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Medical Problems During Pregnancy

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Abstract

Every family physician providing care to women of childbearing age should have an understanding of the effect that various medical conditions can have on pregnancy. Pregnancy has significant effects on the progression of many medical conditions; medical conditions coexisting with pregnancy can adversely affect pregnancy outcomes if not treated adequately and judiciously. The role of the family physician begins at preconception, advising patients with significant medical conditions, like diabetes and chronic hypertension, to ensure adequate control before planning a pregnancy. This chapter will address many of these medical conditions (see Table 1).

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References

  1. Patterson TF, Andriole VT. Detection significance and therapy of bacteriuria in pregnancy. Infect Dis Clin North Am. 1997;11:593.

    Article  CAS  PubMed  Google Scholar 

  2. Smail F, Vazquez JC. Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane Database Syst Rev. 2007;(2):CD000490.

    Google Scholar 

  3. Nicole LE, Bradley S, Colgan R, et al. Infectious Disease Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis. 2005;40:643.

    Article  Google Scholar 

  4. Wing DA, Hendershott CM, Miller LK. A randomized trial of three antibiotic regimens for treatment of pyelonephritis inpregnancy. Obstet Gynecol. 1998;92:249.

    Article  CAS  PubMed  Google Scholar 

  5. Sokaian S. Liver disease during pregnancy. Ann Hepatol. 2006;5:231.

    Google Scholar 

  6. Stevens CE, Beasley RP. Vertical transmission of hepatitis B antigen in Taiwan. N Engl J Med. 1975;292:771.

    Article  CAS  PubMed  Google Scholar 

  7. Benova L, Mohamoud YA, Calvert C. Vertical transmission of hepatitis C virus: systematic review and meta-analysis. Clin Infect Dis. 2014;59:765.

    Article  PubMed Central  PubMed  Google Scholar 

  8. American Thoracic Society, CDC Infectious Diseases Society of America. Treatment of tuberculosis Web site. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5211a1.htm. Accessed 26 Jan 2015.

  9. Panel on treatment of HIV-infected women and prevention of perinatal transmission recommendations Web site. http://aidsinfo.nih.gov/guidelines/html/3/perinatal-guidelines/0/#. Accessed 26 Jan 2015.

  10. Sturt AS, Dokubo EK, Sint TT. Antiretroviral therapy (ART) for treating HIV infection in ART-eligible pregnant women. Cochrane Database Syst Rev. 2010;(3):CD008440. doi:10.1002/14651858.CD008440.

  11. American Congress of Obstetricians and Gynecologists. Practice bulletin. Management of herpes in pregnancy. Obstet Gynecol. 2007;109:1489–98.

    Google Scholar 

  12. Measles: For healthcare professionals. [cited 2015 Jan 22]. Available from: http://www.cdc.gov/measles/hcp/index.html

  13. Workowski KA, Berman S. CDC Sexually transmitted diseases treatment guidelines. Morb Mortal Wkly Rep Recomm Rep. 2010;59(RR12): 1–110. [cited 2015 Jan 25]. Available from: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5912a1.htm

  14. American Congress of Obstetricians and Gynecologists. Committee opinion number 315. Obesity in pregnancy. Obstet Gynecol 2005;106:671–5.

    Google Scholar 

  15. Lawler J, Osman M, Shelton JA, Yeh J. Population-based analysis of hypertensive disorders in pregnancy. Hypertens Pregnancy. 2007;26:67–76.

    Article  PubMed  Google Scholar 

  16. Seely EW, Ecker J. Chronic hypertension in pregnancy. Circulation. 2014;129(11):1254–61.

    Article  PubMed  Google Scholar 

  17. Ginsberg JS, Brill-Edwards P, Burrows RF, Bona R, Prandoni P, Buller HR, Lensing A. Venous thrombosis during pregnancy: leg and trimester of presentation. Thromb Haemost. 1992;67(5):519–20.

    CAS  PubMed  Google Scholar 

  18. Chan WS, Lee A, Spencer FA, et al. Predicting deep venous thrombosis in pregnancy: out in “LEFt” field? Ann Intern Med. 2009;151(2):85–92.

    Article  PubMed  Google Scholar 

  19. Leung AN, Bull TM, Jaeschke R, ATS/STR Committee on Pulmonary Embolism in Pregnancy, et al. An official American Thoracic Society/Society of Thoracic Radiology clinical practice guideline: evaluation of suspected pulmonary embolism in pregnancy. Am J Respir Crit Care Med. 2011;184(10):1200–8.

    Article  PubMed  Google Scholar 

  20. Centers for Disease Control (CDC). CDC criteria for anemia in children and childbearing aged women. MMWR Morb Mortal Wkly Rep. 1989;38(22):400–4.

    Google Scholar 

  21. Sacks DA, Metzger BE. Classification of diabetes in pregnancy: time to reassess the alphabet. Obstet Gynecol. 2013;121(2 Pt 1):345–8.

    PubMed  Google Scholar 

  22. American Congress of Obstetricians and Gynecologists. Practice bulletin #22. Fetal macrosomia. Obstet Gynecol 2015;96:5.

    Google Scholar 

  23. American College of Obstetricians and Gynecologists. Committee opinion no. 560. Medically indicated late-preterm and early-term deliveries. Obstet Gynecol. 2013;121:908–10.

