Pituitary gland and pregnancy.

Abstract:

:The hypothalamic-pituitary-adrenal axis is central to mammalian reproductive function, including conception, pregnancy maintenance, parturition, and breastfeeding. Pregnancy is associated with substantial physiologic changes within this endocrine axis to meet the demands of pregnancy, which include support of the fetus (volume support, nutritional and oxygen supply, clearance of fetal waste), protection of the fetus (from starvation, drugs, toxins), preparation of the uterus for labor, and protection of the mother from potential cardiovascular injury at delivery. This article reviews the anatomy, embryology, and physiology of the pituitary. The effect of pregnancy on pituitary structure and function, in health and disease, also is discussed.

authors

Foyouzi N,Frisbaek Y,Norwitz ER

doi

10.1016/j.ogc.2004.08.003

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

873-92, xi

issue

4

eissn

0889-8545

issn

1558-0474

pii

S0889-8545(04)00089-0

journal_volume

31

pub_type

杂志文章,评审
  • Thrombophilia and adverse pregnancy outcome.

    abstract::This article focuses on the clinical evaluation and management of women who have thrombophilia-related placental vascular complications, including fetal loss, pre-eclampsia, intrauterine fetal growth restriction, and placental abruption. All are major causes of maternal and fetal adverse outcomes. ...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2006.05.010

    authors: Brenner B

    更新日期:2006-09-01 00:00:00

  • Invasive fetal assessment in the antepartum period.

    abstract::Access to the fetus as a true patient is a recent development in maternal-fetal medicine. We review the major invasive techniques currently available for establishing diagnoses and providing treatments to the fetus. These include fetoscopy, fetal blood sampling, fetal transfusions, and fetal shunts. Indications, techn...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Copel JA,Cullen MT,Grannum PA,Hobbins JC

    更新日期:1990-03-01 00:00:00

  • Marihuana and tobacco use in pregnancy.

    abstract::Marihuana and tobacco smoking are two of the most commonly abused substances in pregnancy. Smoke from both agents contain a multitude of potentially active components, which make them difficult to study. Both have been associated with adverse effects in pregnancy in animal and human studies. Data on marihuana use duri...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(05)70358-2

    authors: Lee MJ

    更新日期:1998-03-01 00:00:00

  • The quest for better contraception: future methods.

    abstract::With the highest rates of unintended pregnancy and abortion in the developed world, the United States has plenty of room for improving the distribution of existing contraceptive options and an imperative for developing new methods. This article surveys new and future contraceptive methods. It does not contain a compre...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2007.01.006

    authors: Turok D

    更新日期:2007-03-01 00:00:00

  • New developments in the treatment of invasive cervical cancer.

    abstract::Cervical cancer is a preventable disease that is curable when it is detected early. For advanced-stage cancer, the prognosis is worse. Over the years, much progress has been made in radiation therapy and in chemotherapy, but it took three decades for the arrival of concurrent chemoradiation therapy, which significantl...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(02)00024-4

    authors: Im SS,Monk BJ

    更新日期:2002-12-01 00:00:00

  • Ultrasound guidance during endoscopic procedures.

    abstract::The use of laparoscopic ultrasound probes has been shown to improve outcomes and facilitate surgery for hepatobiliary and pancreatic cancers. It is a useful, inexpensive, and safe imaging technique that should also supplement operative laparoscopy for gynecologic indications. These techniques are new, and their use in...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(05)70058-9

    authors: Letterie GS

    更新日期:1999-03-01 00:00:00

  • Breast cancer in pregnancy.

    abstract::Breast cancer in pregnancy is likely to become more common because more women have been waiting to bear children until they are in their 40s. This article presents an overview of pregnancy-associated breast cancer and a review of surgical, chemotherapeutical, and radiation principles as they pertain to pregnancy. ...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(03)00064-0

    authors: Falkenberry SS

    更新日期:2002-03-01 00:00:00

  • Advances in assisted reproductive technologies.

    abstract::Several clinical advances in the field of assisted reproductive technology have improved the success rates of IVF. These advances include improvements in ovulation induction protocols, the introduction of recombinant gonadotropins, GnRH agonists, and, most recently, GnRH antagonists. ICSI has proved to be the most suc...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(05)70152-2

    authors: Thornton KL

    更新日期:2000-09-01 00:00:00

  • Hysteroscopy and hysterography.

    abstract::Hysteroscopy and hysterography approach the uterine cavity in different ways and each has advantages and limitations. Hysteroscopy is more accurate for the diagnosis of abnormalities that project into the uterine cavity such as polyps, submucous myomas, endometrial hyperplasia, and endometrial adenocarcinoma. Contrast...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Barbot J

