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1.
Kingston; Pelican Publishers; 2005. xii,96 p. ilus, gra.
Monografia em Inglês | MedCarib | ID: med-17123

RESUMO

A detailed examination of the cardiovascular system is indispensable to the full appreciation of the cardiac status. Yet, because this fundamental aspect of cardiology is so inadequately presented by many of the major texts, students often fail to grasp the essentials. The author not only brings a rich knowledge of the subject to his task, but also a wide experience of teaching and a firm conviction that the prime purpose of the undergraduate pre-clinical curriculum is to provide information on which the student may build. The student who masters this information will be well prepared for the clinical years and suitably equipped for more advanced studies


Assuntos
Humanos , Sistema Cardiovascular , Complicações Cardiovasculares na Gravidez , Estenose da Valva Pulmonar , Estenose da Valva Mitral , Estenose da Valva Aórtica , Estenose da Valva Tricúspide , Pressão Sanguínea , Cianose , Edema Cardíaco , Anemia
4.
Kingston; s.n; 1996. vi,51 p. tab.
Tese em Inglês | MedCarib | ID: med-2946

RESUMO

The study was conducted at the University Hospital of the West Indies (UHWI) and the Victoria Jubilee Hospital (VJH). Risk factors for caesarean section were looked at in relation to primiparas who delivered at both UHWI and VJH Janauary - Febraury, 1996. A total of 249 primiparas were interviewed making use of a 28 item questionnaire developed for the purpose. The results indicate that both UHWI and VJH had different rates for caesarean section. There was a statistical significance betweeen primiparas who had medical compications with their pregnancy and caesarean section (p < 0.01). Caesarean sections were done most frequently for "failure to progress" at UHWI, while at VJH the hypertensive disorders of pregnancy and "failure to progress" had equal proportion. A relationship existed between the gestation of pregnancy and the time the mother attended for antenatal care and caesarean section. The study points to the need to develop a written protocol for care of the primigravid mother, thus assisting in the uniformity and maintenance of quality care, also to conduct research at both institutions to determine the relationship between the amount of antenatal acare, caesarean section and infant outcome. (AU)


Assuntos
Adolescente , Adulto , Feminino , Humanos , Gravidez , Estudo Comparativo , Cesárea/estatística & dados numéricos , Complicações na Gravidez/cirurgia , Cuidado Pré-Natal , Complicações Cardiovasculares na Gravidez , Idade Gestacional , Resultado da Gravidez , Fatores de Risco
5.
West Indian med. j ; 43(suppl.1): 47, Apr. 1994.
Artigo em Inglês | MedCarib | ID: med-5364

RESUMO

A possible association between pregnancy-induced hypertension and new father for the concerned pregnancy has been published. This prospective study explored the association between the duration of sexual cohabitation before conception with the father and pregnancy-induced hypertension (PIH) in primigravid and in multigravid women. During 5 months, 1011 women who consecutively delivered in the Maternity Ward were interviewed. Information about paternity and duration of sexual cohabitation before conception for the current pregnancy was collected. In 48/72 (66.7 percent) of PIH multigravidae, the father of the current pregnancy was different from that of the former, compared to 9/52 (17.3 percent) among chronic hypertensiver women and 152/633 (24.0 percent) in controls (p<0.0001). In primigravid and multigravid PIH women, the duration of sexual cohabitation was significantly shorter than in controls (p<0.0001). The length of sexual cohabitation before conception was correlated with PIH, especially for women with a cohabitation of 0-4 months, association regularly decreasing until 12 months. These results remained after controlling for ethnicity, level of education, maternal age, marital status and gravidity. PIH seems to be a problem of primipaternity (rather than primigravidity). In primipaternity pregnancies, a long duration of sexual cohabitation before conception could be protective against this disorder in women (AU)


Assuntos
Estudo Comparativo , Humanos , Feminino , Gravidez , Hipertensão/etiologia , Paternidade , Complicações Cardiovasculares na Gravidez , Comportamento Sexual
6.
West Indian med. j ; 43(suppl.1): 18, Apr. 1994.
Artigo em Inglês | MedCarib | ID: med-5428

RESUMO

Data from the Jamaican Perinatal Survey were examined to compare the management of women with pre-eclampsia and transient hypertension in pregnancy. The findings indicate that women with transient hypertension experienced no greater risk of perinatal mortality or growth retardation than the general population of women in spite of being managed more conservatively than their counterparts with pre-eclampsia. It would appear that interventions such as induction or Caesarean delivery are not generally warranted in the management of these cases as the complication does not carry the same risks to the infant or the mother that pre-eclampsia does. Further research is needed to determine what proportion of Jamaican women who present with an initial rise in blood pressure go on to develop pre-eclampsia and whether other signs of the pre-eclampsia syndrome would provide more sensitive indicators of risk than blood pressure, given a high prevalence of complications at lower blood pressures among Jamaican women and the low predictive value of blood pressure in identifying women at risk of eclampsia. Outpatient instead of inpatient management of women with transient hypertension appears to be a potentially cost-effective approach to care of these lower-risk women (AU)


