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Headache in Pregnancy

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5061. Dural puncture. Elective forceps delivery not indicated. Full Text available with Trip Pro

Dural puncture. Elective forceps delivery not indicated. 8369059 1993 07 27 2018 11 13 0959-8138 306 6888 1993 May 15 BMJ (Clinical research ed.) BMJ Dural puncture. Elective forceps delivery not indicated. 1339 Robson M M McQuillan C C Stronge J M JM eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1993 Apr 3;306(6882):874-6 8490408 Analgesia, Epidural adverse effects Analgesia, Obstetrical adverse effects Female Headache etiology Humans Obstetric Labor Complications Obstetrical (...) Forceps Pregnancy 1993 5 15 1993 5 15 0 1 1993 5 15 0 0 ppublish 8369059 PMC1677756 Anaesthesia. 1987 Jan;42(1):1-2 3826568 BMJ. 1993 Apr 3;306(6882):874-6 8490408

1993 BMJ : British Medical Journal

5062. Pitfalls in diagnosis and management of carbon monoxide poisoning. Full Text available with Trip Pro

Pitfalls in diagnosis and management of carbon monoxide poisoning. Five members of one family suffering from carbon monoxide poisoning are described. Three were initially diagnosed as food poisoning cases at another hospital. A high level of suspicion is required to ensure early diagnosis. Indications for hyperbaric oxygen include: loss of consciousness, neurological signs and symptoms other than mild headache, cardiac complications, carboxyhaemoglobin > 40%, and pregnancy.

1996 Journal of accident & emergency medicine

5063. Systemic effects of oral contraceptives. Full Text available with Trip Pro

Female Glucose metabolism Headache chemically induced Humans Hypertension chemically induced Lipid Metabolism Liver drug effects Liver Neoplasms chemically induced Myocardial Infarction chemically induced Neoplasms chemically induced Risk Thrombophlebitis chemically induced 026720 00136613 Reduced estrogen content has significantly decreased the risks of oral contraceptive (OC) use. However, the systemic effects of OCs, but it is unclear if this change is physiologically significant. Estrogen (...) -mediated inhibition of cortisol levels may contribute to the impairment of glucose tolerance by OCs. Women at high risk for diabetes, older than 35, obese, with family history of diabetes, or who have had glucose intolerance during previous pregnancies should either not take OCs or take pregestin-only pills. OCs raise plasma triglyceride levels 30-50 mg per dl in users of all ages. High density lipoprotein (HDL) cholesterol is also affected, and cholesterol and triglyceride levelshould be measured

1984 Western Journal of Medicine

5064. Inadvertent dural puncture : Avoiding unintentional puncture is a primary goal of obstetric anaesthetists Full Text available with Trip Pro

Inadvertent dural puncture : Avoiding unintentional puncture is a primary goal of obstetric anaesthetists 10885918 2000 07 03 2018 11 13 0959-8138 320 7245 2000 May 13 BMJ (Clinical research ed.) BMJ Inadvertent dural puncture. Avoiding unintentional puncture is a primary goal of obstetric anaesthetists. 1338-9 Cyna A A eng Letter England BMJ 8900488 0959-8138 AIM IM Anesthesia, Obstetrical adverse effects Blood Patch, Epidural methods Dura Mater injuries Female Headache etiology Humans (...) Pregnancy Punctures Spinal Puncture adverse effects 2000 7 8 2000 7 8 0 1 2000 7 8 0 0 ppublish 10885918 PMC1127324 Acta Anaesthesiol Scand. 1996 Jul;40(6):710-4 8836266 Can J Anaesth. 1999 Sep;46(9):878-86 10490158 BMJ. 1993 Apr 3;306(6882):883-5 8490410 BMJ. 2000 Jan 8;320(7227):127 10625287 Anesthesiology. 1978 Aug;49(2):147-8 686425 Can J Anaesth. 1998 Feb;45(2):110-4 9512843

2000 BMJ : British Medical Journal

5065. Perceived side effects of oral contraceptives among adolescent girls. Full Text available with Trip Pro

effects Female Humans Ontario Pregnancy Pregnancy in Adolescence Psychology, Adolescent 802922 00083493 Knowledge and attitudes of adolescent females regarding the side effects of oral contraceptives were investigated. The data source was a large study of sexual and contraceptive attitudes and experience. The questionnaire responses of 486 single females attending 10 birth control and pregnancy counseling centers in Ontario, Canada were examined. The age range of the subjects was from 13-20; 71% were (...) attending school and 69% were living at home. They were attending the centers in order to obtain contraceptives (55%), to renew OC prescriptions (20%), or to receive pregnancy counseling (25%). 29% of the subjects had used OCs before coming to the clinic, but 91% planned to use OC after their clinic visit. 8% were planning to use an IUD; 1% were planning to use a diaphragm; and less than 1% were planning to have their boyfriend use condoms. 85% of the subjects indicated that they had heard abut side