    Google Scholar 

  24. Carney LA, Quinlan JD, West JM. Thyroid disease in pregnancy. Am Fam Physician. 2014;89(4):273–8.

    PubMed  Google Scholar 

  25. Neale DM, Cootauco AC, Burrow G. Thyroid disease in pregnancy. Clin Perinatol. 2007;34(4):543–57.

    Article  PubMed  Google Scholar 

  26. National Asthma Council Australia. (2006). Asthma Management Handbook. pp. 17. (Accessed 30 January 2015). Retrieved from: http://www.nationalasthma.org.au/uploads/handbook/370-amh2006_web_5.pdf.

  27. Bain E, Pierides KL, Clifton VL, Hody NA, Stark MJ, Crowther CA, Middleton P. Interventions for managing asthma in pregnancy. Cochrane Database Syst Rev. 2014;10:CD0100660.

    Google Scholar 

  28. Murphy VE, Gibson P, Talbot PI, Clifton VL. Severe asthma exacerbations during pregnancy. Obstet Gynecol. 2005;106(5 Pt 1):1046–54.

    Article  PubMed  Google Scholar 

  29. Meador KJ, Baker GA, Browning N, NEAD Study Group, et al. Fetal antiepileptic drug exposure and cognitive outcomes at age 6 years (NEAD study): a prospective observational study. Lancet Neurol. 2013;12(3):244–52.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  30. Granella F, Sances G, Pucci E, Nappi RE, Ghiotto N, Napp G. Migraine with aura and reproductive life events: a case control study. Cephalalgia. 2000;20(8):701–7.

    Article  CAS  PubMed  Google Scholar 

  31. Sances G, Granella F, Nappi RE, Fignon A, Ghiotto N, Polatti F, Nappi G. Course of migraine during pregnancy and postpartum: a prospective study. Cephalalgia. 2003;23(3):197–205.

    Article  CAS  PubMed  Google Scholar 

  32. Wainscott G, Sullivan M, Volans G, Wilkinson M. The outcome of pregnancy in women suffering from migraine. Postgrad Med J. 1978;54(628):98–102.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  33. James AH, Bushnell CD, Jamison MG, Myers ER. Incidence and risk factors for stroke in pregnancy and the puerperium. Obstet Gynecol. 2005;106(3):509–16.

    Article  PubMed  Google Scholar 

  34. Marcus DA, Scharff L, Turk DC. Nonpharmacological management of headaches during pregnancy. Psychosom Med. 1995;57(6):527–35.

    Article  CAS  PubMed  Google Scholar 

  35. Hilsinger Jr RL, Adour KK, Doty HE. Idiopathic facial paralysis, pregnancy, and the menstrual cycle. Ann Otol Rhinol Laryngol. 1975;84(4 Pt 1):433–42.

    Article  PubMed  Google Scholar 

  36. Sax TW, Rosenbaum RB. Neuromuscular disorders in pregnancy. Muscle Nerve. 2006;34(5):559–71.

    Article  CAS  PubMed  Google Scholar 

  37. Shmorgun D, Chan WS, Ray JG. Association between Bell’s palsy in pregnancy and preeclampsia. QJM. 2002;95(6):359–62.

    Article  CAS  PubMed  Google Scholar 

  38. Vrabec JT, Isaacson B, Van Hook JW. Bell’s palsy and pregnancy. Otolaryngol Head Neck Surg. 2007;137(6):858–61.

    Article  PubMed  Google Scholar 

  39. Stevens JC, Beard CM, O’Fallon WM, Kurland LT. Conditions associated with carpal tunnel syndrome. Mayo Clin Proc. 1992;67(6):541–8.

    Article  CAS  PubMed  Google Scholar 

  40. Padua L, Aprile I, Caliandro P, Mondelli M, Pasqualetti P, Tonali PA, Italian Carpal Tunnel Syndrome Study Group. Carpal tunnel syndrome in pregnancy: multiperspective follow-up of untreated cases. Neurology. 2002;59(10):1643–6.

    Article  CAS  PubMed  Google Scholar 

  41. Mondeii M, Rossi S, Monti E, et al. Prospective study of positive factors for improvement of carpal tunnel syndrome in pregnant women. Muscle Nerve. 2007;36(6):778–83.

    Article  Google Scholar 

  42. Martin LF, Finigan KM, Nolan TE. Pregnancy after adjustable gastric banding. Obstet Gynecol. 2000;95(6 Pt 1):927–30.

    Article  CAS  PubMed  Google Scholar 

  43. Martin JA, Hamilton BE, Ventura SJ, Osterman MJ, Mathews TJ. Births: final data for 2011. Natl Vital Stat Rep. 2013;62(1):72.

    Google Scholar 

  44. Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings. U.S. Department of Health and Human Services. [Internet]. 2013. [cited 2015 Jan 30]. Available from: http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.pdf

  45. Committee on American Indian/Alaskan Native Women’s Health & Committee on Health Care for Underserved Women: Committee opinion no. 515: health care for urban American Indian and Alaska Native women. Obstet Gynecol. 2012;119(1):201–5.

    Google Scholar 

  46. Committee on Health Care for Underserved Women: ACOG committee opinion no. 473: substance abuse reporting and pregnancy: the role of the obstetrician- gynecologist. Obstet Gynecol. 2011;117(1):200–1.

    Google Scholar 

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Correspondence to Jayashree Paknikar .

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Paknikar, J. (2015). Medical Problems During Pregnancy. In: Paulman, P., Taylor, R. (eds) Family Medicine. Springer, Cham. https://doi.org/10.1007/978-1-4939-0779-3_12-1

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  • DOI: https://doi.org/10.1007/978-1-4939-0779-3_12-1

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