Friday, March 14th, 2014
A baby girl was born in Tanzania after her mother experienced an abdominal pregnancy–a rare form of ectopic pregnancy. LiveScience has more:
Add a Comment
When doctors examined the woman further and discovered the abdominal pregnancy, they quickly operated on the woman’s abdomen and found her live fetus floating in her abdominal cavity, without its nourishing amniotic sac. The healthy baby girl was delivered and sent home with her 22-year-old mother in good condition, researchers in Tanzania said.
Abdominal pregnancies are rare, and when they do happen, they can go unnoticed even if ultrasounds are used, because the pregnancy can appear normal in an ultrasound examination, the researchers wrote in the report, published Feb. 25 in the journal BioMed Central. An abdominal pregnancy that goes unnoticed can threaten the mother’s life and cause massive bleeding.
“I’ve seen maybe four or five abdominal pregnancies over the course of 25 years,” said Dr. Jill Rabin, chief of ambulatory care, obstetrics and gynecology at Long Island Jewish Medical Center in New Hyde Park, N.Y., who wasn’t involved with the case.
“Many times, these pregnancies are not diagnosed until the labor,” Rabin said. “The woman is going through labor, the cervix is dilated and you are wondering, ‘Why is the patient having contractions and nothing is happening?’”
Abdominal pregnancy is a rare form of ectopic pregnancy, occurring in about 1 out of every 10,000 pregnancies, according to some estimates. In an abdominal pregnancy, an embryo usually first implants in one of the fallopian tubes (instead of the uterus), and then moves backward within the body, toward the ovaries. From there, it implants for the second time — this time, in the abdomen.
Diagnosing an abdominal pregnancy is difficult, Rabin said. “It’s very rare, but you have to keep it in your mind when examining a pregnant woman who has abdominal pain.”
Wednesday, January 15th, 2014
Pregnant women should all be screened for gestational diabetes, a government task force advised this week, lending support to a practice that many obstetricians already follow. More from NBC News:
The U.S. Preventive Services Task Force found an overall benefit to screening and treatment, including a reduced risk of preeclampsia in pregnant patients and of having an overly large baby and birth-related injuries to the newborn.
The task force’s recommendation, published in the Annals of Internal Medicine, noted that 96 percent of obstetricians screen for the condition, and that other medical groups also recommend screening. The group said women with no history of diabetes should be screened after 24 weeks of pregnancy.
This was the panel’s first statement on gestational diabetes since 2008, when it found insufficient evidence to make a recommendation on screening. Since then, further studies have showed that the benefits outweigh the harms, said Dr. Wanda Nicholson, a past task force member who was instrumental in the recommendation.
“Now we have well-conducted clinical trials that clearly show a benefit for screening, where the results show a benefit for mom and baby,” she said. “The additional studies that have been done now clearly show a benefit and minimal harm.”
About 240,000 of the 4 million women who give birth each year develop gestational diabetes, a condition on the rise as obesity and other risk factors increase among pregnant women, the task force said. The condition occurs during pregnancy when the body does not produce enough insulin or use it correctly, leaving the body unable to convert starches and sugars from food into energy.
What you NEED to know about Gestational Diabetes.
Image: Pregnant woman, via Shutterstock
Add a Comment
Monday, December 30th, 2013
Dreonna Breton, a Pennsylvania nurse, is alleging that she was fired from her job after refusing a flu shot because of concerns that the vaccine would cause her to suffer a miscarriage. CNN.com has more on the story, which emerged even as a growing number of states are reporting widespread flu activity to the CDC:
“I’m a healthy person. I take care of my body. For me, the potential risk was not worth it,” Dreonna Breton told CNN Sunday. “I’m not gonna be the one percent of people that has a problem.”
Breton, 29, worked as a nurse at Horizons Healthcare Services in Lancaster, Pennsylvania, when she was told that all employees were required to get a flu shot. The Centers of Disease Control and Prevention advises that all health care professionals get vaccinated annually.