    更新日期:1995-09-01 00:00:00

  • Therapeutic insemination.

    abstract::Except in special circumstances, therapeutic insemination with a husband's sample has a low success rate. Couples in whom oligozoospermia has been identified as the principal cause of infertility do not benefit from therapeutic insemination by husband. Because of this low success rate, intrauterine insemination to pro...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Alexander NJ,Ackerman S

    更新日期:1987-12-01 00:00:00

  • Acute pulmonary dysfunction and distress.

    abstract::Acute pulmonary dysfunction and distress is not uncommon in the obstetric patient. In these situations, however, a quick assessment and intervention is necessary in many cases. This article familiarizes the practicing obstetrician with the physiology and therapy to evaluate and effectively treat these patients. ...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Nolan TE,Hankins GD

    更新日期:1995-03-01 00:00:00

  • Use of mammography in screening for breast cancer.

    abstract::Recognizing the enormous impact that quality breast screening mammography can have on reducing breast cancer deaths, we need to determine when women's and physician's perceived restrictions for mammography examination impede the progress of its use for early cancer detection. A uniform system should emphasize valid co...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Sierra AE,Potchen EJ

    更新日期:1990-12-01 00:00:00

  • Preventing electrosurgical energy-related injuries.

    abstract::Electrosurgery is used on a daily basis in the operating room, but it remains poorly understood by those using it. In addition, the physics of electrosurgery are far more complicated than those of laser. Common belief notwithstanding, electrosurgery has an enormous capacity for patient injury if used incorrectly, even...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2010.05.007

    authors: Lipscomb GH,Givens VM

    更新日期:2010-09-01 00:00:00

  • Hormone replacement therapy and coronary heart disease.

    abstract::Proper use of postmenopausal hormone replacement has been the subject of debate for decades. Prevailing medical opinion has swung between enthusiastic endorsement and extreme caution. The wave of optimism over estrogen's beneficial effects on menopausal symptoms and skeletal health was temporarily set back by the evid...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Ettinger B

    更新日期:1990-12-01 00:00:00

  • What Obstetricians Need to Know About Placental Pathology.

    abstract::The placenta can serve as a valuable source of information about maternal and fetal conditions during the pregnancy; however, the abilities to perform a preliminary gross examination and interpret a placental pathology report are variable among obstetricians. This article discusses the indications for placental submis...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2019.10.007

    authors: Ravishankar S,Redline RW

    更新日期:2020-03-01 00:00:00

  • Infection and preterm birth.

    abstract::As many as 50% of spontaneous preterm births are infection-associated. Intrauterine infection leads to a maternal and fetal inflammatory cascade, which produces uterine contractions and may also result in long-term adverse outcomes, such as cerebral palsy. This article addresses the prevalence, microbiology, and manag...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2005.03.001

    authors: Klein LL,Gibbs RS

    更新日期:2005-09-01 00:00:00

  • Recent patterns in cesarean delivery in the United States.

    abstract::The United States cesarean rate has risen from 5.5 per 100 deliveries in 1970 to 24.1 per 100 deliveries in 1986 according to the National Hospital Discharge Survey. Less than 10 per cent of mothers have a vaginal birth after a prior cesarean. Women spend an average of 5.0 days in the hospital for a cesarean delivery,...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Placek PJ,Taffel SM

    更新日期:1988-12-01 00:00:00

  • Botulinum toxin in facial rejuvenation: an update.

    abstract::Since its initial approval by the US Food and Drug Administration (FDA) 20 years ago for the treatment of strabismus, hemifacial spasm, and blepharospasm in adults, botulinum toxin (BTX) has become one of the most frequently requested products in cosmetic rejuvenation around the world. After years of clinical success ...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.ogc.2010.10.002

    authors: Carruthers J,Carruthers A

    更新日期:2010-12-01 00:00:00

  • Fertility after the age of 40.

    abstract::There is approximately a 50% decrease in the fertility rate of unselected women attempting pregnancy at age 40 or older compared with younger women and a two to three fold increased rate of spontaneous abortion. Approximately 45% of older women achieve a term outcome, however. Proper counseling of the older patient sh...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Toner JP,Flood JT

    更新日期:1993-06-01 00:00:00

  • Chemotherapy, Biologic, and Immunotherapy Breakthroughs in Cancer Care.

    abstract::As the understanding of cancer biology expands, a wider array of treatment options has become available in the field of gynecologic cancer. Therapies that target specific molecular pathways are now being used. Drugs that target cancer angiogenesis, signal transduction, DNA repair, and immune evasion mechanisms are cur...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2018.09.009

    authors: Rojas C,Casablanca Y

    更新日期:2019-03-01 00:00:00

  • Amniotic Fluid Embolism.

