Eclampsia is a rare but serious threat to maternal and fetal wellbeing. Magnesium sulfate was introduced in Finland as management of eclampsia in the late 1990s. The aim of this study was to assess the incidence of eclampsia in Finland after the increased use of magnesium sulfate.
Practitioners and patients alike widely recognize the limitations of current therapeutic approaches to the treatment of bacterial vaginosisrn(BV). Options remain extremely limited, and our inability to prevent the frequently, often relentless symptomatic recurrences of BV and to reduce serious sequelae such as preterm delivery, remains an acknowledged but unresolved shortcoming. Our incomplete …
To develop a model for preeclampsia (PE) based on maternal demographic characteristics and medical history
To summarize evidence from the literature on genetic and non-genetic risk factors associated with pre-eclampsia (PE), assess the presence of statistical bias in the studies and identify risk factors for which there is robust evidence supporting their association with PE.
Formany years pregnancy has been contraindicated in patients with SLE, particularlywhen kidney involvement was present. Today, pregnancy is no longer considered impossible in women with lupus. Yet, lupus pregnancies are still considered high-risk. The prognosis has considerably improved for pregnant women but the fetal risk, although progressively reduced, is still higher in pregnancies of pati…
The authors review hypertensive disease during pregnancy with an academic and practical view, and using the best evidence available. This disease, which is the most important clinical disease in Brazilian pregnant women, may have its incidence reduced with prevention through the use of calcium and aspirin in pregnant women at risk. Previously, it was a disease that presented with hypertension w…
This review is divided into three parts. The first part briefly describes the pathogenesis of preeclampsia. This is followed by reviewing previously reported management strategies of the disease based on its pathophysiological derangements. Finally, the author defines the safe and acceptable methods/medications that may be used to ‘prevent’ preeclampsia (in high risk patients) and those …
In many centres, Anaesthesia now incorporates Perioperative Medicine. Preeclampsia is a perioperative medical challenge requiring a multidisciplinary team. New definitions stress the rapid progression of the disease and highlight the importance of early detection. Anaesthesiologists should understand the pathophysiology, and develop the ultrasound skills required to assist in the assessment…
Treatment of infertility-related hormonal dysfunction in men requires an understanding of the hormonal basis of spermatogenesis. The best method for accurately determining male androgenization status remains elusive. Treatment of hormonal dysfunction can fall into two categories — empirical and targeted. Empirical therapy refers to experience-based treatment approaches in the absence of an id…
The etiology of TTTS is connected with the architecture of the placenta, and intertwine vascular connections known as anastomoses within the placenta. Actually all MC placentas have anastomoses that connect the fetal circulations. Fortunately, not all MC twins develop TTTS. Three main types of anastomoses might be distinguished: venovenous (VV), arterioarterial (AA), and arteriovenous (AV). …