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Headache in Pregnancy

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221. SMFM State of Pregnancy Monograph

. Pregnancy after liver transplantation g. Pancreatitis h. Wilson’s disease7. Hematologic diseases a. Maternal anemia and hemoglobinopathies b. Sickle cell disease c. von Willebrand disease d. Thrombotic thrombocytopenia purpura/hemolytic uremic syndrome e. Care of the Jehovah’s Witness pregnant woman 8. Renal disease (includes renal transplantation) 9. Neurologic diseases: a. Seizure disorders b. Headache c. AV malformation/ berry aneurysm d. Multiple sclerosis e. Pseudotumor cerebri f. Myasthenia gravis (...) being conducted at the NICHD. SMFM’s government relations activities also include participating in national efforts aimed at increased federal funding for biomedical research, public health and surveillance programs that improve the health of pregnant women and their babies, and to educate policymakers - members of Congress, their staff and other federal officials in the Executive Branch - on SMFM and issues surrounding high risk pregnancy. As the political environment becomes more difficult

2015 Society for Maternal-Fetal Medicine

222. Stroke in Pregnancy: A Focused Update. (Abstract)

Stroke in Pregnancy: A Focused Update. Ischemic stroke (IS) and hemorrhagic stroke (HS) can be devastating complications during pregnancy and the puerperium that are thought to occur in approximately 30 in 100,000 pregnancies. In high-risk groups, such as women with preeclampsia, the incidence of both stroke subtypes, combined, is up to 6-fold higher than in pregnant women without these disorders. IS or HS may present in young women with atypical symptoms including headache, seizure, extremity (...) weakness, dizziness, nausea, behavioral changes, and visual symptoms. Obstetric anesthesiologists who recognize these signs and symptoms of pregnancy-related stroke are well positioned to facilitate timely care. Acute stroke of any type is an emergency that should prompt immediate coordination of care between obstetric anesthesiologists, stroke neurologists, high-risk obstetricians, nurses, and neonatologists. Historically, guidelines have not addressed the unique situation of maternal stroke

2019 Anesthesia and Analgesia

223. Epidemiology and Treatment of Menstrual Migraine and Migraine During Pregnancy and Lactation: A Narrative Review. (Abstract)

Epidemiology and Treatment of Menstrual Migraine and Migraine During Pregnancy and Lactation: A Narrative Review. The peak prevalence of migraine occurs in women of reproductive age, and women experience a higher burden of migraine symptoms and disability compared to men. This increased burden of migraine in women is related to both developmental and temporally variable activational effects of female sex hormones. Changing levels of female sex hormones affect the expression of migraine during (...) pregnancy, and, to a lesser degree, lactation, and are the mechanism underlying menstrual migraine. This review describes the evidence for sex differences in the expression of migraine across the reproductive epoch; reviews the epidemiology of migraine during pregnancy, lactation, and menses; and summarizes the available evidence for safety and efficacy of acute treatments during pregnancy and lactation and for menstrual migraine. Areas of controversy in treatment of migraine during pregnancy, including

2019 Headache

224. Smartphone Pain App for Assessing Oral Mucositis Pain in Patients Receiving Head and Neck Radiation Therapy

Smartphone Pain App for Assessing Oral Mucositis Pain in Patients Receiving Head and Neck Radiation Therapy Smartphone Pain App for Assessing Oral Mucositis Pain in Patients Receiving Head and Neck Radiation Therapy - 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. Smartphone Pain App for Assessing Oral Mucositis Pain in Patients Receiving Head and Neck Radiation Therapy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2016 Clinical Trials

