Pruritus in pregnancy.

Abstract:

:Diagnosis of the cause of pruritus in a pregnant patient should be approached systematically, beginning with a detailed history (especially drug exposure) and physical examination. Systemic diseases must be excluded. Liver function tests and hepatitis screen are in order if symptoms suggest liver dysfunction. Stool examination for ova and parasites may be included when there is no skin lesion. Biopsy of an obvious skin lesion or a specific radioimmunoassay may be helpful. A dermatologic consultation is warranted when the diagnosis is in doubt and skin lesions are present. An accurate diagnosis is imperative since certain dermatologic disorders may increase maternal and fetal morbidity and even mortality.

journal_name

Clin Obstet Gynecol

authors

Dacus JV

doi

10.1097/00003081-199012000-00007

subject

Has Abstract

pub_date

1990-12-01 00:00:00

pages

738-45

issue

4

eissn

0009-9201

issn

1532-5520

journal_volume

33

pub_type

杂志文章,评审
  • Exercise in Pregnancy: Guidelines.

    abstract::In recent years it has been recognized that in all phases of life, including pregnancy, physical activity promotes health benefits and precludes comorbidities, the scientific evidence is indisputable. Several organizations around the world have updated in recent years the guidelines and recommendations for exercise in...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000223

    authors: Artal R

    更新日期:2016-09-01 00:00:00

  • The modern role of reproductive surgery.

    abstract::The modern role of reproductive surgery has changed because of improved capabilities of endoscopic surgery resulting from innovation, instrumentation and experience, the development and increasing applicability of assisted reproductive technologies, and improved knowledge of the optimal application of these and other ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3182353d86

    authors: Adamson GD

    更新日期:2011-12-01 00:00:00

  • Updates in the Approach to Chronic Pelvic Pain: What the Treating Gynecologist Should Know.

    abstract::Chronic pelvic is a multifaceted condition that often has both peripheral and central generators of pain. Despite its high prevalence, the evaluation and management of a pelvic pain patient often present many challenges to the practicing gynecologist. As with many other chronic pain conditions, pain severity does not ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000486

    authors: Carey ET,Moore K

    更新日期:2019-12-01 00:00:00

  • Shoulder Dystocia: Incidence and Risk Factors.

    abstract::Shoulder dystocia complicates ∼1% of vaginal births. Although fetal macrosomia and maternal diabetes are risk factors for shoulder dystocia, for the most part its occurrence remains largely unpredictable and unpreventable. ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000227

    authors: Ouzounian JG

    更新日期:2016-12-01 00:00:00

  • The anesthesiologist's role during attempted VBAC.

    abstract::American College of Obstetricians and Gynecologists' guidelines on vaginal birth after cesarean had both intended and unintended consequences for anesthesiologists. Epidural analgesia continues to play an important role in patient acceptance of a trial of labor after prior cesarean delivery. It does not impact the suc...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e3182618937

    authors: Hawkins JL

    更新日期:2012-12-01 00:00:00

  • Assessment and optimization of uterine activity during labor.

    abstract::Accurate assessment of uterine activity during labor is essential to promote optimal patient outcomes. This review provides clinicians with information to develop an evidence-based, standardized approach to the evaluation and management of uterine activity during labor including identification and treatment of excessi...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31820a06aa

    authors: Simpson KR,Miller L

    更新日期:2011-03-01 00:00:00

  • Induction of Labor and Cesarean: What is the True Relationship?

    abstract::It is a commonly held belief that labor induction increases the risk of cesarean delivery; women who are induced are at higher risk of cesarean as compared with those in spontaneous labor. This comparison group is inaccurate, however, as women and providers cannot choose spontaneous labor as the alternative to labor i...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000112

    authors: Little SE,Caughey AB

    更新日期:2015-06-01 00:00:00

  • Fetal outcomes of elective delivery.

    abstract::Retrospective observational studies have suggested that delivery at or beyond 39 weeks has numerous neonatal benefits including less need for respiratory support, fewer neurodevelopmental delays and lower health care costs. This has lead governmental agencies, and professional organizations to endorse a policy of limi...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000030

    authors: Hoffman MK,Merriam AA,Ehrenthal DB

    更新日期:2014-06-01 00:00:00

  • Causative factors in cerebral palsy.

    abstract::Causative factors in cerebral palsy (CP) vary to some degree according to gestational age group and clinical CP subtype. Such catastrophes of birth as placental abruption, cord prolapse, and uterine rupture sharply heighten risk of CP. These conditions are fortunately uncommon, and are sometimes not survived; individu...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e318187087c

    authors: Nelson KB

    更新日期:2008-12-01 00:00:00

  • Imaging of Müllerian duct anomalies.

