Posts Tagged ‘pregnancy’

Pregnancy and Infection

Posted by Sara Fazio • June 5th, 2014

Pregnant women have an increased severity of infections with some organisms, including influenza virus, hepatitis E virus, herpes simplex virus, and malaria parasites. A new review on this topic includes an update on immunologic alterations during pregnancy. Pregnant women are more severely affected by infections with some organisms, including influenza virus, hepatitis E virus, and… Read More…

Poorly Controlled Diabetes Mellitus and Fatigue

Posted by Sara Fazio • May 31st, 2013

In the latest Case Record from the Massachusetts General Hospital, a 56-year-old woman with diabetes mellitus was admitted to the hospital because of hyperglycemia and chest pain. Approximately 4 years earlier, a chest radiograph showed a solitary pulmonary nodule in the right upper lobe. The differential diagnosis for uncontrolled diabetes includes undertreatment or misdiagnosis of… Read More…

Antenatal Thyroid Screening

Posted by Sara Fazio • February 10th, 2012

In a new randomized trial from Lazarus and colleagues, antenatal screening (at a median gestational age of 12 weeks 3 days) and treatment for hypothyroidism did not result in improved cognitive function in children at 3 years of age. High levels of thyrotropin in women during pregnancy have been associated with impaired cognitive development in their… Read More…

Abortion

Posted by Sara Fazio • December 9th, 2011

The latest article in our Clinical Practice series is, “A Request for Abortion.”  In early pregnancy, medical abortion avoids a surgical procedure but is associated with more pain and bleeding and a slightly higher risk of incomplete abortion than is surgical abortion. Data show that neither type of abortion increases the risk of long-term mental… Read More…

Depression during Pregnancy

Posted by Graham McMahon • October 28th, 2011

Evaluation and treatment (with psychotherapy, antidepressant therapy, or both) of women with depression during pregnancy are described in the latest article in our Clinical Practice series. Data on potential benefits and risks to mothers and offspring are reviewed; overall, they suggest that absolute risks are small. Major depression is a common and treatable mental disorder… Read More…

Hypertension in Pregnancy

Posted by Graham McMahon • August 5th, 2011

The latest article in our Clinical Practice review series, Chronic Hypertension in Pregnancy, reviews the potential risks associated with pregnancy among women with chronic hypertension and recommended treatment before and during pregnancy. Current recommendations regarding medications are reviewed. The prevalence of chronic hypertension in pregnancy in the United States is estimated to be as high as… Read More…

Nausea and Vomiting in Pregnancy

Posted by Graham McMahon • October 15th, 2010

The latest article in our Clinical Practice series, “Nausea and Vomiting in Pregnancy,” comes from Jennifer R. Niebyl, M.D., from the University of Iowa Hospitals and Clinics. About 50% of women have nausea and vomiting in early pregnancy, and an additional 25% have nausea alone. The popular term “morning sickness” is a misnomer, as it… Read More…