Journals - Intrapostpartum

7/29/2019 Journals - Intrapostpartum

1/13

ULTRASOUND EVALUATION OF CONGENITAL CERVIAL TERATOMA AND

THERAPEUTIC MANAGEMENT (EX.UTERO INTRAPARTUM TREATMENT)

The ultrasound evaluation of the fetal neck has a high importance as a key point of the

airway and digestive tract. We report the case of a fetus diagnosed with a cervical teratoma by

ultrasound, which generated a compressive effect on airway, requiring a surgical approach EXIT

(ex utero intrapartum treatment) to ensure the extrauterine viability.

The ultrasound evaluation of the fetal neck is increasingly important, because it has a

high impact on fetal adaptation to extrauterine life. The presence of masses in this location can

cause obstructive problems at airway, producing complications during the course of pregnancy,

as the development of polyhydramnios. But the biggest problem is after delivery, with the

appearance of acute neonatal asphyxia with newborn death, if you do not carry out invasive

techniques for resolution.

One of these approaches is the realization of EXIT surgery, a technique designed to allow

partial fetal delivery by cesarean section, with establishment of a secure airway, using intubation,

bronchoscopy, or tracheostomy, while fetal oxygenation is maintained by the uteroplacental

circulation.

Reference: Case Reports in Obstetrics and Gynecology, Volume 2012 (2012), Article ID

597489, 4 pages, doi:10.1155/2012/597489


2/13

REACTION

ULTRASOUND EVALUATION OF CONGENITAL CERVIAL TERATOMA AND

THERAPEUTIC MANAGEMENT (EX.UTERO INTRAPARTUM TREATMENT)

The EXIT approach is an appropriate tool in the congenital airway obstruction

management, because it allows the fetal adaptation into extrauterine life.

This procedure requires a multidisciplinary participation, it involves many professionals

from different specialties, with a preoperative detailed planning. The detailed followup during

the pregnancy is very important, you must be always conscious of the maternal-fetal wellbeing

during the process.

At the same time, the ultrasound and MRI evaluation give to you the diagnosis and

management option of congenital cervical pathology, as the case presented. Our therapeutic

decision was based on the information obtained by ultrasonic monitoring.


3/13

WORKING AFTER EIGHT MONTHS OF PREGNANCY IS AS SMOKING, STUDY FINDS

Working after eight months of pregnancy is as harmful for babies as smoking, according

to a new study. Women who worked after they were eight months pregnant had babies on

average around 230g (0.5lb) lighter than those who stopped work between six and eight months.

The University of Essex researchwhich drew on data from three major studies, two in

the UK and one in the US found the effect of continuing to work during the late stages of

pregnancy was equal to that of smoking while pregnant. Babies whose mothers worked or

smoked throughout pregnancy grew more slowly in the womb. Past research has shown babies

with low birth weights are at higher risk of poor health and slow development, and may suffer

from a variety of problems later in life.

Stopping work early in pregnancy was particularly beneficial for women with lower

levels of education, the study found suggesting that the effect of working during pregnancy

was possibly more marked for those doing physically demanding work. The birth weight of

babies born to mothers under the age of 24 was not affected by them continuing to work, but in

older mothers the effect was more significant. The researchers identified 1,339 children whose

mothers were part of the British Household Panel Survey, which was conducted between 1991

and 2005, and for whom data was available.

A further sample of 17,483 women who gave birth in 2000 or 2001 and who took part in

the Millennium Cohort Study was also examined and showed similar results, along with 12,166

from the National Survey of Family Growth, relating to births in the US between the early 1970s

and 1995.

The research, conducted by three economists, Francesconi, Emilia Del Bono and John

Ermisch, is published in the July edition of the Journal of Labour Economics, published by the

University of Chicago.

Reference:http://www.guardian.co.uk/lifeandstyle/2012/jul/28/working-eight-months-pregnancy-smoking

Date Retrieved: January 25, 2013

Time Retrieved: 8:11 am
http://www.guardian.co.uk/lifeandstyle/2012/jul/28/working-eight-months-pregnancy-smokinghttp://www.guardian.co.uk/lifeandstyle/2012/jul/28/working-eight-months-pregnancy-smokinghttp://www.guardian.co.uk/lifeandstyle/2012/jul/28/working-eight-months-pregnancy-smokinghttp://www.guardian.co.uk/lifeandstyle/2012/jul/28/working-eight-months-pregnancy-smokinghttp://www.guardian.co.uk/lifeandstyle/2012/jul/28/working-eight-months-pregnancy-smoking


4/13

REACTION

WORKING AFTER EIGHT MONTHS OF PREGNANCY IS AS SMOKING, STUDY FINDS

Generally, if you exercised throughout your pregnancy and had a normal vaginal

delivery, you can safely do light exercisewalking, modified push-ups, and stretchingwithin

days of giving birth. But if you weren't active during your pregnancy, or tapered off your fitness

routine as the weeks went on, check with your doctor or midwife before you begin exercising.

