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Abdominal Wall Varices in Pregnancy-A Case Report and Review of the Literature
Pregnancy in patients with portal hypertension (PHT) is an uncommon event [1]. This situation is uncommon due to the numerous changes in liver disease particularly metabolic and hormonal changes leading to amenorrhea and ovulatory cycles. Onethird of pregnancies in women with extrahepatic portal vein obstruction result in miscar.. Read More
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Objective: To evaluate if computerized cardiotocography (cCTG) twice a day improved maternal or perinatal outcome compared to daily cCTG in women with severe preeclampsia remote from term. Study design: This is a 5 year population-based observational study. Women with severe preeclampsia remote from term (<34 weeks) monitored.. Read More
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Funding Options for Assisted Reproductive Technologies in Developing Countries
Infertility remains a major gynaecological problem globally, developing and developed countries alike. It threatens the basic foundation of families and the society generally. Most developing countries including Nigeria which sits on the infertility belt of Africa place good premium on procreation. Over the years traditional med.. Read More
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Introduction: Yet in developing regions overall, only half of all pregnant women receive the minimum recommended number of antenatal visits four and lately timing of ANC booking. Objective: The main objective of this study was assessing timing of first ANC booking and associated factors among pregnant women in Dilla town, SNNPR,.. Read More
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Delayed Cord Clamping in the Premature Neonate: Development of an Interdisciplinary Guideline
Evidence supporting delayed cord clamping (DCC) in the premature newborn is increasing, yet in a level IV neonatal intensive care unit (NICU); DCC was not being consistently performed, and when it was there were noted variations in the absence of a standardized guideline. The objective of this quality improvement (QI) project wa.. Read More
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In the context of the project Clinical and social evaluation of medical practices in the treatment of infectious diseases in paediatrics for children of vulnerable populations carried out in 2012-2014 by a multidisciplinary team at the [name deleted to the review process] a study in medical anthropology was conducted. The resear.. Read More
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Labor Induction in Primiparous Women and Women with an Unripe Cervix-1
Objective: To compare the efficacy and safety of oral prostaglandin in solution, vaginal prostaglandin gel and trans cervical catheter for labor induction in primiparous women and women with an unripe cervix. Design: A retrospective study. Methods: Data from original obstetric records at a university hospital in Sweden in 2012-2.. Read More
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Background: Duration of antibiotic treatment in neonatal late onset sepsis is empirical. Objectives: a) To study the evolution of procalcitonin during treatment of secondary sepsis in new-borns, b) To evaluate the reduction of antibiotic exposure using its serial measurements. Methods: This single-center prospective observationa.. Read More
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Acardiac Acephalus Fetus Presenting as Obstructed Labour: A Case Report
Mono-amniotic mono-chorionic pregnancies are un-common among twin gestations. Further twin reversed arterial perfusion (TRAP) sequence is extremely rare presentation. Acardiac acephalic fetus resulting as a result of TRAP sequence has an estimated incidence of 1 in 35,000 pregnancies. To the best of our knowledge, no such case h.. Read More
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A convenient sampling technique was used to draw a sample of 110 pregnant women reporting for antenatal clinical checks in both private and public medical facilities in Uyo, Nigeria to investigate marital satisfaction and age as predictors of alcohol use during pregnancy. Kansas Marital Satisfaction Scale was used in dichotomizi.. Read More
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Introduction: Institutional delivery service utilization is essential to improve maternal and child health. However, little is known about institutional delivery service utilization in Debre Berhan, Ethiopia. This study was aimed at assessing the magnitude of institutional delivery service utilization. Methods: Community based c.. Read More
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Health Assessment of a Rural Obstetrical Population in a Midwestern State
A critical access hospital in a Midwestern state experiences an alarming number of high-risk pregnancies including pregnancies complicated by gestational diabetes mellitus. A health collaborative among local healthcare providers, a regional health system, a medical school, and the state health department was established to impro.. Read More
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Psychological problems, communication challenges and cognitive impairment are often present in children with Autism spectrum disorders (ASD). When children with ASD require medical treatment, healthcare teams’ inability to access relevant medical and behavioral information, lack of awareness of these challenges, and poor p.. Read More
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Women Refusing Standard Obstetric Care: Maternal Fetal Conflict or Doctorpatient Conflict?
Evidence based guidelines can help healthcare practitioners to provide better and more cost effective care for the average patient with a specific medical problem [1]. During the past 15 years, the Cochrane Collaboration, NICE, and many other national and international organizations have provided obstetric medicine with a wealth.. Read More
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Decision Making in the Face of Uncertainty: Perinatal Zika Virus Infection
Zika virus is currently impacting the Americas with its third major global outbreak. Most notably, this outbreak, which began in 2015, has been temporally linked to cases of microcephaly within Brazil. Zika’s worrisome fetal outcomes have raised concern about perinatal Zika infection. There is little known about the virus&.. Read More
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A Tunisian Case of Dyssegmental Dysplasia: Silverman-handmarker Type
Objective: Dyssegmental dysplasia, Silverman-Handmaker Type, is an autosomal recessive lethal disorder, originally considered as a Kniest-like skeletal dysplasia with camptomelia. It is linked to functional null mutations of the perlecan gene (HSPG2) located on chromosome 36.1-35. We report the first case diagnosed in our depart.. Read More
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Myxedema crisis is an extreme complication of uncontrolled hypothyroidism. It is usually seen in elderly women with undiagnosed hypothyroidism and is rare among young. There have been very few reports of myxedema coma in labor. This report pertains to a case of undiagnosed hypothyroidism in a 30 year old lady with twin pregnancy.. Read More
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Use of Alcohol during Pregnancy in France: Another French Paradox?
Drinking alcohol during pregnancy in human may cause Fetal Alcohol Syndrome (FAS) in the worst cases or Fetal Alcohol Effects (FAE) in the lightest cases. FAS inevitably induce growth retardation, craniofacial as well as congenital malformations and irreversible cognitive and behavioural deficits in the children whereas FAE lack.. Read More
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Attachment-keeping NICU Infants Safe
Child maltreatment is a risk for graduates of the newborn intensive care unit (NICU). Infants represent the highest child maltreatment victimization group and parents, particularly mothers, are significantly represented as perpetrators. The challenges of a NICU environment along with the care burdens associated with NICU infants.. Read More
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Prepregnancy Body Mass Index and Offspring Birth Weight in Women with Type 1 and Type 2 Diabetes
Objective: To evaluate offspring birth weight in relation to prepregnancy body mass index in women with pregestational diabetes. Methods: A cohort study of 260 consecutive women with type 1 or type 2 diabetes, included January 2012 to May 2014, and classified as normal weight (prepregnancy body mass index <24.9 kg/m2), overwe.. Read More
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