Thromboembolism in pregnancy.

Abstract:

PURPOSE OF REVIEW:Venous thromboembolism is the leading cause of maternal death in the UK. Thrombophilia underlies many thrombotic disorders in pregnancy. The high prevalence of thrombophilic defects in the population, the association of defects with venous thromboembolism and the special considerations for management make it a widely debated subject. RECENT FINDINGS:A limited number of studies measuring the risk of venous thromboembolism in pregnancy with thrombophilia have been conducted within the last year. Studies confirm that heritable thrombophilias are associated with increased risk of venous thromboembolism in pregnancy. However, estimated risks vary between individual studies. The risk of venous thromboembolism with acquired thrombophilia remains unclear. Guidelines have been published to guide clinicians in preventing and treating venous thromboembolism in pregnancy; however, large-scale, randomized controlled trials need to be conducted to establish the effectiveness of administering antithrombotic agents in pregnancy. Although selective thrombophilia screening based on prior history of venous thromboembolism has been proposed, the overall clinical and economic benefit of universal and selective screening is unsupported. SUMMARY:Due to the lack of studies, gaps still exist in our knowledge of the risk of pregnancy-related venous thromboembolism associated with thrombophilia. In particular, accurate estimates are required for the risks of acquired thrombophilias. Furthermore, the true effectiveness of anticolagulants in pregnancy needs to be established through well-conducted studies and randomized controlled trials. These studies will inform clinicians and help to determine the optimum management and prevention strategies for thrombophilia and venous thromboembolism in pregnancy.

authors

Robertson L,Greer I

doi

10.1097/01.gco.0000162177.30607.59

keywords:

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

113-6

issue

2

eissn

1040-872X

issn

1473-656X

pii

00001703-200504000-00002

journal_volume

17

pub_type

杂志文章,评审
  • Ovarian conservation in management of pediatric gynecology malignancies.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to outline ovarian conservation and fertility sparing surgery (FSS) in the management of the most common pediatric gynecology malignancies. RECENT FINDINGS:Management of gynecologic malignancies has evolved to have a greater appreciation for adverse late effects from rad...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000484

    authors: Stambough K,Childress KJ

    更新日期:2018-10-01 00:00:00

  • Ultrasound screening for fetal structural anomalies.

    abstract::Ultrasound prenatal diagnosis of structural anomalies has become almost a separate branch of obstetrics. The advantages of performing ultrasound in pregnancies at high risk for fetal structural anomalies are clear. Patients and the news media have placed ever-increasing expectations on persons performing diagnostic ul...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Gomez KJ,Copel JA

    更新日期:1993-04-01 00:00:00

  • Positron emission tomography imaging for gynecologic malignancy.

    abstract:PURPOSE OF REVIEW:The utility of positron emission tomography (PET) in gynecologic malignancy has increased rapidly in recent years. This review examines publications in this area. RECENT FINDINGS:PET scans are mostly performed using 18-fluorodeoxyglucose (FDG-PET). It is valuable in primary staging of untreated advan...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32801195c9

    authors: Lai CH,Yen TC,Chang TC

    更新日期:2007-02-01 00:00:00

  • Outcome and complications of assisted reproduction.

    abstract::This review discusses studies documenting an increase in birth rate associated with in vitro fertilization and gamete intrafallopian transfer. The results of zygote intrafallopian transfer are also encouraging. The rates of chromosomal and congenital abnormalities in assisted reproduction are similar to the rates at w...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Craft I,al-Shawaf T

    更新日期:1991-10-01 00:00:00

  • Tumor markers and molecular biological markers in gynecologic malignancies.

    abstract::Gynecologic oncology is a rapidly growing field due to constant advances in immunohistochemistry and molecular biology. This review serves as an overview of new studies promoting the use of tumor markers and molecular biological prognostic factors in malignancies affecting women. The majority of studies focus on eithe...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200102000-00005

    authors: Geisler JP,Geisler HE

    更新日期:2001-02-01 00:00:00

  • Uncomplicated urinary tract infections in pregnant and non-pregnant women.

    abstract::Urinary tract infections (UTIs) are still one of the most common bacterial infections in pregnant and non-pregnant women. It is estimated that about 10-20% of all women suffer from a UTI at some point in life. The presence of UTI is defined as the existence of urinary symptoms such as frequency of urination and dysuri...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Weissenbacher ER,Reisenberger K

    更新日期:1993-08-01 00:00:00

  • Non-invasive methods of diagnosis of endometriosis.

    abstract:PURPOSE OF REVIEW:Laparoscopy is the gold standard for the diagnosis of endometriosis but the need for visual evidence of the disease is a major stumbling-block for both effective clinical management of affected patients as well as for research into this common and debilitating reproductive disease. Laparoscopy is inva...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200312000-00011

    authors: Brosens I,Puttemans P,Campo R,Gordts S,Brosens J

    更新日期:2003-12-01 00:00:00

  • Autoimmunity and premature ovarian failure.