Although some women develop a gap in their abdominal muscles as their belly expands

during pregnancy and labor, a condition called diastasis recti. It takes four to eight weeks after

giving birth for this gap to close.

So I guess, working after the delivery of the baby is alright, but just don't overdo it for the

first few months after giving birth. Since you just gave birth, your body needs time to heal, and

you need time to adjust to your new roleand bond with your baby.


5/13

PRENANCY INCREASES HEART ATTACK RISK

CHICAGOHeart attacks are often linked to high blood pressure, diabetes and smoking.

But a new study suggests pregnancy can also increase the risk.

There are significant hormonal changes that occur during pregnancy that affect the

coronary arteries, said study author Dr. Uri Elkayam, professor of medicine, cardiology, and

obstetrics and gynecology at the University of Southern California.

Heart attacks are usually triggered by atherosclerosisa build-up of plaque that narrows

the arteries and makes it harder for blood to flow. But only a third of heart attacks that occur

during pregnancy are caused by atherosclerosis, Elkayam said. Rather the vast majority are

caused by a tear of one of the three layers that make up a blood vessel known as a dissection.

Seventy percent of spontaneous coronary dissections occur in women and 30 percent of

those occur during pregnancy or immediately after, according to Dr. Sharonne Hayes, a

cardiologist at the Mayo Clinic in Rochester, Minn. who was not involved in the study. We

have known for decades that young women with heart attack have higher mortality than men at

the same age and also have very different cardiovascular disease risk factors, she said.

Elkayam found that performing a coronary angiogram, in which you inflate a balloon

and place a stent, in 5 percent of the patients made things worse In patients who are stable, we

advise to evaluate the patient non-invasively, and only the high risk patient should undergo a

cardiac catherization, he said. A heart attack occurring in a young, previously healthy young

woman is very unusual, with a reported incidence of 1/16,000. Elkayam emphasized that

women should not be afraid to become pregnant because the incidence of a heart attack is very

small.

Reference: Ike S. Okwuosa, MD, ABC News, Mar 25, 2012 3:27pm


6/13

REACTION

PRENANCY INCREASES HEART ATTACK RISK

I dont believe pregnancy has anything to do with Heart attacks. ABCNews sensational

headline falsely promotes the services of Planned Parenthood. Bungee jumping can promote a

heart attack, so can flying in a plane for long periods without moving. Life in of itself has

inherent risk. The title of the article should of been from this statement, Elkayam emphasized

that Women should not be afraid to become pregnant because the incidence of a heart attack is

very small.

I believe that it is the food that woman eat before, during and after pregnancy. Think

about it! How many woman that eat healthy and exercise normally, do you see have heart attacks

ever in their life and have had up to at least 5 children. Come on this is just another scare from

scientists and the government to try to control the population. GOD gave women the bodies to

reproduce! It is up to us women to keep ourselves healthy to prevent heart disease and other

problems.


7/13

POSSIBLE LINK BETWEEN FLU DURING PREGNANCY & AUTISM IS ANOTHER

REASON TO GET YOUR FLU SHOT

If you have been going back and forth over whether or not you should get a flu shot

during your pregnancy, then a new Danish study may convince you to roll up your sleeve

without hesitation once and for all.

A new study has found a potential link between kids whose moms had the flu while

pregnant and autism. Research showed that moms who had the flu during pregnancy have a

slightly higher risk of their child being diagnosed with infantile autism before the age of 3. And

as for why having the flu could possibly make your child more likely to have autism?

Researchers say that when a mother's immune system is affected by the flu, it can potentially

have an effect on the baby's brain development.

Ok, so you've probably stopped reading at this point and are rushing to the phone to call

your doctor and schedule your flu shot, right? Because you'd think if there was enough of a

concern for researchers to conduct this study, it must be something they are pretty worried about.

Interestingly enough, the doctor in charge of the study stressed that 99 percent of moms

who had the flu DO NOT have autistic children -- that's how small the possible link is -- and she

doesn't think this is anything pregnant women should worry about or panic over.

Whew. That's a relief. But wait a minute -- does that mean pregnant women should get

the flu shot, or not? Based on this new research, I'd say it can't hurt to go ahead and have one,

regardless of how tiny the link between the flu and autism may be. If nothing else, getting the

shot will give you one less thing to worry about and stress over, which is a break that every

expectant mom definitely needs. Have you had your flu shot yet?


8/13

REACTION

AUTISM LINKED TO FLU DURING PREGNANCY, STUDY FINDS

Flu shots are not "full of mercury" They have less significantly than a single serving of

fish, and it's in a form that has been PROVEN to be completely benign to the human body. And

saying that healthy living can lessen your chances of getting a virus is the same as the people a

century ago saying that moral living can keep you from getting sick. A virus is a virus. If you

don't have the immunity, then exposures over the threshold will make you get sick. But I know,

you FEEL, and that's far more important than double-blind scientific study. Silly me, trusting

facts instead of inflamatory rhetoric.