225. Hypertension in pregnancy: Labetalol

: Neurological — tiredness, weakness, headache. Skin — rashes, tingling scalp, rarely lichenoid rash. Gastrointestinal — epigastric pain, nausea, vomiting, liver damage. Urological — difficulty in micturition. Neuropsychiatric — depressed mood. Other — postural hypotension, nasal congestion, sweating. [ ; ] Drug interactions Concomitant use of labetalol is contraindicated with: Calcium antagonists such as verapamil and to a lesser extent diltiazem — may reduce cardiac contractility and atrio-ventricular (...) Hypertension in pregnancy: Labetalol Labetalol | Prescribing information | Hypertension in pregnancy | CKS | NICE Search CKS… Menu Labetalol Hypertension in pregnancy: Labetalol Last revised in October 2019 Labetalol Contraindications and cautions Labetalol should not be prescribed to people with: Asthma. Uncontrolled heart failure. Cardiogenic shock. Sick sinus syndrome (including sino-atrial block, second or third degree heart block). Prinzmetal's angina. Phaeochromocytoma. Metabolic

2017 NICE Clinical Knowledge Summaries

226. Hypertension in pregnancy

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). Visual 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 (...) Hypertension in pregnancy Hypertension in pregnancy | Topics A to Z | CKS | NICE Search CKS… Menu Hypertension in pregnancy Hypertension in pregnancy Last revised in October 2019 Several different hypertensive disorders can complicate pregnancy. Management Prescribing information Background information Hypertension in pregnancy: Summary Several different hypertensive disorders can complicate pregnancy. The National Institute for Health and Clinical Excellence (NICE) uses the following working

2017 NICE Clinical Knowledge Summaries

227. Management of glycaemic control in pregnant women with diabetes on obstetric wards and delivery units

is associated with a significant fetal mortality as ketones are toxic to fetus. DKA may manifest as abdominal pain – always consider as a possible alternative to pre-term/term labour. DKA can occur with only very modest elevation of glucose levels in women during pregnancy. Symptoms include nausea and/or vomiting, abdominal pain, polyuria and polydipsia, and leg cramps. Later signs/symptoms include dehydration (manifesting as dry skin and mouth), blurred eyesight, tachypnoea, rapid pulse, a distinct smell (...) on the breath (sometimes described as ‘pear drops’) and coma. Ketoacidosis should always be considered when a pregnant woman with diabetes feels unwell. These women must be assessed by a medical or diabetes team. 8.1 Diagnosis of DKA: 1. Presence of diabetes mellitus (of any kind, DKA can occur in pregnancy in a woman with known diabetes with a normal blood glucose). AND: 2. Ketosis: urinary ketones >++ or blood ketones >3.0 mmol/L (high risk 1.5 mmol/L) AND 3. Acidosis: blood gas pH 4 kg, neonatal

2017 Association of British Clinical Diabetologists

228. Pre-procedure pregnancy checking for under-16s

dealing with major trauma or a clinical emergency it may be impossible or inappropriate to determine pregnancy status through enquiry or consented testing prior to dealing urgently with the patient’s condition. Where there is a chance that a patient may be pregnant the lead clinician should consider the radiological or clinical approach and relative balance of risks. For example, acute abdominal pain could be due to an ectopic pregnancy for which a pregnancy test is a necessary diagnostic test (...) Significant numbers of children and young people (C&YP) undergo elective and emergency surgical, radiological, anaesthetic and some medical procedures in the United Kingdom each year. If the patient is pregnant there is a small but recognised risk to the patient and her pregnancy/fetus and potentially a need to modify the technique or delay the procedure. A number of authorities, including NICE and the Health Protection Agency, stipulate that pregnancy status must be ascertained before a procedure

2012 Royal College of Paediatrics and Child Health

229. Effects of Sodium Hyaluronate on Symptoms and Quality of Life in Women Affected by Pregnancy Rhinitis: A Pilot Study. (Abstract)

