Clinical Therapeutics in Pregnancy

Cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy.

Pregnancy in a cesarean scar is the rarest form of an ectopic pregnancy. The treatment for cesarean scar pregnancy mainly includes systemic methotrexate and uterine artery embolization. Here, we reported a case of cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy. The treatment plan included two phases. Three days after a combination of methotrexate and mifeprist...

Weighty matters: the association between mental health, pregnancy, and obesity.

مقایسه تاثیر آسپیرین همراه با هپارین و آسپرین همراه با پردنیزولون در درمان سقط راجعه

Background and Purpose: The most common complication of pregnancy is abortion. The etiology of recurrent pregnancy loss is not completely known. There are few therapeutics and diagnostic strategies in recurrent abortion. The aim of this study was to compare the use of heparin with aspirin vs prednisolone with aspirin in patients with recurrent pregnancy loss (RPL). Materials and Methods: T...

Performance of the OptiMAL® dipstick in the diagnosis of malaria infection in pregnancy

The accuracy of OptiMAL((R)) dipsticks was compared with that of microscopy in the diagnosis of malaria infection in pregnancy. During the course of a clinical trial of antimalarial drugs in pregnancy, we screened 4500 pregnant women of all parities who accessed antenatal clinic services at St. Theresa's Hospital's in Nkoranza, Ghana, between March 2003 and December 2004 with OptiMAL((R)) dipst...

Should valproate be taken during pregnancy?

The Australian Registry of Antiepileptic Drug Use in Pregnancy includes 172 instances in which women took sodium valproate, with or without other antiepileptic drugs, during pregnancy. These pregnancies resulted in a substantially higher (p < 0.05) rate of malformed offspring (15.1%) compared with 348 pregnant women who took antiepileptic drugs other than valproate (2.3%) and 40 pregnancies in ...

Maternal depression and perception of teratogenicity.

Exposure to various medications and medical conditions during pregnancy is often inevitable. Most of these exposures do not carry an elevated risk of congenital malformations. Nevertheless, misperceptions of the risks associated with different exposures in pregnancy are common and may potentially lead to wrong decisions. Unrealistically high maternal teratogenic risk perception may lead to abru...