    abstract:PURPOSE OF REVIEW:The different patterns of autoreactivity that may account for the premature infertility observed in patients with premature ovarian failure are described. RECENT FINDINGS:Animal model studies have detailed fundamental immune dysregulatory patterns that induce ovarian failure in the context of global ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e328220e90c

    authors: Tuohy VK,Altuntas CZ

    更新日期:2007-08-01 00:00:00

  • Factors that increase reactivity during fetal nonstress testing.

    abstract:PURPOSE OF REVIEW:The most common method of antepartum fetal surveillance is the nonstress test (NST). Although it has satisfactory false-negative rates, dubious nonreactive results may challenge the physician. Any method or factor increasing the reactive NST results or shortening the time to attain a reactive test may...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000050

    authors: Esin S

    更新日期:2014-04-01 00:00:00

  • Robotic surgery in gynecologic oncology.

    abstract:PURPOSE OF REVIEW:Robotic surgery is rapidly taking the place of laparoscopy in many gynecologic oncology practices. Numerous practitioners have published their experience with this new technology. A review of their findings is timely and relevant. RECENT FINDINGS:The majority of case series of robotic surgery for hys...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32831ffe8e

    authors: Bandera CA,Magrina JF

    更新日期:2009-02-01 00:00:00

  • The role of the leptin in reproduction.

    abstract:PURPOSE OF REVIEW:Since its discovery in 1994, leptin has appeared to be a pleiotrophic hormone, governing energy homeostasis and affecting many tissues in the body. Numerous pieces of evidence have accumulated showing that leptin potentially plays an important role in the control of the reproductive function. RECENT ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.gco.0000193004.35287.89

    authors: Cervero A,Domínguez F,Horcajadas JA,Quiñonero A,Pellicer A,Simón C

    更新日期:2006-06-01 00:00:00

  • Fetal magnetic resonance imaging.

    abstract:PURPOSE OF REVIEW:Fetal magnetic resonance imaging is becoming more used in the evaluation of complex fetal abnormalities. Rapid advances in the technology and application of fetal magnetic resonance imaging necessitate a review of this subject. RECENT FINDINGS:Diffusion-weighted imaging, magnetic resonance spectrosco...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.gco.0000247394.94592.a5

    authors: Sandrasegaran K,Lall CG,Aisen AA

    更新日期:2006-12-01 00:00:00

  • Ureteral stents and retrograde studies: a primer for the gynecologist.

    abstract:PURPOSE OF REVIEW:To review basic techniques and recent advances in endourology for the practicing gynecologist. RECENT FINDINGS:New ureteral stent designs are available to improve comfort and reduce some of the complications of indwelling ureteral stents. A large prospective study failed to show a significant benefit...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32832fd23a

    authors: Aungst MJ,Sears CL,Fischer JR

    更新日期:2009-10-01 00:00:00

  • Postpartum hormonal contraception in breastfeeding women.

    abstract:PURPOSE OF REVIEW:To provide an overview of recent research and guidelines regarding contraception and breastfeeding. RECENT FINDINGS:Recent studies assessed lactogenesis, breastfeeding rates, and milk supply concerns in patients starting postpartum hormonal contraception. One study showed a small but statistically si...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000571

    authors: Stanton TA,Blumenthal PD

    更新日期:2019-12-01 00:00:00

  • Epidemiology of antepartum fetal testing.

    abstract::Advances in perinatal and neonatal health care over the past few decades have resulted in a substantial reduction in perinatal mortality. Some of this improvement has been attributed to antepartum fetal surveillance techniques. The primary objective of antepartum fetal surveillance techniques is to avoid fetal deaths....

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Ananth CV,Smulian JC,Vintzileos AM

    更新日期:1997-04-01 00:00:00

  • Human papillomaviruses in gynecological cancer.

    abstract::Human papillomavirus-related anogenital neoplasia is an active area of basic and clinical research. The research topics are broad based, but mostly are focused on delineating the clinical utility of human papillomavirus testing, the natural history of human papillomavirus infections and associated premalignancies, cha...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Duggan MA

    更新日期:1996-02-01 00:00:00

  • Current insights in obstetric antiphospholipid syndrome.

    abstract:PURPOSE OF REVIEW:Antiphospholipid syndrome (APS) is defined as the association of thrombotic events and/or obstetric morbidity in patients persistently positive for antiphospholipid antibodies (aPL). In this review, we will highlight the most important clinical presentations of APS with a focus on the obstetric morbid...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000406

    authors: Schreiber K,Radin M,Sciascia S

    更新日期:2017-12-01 00:00:00

  • Minimally invasive surgery in assisted conception.

    abstract::Minimally invasive surgery enables the avoidance of, preparation for, participation in, and treatment of complications following assisted reproductive technology (ART). The major recent changes are, the development of surgical techniques to diagnose and treat intrafallopian tubal abnormalities; the use of operative en...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Wood C

    更新日期:1994-06-01 00:00:00

  • Changing patterns in ambulatory care: a more broad-based approach.

    abstract::The obstetrician-gynecologist must assume a dual role in the future provision of health care to women. Not only should the obstetrician-gynecologist function as a consultant for medical and surgical problems peculiar to the female reproductive tract, but also assume a broader-based role for preventive medicine and hea...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章

    doi:

    authors: Laube DW

    更新日期:1994-12-01 00:00:00

  • Artificial intelligence and automation of systematic reviews in women's health.