Effects of Sodium Hyaluronate on Symptoms and Quality of Life in Women Affected by Pregnancy Rhinitis: A Pilot Study. To investigate sodium hyaluronate (SH) efficacy in the treatment of pregnancy rhinitis.A single-center, prospective, open-label, 2 parallel-group study was carried out. Pregnant women affected by pregnancy rhinitis were randomly assigned to 1 of 2 groups: Group A was treated with SH, while Group B did not receive any treatment. Pregnancy rhinitis symptoms and quality of life (...) (QOL) during pregnancy were investigated by administering a questionnaire and carrying out an otorhinolaryngoiatric visit.A significant reduction in the intensity of headache, snoring and insomnia in the Group A compared to the Group B were demonstrated. In the Group A, a significant lower presence of amount of secretions (Group A 0.88, 95% CI 0.57-1.18 vs. Group B 2.00, 95% CI 1.69-2.31, p < 0.001), turbinate hypertrophy (Group A 1.70, 95% CI 1.46-1.94 vs. Group B 2.53, 95% CI 2.29-2.77, p < 0.001

2018 Gynecologic and obstetric investigation

230. Spontaneous haemorrhagic stroke complicating severe pre-eclampsia in pregnancy: a case report in a resource-limited setting in Cameroon. Full Text available with Trip Pro

Spontaneous haemorrhagic stroke complicating severe pre-eclampsia in pregnancy: a case report in a resource-limited setting in Cameroon. Spontaneous intracerebral haemorrhage is a rare complication of preeclampsia during pregnancy associated with a high morbidity and mortality. Compared with the non-pregnant women stroke rates are relatively rare during pregnancy.We report the case of a 32-year-old female Cameroonian gravida 4 para 3 who presented at 34 weeks of gestation with sudden onset (...) of right sided hemiplegia associated with headache, blurred vision and a blood pressure of 182/126. Cerebral CT scan confirmed a left parietal spontaneous haemorrhage. Emergency caesarean delivery was done and the recovery uneventful.This case highlights the importance of good neurological examination in pregnant women presenting with neurological symptoms as well as the place of multidisciplinary management in severe life threatening conditions.

2018 BMC Pregnancy and Childbirth

231. Spontaneous pregnancy after full recovery from hypopituitarism caused by lymphocytic hypophysitis Full Text available with Trip Pro

Spontaneous pregnancy after full recovery from hypopituitarism caused by lymphocytic hypophysitis Lymphocytic hypophysitis (LyH) has been known to be associated with pregnancy. We herein report the case of a 33-year-old woman who underwent vaginal delivery without massive bleeding at 40 weeks of gestation. Because of the presence of headache and terrible fatigue after childbirth, she visited our hospital. Severe hyponatremia (Na, 118 mEq/L) and visual field abnormality was noted upon (...) and finally withdrawn 27 months later. After prednisolone withdrawal, her pituitary function remained normal despite the absence of any hormonal replacement. A year later, she became pregnant without medication and delivered a second baby without LyH recurrence. Thereafter, her pituitary function has been normal for more than 5 years. Two valuable observations can be highlighted from the case. First, the patient completely recovered from LyH through prompt prednisolone therapy during its initial phase

2018 Endocrinology, diabetes & metabolism case reports

232. Subtotal Resection of an Anaplastic Ganglioglioma in Pregnancy Full Text available with Trip Pro

Subtotal Resection of an Anaplastic Ganglioglioma in Pregnancy Anaplastic ganglioglioma is a rare malignant brain tumor associated with high morbidity and mortality. The diagnosis of a central nervous system malignancy in the early 3rd trimester presents management challenges to both neurosurgeons and obstetricians.A 33-year-old woman, gravida 2 para 1, presented at 28 6/7 weeks with four months of worsening headaches, nausea, vomiting, and mental status changes due to a 7.5 cm anaplastic (...) ganglioglioma. Maternal deterioration necessitated subtotal tumor debulking allowing prolongation of the gestation to 34 6/7 weeks. After delivery, the patient underwent further resection, followed by chemotherapy and radiation. Both mother and infant are well.This case underscores the importance of timely diagnostic imaging in pregnant women and demonstrates subtotal tumor debulking as a viable means of prolonging gestation.

