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Life course approach in women’s health hoofdstuk lezen eerste hoofdstuk lezen

2019 | OriginalPaper | Hoofdstuk

19. Gestational disorders

Auteurs : Dr Marjon de Boer, Pim W. Teunissen, Christianne J. M. de Groot

Gepubliceerd in: Textbook of Obstetrics and Gynaecology

Uitgeverij: Bohn Stafleu van Loghum

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Summary

Gestational disorders are diseases related to pregnancy. The most common gestational disorders include hypertensive diseases and preterm birth. Both have a major impact on women and their children’s life shortly after pregnancy as well as in later life. Other gestational diseases that will be discussed are gestational diabetes, cholestasis of pregnancy, amniotic fluid embolism, thrombosis, urinary tract infection and trauma. The different pathophysiological mechanisms, treatment options and consequences for these pregnancy-related disorders will be described.
vorige hoofdstuk Early pregnancy disorders
volgende hoofdstuk Chronic risk conditions and pregnancy
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Woordenlijst
Preeclampsia
A pregnancy-specific, multi-systemic disorder clinically characterized by hypertension and proteinuria and/or involvement of other organs
Eclampsia
A pregnancy complication which clinically manifests as generalized tonic-clonic seizures and occurs in 1–2 % of pregnancies complicated by preeclampsia
HELLP syndrome
Haemolytic anaemia, elevated liver enzymes and low platelet count
Preterm birth
Defined as birth below a gestational age of 37 weeks
Preterm prelabour rupture of membranes (PPROM)
Defined as rupture of membranes below a gestational age of 37 weeks
Gestational diabetes
Abnormal glucose tolerance first recognized in pregnancy and distinguished from diabetes known before pregnancy
Cholestasis of pregnancy
Classically presents in the third trimester with pruritus, typically of the palms and soles but can be anywhere, in the absence of a rash, abnormal liver function, and raised serum bile acid levels
Amniotic fluid embolism
A rare but potentially lethal condition. It appears to involve a complex sequence of events triggered by entrance of material from the foetal compartment into the maternal circulation, resulting in an abnormal activation of pro-inflammatory mediator systems
Thrombosis
A major cause of maternal death due to a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system. It can be present in the lung, pulmonary embolism or brain, cerebral venous sinus thrombosis
Acute cystitis
An inflammation of the bladder
Acute pyelonephritis
An upper urinary tract infection
Literatuur
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Kennelly MA, McAuliffe FM. Prediction and prevention of gestational diabetes: an update of recent literature. Eur J Obstet Gynecol Reprod Biol. 2016;202:92–8. CrossRef
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Mol BW, Roberts CT, Thangaratinam S, Magee LA, Groot CJ de, Hofmeyr GJ. Pre-eclampsia. Lancet 2016 Mar 5;387(10022):999–1011. CrossRef
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Pacheco LD, Saade G, Hankins GD, Clark SL; Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org. Amniotic fluid embolism: diagnosis and management. Am J Obstet Gynecol. 2016;215(2):B16–24.
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Pinheiro TV, Brunetto S, Ramos JG, Bernardi JR, Goldani MZ. Hypertensive disorders during pregnancy and health outcomes in the offspring: a systematic review. J Dev Orig Health Dis. 2016;7(4):391–407. CrossRef
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Romero R, Dey SK, Fisher SJ. Preterm labor: one syndrome, many causes. Science 2014 Aug 15;345(6198):760–5. CrossRef
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Romero R, Nicolaides KH, Conde-Agudelo A, O’Brien JM, Cetingoz E, Fonseca E da, Creasy GW, Hassan SS. Vaginal progesterone decreases preterm birth ≤ 34 weeks of gestation in women with a singleton pregnancy and a short cervix: an updated meta-analysis including data from the OPPTIMUM study. Ultrasound Obstet Gynecol. 2016;48(3):308–17. CrossRef
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Schneeberger C, Geerlings SE, Middleton P, Crowther CA. Interventions for preventing recurrent urinary tract infection during pregnancy. Cochrane Database Syst Rev. 2015 Jul 26;(7):CD009279.
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Metagegevens
Titel
Gestational disorders
Auteurs
Dr Marjon de Boer
Pim W. Teunissen
Christianne J. M. de Groot
Copyright
2019
Uitgeverij
Bohn Stafleu van Loghum
Boek
Textbook of Obstetrics and Gynaecology

Print ISBN: 978-90-368-2130-8

Elektronisch ISBN: 978-90-368-2131-5

Copyright: 2019

DOI
https://doi.org/10.1007/978-90-368-2131-5_19