scholarly journals Psychogenic Non-Epileptic Seizures in a Second-Trimester Pregnant Woman With a Previous Child Loss

2013 ◽  
Author(s):  
Ujjwala Jain ◽  
Jyotibala Jain ◽  
Vedavani Tiruveedhula ◽  
Ashish Sharma
Keyword(s):  
Pregnant Woman ◽  
Epileptic Seizures ◽  
Second Trimester ◽  
Child Loss ◽  
Previous Child

Does Active Smoking Influence the Second Trimester Biochemical Markers Concentrations?

2017 ◽  
Vol 68 (10) ◽  
pp. 2234-2236
Author(s):  
Dan Navolan ◽  
Florin Birsasteanu ◽  
Adrian Carabineanu ◽  
Octavian Cretu ◽  
Diana Liana Badiu ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Cigarette Smoke ◽  
Chorionic Gonadotropin ◽  
Reference Values ◽  
Biochemical Markers ◽  
Smoking Status ◽  
Active Smoking ◽  
Second Trimester ◽  
Harmful Effects

Cigarette smoke contains over 7000 different substances some of them exerting harmful effects on embryo and pregnant woman. Nowadays 15 % of adult people and around 10-15% of pregnant women smoke. Previous studies showed that cigarette smoke compounds could exert pharmacodinamic effects and influence some of the second trimester biochemical markers concentration. Therefore there is a need to adjust the reference values of second trimester markers depending of the smoker status. The aim of our study was to analyse which of the markers are influenced by smoking and whether the software used to calculate the risk for aneuploidies is able to counterbalance this influence. Alpha-fetoprotein (AFP), chorionic gonadotropin hormone (hCG) and free estriol (uE3) values were measured in second trimester sera of 1242 pregnant women: 1089 non-smokers and 153 smokers. Only hCG second trimester values were influenced by smoking whereas AFP and uE3 values were not. The correction of medians according to the smoking status was able to counterbalance this effect.

A Pregnant Woman with Type 2 Diabetes Unintentionally Exposed to Metformin and Voglibose until the Second Trimester of Pregnancy: A Case Report

2016 ◽  
Vol 17 (4) ◽  
pp. 277
Author(s):  
Yeo Un Kim ◽  
Jae Hoon Kwak ◽  
Se Hwan Yeo ◽  
Seong Su Moon ◽  
Young Sil Lee
Keyword(s):  
Type 2 Diabetes ◽  
Case Report ◽  
Pregnant Woman ◽  
Second Trimester

scholarly journals When Death Is Not the End: Continuing Somatic Care during Postmortem Pregnancy

2019 ◽  
Vol 86 (4) ◽  
pp. 275-282
Author(s):  
Jennifer J. Barr
Keyword(s):  
Pregnant Woman ◽  
Brain Death ◽  
Artificial Ventilation ◽  
Second Trimester ◽  
Brain Dead

Brain death during the second trimester of pregnancy creates a unique situation in which the mother is deceased, but life of the developing fetus still depends on somatic functions in the mother’s body. In this article, I show that when a pregnant woman becomes brain dead during the second trimester, it is morally licit, though not morally obligatory, to continue somatic support while the fetus develops. The interventions on the mother’s body are justified for the life of the fetus, especially in light of the unique mother–child dyad and the responsibilities the mother has for her child. However, this therapy is not frequently employed, and its success is unpredictable. In many cases, the expense and uncertain nature of the therapy may make it disproportionate. In such cases, somatic support of the mother’s body may be discontinued. Summary: When brain death is diagnosed during pregnancy, it is a challenging decision whether to use artificial ventilation and other heroic measures to support the developing fetus. This paper demonstrates that while these interventions are acceptable, they are not obligatory.

A Pregnant Woman with Cranial Aneurysm Rupture in the Second Trimester of Pregnancy

2020 ◽  
Vol 140 ◽  
pp. 229-232
Author(s):  
Emine Karabuk ◽  
Pinar Kadirogullari ◽  
Talat Umut Kutlu Dilek ◽  
Enes Ozluk ◽  
Gulsah Ozturk
Keyword(s):  
Pregnant Woman ◽  
Aneurysm Rupture ◽  
Second Trimester

scholarly journals Arabin Cerclage Pessary as a Treatment of an Acute Urinary Retention in a Pregnant Woman with Uterine Prolapse

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Alicia Martínez-Varea ◽  
Francisco Nohales-Alfonso ◽  
Vicente José Diago Almela ◽  
Alfredo Perales-Marín
Keyword(s):  
Emergency Department ◽  
Pregnant Woman ◽  
Acute Urinary Retention ◽  
Uterine Prolapse ◽  
Second Trimester ◽  
Vaginal Infection ◽  
Successful Pregnancy ◽  
Predisposing Factor ◽  
Bladder Drainage ◽  
One Year

