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The term preeclampsia applies to a spectrum of disorders that are pregnancy-dependent, all accompanied(usually) by some degree of hypertension at some point in their evolution. Preeclampsia is subdivided into categories based on the severity of hy...
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In our last two posts, we have discussed the general significance of hypertensive disorders in pregnancy and the spectrum of pregnancy-induced hypertensive disorders classified as preeclampsia. The problem with preeclampsia is that most of the tim...
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In our last post on the subject of hypertensive disorders in pregnancy, we pointed out that once preeclampsia has developed, we are limited in our ability to treat the condition. Indeed, the only situations I have seen in which the clinical syndro...
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Since summer seems to bring out the worst of these problems in the southeast, I thought it would be a good time to present a series to our readers on this topic. Hypertensive disorders in pregnancy complicate 12-22% of all pregnancies.
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The old adage that the sun should not set on a severely preeclamptic woman until the placenta is in the bucket to be sent to pathology holds a lot of truth. Even then, the most severely affected women(and sometimes those not so severely affected b...
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In our last post on this subject, we described an abnormality of placental development, incomplete or abnormal invasion of the maternal spiral arterioles by fetal placental cells(trophoblasts) early in pregnancy, as perhaps the most common sentine...
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I really could go on for many more posts related to hypertensive disorders in pregnancy, but I think I will call it quits(for awhile) after this one, lest I run the risk of boring to tears all of you who are not interested in the subject. If you h...
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Christina Chambers and colleagues in the New England Journal of Medicine(2006;354:579-87) and relates to our discussion on fetal circulation. These investigators found a six-fold greater risk for persistent pulmonary hypertension(PPHN) in babies w...
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It is accompanied by hormonal'imbalances' that can worsen with age, weight gain, and time. It may make it more difficult for you to get pregnant, more difficult to carry a pregnancy, and more likely to be associated with a pregnancy complicated by...
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Her mother was with her and the first thing I asked was if she wanted her boyfriend there as well. Again, she shook her head no, so I asked her to Look me in my eyes and hear me loud and clear You do NOT have cervical cancer.
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Awhile back, a reader asked me to discuss cervical cancer in pregnancy. I had put the topic on the back burner, waiting for a good segue into the subject from a patient care perspective.
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I have been ill myself(nothing serious, just miserable) for the past week and have had a hard time writing much except to respond to some of your questions. When I can get my brain to work again, I promise to finish up my series on Hypertensive Di...
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You can enter the table into Evernote in at least three ways:. By taking a photo using the camera on your phone and emailing it to your personal Evernote email address By scanning the article directly into the Evernote program on your computer I'm...
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When she left, I think she had a better understanding of her condition, although I am also not sure she was completely convinced by my reassurances. Both anogenital warts and the most common forms of cervical cancer are clearly associated with hum...
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