Antepartum Complications of Pregnancy

2018 ◽  
Author(s):  
Gaea Moore
Keyword(s):  
Cardiac Arrest ◽  
Fatty Liver ◽  
Multidisciplinary Care ◽  
Multidisciplinary Care Team ◽  
Perimortem Cesarean Section ◽  
Acute Fatty Liver ◽  
Pregnant State ◽  
Antepartum Complications ◽  
In Pregnancy

Pregnancy presents unique considerations and challenges to the critical care provider, including the physiologic adaptations to the pregnant state, recruitment and collaboration with a multidisciplinary care team, determination of fetal status, preparing for and managing cardiac arrest in pregnancy, and evaluation and management of diseases unique to pregnancy (including preeclampsia and acute fatty liver of pregnancy). This review contains 48 references, and 4 tables. Key words: acute fatty liver of pregnancy, maternal cardiac arrest, perimortem cesarean section, preeclampsia, pregnancy

scholarly journals Fatal case of acute fatty liver of pregnancy

2020 ◽  
Vol 10 (1) ◽  
pp. 410
Author(s):  
Sarada Mamilla ◽  
Sandhya Rani ◽  
Gayathri . ◽  
Bhavana . ◽  
Ramya Bharghavi ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Fatty Liver ◽  
High Mortality ◽  
Disseminated Intravascular Coagulation ◽  
Fatal Case ◽  
Mortality And Morbidity ◽  
Intravascular Coagulation ◽  
Acute Fatty Liver ◽  
In Pregnancy

Acute fatty liver in pregnancy is a catstrophic condition with high mortality and morbidity. Delay in managing complications would result in fatality. We present a case of 22-year-old primi, who presented to us in labor with jaundice and later developed, disseminated intravascular coagulation, Vulval haematoma, reexploration, sepsis, ARDS and cardiac arrest and death.

scholarly journals Determination of Optimized Multidisciplinary Care Team for Maximal Antiretroviral Therapy Adherence

2012 ◽  
Vol 60 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Michael A. Horberg ◽  
Leo B. Hurley ◽  
William J. Towner ◽  
Michael W. Allerton ◽  
Beth T. Tang ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Multidisciplinary Care ◽  
Care Team ◽  
Therapy Adherence ◽  
Antiretroviral Therapy Adherence ◽  
Multidisciplinary Care Team

scholarly journals Acute Fatty Liver of Pregnancy and its Differentiation from Other Liver Diseases in Pregnancy

2015 ◽  
Vol 75 (08) ◽  
pp. 844-847 ◽  
Author(s):  
J. Maier ◽  
E. Schalinski ◽  
C. Häberlein ◽  
U. Gottschalk ◽  
L. Hellmeyer
Keyword(s):  
Fatty Liver ◽  
Liver Diseases ◽  
Acute Fatty Liver ◽  
In Pregnancy

P371 Case series of acute fatty liver in pregnancy and literature review

2009 ◽  
Vol 107 ◽  
pp. S520-S520
Author(s):  
A. Uku ◽  
G. Mohiyiddeen ◽  
M. Raghavan ◽  
J. Wynn ◽  
T. Onon
Keyword(s):  
Literature Review ◽  
Fatty Liver ◽  
Case Series ◽  
Acute Fatty Liver ◽  
In Pregnancy

scholarly journals Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest

2020 ◽  
Vol 4 (2) ◽  
pp. 218-230
Author(s):  
Madona Utami Dewi ◽  
Syahredi Syaiful Adnani ◽  
Emilzon Taslim
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Cesarean Section ◽  
Tension Pneumothorax ◽  
Pregnant Patient ◽  
Volume Resuscitation ◽  
Consciousness Level ◽  
Perimortem Cesarean Section ◽  
Acute Event ◽  
In Pregnancy

