Acute intermittent porphyria in pregnancy.

Abstract:

:A 27-year-old, previously healthy normotensive woman was admitted for hyperemesis gravidarum and treated with intravenous fluids and metoclopramide. Thereafter, a neuropsychiatric syndrome developed, with acute asymmetrical axonal motor-sensory polyneuropathy and marked anxiety, depression, irritability, and memory and concentration difficulties. Raised porphyrin precursors were found in the patient's urine, but not in her feces. Although the association of acute porphyria and pregnancy is rare, the pregnancy itself, combined with a state of starvation, and the administration of metoclopramide, could have precipitated the acute attack in this case. Thiamine deficiency, Guillain-Barré syndrome, and an obstetric complication producing closely related symptoms were excluded. The drug was stopped and the patient was treated with a high-carbohydrate diet and physiotherapy. A normal infant was delivered spontaneously at term.

journal_name

Obstet Gynecol

authors

Milo R,Neuman M,Klein C,Caspi E,Arlazoroff A

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

450-2

issue

3 Pt 2

eissn

0029-7844

issn

1873-233X

journal_volume

73

pub_type

杂志文章
  • Ovarian stimulation and low birth weight in newborns conceived through in vitro fertilization.

    abstract:OBJECTIVE:Singleton neonates born after in vitro fertilization (IVF) are at increased risk for low birth weight, preterm delivery, or both. We sought to assess whether the alteration of the peri-implantation maternal environment resulting from ovarian stimulation may contribute to increased risk of low birth weight in ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31822be65f

    authors: Kalra SK,Ratcliffe SJ,Coutifaris C,Molinaro T,Barnhart KT

    更新日期:2011-10-01 00:00:00

  • Laparoscopy in the massively obese female.

    abstract::Fifteen women weighing more than 250 pounds (113.6 kg) underwent laparoscopy. The open technique was used in two patients electively because of repeated pelvic laparotomies through periumbilical incisions. Of the remainder, four had used the closed technique and in nine it was necessary to adopt an open technique. Use...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Holtz G

    更新日期:1987-03-01 00:00:00

  • Temporal Trends of Urogynecologic Mesh Reports to the U.S. Food and Drug Administration.

    abstract:OBJECTIVE:To compare temporal trends of urogynecologic mesh medical device reports with sentinel U.S. Food and Drug Administration (FDA) notices and to examine all linked reports of patient death. METHODS:The Reed Tech Navigator is an online tool used to extract and analyze data in the Manufacturer and User Facility D...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003805

    authors: Sassani JC,Artsen AM,Moalli PA,Bradley MS

    更新日期:2020-05-01 00:00:00

  • Postoperative pain after adjustable single-incision or transobturator sling for incontinence: a randomized controlled trial.

    abstract:OBJECTIVE:To compare postoperative pain scores and assess efficacy between an adjustable single-incision sling and a standard transobturator sling for stress urinary incontinence (SUI). METHODS:This single-blinded randomized controlled trial involved 156 women with clinically proven SUI. Women were allocated to receiv...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AOG.0000000000000604

    authors: Schweitzer KJ,Milani AL,van Eijndhoven HWF,Gietelink DA,Hallensleben E,Cromheecke GJ,van der Vaart CH

    更新日期:2015-01-01 00:00:00

  • ACOG Committee Opinion No. 449: Maternal phenylketonuria.

    abstract::Phenylketonuria (PKU) is an autosomal recessive disorder of phenylalanine (Phe) metabolism characterized by a deficiency of the hepatic enzyme, phenylalanine hydroxylase, an enzyme responsible for the conversion of phenylalanine to tyrosine, and elevated levels of Phe and Phe metabolite. All women with PKU or hyperphe...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181c6f93d

    authors:

    更新日期:2009-12-01 00:00:00

  • The historic significance of circumcision.

    abstract::Understanding the importance of circumcision in the religious history of Western civilization provides an insight into why the surgical procedure is still so prevalent today. Circumcision appears as a motif in the religious literature of Western civilization throughout the ages. The history of the Jewish faith can be ...

