The Experts below are selected from a list of 64155 Experts worldwide ranked by ideXlab platform

Moshe Hod - One of the best experts on this subject based on the ideXlab platform.

Rachel Levwiesel - One of the best experts on this subject based on the ideXlab platform.

W M Merz - One of the best experts on this subject based on the ideXlab platform.

  • High-Risk Pregnancy management in women with hypopituitarism
    Journal of Perinatology, 2009
    Co-Authors: K Kübler, D Klingmüller, U Gembruch, W M Merz
    Abstract:

    Pregnancy after complete loss of pituitary function is uncommon. However, advances in fertility treatment have led to increased Pregnancy rates in hypopituitary women. We hereby present a literature review of pregnancies affected by hypopituitarism, including a comparison with published controls; further, we add one case report of severe hypopituitarism where third-trimester oxytocin supplementation was performed. As only limited information is available on management and outcome, our purpose was to determine obstetric complications associated with deficiency of pituitary hormones. The analysis of 31 pregnancies in 27 women revealed that hypopituitary women are at increased Risk: postpartum hemorrhage occurred in 8.7%, transverse lie in 16%; 42.4% of the newborns were small for gestational age. These findings are supposedly the result of uterine dysfunction caused by hormone deficiency. Oxytocin supplementation was performed with the aim to establish physiologic conditions and to prevent postpartum uterine inertia. In this case substitution may have contributed to correct fetal presentation but did not prevent postpartum hemorrhage. Further investigations into both oxytocin-dependent and -independent mechanisms regulating uterine contractions and contractility are necessary to develop strategies for prevention of uterine inertia in oxytocin-deficient pregnancies.

Grigoris Vaslamatzis - One of the best experts on this subject based on the ideXlab platform.

  • Psychosocial Stress in High Risk Pregnancy
    International Archives of Medicine, 2015
    Co-Authors: Claire Gourounti, Natassa Karpathiotaki, Grigoris Vaslamatzis
    Abstract:

    Objective: A High Risk Pregnancy may introduce additional psychological stress on a pregnant woman. The aim of this study was to review systematically the available evidence of the psychological consequences, in terms of anxiety and depression, of High-Risk Pregnancy. Methods: A systematic search of the electronic databases was performed. This review considered only quantitative, primary studies in the English language, published during the period 2000-2015 and relevant to the objective. The population of interest was previously High-Risk pregnant women. Outcome variables were general anxiety, depressive symptoms and Pregnancy-specifi anxiety. Seven studies met the inclusion and methodological criteria and were included in the review. Results: The review revealed that High-Risk pregnant women had High levels of depression ranging from 18% to 58% and these rates decrease throughout the course of hospitalization and are similar between women hospitalized in a hospital/health centre and women bed-rested in home. The review identifis additionally the main psychosocial variables that were related to antenatal anxiety and depression in High-Risk Pregnancy. Discussion: Future studies should overcome specifi limitations. Health care professionals should enhance the implementation of psychological screening and counselling to populations of High-Risk pregnant women hospitalized in a hospital/health centre or bed-rested in home.

  • Psychosocial Stress in High Risk Pregnancy rev Iew
    2015
    Co-Authors: Kleanthi Gourounti, Natassa Karpathiotaki, Grigoris Vaslamatzis
    Abstract:

    Objective: A High Risk Pregnancy may introduce additional psychological stress on a pregnant woman. The aim of this study was to review systematically the available evidence of the psychological consequences, in terms of anxiety and depression, of High-Risk Pregnancy. Methods: A systematic search of the electronic databases was performed. This review considered only quantitative, primary studies in the English language, published during the period 2000-2015 and relevant to the objective. The population of interest was previously High-Risk pregnant women. Outcome variables were general anxiety, depressive symptoms and Pregnancy-specific anxiety. Seven studies met the inclusion and methodological criteria and were included in the review. Results: The review revealed that High-Risk pregnant women had High levels of depression ranging from 18% to 58% and these rates decrease throughout the course of hospitalization and are similar between women hospitalized in a hospital/health centre and women bed-rested in home. The review identifies additionally the main psychosocial variables that were related to antenatal anxiety and depression in High-Risk Pregnancy.

Roni Chen - One of the best experts on this subject based on the ideXlab platform.