1980 Canadian Medical Association Journal

5066. Dural sinus thrombosis presenting three months postpartum. (Abstract)

Dural sinus thrombosis presenting three months postpartum. Dural sinus thrombosis is a rare complication of pregnancy and the puerperium. We report a case of dural sinus thrombosis that presented as a persistent headache and then a new-onset seizure in a previously healthy 28-year-old woman 3 months postpartum. Subtle changes consistent with sinus thrombosis were present on noncontrast computed tomography, but magnetic resonance venography ultimately confirmed the diagnosis. Anticonvulsant

2003 Annals of Emergency Medicine

5067. Reversible cortical blindness in preeclampsia. (Abstract)

Reversible cortical blindness in preeclampsia. To report the clinical course and magnetic resonance imaging (MRI) findings in a 28-year-old woman with preeclampsia and reversible cortical blindness.Interventional case report.The patient presented at the 37th week of pregnancy with headache and hypertension. The next day, her visual acuity decreased to light perception in both eyes. After emergent cesarean section, examination revealed reactive pupils and normal fundi.Magnetic resonance imaging

2002 American Journal of Ophthalmology

5068. Duloxetine in the long-term treatment of major depressive disorder. (Abstract)

to discontinuation were nausea (1.5%), somnolence (1.4%), vomiting (0.9%), hypomania (0.8%), pregnancy (0.8%), dizziness (0.6%), insomnia (0.6%), and hypertension (0.5%). Treatment-emergent adverse events that were reported by > 10% of patients included nausea, insomnia, headache, somnolence, dry mouth, dizziness, constipation, sweating increase, anxiety, diarrhea, and fatigue. Most events occurred early in the study. Of those events that first occurred or worsened after discontinuation, only dizziness (8.3

2003 Journal of Clinical Psychiatry

5069. Hypertension in Pregnancy

, even when these symptoms are present, in most instances eclampsia does not develop: • severe headaches (especially occipital headaches) • Brisk reflexes >3+ (3+ is hyperactive without clonus, 4+ is hyperactive with 9 Obstetric Guideline 11 – Hypertension in Pregnancy unsustained clonus, 5+ is hyperactive with sustained clonus) • Visual disturbances 8.1.4 HELLP syndrome (partial/complete) 8.1.5 Other signs of CNS disturbance (from Yorkshire guidelines) • signs of clonus (>3 beats) • Papilloedema 9 (...) Hypertension in Pregnancy June, 2006 BCRCP OBSTETRIC GUIDELINE 11 HYPERTENSION IN PREGNANCY Summary_______________________ 2 The TESS Ad Hoc Advisory Working Group _________________ 2 1. Introduction _________________ 3 2. Relevance __________________3-4 2.1 Adverse Maternal Outcome 2.2 Adverse Neonatal Outcome 3. Risk Factors__________________ 4 4. Classi?cation _______________4-5 4.1 Measurement of Blood Pressure 4.2 Current Canadian Hypertension Society (CHS) De?nitions 5

2006 British Columbia Perinatal Health Program

5070. Dexamethasone in Benign Headaches

doctor’s visits and allow a return to normal daily activity. To answer these questions, they designed a randomized, double-blind, placebo-controlled trial of adults presenting to the ED with benign headache (as diagnosed by the ED doc). Exclusions were reasonable: pregnancy, fever, stiff neck, focal neuro deficit, or cause to worry about immunosupression (active PUD, DM I, systemic fungal infection, or already taking steroids). Of note, the dexamethasone was given IV, and the IV could not be placed (...) Dexamethasone in Benign Headaches Dexamethasone in Benign Headaches « Sinai EM Journal Club Emergency Medicine Discussion Forum Dexamethasone in Benign Headaches This week in journal club, Matt reviewed a nice little trial submitted by a group of Texans to the Canadian Journal of Emergency Medicine. They studied IV dexamethasone in preventing benign headache recurrence ( , ) – something I had never tried, but apparently has been bouncing around the neurology and EM literature for . It turns out

