Scientists from the University of California, Berkeley, claim that a pill made from ingredients such as aloe vera, the vine of tomatoes, olives and grapes could be just as effective as Plan B.

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ConclusionThe women seem to have a limited receptivity to contraceptive counselling when they have an unwanted pregnancy and are sceptical about contraceptives. Women, who experience respect in the counselling, report being helped in contraceptive decision-making. To receive respectful counselling and to have good access to intrauterine devices emerged as central needs among women at the time of an abortion.

Psychosocial aspects of fertility, infertility, and assisted reproductive technology (ART) can significantly impact patients’ sense of self-identity and personal agency, mental well-being, sexual and marital relationships, reproductive efficiency, compliance with treatment, and pregnancy outcomes. Research is needed to understand how stress, anxiety, depression, mood disorders, and psychotropic medications impact fertility and infertility treatment. The psychosocial implications of ART on our society include a shift toward older maternal age at conception, the complexities of third-party reproduction, and…

This review provides information about medications used to treat perinatal depression, including guidance around when to use certain medications and when to consult a mental health provider. For each group of medications, including selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, mirtazapine, bupropion, lithium, atypical antipsychotics, and lamotrigine, the risks and benefits of treatment during pregnancy and lactation are reviewed, and unique qualities of each medication. A treatment algorithm is included and a description of the Food and Drug Administration’s approa…

Source: The Medical Clinics of North AmericaCategory: General Medicine Authors: Tags: Obstet Gynecol Clin North Am Source Type: research

CONCLUSION: Routine TDM of levetiracetam is not recommended for all populations, however, it may be beneficial to maintain an individual therapeutic range in patients where the PK of LEV may be altered, such as in patients who are critically ill patients, pregnant, pediatrics or elderly.
PMID: 30096051 [PubMed – in process]

Source: J Pharm Pharm SciCategory: Drugs & Pharmacology Authors: Tags: J Pharm Pharm Sci Source Type: research

CONCLUSION: This study describes the experience of pregnant women at an advanced age and unveils several experienced aspects that could be used as allowances for nursing care to women who become pregnant at an advanced age.
PMID: 30088599 [PubMed – in process]

ConclusionIn conclusion, it is thought that preparing the mothers for birth with birth preparation training in the antenatal period and imposing the necessary regulations in the delivery room for the mothers to have a positive birth experience are important in reducing postpartum depression risk.

AbstractA 35-year-old woman with membranoproliferative glomerulonephritis type I had quintuplet gestation after induced ovulation. Her serum creatinine level and estimated glomerular filtration rate were 0.86  mg/dL and 61.5 mL/min/1.73 m2 before pregnancy. Blood pressure was normal and urinary protein to creatinine ratio was 0.2  g/gCr. Prednisolone 10 mg on alternate-day administration was continued during pregnancy. At 10 weeks of gestation transvaginal selective embryo reduction was performed and five embryos were reduced to twins. Hypertension occurred at 20 weeks of gestation. She d…

Source: CEN Case ReportsCategory: Urology & Nephrology Source Type: research

Publication date: Available online 11 August 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Katharina Laus, Pooja Louis, Laura DouglassAbstractCornual, interstitial, and angular pregnancies are terms that are often used interchangeably in both the literature and clinical setting to describe various ectopic pregnancies. Diagnosis of these pregnancies can be difficult, and fear of disrupting an intrauterine pregnancy can cause hesitation during evaluation and management. In our two cases, a combination of transvaginal and three-dimensional ultrasound images provided assistance in accurate diagnosis of angular…

ConclusionThis small, but statistically significant association between previous cesarean section and subsequent preterm birth suggests that efforts to reduce the number of index cesarean sections may contribute to reducing the overall preterm birth rate in the United States.

ConclusionsDexmedetomidine is useful adjuvant during general anesthesia for CS as it attenuates hemodynamic responses to surgical stress, reduces needs for analgesic and anesthetic drugs together with favorable maternal and neonatal outcome.

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