancy symptoms analyzed in this study were heartburn, nausea, vomiting, dizziness, headache, insomnia, neck pain, hyperosmia and hypersalivating.Manual treatment successfully treated pregnancy symptoms in 91 (79.1%) patients, it was partially successful for 22 (19.1%), and unsuccessful for 2 patients (1.7%) after (...) the first treatment. After the second treatment, out of a total 56 patients, the treatment was completely successful in 40 (71.4%), partially successful in 14 (25%), and unsuccessful in 2 (3.6%) patients. The highest success rate was in eliminating headache (97.3%), vomiting (95.9%), dizziness (94.5%), nausea (92.9%), neck pain (92.9%), insomnia (91.9%), heartburn (88.8%), hyperosmia (78.5%) and hyper salivating (78%).Manual therapy in pregnancy is a drugless, etiological, usually highly effective

2018 Medical Archives

187. Polycystic ovary syndrome: metformin in women not planning pregnancy

. Metformin use is associated with gastrointestinal adverse effects (nausea, vomiting and diarrhoea), which can be severe. The Cochrane review found that metformin caused a significantly higher incidence of gastrointestinal adverse effects that were severe (leading to treatment discontinuation) compared with co-cyprindiol, and a significantly lower incidence of other severe adverse effects (weight gain, high blood pressure, depression, chest pain and headache). Among all 9 trials there was significant (...) , cardiovascular events or endometrial cancer in women with PCOS. Gastrointestinal adverse effects, which occasionally caused women to stop treatment, were more commonly reported with metformin than co-cyprindiol. Other adverse effects that caused women to stop treatment (weight gain, high blood pressure, depression, chest pain and headache) were more commonly reported with co-cyprindiol than metformin. Summary of the evidence This section gives a brief summary of the main evidence. A more thorough analysis

2013 National Institute for Health and Clinical Excellence - Advice

188. Hypertension in pregnancy

and a dipstick urine test done for proteinuria at presentation and at each antenatal visit. An explanation of the symptoms of pre-eclampsia should be given and the woman advised to seek immediate medical review if she develops any of the following (including during the first four weeks postpartum): Severe headaches (increasing frequency unrelieved by regular analgesics). Vision problems, such as blurred vision, flashing lights, double vision, or floating spots. Persistent new epigastric pain or pain (...) - Options for local implementation No QIPP indicators were found during the review of this topic. NICE quality standards NICE quality standards Women of childbearing potential with treated hypertension are given information annually about safe antihypertensive treatment during pregnancy. Pregnant women at increased risk of pre-eclampsia at the booking appointment are offered a prescription of 75–150 mg of aspirin to take daily from 12 weeks until birth. Pregnant women taking antihypertensive medication

2019 NICE Clinical Knowledge Summaries

189. Antenatal care - uncomplicated pregnancy

history of pre-eclampsia. Body mass index 30 kg/m 2 or above. Pre-existing vascular disease, such as hypertension. Pre-existing renal disease. Multiple pregnancy. Symptoms of pre-eclampsia include: Severe headaches (increasing frequency and unrelieved by regular analgesics). Vision problems, such as blurred vision, flashing lights, double vision, or floating spots. Persistent new epigastric pain or pain in the right upper quadrant. Vomiting. Breathlessness. Sudden swelling of the face, hands, or feet (...) pregnancy but should avoid scuba diving and sports that may cause abdominal trauma, falls, or excessive joint stress. Working — most women can continue working during pregnancy. To allow a pregnant woman to continue working after 33 weeks, her GP or midwife must inform her employer that she may continue to do so. The law states that a women is not allowed to return to employment in the 2 weeks following childbirth. Maternity benefits — including information on entitlement to take time off work

2019 NICE Clinical Knowledge Summaries

190. Chickenpox in Pregnancy

or postpartum is an option that should be considered for women who are found to be seronegative for varicella-zoster virus immunoglobulin G (VZV IgG). While universal serological antenatal testing is not recommended in the UK (see below), seronegative women identified in pregnancy could be offered postpartum immunisation. Women who are vaccinated postpartum can be reassured that it is safe to breastfeed. Can varicella be prevented in the pregnant woman at her initial antenatal visit? Women booking (...) for antenatal care should be asked about previous chickenpox/shingles infection. Women who have not had chickenpox, or are known to be seronegative for chickenpox, should be advised to avoid contact with chickenpox and shingles during pregnancy and to inform healthcare workers of a potential exposure without delay. Can varicella infection be prevented in the pregnant woman who gives a history of contact with chickenpox or shingles? When contact occurs with chickenpox or shingles, a careful history must