2007 Sinai EM Journal Club

5071. Pregnancy induced hypertension (including eclampsia)

Induced Hypertension (including eclampsia)Pregnancy Induced Hypertension (including eclampsia) Page 2 of 2 October 2006 Obstetrics and Gynaecological Emergencies Obstetrics & Gynaecological Emergencies Evaluate whether the patient has any TIME CRITICAL features: ? convulsions ? headache – severe and frontal ? visual disturbances ? epigastric pain – often mistaken for heartburn ? right-sided upper abdominal pain – due to stretching of the liver capsule ? muscle twitching or tremor ? confusion. Severe (...) Pregnancy induced hypertension (including eclampsia) Obstetrics and Gynaecological Emergencies October 2006 Page 1 of 2 Obstetrics & Gynaecological Emergencies INTRODUCTION Pregnancy induced hypertension (PIH) Is a generic term used to de?ne a signi?cant rise in blood pressure during pregnancy, occurring after 20 weeks. Pre-eclampsia Is PIH associated with proteinuria. It can occur as early as 20 weeks but more commonly occurs beyond 24- 28 weeks. It is more common in ?rst pregnancies, multiple

2006 Joint Royal Colleges Ambulance Liaison Committee

5072. Obstetrics/Gynaecology - pregnancy induced hypertension (including eclampsia)

? check blood glucose level. Pregnancy Induced Hypertension (including eclampsia)Pregnancy Induced Hypertension (including eclampsia) Page 2 of 2 October 2006 Obstetrics and Gynaecological Emergencies Obstetrics & Gynaecological Emergencies Evaluate whether the patient has any TIME CRITICAL features: ? convulsions ? headache – severe and frontal ? visual disturbances ? epigastric pain – often mistaken for heartburn ? right-sided upper abdominal pain – due to stretching of the liver capsule ? muscle (...) Obstetrics/Gynaecology - pregnancy induced hypertension (including eclampsia) Obstetrics and Gynaecological Emergencies October 2006 Page 1 of 2 Obstetrics & Gynaecological Emergencies INTRODUCTION Pregnancy induced hypertension (PIH) Is a generic term used to de?ne a signi?cant rise in blood pressure during pregnancy, occurring after 20 weeks. Pre-eclampsia Is PIH associated with proteinuria. It can occur as early as 20 weeks but more commonly occurs beyond 24- 28 weeks. It is more common

2007 Joint Royal Colleges Ambulance Liaison Committee

5073. Guidelines for the management of hypertensive disorders of pregnancy 2008

Guidelines for the management of hypertensive disorders of pregnancy 2008 GUIDELINES FOR THE MANAGEMENT OF HYPERTENSIVE DISORDERS OF PREGNANCY 2008CONTENTS 1. Definition of hypertension in pregnancy Page 3 2. Recording blood pressure in pregnancy Page 4 3. Classification of hypertensive disorders in pregnancy Page 4 4. Investigation of new onset hypertension in pregnancy Page 7 5. Management of preeclampsia and gestational hypertension Page 8 6. Fetal Surveillance Page 13 7. Resolution (...) of preeclampsia Page 15 8. Management of chronic hypertension in pregnancy Page 16 9. Anaesthetic considerations in hypertensive disorders of pregnancy Page 17 10. Preconception management and prophylaxis for women at risk of preeclampsia Page 19 11. Auditing outcomes in women with hypertensive disorders of pregnancy Page 21 12. Longterm consequences of hypertensive disorders of pregnancy Page 21 13. References Page 22GUIDELINES FOR THE MANAGEMENT OF HYPERTENSIVE DISORDERS OF PREGNANCY 2008 Lowe SA, Brown MA

2008 Clinical Practice Guidelines Portal

5074. Use of nifedipine in the hypertensive diseases of pregnancy

with hydralazine, nifedipine imparted a significantly greater degree of blood-pressure control, more term deliveries and greater prolongation of pregnancy; in addition, nifedipine produced significantly less foetal distress and fewer days in neonatal intensive care unit. Maternal side-effects included headache (5 patients) and hypotension (3 patients). Cost information Compared with hydralazine, the use of nifedipine resulted in decreased hospitalisation charges due to the reduced time spent in neonatal (...) Use of nifedipine in the hypertensive diseases of pregnancy Use of nifedipine in the hypertensive diseases of pregnancy Use of nifedipine in the hypertensive diseases of pregnancy Levin A C, Doering P L, Hatton R C Authors' objectives To review available data about the use of nifedipine to treat hypertension in pregnancy. Searching MEDLINE, Excerpta Medica and BIOSIS Previews were searched from 1984 onwards for studies published in the English language, using the headings 'nifedipine

1994 DARE.

5075. Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

predicted a focal brain lesion. The presence of 1 or more of these 4 clinical ?ndings identi?ed all patients with focal lesions; these data have not been prospectively validated. As reported in other headache studies, focal motor de?cit had a strong Clinical Policy Volume ??, ??. ? : October ???? Annals of Emergency Medicine 411univariate association, with a positive predictive value of 41.7 and a P value of .02. 41 During pregnancy and the puerperium, it has been reported that the incidence of stroke (...) increases 3- to 13- fold. 42 Headache is frequently the symptom that prompts an emergent evaluation in these patients. The majority of pregnant women with headaches have benign causes. In one non-ED series of more than 1,100 pregnant women with headache, a very small number had serious secondary causes. 43 Although no reliable data exist, subarachnoid hemorrhage is thought to be increased during pregnancy, delivery and the puerperium, occurring in roughly 20 per 100,000 deliveries. 44 Case reports

