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Headache in Pregnancy

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261. Headache and migraine during pregnancy and puerperium: the MIGRA-study Full Text available with Trip Pro

Headache and migraine during pregnancy and puerperium: the MIGRA-study There is little prospectively gathered data on the course of headaches during pregnancy and postpartum, and the influence of breastfeeding is unclear. This is a large, prospective study, which invited all pregnant women in the catchment area during a defined period. All participants (n = 2,126) filled in questionnaires concerning headache. Among these, a total of 208 women with migraine according to the International (...) Headache Society criteria also filled in detailed headache diaries during pregnancy and the puerperal period. Freedom from earlier headaches during pregnancy was significantly more common than new onset of headache during pregnancy (p < 0.001). This was not influenced by prior use of oral contraceptives. According to the diaries, there was a gradual decrease during pregnancy in the frequency of all headaches and of self-considered migraine. There was also a significant decrease in the duration

2011 The journal of headache and pain

262. Large Vestibular Schwannomas Presenting during Pregnancy: Management Strategies Full Text available with Trip Pro

Large Vestibular Schwannomas Presenting during Pregnancy: Management Strategies Objective Large vestibular schwannomas rarely present in pregnant women. Diagnosis and management of these tumors during pregnancy present a therapeutic challenge. Methods A 20-year-old primigravida woman at 26 weeks' gestation was transferred to our facility with gait imbalance, left facial weakness, left ear hearing loss, and recent nausea and vomiting. Magnetic resonance imaging revealed a large left (...) cerebellopontine angle mass with extension into the left internal auditory canal and compression of the fourth ventricle resulting in mild hydrocephalus. The patient was admitted with a plan for early delivery at 32 weeks followed by tumor resection. One week later, the patient's headache and neurologic symptoms worsened due to increased hydrocephalus; a ventriculoperitoneal shunt was placed. The next day, an emergent cesarean delivery was performed due to worsening respiratory status. Four days later

2014 Journal of neurological surgery. Part B, Skull base

263. Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature Full Text available with Trip Pro

Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature Hemorrhagic stroke is responsible for significant morbidity and mortality. Postpartum and pregnancy are risk period. Only urgent care in intensive care units may improve prognosis. We report the case of 22 years old's Morrocan, who presented to our department with an intense headache headset followed a few hours later by consciousness disorder. Clinical examination at admission has objectified a woman (...) obsessed with a GCS 13, normotensive, the labstix is negative. A brain scan was performed showing left temporal intra parenchymal hematoma with ventricular flooding and subfalcine herniation. An external ventricular shunt was made. The patient was extubated on day 2 of hospitalization, with progressive neurological improvement. Concerning obstetrical care, the pregnancy has evolved harmoniously without any growth retardation or other abnormalities, with full-term vaginal delivery of a healthy 3kg200

2014 The Pan African medical journal

264. Cerebral Vein Thrombosis after Spinal Anaesthesia with Pregnancy Full Text available with Trip Pro

signs and symptoms. Headache is the most common reason for admission to the hospital. Thromboembolic events in pregnancy are an important reason of maternal morbidity and mortality. Most cases of cerebral venous thrombosis in pregnancy occur in the postpartum period. Confusion, convulsions and respiratory arrest occurred in 37-year-old female patient after 3 hours from operation. Cerebral vein thrombosis was diagnosed, owing to laboratory and neuroradiological findings. In this article, we have (...) Cerebral Vein Thrombosis after Spinal Anaesthesia with Pregnancy Thrombosis of cerebral veins or thrombosis of cortical and deep veins that empty into the sinuses can cause serious neurological syndromes. Cerebral vein thrombosis is seen, especially between the ages of 20-35. The predisposing factors in 80% of patients can be determined. Pregnancy, postpartum period and spinal anaesthesia are among the predisposing factors. Diagnosis of the disease is difficult due to the variety of clinical