    journal_title:Obstetrics and gynecology

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006250-197804000-00023

    authors: Waszak SJ

    更新日期:1978-04-01 00:00:00

  • Combined antenatal vitamin K and phenobarbital therapy for preventing intracranial hemorrhage in newborns less than 34 weeks' gestation.

    abstract:UNLABELLED:ōk--q----_xD-xD whether maternal antenatal therapy with vitamin K and phenobarbital prevents intracranial hemorrhage in premature newborns. METHODS:Women at high risk for spontaneous or indicated premature delivery before 34 weeks' gestation were randomly assigned to receive either placebo or vitamin K and ...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0029-7844(95)00091-5

    authors: Thorp JA,Ferrette-Smith D,Gaston LA,Johnson J,Yeast JD,Meyer B

    更新日期:1995-07-01 00:00:00

  • Intrauterine growth retarded infants. Correlation of gestational age with maternal factors, mode of delivery, and perinatal survival.

    abstract::Fifty-eight infants of 3332 deliveries (1.7%) were found to be growth retarded (IGR) at birth. For purposes of analysis, the infants were divided into 2 groups according to gestational age at delivery: Group I infants were delivered between 38 and 43 weeks' gestation, and Group II infants were delivered between 28 and...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Perry CP,Harris RE,DeLemos RA,Null DM Jr

    更新日期:1976-08-01 00:00:00

  • A lesson in empathy.

    abstract::The author recounts her recent "high-risk" pregnancy. She relates the feelings experienced by many women in this situation, with the added insights of a certified nurse midwive. The author observes how these insights can be applied by health professionals who deliver care to expectant families. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: McNatt NL

    更新日期:1980-07-01 00:00:00

  • Rapid B-scan (real-time) ultrasonography in the identification and evaluation of twin pregnancies.

    abstract::Real-time ultrasonography utilizing a hand-held linear array transducer provides a highly accurate method of identifying and evaluating the twin gestation. The rapidity of real-time scanning eliminates interpretational problems caused by fetal movements. Additionally, the versatility of transducer positioning facilita...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Levine SC,Filly RA

    更新日期:1978-02-01 00:00:00

  • Factors affecting the consistent use of barrier methods of contraception.

    abstract:OBJECTIVES:To discuss the major issues involved in the consistent and effective use of barrier methods of contraception. DATA SOURCES:Major research and review articles on barrier methods published within the last 10 years were considered. One major source of articles was Family Planning Perspectives. METHODS OF STUD...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0029-7844(96)00245-1

    authors: Beckman LJ,Harvey SM

    更新日期:1996-09-01 00:00:00

  • ACOG Committee Opinion No. 763: Ethical Considerations for the Care of Patients With Obesity.

    abstract::Obesity is a medical condition that may be associated with bias among health care professionals, and this bias may result in disrespectful or inadequate care of patients with obesity. Obstetrician-gynecologists regularly care for patients with obesity and play an integral role in advocating for best practices in healt...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000003015

    authors:

    更新日期:2019-01-01 00:00:00

  • Macrosomia. A proposed indication for primary cesarean section.

    abstract::Fetal macrosomia (birthweight equal to or in excess of 4500 g) in a study of 110 affected infants was associated with excessive maternal weight, prolonged gestation, white race, multiparity, maternal diabetes, male fetus, and a previous macrosomic infant. The two most common obstetric complications associated with fet...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Parks DG,Ziel HK

    更新日期:1978-10-01 00:00:00

  • Cerebral artery blood flow in relation to age and menopausal status.

    abstract:OBJECTIVE:To investigate vascular reactivity in women's cerebral arteries from reproductive age to postmenopause. METHODS:The pulsatility index (PI) was measured cross-sectionally in the internal carotid and middle cerebral arteries of 120 women, using a Doppler ultrasound system. Fifteen women were enrolled in each o...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00119-6

    authors: Penotti M,Farina M,Sironi L,Barletta L,Gabrielli L,Vignali M

    更新日期:1996-07-01 00:00:00

  • Obesity prevention and treatment practices of U.S. obstetrician-gynecologists.