    abstract::Müllerian duct anomalies (MDAs) are relatively common disorders that are particularly relevant in patients with infertility, recurrent pregnancy loss, or a history of preterm labor. Accurate characterization of MDAs is crucial to the implementation of appropriate treatment. Various imaging modalities have been used in...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181958439

    authors: Olpin JD,Heilbrun M

    更新日期:2009-03-01 00:00:00

  • Cost-effectiveness of cervical cancer prevention.

    abstract::Cost-effectiveness analyses are an important tool for the evaluation and modification of many health care services. Given the variety of screening tests and treatments available for cervical cancer screening and prevention, the costs associated with these options and with their alternatives, and the differences in res...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3182823797

    authors: Esselen KM,Feldman S

    更新日期:2013-03-01 00:00:00

  • Norgestimate.

    abstract::Norgestimate (NGM) is one of a class of newer, more selective progestins. The authors describe its structure and biologic activity, contraceptive effectiveness, cycle control, metabolic effects, carbohydrate metabolism, coagulation factors, and clinical side effects. NGM-containing oral contraceptives (OC), either a...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199538040-00019

    authors: Corson SL

    更新日期:1995-12-01 00:00:00

  • Characterization of a TP53 Somatic Variant of Unknown Function From an Ovarian Cancer Patient Using Organoid Culture and Computational Modeling.

    abstract::In our proof-of-concept study of 1 patient with stage IIIC carcinosarcoma of the ovary, we discovered a rare mutation in the tumor suppressor, TP53, that results in the deletion of N131. Immunofluorescence imaging of the organoid culture revealed hyperstaining of p53 protein. Computational modeling suggests this resid...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000516

    authors: Bi J,Thiel KW,Litman JM,Zhang Y,Devor EJ,Newtson AM,Schnieders MJ,Gonzalez Bosquet J,Leslie KK

    更新日期:2020-03-01 00:00:00

  • Cardiac arrest during pregnancy.

    abstract::Cardiac arrest is a rare event during pregnancy. The pregnant population represents a unique subset of cardiac arrest victims. Not only are there unique causes of circulatory collapse during the pregnant state, but the physiological modifications to the maternal physiology during pregnancy require specific modificatio...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000075

    authors: Montufar-Rueda C,Gei A

    更新日期:2014-12-01 00:00:00

  • The eye in pregnancy: ophthalmologic and neuro-ophthalmologic changes.

    abstract::A variety of changes in the eye can occur during pregnancy. These can be physiological, pathologic related to the pregnancy, or pathologic unrelated to the pregnancy. Pregnancy also can affect preexisting conditions. Pregnant women often discuss changes in their health first with their obstetrician; therefore, knowled...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31828f273c

    authors: Grant AD,Chung SM

    更新日期:2013-06-01 00:00:00

  • Reproductive health and genetic testing in the Third World.

    abstract::New reproductive genetics means recently developed techniques to prevent the birth of children with specific defects or genetic diseases by testing individuals for sickle cell anemia, the thalassemias, Tay-Sachs disease, cystic fibrosis, or Down syndrome. Third World health services have many deficiencies with high m...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199309000-00007

    authors: Penchaszadeh VB

    更新日期:1993-09-01 00:00:00

  • Current evaluation and management of vulvovaginitis.

    abstract::There are many problems in the diagnosis and treatment of vaginitis. Often, the patient is not examined (telephone treatment) or examined improperly with lack of attention to the wet prep. In patients with recurrent vaginitis, it should not be assumed that the current infection is the same as a previous infection with...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199906000-00004

    authors: Haefner HK

    更新日期:1999-06-01 00:00:00

  • The Utilization of Interventional Radiologic Procedures in the Surgical Management of Placenta Accreta Syndrome.

    abstract::The role of Interventional radiologic procedures for the management of suspected placenta accreta spectrum (PAS) has evolved considerably over last 3 decades. In this article, the authors describe the various techniques of vascular occlusion for the management of PAS and provide a brief review of the literature examin...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000401

    authors: Shrivastava VK,Nageotte MP

    更新日期:2018-12-01 00:00:00

  • Hysterectomy in the 21st century: different approaches, different challenges.

    abstract::The final decision to perform a certain method of hysterectomy customarily mirrors experience and level of comfort with a particular surgical approach in the context of the patient's condition and indication for surgery. Given the morbidity and recovery associated with a laparotomic incision, every effort should be ma...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.grf.0000211946.51712.42

    authors: Brill AI

    更新日期:2006-12-01 00:00:00

  • Robotic-assisted surgery for the community gynecologist: can it be adopted?