2014 Turkish journal of anaesthesiology and reanimation

265. The Optimal Treatment of Severe Hypertension in Pregnancy Update of the Role of Nicardipine. (Abstract)

. The combined results indicate a similar success-rate of treatment with nicardipine compared to labetalol during pregnancy. Women treated with nicardipine had more often tachycardia, headache and nausea compared to women treated with labetalol. Hypotension resulting in fetal distress was found more often in the labetalol group.Nicardipine is a potent drug to control hypertension during pregnancy with side effects including maternal headaches, nausea and tachycardia. Labetalol had more neonatal side effects (...) The Optimal Treatment of Severe Hypertension in Pregnancy Update of the Role of Nicardipine. Hypertensive disorders in pregnancy remain a major cause of maternal morbidity and mortality. Blood pressure control is essential for maternal and neonatal outcome. Therefore, we analyzed the potency and side effects of two treatment options (nicardipine compared to labetalol) in order to gain insight in improved treatment of severe hypertension during pregnancy and to evaluate the feasibility

2014 Current pharmaceutical biotechnology

266. Peripheral nerve blocks in the treatment of migraine in pregnancy. Full Text available with Trip Pro

headache resolution.Peripheral nerve blocks for treatment-refractory migraine may be an effective therapeutic option in pregnancy. (...) Peripheral nerve blocks in the treatment of migraine in pregnancy. To describe the use of peripheral nerve blocks in a case series of pregnant women with migraine.A retrospective chart review of all pregnant patients treated with peripheral nerve blocks for migraine over a 5-year period was performed. Injections targeted greater occipital, auriculotemporal, supraorbital, and supratrochlear nerves using local anesthetics.Peripheral nerve blocks were performed 27 times in 13 pregnant women either

2014 Obstetrics and Gynecology

267. Babesiosis in pregnancy. (Abstract)

, and medication overuse headache. Babesiosis was diagnosed only after she became acutely ill with hemolysis. She was treated with standard antibiotics and had an uncomplicated pregnancy and healthy newborn.Diagnosis of babesiosis in pregnancy requires a high index of suspicion to ensure early treatment and optimal pregnancy outcomes. (...) Babesiosis in pregnancy. Babesiosis is an emerging infectious disease caused by a tick-borne parasite that infects red blood cells. Pregnancy is a relatively immunocompromised state that can underlie severe manifestations of parasitic disease.A healthy primiparous patient in the second trimester developed nonspecific symptoms after a tick bite. Evaluation by obstetrics, primary care, and neurology over 4 weeks yielded diagnoses of Lyme disease, upper respiratory infection, migraine

2014 Obstetrics and Gynecology

268. Conservative management of cavernous sinus cavernous hemangioma in pregnancy. Full Text available with Trip Pro

Conservative management of cavernous sinus cavernous hemangioma in pregnancy. Cavernous sinus cavernous hemangiomas in pregnancy are extremely rare lesions. The precise management of these lesions remains unknown. The authors present a case of a cavernous hemangioma in pregnancy, centered within the cavernous sinus that underwent postpartum involution without surgical intervention. A 34-year-old pregnant patient (gravida 1, para 0) presented to an otolaryngologist with persistent headache (...) and left-sided facial pain and numbness in the V1 distribution. While being treated for sinusitis, her symptoms progressed to include a left-sided oculomotor palsy and abducens palsy. Magnetic resonance imaging without contrast revealed an expansile mass within the left cavernous sinus consistent with a cavernous hemangioma. The patient was evaluated by a neurosurgeon who recommended close follow-up and postpartum imaging without surgical intervention. Although the lesion enlarged during pregnancy

2014 Journal of Neurosurgery

269. A Risk Prediction Model for the Assessment and Triage of Women with Hypertensive Disorders of Pregnancy in Low-Resourced Settings: The miniPIERS (Pre-eclampsia Integrated Estimate of RiSk) Multi-country Prospective Cohort Study. Full Text available with Trip Pro

A Risk Prediction Model for the Assessment and Triage of Women with Hypertensive Disorders of Pregnancy in Low-Resourced Settings: The miniPIERS (Pre-eclampsia Integrated Estimate of RiSk) Multi-country Prospective Cohort Study. Pre-eclampsia/eclampsia are leading causes of maternal mortality and morbidity, particularly in low- and middle- income countries (LMICs). We developed the miniPIERS risk prediction model to provide a simple, evidence-based tool to identify pregnant women in LMICs (...) at increased risk of death or major hypertensive-related complications.From 1 July 2008 to 31 March 2012, in five LMICs, data were collected prospectively on 2,081 women with any hypertensive disorder of pregnancy admitted to a participating centre. Candidate predictors collected within 24 hours of admission were entered into a step-wise backward elimination logistic regression model to predict a composite adverse maternal outcome within 48 hours of admission. Model internal validation was accomplished