    abstract:OBJECTIVE:To describe obesity prevention and treatment practices of U.S. obstetrician-gynecologists. METHODS:A cross-sectional survey was mailed to 1,806 practicing members of the American College of Obstetricians and Gynecologists (ACOG) in February-April 2005. RESULTS:Of the 900 respondents who returned questionnai...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000233171.20484.db

    authors: Power ML,Cogswell ME,Schulkin J

    更新日期:2006-10-01 00:00:00

  • The introduction of nitrous oxide analgesia into obstetrics.

    abstract::Nitrous oxide analgesia was introduced into obstetrics by a young Polish-Russian physician who manufactured the gas himself, mixed it with oxygen, humidified the mixture with water vapor, and devised a mouthpiece for self-administration. After assessing the results on himself, he evaluated the effects on pain relief, ...

    journal_title:Obstetrics and gynecology

    pub_type: 历史文章,杂志文章

    doi:

    authors: Marx GF,Katsnelson T

    更新日期:1992-10-01 00:00:00

  • Prenatal detection of ischemic changes in the placenta of the growth-retarded fetus by Doppler flow velocimetry of the maternal uterine artery.

    abstract:OBJECTIVE:To determine the relationships among the pregnancy outcomes of growth-retarded fetuses, Doppler flow velocimetry of the fetomaternal circulation, and pathologic changes in the placenta. METHODS:Forty-seven fetuses confirmed to be growth-retarded by ultrasonographic biometry were monitored during pregnancy in...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Iwata M,Matsuzaki N,Shimizu I,Mitsuda N,Nakayama M,Suehara N

    更新日期:1993-10-01 00:00:00

  • Sterilization.

    abstract::Worldwide, sterilization (tubal sterilization and vasectomy) is used by more people than any other method of contraception. All techniques of tubal sterilization in widespread use in the United States have low risks of surgical complications. Although tubal sterilization is highly effective, the risk of pregnancy vari...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000298621.98372.62

    authors: Peterson HB

    更新日期:2008-01-01 00:00:00

  • Pituitary response to a new analog of luteinizing hormone releasing factor during the menstrual cycle.

    abstract::A new analog of luteinizing-hormone-releasing factor, (Des-Gly-NH-2-10, Pro-ethylamide-9)-LHRF, was tested in healthy women with regular menstrual cycles. This synthetic nonapeptide amide was injected intravenously in a dose of 200 mug into 15 normal female volunteers in the follicular, preovulatory, and luteal phases...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Nakano R,Takekida H,Kotsuji F,Tojo S

    更新日期:1975-03-01 00:00:00

  • Routine pretreatment evaluation of patients with gynecologic cancer.

    abstract::We evaluated the usefulness of the routine pretreatment performance of a chest x-ray, intravenous pyelogram (IVP), cystoscopy, barium enema, and sigmoidoscopy in patients presenting with endometrial and cervical carcinoma by reviewing the results of these tests in 231 patients. In no patient with cervical or endometri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lindell LK,Anderson B

    更新日期:1987-02-01 00:00:00

  • Bombay blood type and use of red cell apheresis during pregnancy.

    abstract:BACKGROUND:Bombay blood type is among the rarest in the world and is associated with anti-H antibodies. These antibodies cause severe hemolysis when exposed to any blood product except Bombay and have been reported to cause hemolytic disease of the newborn. CASE:A primigravid woman with Bombay blood type received eryt...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181f738f3

    authors: Sprawka N,Young C,O'Brien B

    更新日期:2011-02-01 00:00:00

  • Abnormal fetal growth patterns. Ultrasonic diagnosis and management.

    abstract::Diagnostic ultrasound is a useful tool in the management of high-risk pregnancies and provides valuable information about abnormal fetal growth patterns including excessive fetal size and intrauterine growth retardation. Two patterns of growth retardation can be distinguished ultrasonically. Fetuses exhibiting "reduce...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Crane JP,Kopta MM,Welt SI,Sauvage JP

    更新日期:1977-08-01 00:00:00

  • Contraceptive effectiveness of a polyurethane condom and a latex condom: a randomized controlled trial.