    abstract:PURPOSE OF REVIEW:Evidence-based women's healthcare is underpinned by systematic reviews and guidelines. Generating an evidence synthesis to support guidance for clinical practice is a time-consuming and labour-intensive activity that delays transfer of research into practice. Artificial intelligence has the potential ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1097/GCO.0000000000000643

    authors: Amezcua-Prieto C,Fernández-Luna JM,Huete-Guadix JF,Bueno-Cavanillas A,Khan KS

    更新日期:2020-10-01 00:00:00

  • Vulvar malignancy.

    abstract::Treatment of invasive vulvar malignancy has become more individualized during the past decade. In the past, radical vulvectomy with bilateral inguinofemoral lymphadenectomy was the standard therapy for invasive squamous cell carcinoma and melanoma of the vulva. This is no longer always the case. The treatment of stage...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Girtanner RE,Kaufman RH

    更新日期:1991-02-01 00:00:00

  • Adolescents with perinatally acquired HIV: emerging behavioral and health needs for long-term survivors.

    abstract:PURPOSE OF REVIEW:Because of widespread availability of highly active antiretroviral therapy in the developed world, a large proportion of children with perinatally acquired HIV have survived to adolescence and young adulthood. Although their survival is remarkable, many now experience the long-term effects of HIV infe...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32834a581b

    authors: Koenig LJ,Nesheim S,Abramowitz S

    更新日期:2011-10-01 00:00:00

  • Pelvic relaxation involving the middle compartment.

    abstract::Loss of pelvic support involving the 'middle compartment' is manifested by herniation through the central pelvic floor in proximity to the intersection of an imaginary line from the public symphysis to the coccyx with another from one ischial spine to opposite ischial spine. Loss of middle compartment support may exis...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Timmons MC,Addison WA

    更新日期:1993-08-01 00:00:00

  • Neuromodulation in bladder dysfunction.

    abstract::Neuromodulation is one option for the management of a wide variety of lower urinary tract disorders, including non-neuropathic and neuropathic bladder dysfunctions. The mechanisms of action of the reported techniques remain unclear; urodynamic changes are minimal, but symptomatic improvements are common. Although the ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-199810000-00010

    authors: Hasan ST,Neal DE

    更新日期:1998-10-01 00:00:00

  • Local injury to the endometrium: its effect on implantation.

    abstract:PURPOSE OF REVIEW:To review the effect of local injury to the endometrium on the implantation rate in IVF-embryo transfer. RECENT FINDINGS:In 2003, Barash et al. reported that endometrial sampling of IVF patients using a biopsy catheter substantially increases their chances to conceive at the following IVF-embryo tran...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0b013e32832a0654

    authors: Li R,Hao G

    更新日期:2009-06-01 00:00:00

  • Over-the-counter access to oral contraceptives as a reproductive healthcare strategy.

    abstract:PURPOSE OF REVIEW:The aim of this review is to summarize the current evidence on the safety and effectiveness of moving oral contraceptives from prescription-only to over-the-counter (OTC) status. The review also examines women's interest in OTC access to oral contraceptives, as well as potential barriers and facilitat...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000019

    authors: Grossman D,Fuentes L

    更新日期:2013-12-01 00:00:00

  • State of the art in in-vitro oocyte maturation.

    abstract:PURPOSE OF REVIEW:The recovery of immature oocytes followed by in-vitro maturation (IVM) and in-vitro fertilization is an attractive alternative to conventional in-vitro fertilization treatment in which controlled ovarian stimulation with gonadotropins is used to increase the number of available oocytes and embryos. Si...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200406000-00003

    authors: Chian RC,Lim JH,Tan SL

    更新日期:2004-06-01 00:00:00

  • Noninvasive prenatal diagnosis for single gene disorders.

    abstract:PURPOSE OF REVIEW:Noninvasive prenatal diagnosis for single gene disorders is coming to fruition in its clinical utility. The presence of cell-free DNA in maternal plasma has been recognized for many years, and a number of applications have developed from this. Noninvasive prenatal diagnosis for single gene disorders h...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GCO.0000000000000347

    authors: Allen S,Young E,Bowns B

    更新日期:2017-04-01 00:00:00

  • Hormone replacement therapy update: who should we be prescribing this to now?

    abstract:PURPOSE OF REVIEW:To summarize results from the Women's Health Initiative trial and other recent randomized placebo-controlled trials of hormone replacement therapy, which fundamentally changed our understanding of its risks and benefits. RECENT FINDINGS:The Women's Health Initiative study for the first time provided ...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00001703-200312000-00001

    authors: Kocjan T,Prelevic GM

    更新日期:2003-12-01 00:00:00

  • Fetal congenital heart disease: diagnosis and management.

    abstract::The most important papers address controversial aspects of fetal cardiology, for example, screening for congenital heart disease (CHD), the diagnosis and the accuracy of diagnosis, and the management of fetal tachycardias. There are some interesting additions to the literature although some conclusions require further...

    journal_title:Current opinion in obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Allan LD

    更新日期:1994-02-01 00:00:00