2015 Royal College of Obstetricians and Gynaecologists

191. The Acute Management of Thrombosis and Embolism during Pregnancy and the Puerperium

) or with other complicating factors (for example, with renal impairment or recurrent VTE). Routine platelet count monitoring should not be carried out. Obstetric patients who are postoperative and receiving unfractionated heparin should have platelet count monitoring performed every 2–3 days from days 4 to 14 or until heparin is stopped. [New 2015] How should massive life-threatening PE in pregnancy and the puerperium be managed? Collapsed, shocked women who are pregnant or in the puerperium should (...) disposal of needles and syringes. Outpatient follow-up should include clinical assessment and advice with monitoring of blood platelets and peak anti-Xa levels if appropriate (see sections 5 and 6.3). Pregnant women who develop heparin-induced thrombocytopenia or have heparin allergy and require continuing anticoagulant therapy should be managed with an alternative anticoagulant under specialist advice. Can vitamin K antagonists be used during pregnancy for the maintenance treatment of VTE? Because

2015 Royal College of Obstetricians and Gynaecologists

192. Reducing the Risk - Thrombosis and Embolism during Pregnancy and the Puerperium

with previous VTE be managed in pregnancy? (see Appendix IV) Single previous VTE Women with previous VTE should be offered prepregnancy counselling and a prospective management plan for thromboprophylaxis in pregnancy made. Those who become pregnant before receiving such counselling should be referred at the earliest opportunity in pregnancy to a clinician with expertise in thrombosis in pregnancy. C C C D D D D P PRCOG Green-top Guideline No. 37a © Royal College of Obstetricians and Gynaecologists 3 of 40 (...) be avoided antenatally and intrapartum because of the risk of anaphylactoid reaction. Oral thrombin and Xa inhibitors Non-vitamin K antagonist oral anticoagulants (NOACs) should be avoided in pregnant women. [New 2015] Use of NOACs is not currently recommended in women who are breastfeeding. [New 2015] Anti-embolism stockings The use of properly applied anti-embolism stockings (AES) of appropriate size and providing graduated compression with a calf pressure of 14–15 mmHg is recommended in pregnancy

2015 Royal College of Obstetricians and Gynaecologists

193. Elevated Blood Lead Levels in Children and Pregnant Women: Screening

, and financial costs associated with return visits and repeated tests. Children with significantly elevated blood lead levels might receive chelation therapy, which is associated with a wide range of harms, including injection site pain or abscess, headache, paresthesia, tremors, rash, neutropenia, elevation of serum liver transaminase, hypertension, tachycardia, fever, nausea, vomiting, or other gastrointestinal upset. Current Practice There are no data on the proportion of clinicians who screen (...) systems, including the cardiovascular, renal, and hepatic systems, with most symptoms occurring at blood lead levels of 50 μg/dL or greater. Very high levels of inorganic lead exposure may result in death or long-term neurologic symptoms in children. However, behavioral disorders are associated with blood lead levels as low as 5 μg/dL in young children. Adverse effects of very high maternal blood lead levels during pregnancy include abortion, stillbirth, preterm delivery, decreased neonatal head

2019 U.S. Preventive Services Task Force

194. Nausea/vomiting in pregnancy

% of pre-pregnancy weight. Findings which may suggest an alternative diagnosis include: Onset of symptoms after 11 weeks of gestation. Abdominal pain or tenderness (more than mild epigastric tenderness after retching). Fever. Headache or abnormal neurological examination. Goitre. Complications are more likely in women with severe vomiting and include: Maternal — weight loss, dehydration, hyponatraemia, vitamin deficiencies, Mallory-Weiss tear or oesophageal rupture, increased risk of venous (...) in pregnancy because they may need admission to hospital [ ]. The features indicating hyperemesis gravidarum are based on the RCOG guideline: The management of nausea and vomiting of pregnancy and hyperemesis gravidarum [ ]. Differential diagnosis What else might it be? Findings which may suggest an alternative diagnosis include: Onset of symptoms after 11 weeks of gestation. Abdominal pain or tenderness (more than mild epigastric tenderness after retching). Fever. Headache or abnormal neurological

2018 NICE Clinical Knowledge Summaries

195. What are the recommended clinical assessment and screening tests during pregnancy?

but also deleterious effects on pregnant women such as overdiagnosis, overtreatment, and related anxiety. 1.2. Remit of the guideline The main objectives pursued by this guideline are to offer information on best practices for baseline clinical care of all pregnancies and comprehensive information for the follow-up of the low-risk pregnant women. The scope of this guideline was defined in collaboration with the guideline development group (GDG) members and stakeholders which decided to focus on low (...) information on the additional care that some women will require due to specific risk factors or pre-existing conditions. Although the guideline addresses screening for many of the complications of pregnancy, it does not include information on the investigation and appropriate management of these complications (for example, the management of pre-eclampsia, fetal anomalies and multiple pregnancies). In addition, this guideline does not provide advices about general lifestyle and nutrition of pregnant women