    abstract:OBJECTIVE:To compare the contraceptive effectivenesses of a polyurethane condom and a standard latex condom. Secondary outcomes of interest were safety, functionality, discontinuation, and acceptability. METHODS:We randomized 901 couples to use either the polyurethane condom or a standard latex condom as their only fo...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/s0029-7844(02)02732-1

    authors: Steiner MJ,Dominik R,Rountree RW,Nanda K,Dorflinger LJ

    更新日期:2003-03-01 00:00:00

  • Mastocytosis complicating pregnancy.

    abstract:OBJECTIVE:To review the experience of women who conceived after developing mastocytosis and who were observed at the National Institutes of Health. METHODS:We reviewed our patient database for the years 1984-1998 to identify women with mastocytosis who had conceived. We then reviewed each woman's record, asked each wo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00591-8

    authors: Worobec AS,Akin C,Scott LM,Metcalfe DD

    更新日期:2000-03-01 00:00:00

  • Perinatal mortality and antepartum risk scoring.

    abstract::A simplified, numerical form for antepartum risk scoring was introduced as a component of the prenatal record for use in all pregancies in a large geographic area under a variety of collection practices. In a population of approximately 1,000,000 with 16,733 deliveries, 19% of the pregnant population scored greater th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Morrison I,Olsen J

    更新日期:1979-03-01 00:00:00

  • Human immunodeficiency virus, pregnancy, and Stevens-Johnson syndrome.

    abstract:BACKGROUND:Stevens-Johnson syndrome and toxic epidermal necrolysis are life-threatening dermatologic disorders that are more common in the setting of a compromised immune system. We present the case of a pregnant patient with known human immunodeficiency virus (HIV) infection who presented with Stevens-Johnson syndrome...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000157766.49494.99

    authors: Shilad A,Predanic M,Perni SC,Houlihan C,Principe D

    更新日期:2005-05-01 00:00:00

  • Group A streptococcal puerperal sepsis preceded by positive surveillance cultures.

    abstract:BACKGROUND:Screening of pregnant women for vaginal and rectal carriage of group B streptococci may also identify group A streptococcal carriers. The clinical significance of prenatal group A streptococcal carriage is unknown. CASES:Two women developed group A streptococcal puerperal sepsis after delivery at one hospit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01611-8

    authors: Stefonek KR,Maerz LL,Nielsen MP,Besser RE,Cieslak PR

    更新日期:2001-11-01 00:00:00

  • Carcinoma of the vulva: analysis of treatment and survival.

    abstract::The treatment of 224 patients with invasive squamous cell carcinoma of the vulva over a 20-year interval at the Mayo Clinic resulted in an overall survival rate of 75%, compared with 89% for age-matched controls. For patients with stage I disease, 5-year survival was 90%; for those with stages II, III, and IV, it was ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Podratz KC,Symmonds RE,Taylor WF,Williams TJ

    更新日期:1983-01-01 00:00:00

  • Maternal uterine artery Doppler flow velocimetry and the risk of stillbirth.

    abstract:OBJECTIVE:We sought to relate the risk of antepartum stillbirth to uterine artery Doppler flow velocimetry at 22-24 weeks. METHODS:Data were available from 30,519 unselected women from seven units in the UK who had uterine artery Doppler performed between 22 and 24 weeks of gestation. The risk of stillbirth (n=109) wa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000248536.94919.e3

    authors: Smith GC,Yu CK,Papageorghiou AT,Cacho AM,Nicolaides KH,Fetal Medicine Foundation Second Trimester Screening Group.

    更新日期:2007-01-01 00:00:00

  • Electrical accidents during pregnancy.

    abstract::Electrical accidents during pregnancy are relatively infrequent, and reports are rare. Six pregnant women who suffered an electrical injury during pregnancy are presented here. For all, the current path through the body was from hand to foot. Changes that occurred in fetal movements and development as well as the outc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198606000-00024

    authors: Leiberman JR,Mazor M,Molcho J,Haiam E,Maor E,Insler V

    更新日期:1986-06-01 00:00:00