2008 Congress of Neurological Surgeons

5076. Are there any contraindications to a woman who had cholestatic jaundice of pregnancy having HRT?

Are there any contraindications to a woman who had cholestatic jaundice of pregnancy having HRT? Are there any contraindications to a woman who had cholestatic jaundice of pregnancy having HRT? - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe (...) across other content types including images, videos, patient information leaflets, educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com Are there any contraindications to a woman who had cholestatic jaundice of pregnancy having HRT? We found no article of note in Medline. Via the TRIP Database ( ) we located the PRODIGY guideline

2006 TRIP Answers

5077. Are insect repellents safe to use in pregnancy (midtrimester)

dysmorphology) in a child whose mother had applied DEET daily throughout her pregnancy. One RCT in pregnant women (897 refugees in a Thai forest area of low malaria endemicity) comparing DEET (median dose 214.2 g/pregnancy) versus a cosmetic cream found no differences in weekly reporting of headache, dizziness, or nausea and vomiting over 2–6 months. It also found no adverse effects on infant survival, growth, or development at either birth or 1 year (survival: 95.2% with DEET v 94.0% with cosmetic cream; P (...) Are insect repellents safe to use in pregnancy (midtrimester) Are insect repellents safe to use in pregnancy (midtrimester) - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box

2006 TRIP Answers

5078. What hypertension treatments are safe in pregnancy, if the patient has asthma and is unable to take a beta-blocker?

experience with other calcium-channel blockers. Hydralazine seems to be safe for use during pregnancy, although a few cases of fetal thrombocytopenia have been reported. Use in pregnancy is normally restricted to intravenous treatment for hypertensive emergencies. Less commonly, it is used orally for mild to moderate hypertension. Taken orally as monotherapy, it is poorly tolerated because of adverse effects such as palpitations, headache, and dizziness. It is therefore usually combined with methyldopa (...) What hypertension treatments are safe in pregnancy, if the patient has asthma and is unable to take a beta-blocker? What hypertension treatments are safe in pregnancy, if the patient has asthma and is unable to take a beta-blocker? - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title

2005 TRIP Answers

5079. Are there any guidelines available about the management of hepatitis c in pregnancy?

conditions and pregnant women. Side effects (fatigue, nausea, headaches, depression) can be intolerable for some. The development of haemolytic anaemia may limit the use of ribavirin.” [4] The American Gastroenterological Association states: “Ribavirin is contraindicated in pregnancy, necessitating strict precautions and contraception in women of childbearing age and their sexual partners and in HCV-infected men with female partners of childbearing age.” [5] A guideline by the British Columbian Medical (...) Are there any guidelines available about the management of hepatitis c in pregnancy? Are there any guidelines available about the management of hepatitis c in pregnancy? - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches

2006 TRIP Answers

5080. Migraine in pregnancy Full Text available with Trip Pro

Migraine in pregnancy 18583683 2008 07 25 2018 11 13 1756-1833 336 7659 2008 Jun 28 BMJ (Clinical research ed.) BMJ Migraine in pregnancy. 1502-4 10.1136/bmj.39559.675891.AD Goadsby Peter J PJ Headache Group, Department of Neurology, University of California, San Francisco, CA 94143-0114, USA. peter.goadsby@ucsf.edu Goldberg Jay J Silberstein Stephen D SD eng Journal Article Review England BMJ 8900488 0959-8138 AIM IM Acute Disease Adult Breast Feeding Female Humans Migraine Disorders etiology (...) prevention & control therapy Pregnancy Pregnancy Complications etiology prevention & control therapy 24 2008 6 28 9 0 2008 7 26 9 0 2008 6 28 9 0 ppublish 18583683 336/7659/1502 10.1136/bmj.39559.675891.AD PMC2440903 Headache. 2000 Jan;40(1):20-4 10759898 Ann Pharmacother. 2008 Apr;42(4):543-9 18349309 Headache. 2001 Apr;41(4):351-6 11318881 Headache. 2001 Jul-Aug;41(7):646-57 11554952 N Engl J Med. 2002 Jan 24;346(4):257-70 11807151 Cephalalgia. 2003 Apr;23(3):197-205 12662187 Brain. 2004 May;127(Pt 5

2008 BMJ : British Medical Journal

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