2014 PLoS medicine

270. Comparing Buccal and Vaginal Misoprostol in Management of Early Pregnancy Loss

Comparing Buccal and Vaginal Misoprostol in Management of Early Pregnancy Loss Comparing Buccal and Vaginal Misoprostol in Management of Early Pregnancy Loss - 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 (...) . Comparing Buccal and Vaginal Misoprostol in Management of Early Pregnancy Loss 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. Read our for details. ClinicalTrials.gov Identifier: NCT02141555 Recruitment Status : Unknown Verified May 2014 by Sheila Mody, University of California, San Diego. Recruitment status was: Not yet recruiting First Posted : May 19

2014 Clinical Trials

271. Magnesium Sulfate in Pregnancy and Postpartum

Magnesium Sulfate in Pregnancy and Postpartum Magnesium Sulfate in Pregnancy and Postpartum - 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. Magnesium Sulfate in Pregnancy and Postpartum (MAG-PP) The safety (...) Arias Madrid Study Details Study Description Go to Brief Summary: There are huge doubts as to how long to keep postpartum magnesium sulfate. Studies demonstrating the usefulness for 24, 12 or 6 hours are of little evidence and do not take into account the use of magnesium sulphate before delivery. Termination of pregnancy is the best option to prevent eclampsia and magnesium sulphate has proven effective, but do not know the minimum effective dose.The investigators believe that if the patient has

2014 Clinical Trials

272. A prospective cohort study of the association between drinking water arsenic exposure and self-reported maternal health symptoms during pregnancy in Bangladesh Full Text available with Trip Pro

/vomiting, abdominal cramping, headache, vaginal bleeding, or swollen ankles). Compared to participants exposed to the lowest quartile of arsenic (≤0.9 μg/L), the aOR for reporting any symptom during pregnancy was 0.62 (95% CI = 0.44-0.88) in the second quartile, 1.83 (95% CI = 1.25-2.69) in the third quartile, and 2.11 (95% CI = 1.42-3.13) in the fourth quartile where the mean arsenic concentration in each quartile was 1.5 μg/L, 12.0 μg/L and 144.7 μg/L, respectively. Upon examining individual symptoms (...) . A positive trend was also observed for abdominal cramping (P for trend <0.0001). A marginal negative association was observed between arsenic quartiles and odds of self-reported cold/flu/infection (P for trend = 0.08). No association was observed between arsenic and self-reported headache (P for trend = 0.19).Moderate exposure to arsenic contaminated drinking water early in pregnancy was associated with increased odds of experiencing nausea/vomiting and abdominal cramping. Preventing exposure to arsenic

2014 Environmental Health

273. Adrenal Disease and Pregnancy (Overview)

Adrenal Disease and Pregnancy (Overview) Adrenal Disease and Pregnancy: Overview, Adrenal Glands in Pregnancy, Renin-Angiotensin-Aldosterone System in Pregnancy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI3NzcyLW92ZXJ2aWV3 processing > Adrenal Disease and Pregnancy Updated: Nov 15, 2016 Author: Mini R Abraham, MD; Chief Editor: Carl V Smith, MD Share Email Print Feedback Close Sections Sections Adrenal Disease and Pregnancy Overview Overview Adrenal disease—including disorders such as (CAH), Addison disease, Cushing syndrome, , and primary hyperaldosteronism—can reduce female fertility or severely impact maternal and fetal health during pregnancy. Adrenal insufficiency, for example, was associated with a 35-45

2014 eMedicine.com

274. Teratology and Drug Use During Pregnancy (Overview)

stating not to use valproate derivatives in women of childbearing age unless the drug is essential to the management of seizures, or for manic episodes associated with bipolar disorder (FDA fetal risk category D). It should not be used for migraine headache prophylaxis during pregnancy (FDA fetal risk category X). Previous Next: Discussion of Specific Agents: Psychiatric Medications Benzodiazepines (alprazolam, chlordiazepoxide, clobazam, clonazepam, diazepam, estazolam, flurazepam, halazepam (...) Teratology and Drug Use During Pregnancy (Overview) Teratology and Drug Use During Pregnancy: Overview, Approach to Patients Needing Medication During Pregnancy, Example Mechanisms of Teratogenesis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

