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Carpal Tunnel Syndrome

Epidemiology and Aetiology More common in women Typical presentation at age 30-50 Associated with gout, pregnancy, the pill, premenstrual state, rheumatoid arthritis, diabetes, acromegaly, obesity, amyloidosis Some believe that jobs that involve repetitive flexing of the wrist may be involved.  
almostadoctor.com - free medical student revision notes
almost 7 years ago
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101

Gestational Diabetes and Diabetes in Pregnancy

Resistance to insulin is a normal physiological response in pregnancy, thought to be induced by maternal hormones.  However, in some women, this is severe enough to result in gestational diabetes. In these women, there is reduced ability of the pancreas to produce enough insulin to overcome the insulin resistance.   Gestation diabetes is defined as - Any hyperglycaemia with first onset or presentation during pregnancy    
almostadoctor.com - free medical student revision notes
almost 7 years ago
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Pre-eclampsia and Eclampsia

Pre-eclampsia and eclampsia are different stages of the same condition. Pre-eclampsia can result in eclampsia at any time. Eclampsia is immediately life-threatening and often symptomatic.   Pre-eclampsia is a condition characterised by increased blood pressure, proteinuria and often oedema during pregnancy. It is typically asymptomatic, and occurs after 20 weeks, although it rarely presents before 32 weeks – but when it does, it is associated with a worse prognosis.  
almostadoctor.com - free medical student revision notes
almost 7 years ago
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Normal Physiology of Pregnancy

In pregnancy almost all of the mother’s organ systems need to adapt, and several factors, such as age, ethnicity, and genetic factors all affect how well she adapts to being pregnant. There are four reasons why the mother’s body needs to adapt.  
almostadoctor.com - free medical student revision notes
almost 7 years ago
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Booking, Screening & Antenatal Care

Much of the follow-up of pregnant women is carried out in the community, by midwifes at primary health care centres. The risk of death from pregnancy in the UK is roughly 1 in 20 000. Antenatal care is as much about educating women about pregnancy, childbirth and child care, as it is about providing for actual medical needs, particularly in the case of a first pregnancy. The exact measures will differ between NHS trusts, but below is a general outline of the type of care provided in pregnancy.    
almostadoctor.com - free medical student revision notes
almost 7 years ago
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Ectopic Pregnancy

 Definition Implantation of conceptious outside uterine cavity When Women in reproductive age present with pelvic pain and positive pregnancy test à Ectopic pregnancy until proven otherwise   Incidence 20:1000 pregnancies Increasing from 11:1000 pregnancies  
almostadoctor.com - free medical student revision notes
almost 7 years ago
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Physiological Changes of the Heart at Birth

Fetal circulation The fetus receives blood via the umbilical vein. Once this enters the body, it travels through the liver as the ductus venosus before joining the inferior vena cava. It allows 80% of fetal blood to bypass the liver on return from the placenta. It closes functionally within minutes of birth, and structurally within a couple of weeks (may take longer in pre-term babies) Becomes the ligamentus venosum  
almostadoctor.com - free medical student revision notes
almost 7 years ago
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Fetal Circulation Right Before Birth

Watch how the blood flows through the fetal circulation and compare it to what happens in the baby's body.  
YouTube
almost 7 years ago
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Why Do Babies Cry? The Anatomical and Physiological Changes During the Moments After Birth By George Malcolm Morley, MB, ChB, FACOG

Smiles, relief, congratulations and applause do not begin when a child is born - they start when it cries. Without crying, the room becomes increasingly silent and the mood increasingly apprehensive; and for good reason - crying is a very positive sign of a new, healthy life; its absence is anything but that. Many factors and complex interactions go into the production of the sound that announces joyful, healthy childbirth.  
whale.to
almost 7 years ago
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Normal Uterine Contractions During Delivery with Fetal Monitoring Strip

Labor and Delivery - Normal Uterine Contractions with Fetal Monitoring Strip. Depicts a relaxed uterus and dilated cervix followed by a contracted uterus. The third image shows a relaxed uterus. The fourth image shows the uterus contracting, and squeezing the baby toward the birth canal. The fifth and sixth illustrations picture a fetal monitor and its printout, graph with contractions and recovery periods.  
Nucleus Medical Media
almost 7 years ago
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Hormones in Pregnancy

First in a two part series explaining the production of hormones in pregnancy. This screen cast describes the first trimester.  
YouTube
almost 7 years ago
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Hormones in Pregnancy

This is the second in a series of 2 screencasts about the hormones in pregnancy. This covers the hormones in the 3rd trimester.  
YouTube
almost 7 years ago
Www.bmj
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Chronic hypertension and pregnancy outcomes: systematic review and meta-analysis

Objective To provide an accurate assessment of complications of pregnancy in women with chronic hypertension, including comparison with population pregnancy data (US) to inform pre-pregnancy and antenatal management strategies.  
bmj.com
over 6 years ago
Www.bmj
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Chronic hypertension during pregnancy

Hypertensive disorders of pregnancy are among the leading causes of fetal and maternal morbidity and mortality. Worldwide, 50 000 to 60 000 women die from pre-eclampsia each year, corresponding to 12% of all maternal deaths.1 2  
bmj.com
over 6 years ago
Www.bmj
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Chronic hypertension during pregnancy | The BMJ

Hypertensive disorders of pregnancy are among the leading causes of fetal and maternal morbidity and mortality. Worldwide, 50 000 to 60 000 women die from pre-eclampsia each year, corresponding to 12% of all maternal deaths. - currently located behind a paywall. Your institution may have access through Athens/Elservier or similar.  
bmj.com
over 6 years ago