A 35-year-old gravida 7, para 1, and abortus 5 female with hypogastric pain and inability to void urine after 14 + 3 weeks of amenorrhea was examined in the emergency department. One year before, a uterine prolapse had been diagnosed in another hospital. Examination showed a uterine prolapse grade 2 with palpable bladder. The patient was unable to void urine. After a manual reduction of the uterine prolapse, the patient underwent an emergency catheterization for bladder drainage. A Hodge pessary (size 70) was placed, which led to spontaneous micturitions. Due to the persistence of the symptoms the following day, Hodge pessary was replaced by an Arabin cerclage pessary. Although the pessary could be removed from the beginning of the second trimester, due to the uterine prolapse as a predisposing factor in the patient and the uncomplicated progression of pregnancy, it was decided to maintain it in our patient. Therefore, Arabin cerclage pessary allowed a successful pregnancy outcome and was not associated with threatened preterm delivery or vaginal infection.

scholarly journals A rare case of hypercalcemia-induced pancreatitis in a first trimester pregnant woman

2018 ◽  
Vol 2018 ◽  
Author(s):  
Carine Ghassan Richa ◽  
Khadija Jamal Saad ◽  
Ali Khaled Chaaban ◽  
Mohamad Souheil El Rawas
Keyword(s):  
Acute Pancreatitis ◽  
Pregnant Woman ◽  
Primary Hyperparathyroidism ◽  
Rare Case ◽  
First Trimester ◽  
List Type ◽  
Second Trimester ◽  
Adequate Treatment ◽  
Severe Hypercalcemia ◽  
First Trimester Of Pregnancy

Summary The objective of the study is to report a case of acute pancreatitis secondary to hypercalcemia induced by primary hyperparathyroidism in a pregnant woman at the end of the first trimester. The case included a 32-year-old woman who was diagnosed with acute pancreatitis and severe hypercalcemia refractory to many regimens of medical therapy in the first trimester of pregnancy. She was successfully treated with parathyroidectomy in the early second trimester with complete resolution of hypercalcemia and pancreatitis. Neonatal course was unremarkable. To our best knowledge, this is a rare case when primary hyperparathyroidism and its complications are diagnosed in the first trimester of pregnancy. In conclusion, primary hyperparathyroidism is a rare life-threatening condition to the fetus and mother especially when associated with complications such as pancreatitis. Early therapeutic intervention is important to reduce the morbidity and mortality. Parathyroidectomy performed in the second trimester can be the only solution. Learning points: Learning how to make diagnosis of primary hyperparathyroidism in a woman during the first trimester of pregnancy. Understanding the complications of hypercalcemia and be aware of the high mortality and sequelae in both fetus and mother. Providing the adequate treatment in such complicated cases with coordinated care between endocrinologists and obstetricians to ensure optimal outcomes.

scholarly journals Proximal Weakness and Hypokalemia in a Pregnant Woman: The First Presentation of Gitelman Syndrome

2020 ◽  
Author(s):  
Mohammad Taghi Najafi ◽  
Pouya Mahdavi Sharif ◽  
Azam Alamdari ◽  
Neda Naderi
Keyword(s):  
Pregnant Woman ◽  
Pregnancy Outcome ◽  
Kidney Function ◽  
Medical Literature ◽  
Gitelman Syndrome ◽  
Second Trimester ◽  
Management Issue ◽  
First Time

Gitelman syndrome is an inherited disorder of kidney function characterized by hypokalemia, hypomagnesemia, and hypocalciuria. Its first presentation during pregnancy might be a challenging diagnostic and management issue, as there is little data available in the medical literature. Here we report a 26-year-old pregnant woman who was diagnosed with Gitelman syndrome for the first time during her second trimester of pregnancy. Refractory hypokalemia in the 18th week of pregnancy was treated with eplerenone. The pregnancy outcome was favorable both for the mother and neonate.

scholarly journals P54 Case of Complex Tracheal Stenosis in Second Trimester Pregnant Woman: Idiopathic or Sequel of Endotracheal Tuberculosis?

2018 ◽  
Vol 13 (9) ◽  
pp. S181
Author(s):  
N. Silva ◽  
W. Schmidt Aguiar ◽  
C. Amorim ◽  
D. Simões ◽  
K. Vasconcelos ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Tracheal Stenosis ◽  
Second Trimester

Mucocele of the appendix during pregnancy: What to do?

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Eva Martínez Franco ◽  
Helena Vallverdú Cartié ◽  
Montserrat Margarit Verano ◽  
José Ramón Méndez Paredes ◽  
Pere Gris Garriga ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Low Grade ◽  
Second Trimester ◽  
Macroscopic Description ◽  
Surgical Method ◽  
Mucinous Neoplasm ◽  
Mucocele Of The Appendix ◽  
Surgical Treatments ◽  
Selection Of

Abstract The term mucocele is simply defined as the macroscopic description of an appendix that is grossly distended by intraluminal accumulation of mucoid material. Its incidence ranges from 0.2% to 0.7% of all appendectomies and during pregnancy it is even less frequent. After a mucocele diagnosis, the selection of an adequate surgical method is, in general, very important. But during pregnancy it is an even more complicated decision because of the lack of experience and evidence on elective surgical treatments in pregnant women. We present a commentary based on a case of a low-grade appendiceal mucinous neoplasm of the appendix, found on an appendectomy specimen because of a mucocele in a second trimester pregnant woman.

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