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vorige hoofdstuk Early pregnancy disorders

volgende hoofdstuk Chronic risk conditions and pregnancy

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2019 | OriginalPaper | Hoofdstuk

19. Gestational disorders

eerste hoofdstuk lezen

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

Uitgeverij: Bohn Stafleu van Loghum

Extras

Gepubliceerd in: Textbook of Obstetrics and Gynaecology

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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.

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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

Bates SM, Middeldorp S, Rodger M, James AH, Greer I. Guidance for the treatment and prevention of obstetric-associated venous thromboembolism. J Thromb Thrombolysis. 2016;41:92–128. CrossRef

Bellamy L, Casas JP, Hingorani AD, Williams DJ. Pre-eclampsia and risk of cardiovascular disease and cancer in later life: systematic review and meta-analysis. BMJ 2007 Nov 10;335(7627):974. CrossRef

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

Mol BW, Roberts CT, Thangaratinam S, Magee LA, Groot CJ de, Hofmeyr GJ. Pre-eclampsia. Lancet 2016 Mar 5;387(10022):999–1011. CrossRef

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.

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

Romero R, Dey SK, Fisher SJ. Preterm labor: one syndrome, many causes. Science 2014 Aug 15;345(6198):760–5. CrossRef

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

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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Williamson C, Geenes V. Intrahepatic cholestasis of pregnancy. Obstet Gynecol. 2014;124(1):120–33. https://doi.org/10.1097/AOG.0000000000000346. CrossRefPubMed

Titel

Gestational disorders

Boek

Textbook of Obstetrics and Gynaecology

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

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

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

DOI

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

Auteurs:

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

Uitgeverij

Bohn Stafleu van Loghum

Volgnummer

Hoofdstuknummer

Extras

Textbook of Obstetrics and Gynaecology H19 Gestational disorders

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

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Summary

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Academy Geneeskunde Radboud 2018-2019

BSL - Textbook of Obstetrics and Gynaecology

BSL Academy Geneeskunde UMC Utrecht 2019-2020

BSL Academy Geneeskunde Radboud Universiteit 2019-2020

BSL Academy Geneeskunde UMC Groningen 2019-2022

BSL Academy Geneeskunde Maastricht University 2019-2020

BSL Academy Verloskunde

BSL Academy Radboud Universiteit 2020-2021

BSL Academy Geneeskunde UMC Utrecht 2020-2023

BSL Academy Verloskunde Hogeschool Rotterdam 2020-2024

BSL Academy Verloskunde Hogeschool Rotterdam 2020-2022

Extras