2018 Case reports in obstetrics and gynecology

233. Treatment of iron deficiency and iron deficiency anemia with intravenous ferric carboxymaltose in pregnancy Full Text available with Trip Pro

Treatment of iron deficiency and iron deficiency anemia with intravenous ferric carboxymaltose in pregnancy To evaluate the efficacy and safety of intravenous ferric carboxymaltose administration to pregnant women with varying severities of iron deficiency anemia and iron deficiency without anemia.In this prospective observational study of local obstetric practice, we analyzed data from 863 pregnant women with iron deficiency according to anemia status and severity. All women were treated (...) ). No hemoconcentration occurred in iron-deficient women without anemia. No serious adverse events were recorded, with minor temporary side effects (including local skin irritation, nausea, and headache) occurring in 96 (11%) women. No adverse fetal or neonatal outcomes were observed.Ferric carboxymaltose infusion corrects iron deficiency or various degrees of iron deficiency anemia efficaciously and safely pregnant women, and does not cause hemoconcentration.

2018 Archives of gynecology and obstetrics

234. Intrahepatic Cholangiocarcinoma Masquerading as Acute Fatty Liver of Pregnancy: A Case Report and Review of the Literature Full Text available with Trip Pro

Intrahepatic Cholangiocarcinoma Masquerading as Acute Fatty Liver of Pregnancy: A Case Report and Review of the Literature Cholangiocarcinoma (CCA) is an uncommon cancer and accounts only for 3% of all gastrointestinal malignancies. In this report, we present a case of an intrahepatic cholangiocarcinoma masquerading as acute fatty liver of pregnancy (AFLP). A 38-year-old female who is 36-week pregnant presented with a 1-week history of headache, nausea, vomiting, and right upper abdominal pain (...) with multiple satellite lesions in both lobes. Biopsy revealed the presence of intrahepatic CCA. CCA presenting during pregnancy is extremely rare with only 9 other cases reported in the literature. Therefore, the signs and symptoms can be easily confused with other more common disorders that occur during pregnancy.

2018 Case Reports in Hepatology

235. Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: a cross-sectional study. Full Text available with Trip Pro

educational levels. When asked to spontaneously mention the danger signs, more than half of the participants (n = 222, 57.8%) were able to mention only one to three danger signs. Only 104 (31%) had correct knowledge of at least four danger signs and nine (2.7%) were not able to mention any item. The most commonly known pregnancy danger signs were vaginal bleeding (81%); swelling of the fingers, face, and legs (46%); and severe headache (44%). Older women were 1.6 times more likely to have knowledge (...) Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: a cross-sectional study. Tanzania is among the countries with a high maternal mortality ratio. However, it remains unclear how information and education on danger signs of pregnancy translate into appropriate actions when a woman recognizes danger signs. This study aimed to determine women's knowledge of obstetric danger signs during pregnancy and their subsequent healthcare

2018 BMC Pregnancy and Childbirth

236. Community pharmacists' services for women during pregnancy and breast feeding in Kuwait: a cross-sectional study. Full Text available with Trip Pro

feeding.The top services provided to pregnant and lactating women were recommending vitamins and food supplements (89.8%) and contraception advice (83.4%), respectively. More than half of participants indicated that they would recommend medications for headache, constipation, cough, runny nose, sore throat, nausea/vomiting, indigestion, sore or cracked nipple and insufficient milk. Diarrhoea, haemorrhoids, insomnia, varicose vein, swelling of the feet and legs, vaginal itching, back pain, fever, mastitis (...) Community pharmacists' services for women during pregnancy and breast feeding in Kuwait: a cross-sectional study. This study was designed to identify the services provided by community pharmacists in Kuwait and their views regarding self-care in pregnancy and lactation. In addition, it determined the pharmacists' recommendations for treatment of pregnancy-related and breast feeding-related ailments.Cross-sectional questionnaire-based survey.Community pharmacies in Kuwait.207 pharmacies were

