Presentation
Clinical case of extremely elevated levels of alkaline phosphatase (ALP) enzyme detected in the 3rd trimester of gestation, the diagnostic and therapeutic procedures, delivery and puerperium are presented. [ncbi.nlm.nih.gov]
Entire Body System
- Anemia
Placental Insufficiency Causes Related to Blood Disorders If a mother has bleeding disorders or anemia, there is a greater risk of placental insufficiency. [cerebralpalsysymptoms.com]
Preexisting disorders such as diabetes, hypertension, blood clotting disorders, and anemia are possible precursors for placental insufficiencies, but lifestyle and behavioral habits also provide the potential for placental insufficiency. [thurswell.com]
[…] with known birth defects or chromosome abnormalities frequent vaginal bleeding due to placenta previa, a condition in which the placenta is attached to the uterus over or near the cervix certain blood disorders in the mother, such as sickle cell anemia [medicalgeek.com]
However there are also lifestyle habits that can bring about the disorder: Anemia Blood clotting disorders Diabetes Drug abuse, specifically heroine, cocaine and methamphetamine Hypertension (chronic high blood pressure) Medications such as blood thinners [ph.theasianparent.com]
- Inflammation
Placental histology and serum revealed no inflammation. VEGF values were similar among all infants. [ncbi.nlm.nih.gov]
Oxygen and nutrition transport is known to be hindered in IUGR placentas due to obstructed or abrupt vasculature, massive fibrin deposition, and inflammation in the villous and intervillous space (villitis). [clinicaltrials.gov]
- Congestive Heart Failure
An increased proportion of retrograde blood flow in the inferior vena cava was recorded in only one fetus, which died on the same day of congestive heart failure, suggesting fetal heart sparing in the remaining complicated pregnancies. [doi.org]
Pitt B, Remme W, Zannad F, et al, for the Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study Investigators. [emedicine.medscape.com]
Cardiovascular
- Thrombosis
However, immediately after childbirth, the patient had a deep vein thrombosis of a lower limb. The anatomopathological examination of the placenta showed old and recent placental infarcts. [ncbi.nlm.nih.gov]
It can be primarily caused by three main mechanisms 4 : impairment in maternal circulation maternal hypertension maternal thrombophilic disorders impairment in fetal circulation placental implantation over a fibroid vascular thrombosis (e.g placental [radiopaedia.org]
- Heart Disease
But these factors raise a woman's risk for it: History of placental abruption in previous pregnancy Long-term (chronic) high blood pressure Sudden high blood pressure in pregnant women who had normal blood pressure in the past Heart disease Abdominal [pennstatehershey.adam.com]
Huhta, Prediction of outcome of fetal congenital heart disease using a cardiovascular profile score, Ultrasound in Obstetrics & Gynecology, 31, 3, (284-288), (2008). G. [doi.org]
In the same way we concentrate our attention on the coronary arteries to explain the myocardial lesions of ischaemic heart disease. [link.springer.com]
Ischaemic heart disease, influenza and influenza vaccination: a prospective case control study. Heart. 2013 Dec. 99 (24):1843-8. [Medline]. Kwong JC, Schwartz KL, Campitelli MA, et al. [emedicine.medscape.com]
- Heart Failure
A patient in the third trimester with dyspnea at rest developed right heart failure during c-section. During emergency thoracotomy the patient went into generalized shock and died after intense CPR. [ncbi.nlm.nih.gov]
An increased proportion of retrograde blood flow in the inferior vena cava was recorded in only one fetus, which died on the same day of congestive heart failure, suggesting fetal heart sparing in the remaining complicated pregnancies. [doi.org]
Source: Magnus Life Science Posted in: Child Health News | Women's Health News | Pharmaceutical News Tags: Blood, Cardiovascular Disease, Cerebral Palsy, Diabetes, Heart Failure, Life science, Muscle, Obesity, Obstetrics, Oncology, Pharmaceuticals, Placenta [news-medical.net]
- Tachycardia
Vital signs may range from hypertension to hypotension in the case of AMI induced cardiogenic shock with a compensatory tachycardia. [ncbi.nlm.nih.gov]
[…] consequence, in the body of the mother (and then in the body of the foetus) begin to form adaptive responses aimed at correcting deviations arising metabolic homeostasis - compensatory acceleration of systemic blood flow to the mother, induced fetal tachycardia [pubs.sciepub.com]
Bradycardia, tachycardia and irregular heart rate are signs of asphyxia. [intranet.tdmu.edu.ua]
Long-term arrhythmia-free survival in patients with severe left ventricular dysfunction and no inducible ventricular tachycardia post myocardial infarction. Circulation. 2013 Dec 31. [Medline]. O'Riordan M. [emedicine.medscape.com]
- Hypotension
In pregnant women with arterial hypotension also dominated patients aged 20 to 29 years – 70.6%, of young pregnant with hypotension was 18 (13.0%), and women above 30 years of age - 23 (16.4%). [pubs.sciepub.com]
Vital signs may range from hypertension to hypotension in the case of AMI induced cardiogenic shock with a compensatory tachycardia. [ncbi.nlm.nih.gov]
Räsänen, Divergent effects of ephedrine and phenylephrine on cardiovascular hemodynamics of near‐term fetal sheep exposed to hypoxemia and maternal hypotension, Acta Anaesthesiologica Scandinavica, 51, 7, (922-928), (2007). [doi.org]
the patient's blood pressure is initially elevated because of peripheral arterial vasoconstriction resulting from an adrenergic response to pain and ventricular dysfunction However, with right ventricular MI or severe left ventricular dysfunction, hypotension [emedicine.medscape.com]
Psychiatrical
- Withdrawn
[…] jjkm Tue 22-Mar-11 06:18:48 Message withdrawn at poster's request. Millymolliemandy Thu 24-Mar-11 15:08:58 Thanks so much, hearing advice from Mums who have been through this really helps. [mumsnet.com]