    abstract::The American College of Obstetricians and Gynecologists and the American Association of Gynecologic Laparoscopists confirm advantages of conventional minimally invasive surgery over laparotomy for benign gynecological procedures; however, adoption remains low for the general gynecologist. A systematic search for gynec...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31822b4998

    authors: Payne TN,Pitter MC

    更新日期:2011-09-01 00:00:00

  • Bacterial vaginitis.

    abstract::Bacterial vaginitis is responsible for approximately 10 million office visits per year. This condition may disrupt marriages and cause psychologic stress that may be reflected in the individual's work and social life. Bacterial vaginitis also has been thought to lead to postpartum endometritis, pelvic cellulitis, pelv...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Faro S

    更新日期:1991-09-01 00:00:00

  • GnRH agonists.

    abstract::The development of GnRH agonists has had a major impact on the practice of gynecology and reproductive endocrinology. The clinical usefulness of GnRH agonists will increase as modes of administration are improved and indications become better defined. GnRH agonists and, potentially, antagonists will provide a prompt, ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198909000-00019

    authors: Schriock ED

    更新日期:1989-09-01 00:00:00

  • Mifepristone: a potential contraceptive.

    abstract::Use of standard estrogen-progestin contraception remains problematic in several subgroups of patients (e.g., those in whom exogenous estrogens are contraindicated, such as survivors of hormone-dependent cancer, or patients with endometriosis or uterine fibroids). In addition, the postcoital contraception, even if alre...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199606000-00019

    authors: Heikinheimo O,Archer DF

    更新日期:1996-06-01 00:00:00

  • Traditional surgical approaches to uterine fibroids: abdominal myomectomy and hysterectomy.

    abstract::Abdominal myomectomy and hysterectomy remain the traditional treatment of large symptomatic uterine myomas. The preoperative indications for abdominal myomectomy or hysterectomy must be clearly evaluated and delineated avoid unnecessary intervention. There appears to be an increasing trend toward expectant management ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-200106000-00024

    authors: Guarnaccia MM,Rein MS

    更新日期:2001-06-01 00:00:00

  • Laparoscopic management of the adnexal mass.

    abstract::Ovarian neoplasms are common in women of all ages. As many as 10% of women in the United States will undergo surgical removal of an adnexal mass sometime in their lifetime. Gynecologic surgeons have pioneered laparoscopic surgery, developing what was originally a diagnostic tool into a safe and effective approach to m...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-200609000-00013

    authors: Hilger WS,Magrina JF,Magtibay PM

    更新日期:2006-09-01 00:00:00

  • Routine ultrasound in pregnancy.

    abstract::The interest in studying routine ultrasound in pregnancy has provided useful results that can be applied to practice. There is no consistent evidence of risk caused by ultrasound, neither biologic risk for the fetus nor increased use of health services as a result of ascertained conditions. There is also no consistent...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199912000-00003

    authors: Dooley SL

    更新日期:1999-12-01 00:00:00

  • Portable blood pressure monitoring for borderline or mild hypertension during pregnancy.

    abstract::Several advantages are apparent in the use of self-monitored or automatic ambulatory blood pressure monitoring by pregnant patients who appear to have borderline or mild hypertension. Home recordings, combined with conventional office measurements, can give a more accurate picture of the patient's dynamic blood pressu...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Rayburn WF,Zuspan FP

    更新日期:1992-06-01 00:00:00

  • Current status of contraceptive steroids and the intrauterine device.

    abstract::The present status of oral contraceptive steroids and the IUD, the 2 most effective and increasingly popular contraceptive methods (used by 41.6% of all U.S. married couples practicing contraception in 1970), is presented. Oral steroid contraceptives with varying quantity and activity of estrogen (ethinyl estradiol o...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-197403000-00007

    authors: Mishell DR Jr

    更新日期:1974-03-01 00:00:00

  • Medical management of ectopic pregnancy.

    abstract::In selected patients who are hemodynamically stable with an unruptured tubal pregnancy, systemic methotrexate has success rates comparable to laparoscopic salpingostomy. Larger randomized studies are necessary to adequately assess subsequent fertility. Local injection of methotrexate or other agents requires a sonogra...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199806000-00019

    authors: Namnoum AB

    更新日期:1998-06-01 00:00:00

  • The management of detrusor instability.

    abstract::Detrusor instability is a urodynamic diagnosis made when the detrusor is shown objectively to contract, spontaneously or on provocation, during the filling phase of a cystometrogram while the patient is attempting to inhibit micturition. It often is responsible for symptoms of urgency, frequency, nocturia, urge incont...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199006000-00021

    authors: Wall LL

    更新日期:1990-06-01 00:00:00