Assuntos
Humanos , Feminino , Gravidez , Complicações Cardiovasculares na Gravidez/terapia , Hipertensão/terapia , Pré-Eclâmpsia/terapia
7.
West Indian med. j ; 42(Suppl. 1): 56, Apr. 1993.
Artigo em Inglês | MedCarib | ID: med-5096

RESUMO

Pre-term neonates of hypertensive mothers have been reported to have an accelerated lung maturity and so an improved perinatal outcome compared to their normotensive counterparts. In order to substantiate this, we examined the case notes of 418 consecutive pre-term pregnancies (< 34 weeks) delivered during a 36-month period. Forty-eight cases without any other obstetric complication were identified. They were compared with 141 normotensive pregnancies identified similarly. More hypertensive mothers were delivered by Caesarean Section (77.1 per cent vs 3.5 per cent). Significantly more hypertensive pre-term pregnancies were associated with foetal distress in labour (44.8 per cent vs 2.8 per cent; p < 0.001) and low birth weight (41.7 per cent vs 1.4 per cent; p < 0.001). There were no differences in low apgar scores, respiratory distress syndrome and neonatal deaths. The findings suggest that maternal hypertension in pre-term pregnancies is associated with an increased incidence of intrauterine growth retardation and foetal distress, and that the perinatal outcome is no better than their normotensive counterparts. The previously reported benefit of "intrauterine stress" in hypertensive pregnancies is not substantiated in this series (AU)


Assuntos
Humanos , Feminino , Gravidez , Recém-Nascido , Hipertensão/complicações , Complicações Cardiovasculares na Gravidez
8.
West Indian med. j ; 41(2): 79-80, June 1992.
Artigo em Inglês | MedCarib | ID: med-9632

RESUMO

A severely pre-eclamptic patient developed peripartum cardiomyopathy and bilateral femmoral emboli. Medical therapy for cardiac failure was commenced prior to delivery by caesarean section. Bilateral femoral embolectomy was performed on the sixth postpartum day. (AU)


Assuntos
Humanos , Gravidez , Adulto , Feminino , Insuficiência Cardíaca/complicações , Complicações Cardiovasculares na Gravidez , Artéria Femoral , Pré-Eclâmpsia/complicações , Embolia/etiologia , Transtornos Puerperais/etiologia , Transtornos Puerperais , Cesárea , Terceiro Trimestre da Gravidez , Complicações Cardiovasculares na Gravidez/tratamento farmacológico
10.
West Indian med. j ; 37(suppl): 48, 1988.
Artigo em Inglês | MedCarib | ID: med-6580

RESUMO

Forty pregnancies, complicated by maternal heart disease, from 1984 to 1986 were reviewed. Sixty-two per cent of rheumatic and 38 percent of congenital heart disease. There were no maternal nor perinatal deaths although 17 percent of the patients had cardiac failure. Heart failure occurred only in patients with acquired valvular defects, particularly mitral stenosis. Infective endocarditis did not occur. Therapeutic abortion was not practical and a conservative approach was adopted to obstetrical intervention and in drug therapy. This study reflects the remarkably good maternal and foetal prognosis in pregnancies complicated by heart disease. Obstetrical complications were minimal, spontaneous abortion rate was not higher than in non-cardiac mothers, and general anaesthesia can be used for patients undergoing either elective or emergency Caesarean Sections (AU)


Assuntos
Humanos , Feminino , Gravidez , Complicações Cardiovasculares na Gravidez/epidemiologia , Trinidad e Tobago
11.
West Indian med. j ; 37(4): 218-21, Dec. 1988.
Artigo em Inglês | MedCarib | ID: med-11653

RESUMO

Forty pregnancies complicated by maternal cardiac disease were reviewed. Thirty-eight per cent were of congenital origin and sixty-two per cent rheumatic valvular. No therapeutic abortions were performed. No pregnancy was complicated by bacterial endocarditis, and there were neither perinatal nor maternal mortalities. Cardiac failure (17 percent) occurred only with mitral stenosis, especially when associated with other valvular lesions. Obststrical complications were minimal, and the spontaneous abortion rate (12.5 percent) was not higher than for non-cardiac partiurients. General anesthesia was used for all caesarian sections (26.5 percent) with no adverse outcome. This study reflects the remarkly good maternal and foetal prognosis in pregnancies complicated by cardiac disease. (AU)