She told her employers that she would not get the vaccine after she explained that there were very limited studies of the effects on pregnant women.
Breton came to the decision with her family after three miscarriages.
The mother of one submitted letters from her obstetrician and primary care doctor supporting her decision, but she was told that she would be fired on December 17 if she did not receive the vaccine before then.
Horizons Healthcare Services spokesman Alan Peterson told CNN affiliate WPVI that it’s unconscionable for a health care worker not to be immunized and that pregnant women are more susceptible to the flu.
The CDC website states that getting a flu shot while pregnant is the best protection for pregnant women and their babies.
Image: Pregnant woman about to get vaccine, via Shutterstock
Add a Comment
Tuesday, December 24th, 2013
Babies born to mothers who took antidepressants during pregnancy are not any more likely to develop an autism spectrum disorder (ASD) than babies born to mothers who didn’t take the medication. More from Reuters:
Women who take a common type of antidepressant during pregnancy are not more likely to have a child with autism, according to a new study from Denmark.
But children did have a higher than usual risk when their mothers took the drugs – known as selective serotonin reuptake inhibitors (SSRIs) – for depression or anxiety before becoming pregnant.
That suggests a possible link between a mother’s preexisting mental health issues and the developmental disorder that hinders social and communication skills.
“Our interpretation is that women with indications for SSRI use differ from women who do not use SSRIs because of these indications (depression, anxiety), and some of these differences are somehow related to an increased risk of having children who develop autism,” Dr. Anders Hviid said. He led the study at the Statens Serum Institute in Copenhagen.
“Whether these differences are genetic, social or something completely different is speculation at this point,” Hviid said.
The findings, combined with a separate analysis of the same database published last month in the journal Clinical Epidemiology, suggest people looking for a link between autism and SSRIs need to look elsewhere, Dr. Mark Zylka said.
Zylka, from the University of North Carolina at Chapel Hill School of Medicine, has studied autism but was not involved in the analyses.
“There’s been a big question in the literature about whether these drugs affect brain development in any way and cause autism,” he told Reuters Health. That’s important because of how many people take antidepressants, including pregnant women.
Image: Pregnant woman taking pill, via Shutterstock
Add a Comment
Monday, November 25th, 2013
Pregnant women who take Tylenol or over-the-counter pain-relieving medications that contain acetaminophen may be putting their babies at higher risk of developing language issues or behavioral problems, a new study conducted in Norway has found. More from NBC News:
The new study is the first to look at young children whose mothers took Tylenol while pregnant.
“Our findings suggest that (acetaminophen) might not be as harmless as we think,” Ragnhild Eek Brandlistuen said. She led the study at the School of Pharmacy at the University of Oslo in Norway.
She and her co-authors studied 48,000 Norwegian children whose mothers answered survey questions about their medication use at weeks 17 and 30 of pregnancy, and again six months after giving birth.
Mothers filled out a follow-up questionnaire about their child’s developmental milestones three years later.
Close to 4 percent of women took Tylenol for at least 28 days total during pregnancy.
Their children seemed to have poorer motor skills than kids whose mothers had taken the drug fewer times or not at all. Tylenol-exposed kids also tended to start walking later, have poorer communication and language skills and more behavior problems.
It’s difficult to define risks for pregnant women and their children, since rigorous tests and controlled studies of drug exposure aren’t ethical, Brandlistuen said. All researchers can do is closely observe women in the real world.
But this study, published in the International Journal of Epidemiology, involved a large number of women, and researchers also looked for any link to ibuprofen, a pain-relief alternative without acetaminophen.
They found no development problems tied to ibuprofen.
“Long-term use of (acetaminophen) increased the risk of behavior problems by 70 percent at age three,” Brandlistuen said. “That is considerable.”
Heavy users most often reported taking the drug for five to seven days in a row a few times during pregnancy, she said.
Image: Pregnant woman taking medication, via Shuttestock
Add a Comment