275. Thrombocytopenia in Pregnancy (Overview)

Thrombocytopenia in Pregnancy (Overview) Thrombocytopenia in Pregnancy: Overview, Definition and Clinical Manifestations, Etiologic Classification Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjcyODY3LW92ZXJ2aWV3 processing > Thrombocytopenia in Pregnancy Updated: Sep 30, 2016 Author: Natalie A Bowersox, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Thrombocytopenia in Pregnancy Overview Overview Thrombocytopenia, or a low blood platelet count, is encountered in 7-12% of all pregnancies. [ ] Women are more commonly diagnosed with platelet disorders during pregnancy since screening is done as part of the initial clinic evaluation with automated blood counts

2014 eMedicine.com

276. Seizure Disorders in Pregnancy (Overview)

the drug is essential to the management of seizures, or for manic episodes associated with bipolar disorder (FDA fetal risk category D). It should not be used for migraine headache prophylaxis during pregnancy (FDA fetal risk category X). Carbamazepine In 1989, a syndrome that included craniofacial abnormalities and hypoplastic nails was described in infants exposed to carbamazepine monotherapy in utero. [ ] In a 1996 cohort study, 6 of 47 infants demonstrated this syndrome. [ ] These infants also had (...) Seizure Disorders in Pregnancy (Overview) Seizure Disorders in Pregnancy: Overview, Fetal Congenital Abnormalities and Adverse Outcomes, Mechanisms of Teratogenicity Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

277. Common Pregnancy Complaints and Questions (Overview)

, and oral erythromycin are all safe. Although topical tretinoin has not been reported to cause risk, no studies have established its safety and it should be avoided. Tetracyclines are contraindicated during pregnancy. Appropriate cleansing with mild abrasion aids has been found to be helpful. Will changes in headache patterns occur during pregnancy? For most women, headaches remain unchanged during pregnancy. Some women improve, but some may worsen. Because migraines have a hormonal component, many (...) women's migraines improve with increasing estrogen levels, such as those that occur during pregnancy. For women whose conditions remain unchanged or worsen, treatment options are limited, especially in the first trimester. Some clinicians suggest acetaminophen, narcotics, and antiemetics. Nonpharmacologic treatments include relaxation strategies, eliminating stressors, and a good exercise program. These should first be attempted before pharmacologic therapy. Note that women with migraine headaches

2014 eMedicine.com

278. Viral Infections and Pregnancy (Overview)

Viral Infections and Pregnancy (Overview) Viral Infections and Pregnancy: Background, Clinical Presentation, Workup Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjM1MjEzLW92ZXJ2aWV3 processing > Viral Infections (...) and Pregnancy Updated: May 02, 2017 Author: Teresa Marino, MD; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Viral Infections and Pregnancy Background Viral infections in pregnancy are major causes of maternal and fetal morbidity and mortality. Infections can develop in the neonate transplacentally, perinatally (from vaginal secretions or blood), or postnatally (from breast milk or other sources). The clinical manifestations of neonatal infections vary depending

2014 eMedicine.com

279. Hematologic Disease and Pregnancy (Overview)

to meet the demands of pregnancy. Pregnant women are encouraged to supplement their diet with 60 mg of elemental iron daily. An MCV less than 80 mg/dL and hypochromia of the RBCs should prompt further studies, including total iron-binding capacity, ferritin levels, and Hb electrophoresis if iron deficiency is excluded. Clinical symptoms of include fatigue, headache, restless legs syndrome, and pica (in extreme situations). Treatment consists of additional supplementation with oral (320 mg, 1-3 times (...) Hematologic Disease and Pregnancy (Overview) Anemia and Thrombocytopenia in Pregnancy: Anemias in Pregnancy, Sickle Cell Hemoglobinopathies in Pregnancy, Thalassemias in Pregnancy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

280. Genital Herpes in Pregnancy (Overview)

Genital Herpes in Pregnancy (Overview) Genital Herpes in Pregnancy: Overview, Genital HSV Infections, Perinatal Transmission of HSV Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjc0ODc0LW92ZXJ2aWV3 processing (...) > Genital Herpes in Pregnancy Updated: Jan 20, 2017 Author: Marie K Grove, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Genital Herpes in Pregnancy Overview Overview Infection with genital herpes simplex virus (HSV) (see the image below) remains a common viral sexually transmitted disease, often subclinical, and a major worldwide problem in women of reproductive age. Genital herpetic infection. See , a Critical Images slideshow, for more information on clinical

2014 eMedicine.com

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