2018 BMJ open

237. The Association of Variations in Hip and Pelvic Geometry with Pregnancy-Related Sacroiliac Joint Pain Based on a Longitudinal Analysis. Full Text available with Trip Pro

to be correlated with the biomechanical factors which are determined by trunk load and hip/pelvic geometry. Previous studies have already found the association between symptoms and weight increase during pregnancy. However, the relationship between bony anatomy and pregnancy-related sacroiliac joint pain remains unknown.In total, 72 women were included in the final analysis. In pregnant women with self-reported sacroiliac joint pain, pain scores at 12, 24, 30, and 36 weeks of pregnancy were recorded (...) The Association of Variations in Hip and Pelvic Geometry with Pregnancy-Related Sacroiliac Joint Pain Based on a Longitudinal Analysis. Cross-sectional study using radiological measurements and longitudinal data analysis.We aim to explore hip/pelvic geometry on anteroposterior radiographs and examine if such parameters are associated with clinical symptoms.Pregnancy-related sacroiliac joint pain is a common disease and is responsible to the disability of daily activities. The etiology is likely

2018 Spine

238. Unusual indication of Cell therapy for hip osteonecrosis after pregnancy Full Text available with Trip Pro

stage II had progressed to stage III and collapse. The other 141 hips (97.3%) were without collapse and pain free. On MRI, as percentage of the volume of the femoral head, the osteonecrosis had decreased from 34.5% pre-operatively to 6% at the most recent follow-up. For women who had other children after treatment, a subsequent pregnancy was not associated with osteonecrosis.Patients with hip osteonecrosis following pregnancy had a low conversion rate to THA when treated early with cell therapy.© (...) Unusual indication of Cell therapy for hip osteonecrosis after pregnancy Osteonecrosis is a rare event during or after pregnancy. Due to the low number of cases, there is no report of long-term results after conservative surgery in this population.From 1992 to 2010, 145 consecutive female patients with unilateral symptomatic (94 stage I and 51 stage II) left hip osteonecrosis (ON) related to pregnancy were treated between 4 and 16 months after delivery with percutaneous mesenchymal stem cell

2018 SICOT-J

239. Developed diplopia due to a pituitary macroadenoma during pregnancy Full Text available with Trip Pro

Developed diplopia due to a pituitary macroadenoma during pregnancy Physiologic pituitary enlargement is common during normal pregnancy. However, symptoms such as diplopia, blurred vision and headache resulting from physiologic pituitary enlargement are very rare during pregnancy. A 43-year-old woman complained of sudden headache and left eye ptosis at 36th weeks of gestation. An magnetic resonance imaging (MRI) demonstrated the pituitary enlargement and a macroadenoma without a compressing (...) of the optic chiasm, but with an extension to the left cavernous sinus. 48 hours after the prescription of the bromocriptine, we had a spectacular evolution with disappearance of the headache and a total regression of the ptosis. We report a case of visual loss due to the physiologic pituitary enlargement or to the macroadenoma during pregnancy, which regressed after the prescription of bromocroptine.

2018 The Pan African medical journal

240. A rare presentation of pheochromocytoma in pregnancy: a case report Full Text available with Trip Pro

A rare presentation of pheochromocytoma in pregnancy: a case report Early diagnosis of pheochromocytoma and its proper management can lessen its mortality and morbidity. This case report describes a 24-year-old pregnant woman with an unusual presentation of pheochromocytoma.An Iranian 24-year-old primigravid woman from Kordistan province was referred to our center with left flank pain at 37 weeks of gestation. She had a history of gestational diabetes mellitus since the 12th week of gestation (...) which was managed by insulin administration. She also had a history of pulsatile bi-temporal headache for 2 years prior to her referral to us. She underwent complete abdominal and pelvic ultrasound imaging for her flank pain. This examination revealed a heterogeneous mass of 119 × 87 × 79 mm above her left kidney, highly suspicious of being an adrenal-originating tumor. Subsequently, we consulted an endocrinologist. She underwent abdominopelvic magnetic resonance imaging and her 24-hour urine

2018 Journal of medical case reports

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