Yes lets go get a flu shot full of mercury and countless other potentially harmful

chemicals that have NOT been tested on pregnant women for the less than 1% chance that

getting the flu will harm our unborn child. That is less than 1% chance of harm IF you get the

flu.

Practice healthy habits, eat healthy and you will greatly decrease your chances of getting

the flu too without the possible harmful side effects of the chemicals in the vaccine.


9/13

NO RISKS SEEN WITH FLU SHOT IN EARLY PREGNANCY

Adding to evidence that the flu shot is safe for pregnant women, a new study finds no

link between the vaccine and the risk of serious birth defects.

The study, of nearly 9,000 pregnant women who got the flu shot, found that about 2

percent had a baby with a major birth defect, such as a malformation in the heart or a cleft lip.

That was identical to the rate among almost 77,000 pregnant women who did not get the vaccine.

What's more, researchers found, women who got vaccinated were less likely to suffer a

stillbirth (a pregnancy loss after the 20th week): 0.3 percent did, versus 0.6 percent of

unvaccinated women. Their newborns also had a lower death rate: 0.2 percent died soon after

birth, compared with 0.4 percent of babies born to unvaccinated moms.

It's not clear if the flu vaccine deserves the credit. But Dr. Jeanne S. Sheffield, the lead

researcher on the work, said it's possible the vaccine helped by preventing severe cases of the flu.

"Can we say for sure that it's the vaccine? No," said Sheffield, a professor of obstetrics

and gynecology at the University of Texas Southwestern Medical Center in Dallas. But, she

added, these findings suggest that the flu shot is at least safe, and possibly has a benefit against

stillbirth. Sheffield and her colleagues report the findings in the journal Obstetrics &

Gynecology.

The Centers for Disease Control and Prevention (CDC) and other groups recommend that

all pregnant women get a seasonal flu shot. That's because pregnant women are more likely than

other women their age to get a severe case of the flu or have complications, such as pneumonia.

The flu is also thought to raise the risk of preterm delivery and fetal distress.


10/13

Still, Sheffield said, many women and doctors alike still have concerns about flu vaccine

safety during pregnancy - especially the first trimester, which is when birth defects form and

when most miscarriages happen. But in this study, the researchers found that vaccination during

the first trimester came with no increased risk of birth defects.

Despite recommendations to get the flu shot, most pregnant women do not. In the U.S.,

only between 10 percent and one-quarter of women have been vaccinated each flu season over

the last couple decades, Sheffield's team notes. Based on studies, that seems largely due to safety

worries. On the other hand, Sheffield said "it's amazing" how many women are unaware that the

flu itself is considered a risk during pregnancy. "The flu is a problem in pregnancy," she said.

"But we have a vaccine to prevent it. And it's considered safe and effective in any trimester."

A CDC study published last year found "no unusual patterns" of pregnancy complications

or newborn health problems among U.S. women who received the flu shot between 1990 and

2009. Based on cases reported to the CDC's Vaccine Adverse Event Reporting System, the rate

of miscarriage was 1.9 per one million vaccinated pregnant women.

Reference: http://www.foxnews.com/health/2012/08/28/no-risks-seen-with-flu-shot-in-early-

pregnancy/#ixzz2IwkCMYu6

Date Retrieved: January 25, 2013

Time Retrieved: 9:31am


11/13

REACTION

NO RISKS SEEN WITH FLU SHOT IN EARLY PREGNANCY

Seriously? In the past moths I have read some articles saying that if you are fat you'll

have a kid with autism, if you vaccinate, if you use you cell phone, if you use microwave, all we

needed for those paranoid mom is another thing, the truth is that no one knows for sure, so let's

stop guessing, for the sake of millions of new moms who are pressured enough from the media.

There are moms who didn't get a flu shot when theyre pregnant yet still ended up with an

autistic child. Ive asked a common friend who has an autistic child, she says t hat watching his

son and seeing firsthand how it has affected his sons life and how his son acts, she personally

believe that there is no ONE thing that causes it. Have any of you ever heard that there are no

two Autistics that are the same? It's because no two act or react identically to anything. That is

part of the reason why it is so hard to diagnose in the first place. A lot of the possible symptoms

could be something else. It's not like there is a blood test that can be done to show it. I also

believe it has been around for longer than what they have been diagnosing it for, they just didn't

have a name for it and they didn't care. Up until recently (historically speaking) people with any

kind of mental illness where put in mental institutions and forgotten. Those people where simply

labeled "retarded" and left to rot.

I never had a flu shot and I never will, and considering that the number of autistic kids is

on the rise, it makes more sense that flu shot increases the risk considering that 20 years ago no

one was getting flu shots!


12/13

In Partial Fulfilment of the Requirement for

NCM 102

First Semester

AY 20122013

Submitted By:

Jarin, Mary Joy M.

BSN 2A

Submitted to:

Cerina Joy Alarca R.N., M.A.N

January 25, 2013


13/13

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Journals - Intrapostpartum