2015 Belgian Health Care Knowledge Centre

196. Guideline supplement: Hypertensive disorders of pregnancy

worsening of the disorder and the necessity to contact their care provider when experiencing symptoms (severe headache, pain upper right abdominal or epigastric pain, hyperreflexia, vision disorders and convulsions) Section 3.3 Queensland Clinical Guideline Supplement: Hypertensive disorders of pregnancy Refer to online version, destroy printed copies after use Page 11 of 13 4.5 Safety and quality Implementation of this guideline provides evidence of compliance with the NSQHS and Australian Council (...) Guideline supplement: Hypertensive disorders of pregnancy Maternity and Neonatal C linical G uideline Queensland Health Supplement: Hypertensive disorders of pregnancy Queensland Clinical Guideline Supplement: Hypertensive disorders of pregnancy Refer to online version, destroy printed copies after use Page 2 of 13 Table of Contents 1 Introduction 3 1.1 Funding 3 1.2 Conflict of interest 3 1.3 Guideline review 3 2 Methodology 4 2.1 Topic identification 4 2.2 Scope 4 2.3 Clinical questions 4 2.4

2016 Queensland Health

197. Hypertensive disorders of pregnancy

for all women 13 Advice if high risk of preeclampsia • Advise women at high risk of hypertensive disorders of pregnancy (HDP) of the symptoms of preeclampsia and to seek immediate advice from a health care professional if symptoms present. • Symptoms include 13 : o Severe headache o Problems with vision (e.g. blurring or flashing before the eyes) o Severe pain just below the ribs on the right side o Vomiting o Sudden swelling of the face, hands or feet Therapies unsupported by evidence (...) IV rapid bolus Onset: 3–5 minutes Repeat: after 5 minutes Maximum 150 mg/dose Monitor Blood Glucose Levels Note: *Refer to the Queensland Health List of Approved Medicines (LAM) for prescribing restrictions # Special Access Scheme (SAS) authority required Queensland Clinical Guideline: Hypertensive disorders of pregnancy Refer to online version, destroy printed copies after use Page 14 of 32 5 Preeclampsia Severe hypertension, headache, epigastric pain, oliguria or nausea and vomiting are ominous

2016 Queensland Health

198. IBD: Pregnancy

containing dibutyl phthalate (DBP), we suggest switching to a 5-ASA drug without DBP. GRADE: Conditional recommendation, very low-quality evidence. Statement4A. In womenwithIBDwho aretakingmethotrexateandcontemplating pregnancy, werecommend stoppingmethotrexateat least 3monthsbeforeattemptingtoconceivetominimizetheriskofteratogenicity.GRADE:Strongrecommendation,verylow-qualityevidence. Statement 4B. If a woman becomes pregnant while taking methotrexate, we recommend immediate discontinuation (...) of methotrexate and referral for obstetric counseling. GRADE: Strong recommendation, very low-quality evidence. Statement 5. In pregnant women with active or complicated IBD, we recommend consultation with an obstetrician, preferably one af?liated with a high-risk obstetrics program. GRADE: Strong recommendation, very low-quality evidence. Statement 6. In pregnant women with IBD, we recommend their IBD be managed by a gastroenterologist throughout pregnancy. GRADE: Strong recommendation, very low-quality

2016 Canadian Association of Gastroenterology

199. WHO recommendations on antenatal care for a positive pregnancy experience

WHO recommendations on antenatal care for a positive pregnancy experience WHO recommendations on antenatal care for a positive pregnancy experienceWHO Library Cataloguing-in-Publication Data WHO recommendations on antenatal care for a positive pregnancy experience. I.World Health Organization. ISBN 978 92 4 154991 2 Subject headings are available from WHO institutional repository © World Health Organization 2016 All rights reserved. Publications of the World Health Organization are available (...) Health Organization (WHO) envisions a world where every pregnant woman and newborn receives quality care throughout the pregnancy, childbirth and the postnatal period. Within the continuum of reproductive health care, antenatal care (ANC) provides a platform for important health-care functions, including health promotion, screening and diagnosis, and disease prevention. It has been established that by implementing timely and appropriate evidence-based practices, ANC can save lives. Crucially, ANC

2016 World Health Organisation Guidelines

200. Assessment and Treatment of Pregnant Women With Suspected or Confirmed Influenza

on a variety of symptoms, including but not limited to fever of 100.4 ◦ F or higher, cough, fatigue, headache, and body aches. It is important to note that not all people infected with influenza will develop a fever; therefore, the absence of fever should not rule out an influenza diagnosis (see Fig. 1). Initial triage and treatment by telephone is acceptable to help reduce the spread of disease among other pregnant patients in the office. Following symptom assessment, obstetrician–gynecologists and other (...) influenza infection. Pregnancy itself is a high-risk condition, making the potential adverse effects of influenza particularly serious in pregnant women. If a pregnant woman has other underlying health conditions, the risk of adverse effects from influenza is even greater. Antiviral treatment is necessary for all pregnant women with suspected or confirmed influenza, regardless of vaccination status. Obstetrician–gynecologists and other obstetric care providers should promptly recognize the symptoms

2018 American College of Obstetricians and Gynecologists

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