Withdrawn: Doppler ultrasound for fetal assessment in high risk pregnancies. Cochrane Database Syst Rev 2010;(1):CD000073. 20. Goffinet F, Paris-Llado J, Nisand I, Breart G. [jsms.sch.ac.kr]
Neurologic
- Headache
Preeclampsia alone brings on its own set of dangers to the mother, including extremely high blood pressure, abnormal weight gain, edema, protein in the urine, and severe headaches. [birthinjuryguide.org]
If placental insufficiency is diagnosed in later stages of pregnancy, the disease can either remain sub-clinical (not be expressed as IUGR and/or pre-eclampsia), or one or more of several issues develop: – Excess maternal weight gain, leg swelling, headaches [womensandinfantshealth.ca]
[…] experience: preeclampsia (elevated blood pressure and end-organ dysfunction) placental abruption (placenta pulls away from the uterine wall) preterm labor and delivery The symptoms of preeclampsia are excess weight gain, leg and hand swelling (edema), headaches [healthline.com]
- Irritability
英文: evaluation from the clinical result that the decoction activating air and removing blood intervene the irritability insulin resistance round the surgical operation period. [dict.bioon.com]
Workup
See Workup for more detail. [emedicine.medscape.com]
Treatment
Defective placentation and subsequent placental insufficiency lead to maternal and fetal adverse pregnancy outcome, but their pathologic mechanisms are unclear, and treatment remains elusive. [ncbi.nlm.nih.gov]
We believe orphan designation for this therapy will provide practical benefits as we bring this much needed treatment to pregnant women as rapidly as we can. [news-medical.net]
It is important to take treatment for urinary tract infection. [healthtap.com]
Prognosis
OBJECTIVE: To study the Doppler velocimetry of the fetal middle cerebral artery in pregnancies complicated by placental insufficiency, and to verify its role in the prognosis of neonatal survival. [ncbi.nlm.nih.gov]
My prognosis was grim at 20 weeks too. He said that he may need to deliver my son at 24 weeks. Things looked better last week so he said I should be fine till at least 27 weeks. [whattoexpect.com]
Placental Insufficiency Prognosis Although there is no cure for placental insufficiency, it can be managed with the correct medical assistance and intervention. [birthinjuryguide.org]
Outlook (Prognosis) Problems with the placenta can affect the developing baby's growth. The baby cannot grow and develop normally in the womb if it does not get enough oxygen and nutrients. [pennstatehershey.adam.com]
Etiology
The placenta has recently been highlighted as an area of major interest in CP etiology. [brage.bibsys.no]
Timecourse Dependent on etiology (rapid abortion in EHV-1 infection, insidious for villous atrophy). Epidemiology Important to rule out EHV-1 and 4 in mcases of abortion/stillbirth/neonatal death. [vetstream.com]
BACKGROUND: Increased stillbirth rates occur among HIV-infected women, but no studies have evaluated the pathological basis for this increase, or whether highly active antiretroviral therapy (HAART) influences the etiology of stillbirths. [ncbi.nlm.nih.gov]
The exact etiology of insufficient placenta is not known, there are some factor that contribute to it, like smoking, conditions that make the mother susceptible to have blood clots like Anti phospholipid syndrome, or protein C or S deficiency. [answers.yahoo.com]
Epidemiology
However, results from epidemiological studies assessing maternal CMV antibodies in pregnancy and development of preeclampsia have been inconclusive. [brage.bibsys.no]
Epidemiology Important to rule out EHV-1 and 4 in mcases of abortion/stillbirth/neonatal death. Following abortion/stillbirth/neonatal death all movements off and onto a stud should be suspended whilst the cause is identified. [vetstream.com]
The epidemiological evidence. Breastfeed Rev. 2003 Jul;11(2):19-29. Breastfeeding and Smoking: Short-term Effects on Infant Feeding and Sleep. Pediatrics. 2007 Sep; 120(3): 497?502. Tobacco smoke causes premature skin aging. [nosmokeguide.go.kr]
Tsai x Published: May 11, 2018 https://doi.org/10.1371/journal.pone.0197039 Abstract Background Placental dysfunction is related to many pregnancy complications, but collecting placental specimens for investigation in large scale epidemiologic studies [journals.plos.org]
Pathophysiology
It is what is Sara terms “Pathophysiological Speculation”. Pathophysiological Speculation actually occurs all the time in medicine. [birthsavvy.com.au]
The pathophysiology and potential implications are discussed. [ncbi.nlm.nih.gov]
In the first section, present knowledge of the pathophysiology of fetal hypoxemia and nutritional deficiency in the context of UPI is reviewed briefly. [neoreviews.aappublications.org]
Cytomegalovirus (CMV), a virus capable of infecting the placenta, has been suggested to potentially harm placentation and thereby initiate the pathophysiological cascade leading to preeclampsia. [brage.bibsys.no]
Prevention
This is to prevent the serious complications that may arise for the baby during labor as well as in later life. Prevention & Expectations What can be done to prevent the condition? Most cases of placental insufficiency and IUGR cannot be prevented. [medicineonline.com]
In pregnancies affected by placental insufficiency, a poorly functioning placenta restricts nutrient supply to the fetus and prevents normal fetal growth. [ncbi.nlm.nih.gov]
There is not enough being done to investigate and prevent these issue but there are few charity's out there doing some important work into hopefully one day helping women like me and our precious children. [inspire.com]
On the other hand, although reflux is genetically determined and no preventable, if you have vi prevention of progression to cvi might be possible. ...Read more See 2 more doctor answers Dr. Nela Cordero Dr. [healthtap.com]