    abstract::Amniotic fluid embolism remains one of the most devastating conditions in obstetric practice with an incidence of approximately 1 in 40,000 deliveries and a reported mortality rate ranging from 20% to 60%. The pathophysiology involves an abnormal maternal response to fetal tissue exposure associated with breaches of t...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2016.07.001

    authors: Shamshirsaz AA,Clark SL

    更新日期:2016-12-01 00:00:00

  • Diagnosis of fetal renal anomalies.

    abstract::Urinary tract abnormalities are fairly common in the perinatal period. Ultrasonography is an effective diagnostic tool for identifying fetal urinary tract anomalies and can be helpful in establishing prognosis and guiding treatment decisions. The sonographer is encouraged to characterize and localize the fetal urinary...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(05)70026-7

    authors: Stamilio DM,Morgan MA

    更新日期:1998-09-01 00:00:00

  • Ethical challenges in treating mother and fetus when cancer complicates pregnancy.

    abstract::This article evaluates the complicated scenario for physicians when they must advise pregnant oncology patients and their families. Included in this discussion are a review of literature that addresses both maternal and fetal rights and an analysis of metaphysical considerations unique to this situation. Additionally,...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(05)70004-8

    authors: Iseminger KA,Lewis MA

    更新日期:1998-06-01 00:00:00

  • Seizures and intracranial hemorrhage.

    abstract::Seizures and intracranial hemorrhage are possible medical diseases that any obstetrician may encounter. This article reviews the cause, treatment, and medical management in pregnancy for seizures and intracranial hemorrhage, and how the two can overlap into preeclampsia or eclampsia. This article also highlights some ...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2012.11.009

    authors: Wilson KL,Alexander JM

    更新日期:2013-03-01 00:00:00

  • Trophoblastic disease: clinical pathology of hydatidiform moles.

    abstract::Hydatidiform moles are divided into two syndromes: those of complete and partial moles. Both forms are genetically, morphologically, and clinically distinct. Choriocarcinoma can be associated with the complete mole that has not been described for the partial syndrome. Residual trophoblastic disease, on the contrary, c...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Szulman AE

    更新日期:1988-09-01 00:00:00

  • Epidemiology of substance use disorders in women.

    abstract::Significant gender differences exist in the prevalence of substance use disorders in the United States. There is a trend among boys and girls aged 12 to 17 years toward comparable rates of use and initiation for alcohol, cocaine, heroin, and tobacco. If this trend continues, over time there may be a narrowing of the m...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(03)00072-x

    authors: Greenfield SF,Manwani SG,Nargiso JE

    更新日期:2003-09-01 00:00:00

  • Sleep, Health, and Metabolism in Midlife Women and Menopause: Food for Thought.

    abstract::Sleep and metabolism are essential components of health. Metabolic health depends largely on individual's lifestyle. Disturbances in sleep health, such as changes in sleep patterns that are associated with menopause/reproductive aging and chronologic aging, may have metabolic health consequences. Sleep restriction and...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ogc.2018.07.008

    authors: Kravitz HM,Kazlauskaite R,Joffe H

    更新日期:2018-12-01 00:00:00

  • Diagnosis of ectopic pregnancy.

    abstract::The diagnosis of ectopic pregnancy remains a challenge to the clinician, despite advances in sonographic and biochemical technology. Contemporary practice requires an understanding of the normal sonographic features and hormonal profiles for normal pregnancy as well as the pathogenesis of an ectopic nidation. Frequent...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Cartwright PS

    更新日期:1991-03-01 00:00:00

  • Breast augmentation and breast reduction.

    abstract::Breast enhancement through augmentation improves not only the woman's physical appearance but also contributes to her psychologic well-being. With the current emphasis placed on women's breasts in the media, it is not surprising that small-breasted women feel inadequate. Recent US Federal Drug Administration approval ...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(03)00055-x

    authors: Antoniuk PM

    更新日期:2002-03-01 00:00:00

  • Myomectomy. Comparison of open and laparoscopic techniques.

    abstract::It appears that both laparoscopic and laparotomy approaches to myomectomy are viable surgical procedures. Both surgeries can be performed with minimal risk. Pregnancy rates after either procedure are high. The advantage of laparotomy over laparoscopy is that it is technically easier. On the other hand, laparoscopy ena...

    journal_title:Obstetrics and gynecology clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8545(00)80031-5

    authors: Miller CE

    更新日期:2000-06-01 00:00:00