Assuntos
Adulto , Feminino , Humanos , Cardiopatias Congênitas/epidemiologia , Complicações Cardiovasculares na Gravidez/epidemiologia , Cardiopatia Reumática/epidemiologia , Gravidez , Trinidad e Tobago
13.
Obstet Gynecol ; 59(2): 252-4, Feb. 1982.
Artigo em Inglês | MedCarib | ID: med-14798

RESUMO

Pregnant patients with periarteritis resulted in maaternal death in 7 of 8 cases that have been reported. In the present case, periarteritis was in remission throughout the pregnancy; the patient was thus the second known maternal survivor. The infant also did well. It is suggested that pregnancy probably does not have as direct an effect on the course of the disorder as appears from the outcome of the previous case. Extreme caution must prevail, especially as diagnosis is often difficult and experience so limited (AU)


Assuntos
Humanos , Gravidez , Recém-Nascido , Adulto , Feminino , Poliarterite Nodosa/diagnóstico , Complicações Cardiovasculares na Gravidez/diagnóstico , Poliarterite Nodosa/terapia , Complicações Cardiovasculares na Gravidez/terapia
14.
In. Anon. Commonwealth Cribbean Medical Research Council twenty-seventh Scientific Meeting. Kingston, s.n, 1982. p.51-2.
Monografia em Inglês | MedCarib | ID: med-2522
15.
West Indian med. j ; 27(2): 81-5, June 1978.
Artigo em Inglês | MedCarib | ID: med-11233

RESUMO

A rare case of pregnancy in a patient with von Recklinghausen's disease and disability due to childhood poliomyellitis is presented. The interesting but serious complication was the sudden onset of haemorrhage in the tumours which treated satisfactorily with conservation management. Posible complications are discussed and the literature on the subject is reviewed (AU)


Assuntos
Adulto , Feminino , Humanos , Neurofibromatoses , Complicações na Gravidez , Hemorragia/etiologia , Neurofibromatoses/complicações , Gravidez , Complicações Cardiovasculares na Gravidez , Jamaica
16.
West Indian med. j ; 24(3): 165-8, Sept. 1975.
Artigo em Inglês | MedCarib | ID: med-11122

RESUMO

Successful therapeutic abortion was achieved during the second trimester of pregnancy using intra-amniotic urevert and simultaneous intravenous syntocinon infusion in 19 patients with severe hypertension, severe pre-eclampsia or eclampsia. The mean induction-abortion interval was 24.25 hours, and side-effects were minimal (AU)


Assuntos
Feminino , Humanos , Aborto Terapêutico , Ureia/administração & dosagem , Eclampsia , Infusões Parenterais , Ocitocina/administração & dosagem , Pré-Eclâmpsia , Gravidez , Complicações Cardiovasculares na Gravidez , Segundo Trimestre da Gravidez
17.
West Indian med. j;21(4): 231-5, Dec. 1972.
em Inglês | MedCarib | ID: med-11019

RESUMO

A case of "tight" mitral stenosis in whom an elective caesarean section was performed at term is presented. The result was satisfactory. Whereas vaginal delivery is the treatment of choice for most cases of pregnancy complicated by mitral stenosis we feel there is a place for elective caesarean section in certain cases of "tight" mitral stenosis with severe pulmonary hypertension, where for one reason or another the patient has refused to undergo antepartum valvotomy (AU)


Assuntos
Humanos , Gravidez , Adulto , Feminino , Estenose da Valva Mitral , Complicações Cardiovasculares na Gravidez , Cesárea
19.
J Obstet Gynaecol Br Commonw ; 75(2): 151-7, Feb. 1968.
Artigo em Inglês | MedCarib | ID: med-12162

RESUMO

Serum heat-stable alkaline phosphatase (HSAP) estimations were carried out on 236 normal women from 28 to 42 weeks of pregnancy. The serum HSAP levels show a wide range during normal pregnancy, but the mean rises gradually. In 333 estimations carried out on 42 patients with pre-existing hypertension, 71 estimations (21.3 percent) were outside the normal range. In 293 estimations carried out on 61 patients with mild pre-eclampsia, 55 estimations (18.8 percent) were outside the normal range. In 155 estimations carried out on 29 patients with severe pre-eclampsia, 85 estimations (54.8 percent) were outside the normal range. Two hundred and nine estimations were carried out on 21 patients with non-hypertensive diseases. Eight out of 11 perinatal deaths in this series were "predictable" on the basis of serum HSAP levels which had shown a definite rise or fall beyond the normal range, 24 hours or more before death of the fetus. Serial estimations of HSAP in serum may be of value as an empirical placental function test. (Summary)


Assuntos
Humanos , Adolescente , Adulto , Feminino , Fosfatase Alcalina/sangue , Recém-Nascido , Gravidez , Eclampsia/complicações , Morte Fetal/diagnóstico , Hipertensão/enzimologia , Troca Materno-Fetal , Complicações na Gravidez/enzimologia , Complicações Cardiovasculares na Gravidez/enzimologia
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