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation

Liver and endocrine diseases in pregnancy

2020 ◽  
pp. 295-305
Author(s):  
Catherine Williamson
Keyword(s):  
Fatty Liver ◽  
Rare Diseases ◽  
Adverse Outcomes ◽  
Reproductive Age ◽  
Endocrine Glands ◽  
Autoimmune Hypothyroidism ◽  
Endocrine Diseases ◽  
Acute Fatty Liver ◽  
Specific Disorders ◽  
In Pregnancy

Liver and endocrine diseases are sufficiently common in pregnancy that the majority of obstetricians will manage them regularly. They range from common disorders such as autoimmune hypothyroidism to rare diseases such as acute fatty liver of pregnancy. The liver and endocrine glands play important roles in homeostasis and metabolism, and abnormalities in their functioning can result in adverse outcomes for pregnant women and their children. This chapter describes the presentation and management of pregnancy-specific disorders of the liver and endocrine glands, and also focuses on the commoner disorders of these organs that can occur in women of reproductive age, and therefore which may also have an impact on pregnancy.

scholarly journals The association between acute fatty liver disease and nitric oxide during malaria in pregnancy

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mamoru Niikura ◽  
Toshiyuki Fukutomi ◽  
Shoichiro Mineo ◽  
Jiro Mitobe ◽  
Fumie Kobayashi
Keyword(s):  
Nitric Oxide ◽  
Liver Disease ◽  
Fatty Liver ◽  
Fatty Infiltration ◽  
Malaria In Pregnancy ◽  
Pregnant Mice ◽  
Acute Fatty Liver ◽  
Ifn Γ ◽  
In Pregnancy

Abstract Background Liver disease is a common feature of malaria in pregnancy, but its pathogenesis remains unclear. Methods To understand the pathogenesis of liver disease during malaria in pregnancy, comparative proteomic analysis of the liver in a mouse model of malaria in pregnancy was performed. Results Decreased levels of mitochondrial and peroxisomal proteins were observed in the livers of pregnant mice infected with the lethal rodent malaria parasite Plasmodium berghei strain NK65. By contrast, increased levels of perilipin-2, amyloid A-1, and interferon (IFN)-γ signalling pathway-related proteins were observed in the livers of infected pregnant mice, suggesting that IFN-γ signalling may contribute to the development of liver disease during malaria in pregnancy. IFN-γ signalling is a potential trigger of inducible nitric oxide synthase (iNOS) expression. Liver disease associated with microvesicular fatty infiltration and elevated liver enzymes in pregnant wild-type mice infected with malaria parasites was improved by iNOS deficiency. Conclusions In this study, a causative role of iNOS in liver disease associated with microvesicular fatty infiltration during malaria in pregnancy was demonstrated. These findings provide important insight for understanding the role of iNOS-mediated metabolic responses and the pathogenesis of high-risk liver diseases in pregnancy, such as acute fatty liver.

scholarly journals Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest

2020 ◽  
Vol 4 (2) ◽  
pp. 249-261
Author(s):  
Madona Utami Dewi ◽  
Syahredi Syaiful Adnani ◽  
Emilzon Taslim
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Cesarean Section ◽  
Tension Pneumothorax ◽  
Pregnant Patient ◽  
Volume Resuscitation ◽  
Consciousness Level ◽  
Perimortem Cesarean Section ◽  
Acute Event ◽  
In Pregnancy

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation

scholarly journals Factors Determining the Intensive Care Need in Help Syndrome & AFLP in Pregnancy

2021 ◽  
Vol 6 (2) ◽  
pp. 1-5
Author(s):  
Aydin Atis Alev ◽  
Keyword(s):  
Intensive Care ◽  
Fatty Liver ◽  
Liver Enzyme ◽  
Elevated Liver Enzyme ◽  
Mortality And Morbidity ◽  
Factors Affecting ◽  
Acute Fatty Liver ◽  
In Pregnancy

To compare factors affecting mortality and morbidity in HELLP (Hemolysis, Elevated Liver Enzyme Levels, and Low Platelets) syndrome & AFLP (Acute fatty liver of pregnancy).

Sign in / Sign up

Export Citation Format

Share Document