Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Unexpected depletion in plasma choline and phosphatidylcholine concentrations in a pregnant woman with bipolar affective disorder being treated with lithuim, haloperidol and benztropine: a case report
Health Insurance Is a Family Matter is the third in a series of six reports planned
by the Institute of Medicine (IOM) and its Committee on the Consequences of
Uninsurance. This series of studies represents a major and sustained commitment
by the IOM to contribute to the public debate about the problems associated with
having more than 38 million uninsured people in the United States. This very
broad research effort also represents a significant contribution from The Robert
Wood Johnson Foundation for which we are grateful....
Consider an HIV-positive pregnant woman who lives in
drought-stricken rural Africa. She has walked several miles
with a child on her back to reach the nearest health facility.
Here, her child will receive some basic primary care and be
vaccinated against measles and other vaccine-preventable
diseases. This facility is small and provides only limited
services; consequently, the woman will be unable to receive
basic obstetric care here when she is ready to deliver her
For basic obstetric care, she must travel to a different clinic
in another village.
The signiﬁcance and potential of the protocol go well beyond Africa. The treaty afﬁrms
reproductive choice and autonomy as a key human right and contains a number of global ﬁrsts.
For example, it represents the ﬁrst time that an international human rights instrument has
explicitly articulated a woman’s right to abortion when pregnancy results from sexual assault,
rape, or incest; when continuation of the pregnancy endangers the life or health of the pregnant
woman; and in cases of grave fetal defects that are incompatible with life.
One of the chief benefits enjoyed by Academics is the chance to have exchange and
interchange with both specialists and trainees. During our respective careers, we have
derived, and continue to derive, great rewards from this invaluable communication,
and this was indeed the driving force behind the undertaking of this editorship. The
field of Obstetrics differs substantially from that of plain Gynecology as from other
specialties as well, since the wishes and expectations of the pregnant woman are very
specific and unusually exacting.
Air Travel and High-Altitude Destinations Commercial air travel is not a risk to the healthy pregnant woman or to the fetus. The higher radiation levels reported at altitudes of 10,500 m (35,000 ft) should pose no problem to the healthy pregnant traveler. Since each airline has a policy regarding pregnancy and flying, it is best to check with the specific carrier when booking reservations. Domestic air travel is usually permitted until the 36th week, whereas international air travel is generally curtailed after the 32nd week.
The Clinical Practice Guidelines for Midwifery & Women’s Health provided here represent
a compilation of current practices that includes evidence-based, traditional, and
empiric care from a wide variety of sources. The Clinical Practice Guidelines for Midwifery
& Women’s Health are used voluntarily and assume that the practicing women’s
health professional will temper them with sound clinical judgment, knowledge of
patient or client preferences, national and local standards, and attention to sound risk
The birth chamber--What to provide for a confinement--Ready to purchase obstetrical outfits--Position and
arrangement of the bed--How to properly prepare the accouchement bed--The Kelly pad--The advantages of
the Kelly pad--Should a binder be used--Sanitary napkins--How to calculate the probable date of the
confinement--Obstetrical table--When should a pregnant woman first call upon her physician--Regarding the
choice of a physician--How to know the right kind of a physician for a confinement--The selection of a
nurse--The difference between a trained and a maternity nurse--Duties of a conf...
D stabbed a pregnant woman with the intention of harming her alone. She
then went into premature labour, her child being born alive. D pleaded
guilty to wounding the woman with intent. Subsequently, her child died
owing to its prematurity, and D was charged with murder
Held D could be guilty of manslaughter but not murder. The requisite
intent to be proved in the case of murder was an intention to kill or cause
really serious bodily injury to the mother, the foetus before birth being
viewed as an integral part of the mother.
A pregnant woman is considered to always have a “full stomach” due to delayed gastric emptying and incompetent lower esophageal sphincter. Thus, pregnant women are at increased risk for aspiration (13;14). Therefore, prophylactic measures to prevent aspiration should be used, particularly during the third trimester. A woman with multiple gestation is at increased risk for aspiration in the mid-second trimester because of the large uterus. Maintaining a semi-seated position and avoiding excessive sedation are required to prevent aspiration.
IVF and related treatments (GIFT and ZIFT, see below) are the most invasive ART treatments.
Usually women try other methods first, and turn to IVF when those methods have not succeeded
in pregnancy or live birth. One percent of babies in the US are born using IVF. Unlike AI,
fertilization takes place outside the woman’s body in which eggs (retrieved from the woman
trying to get pregnant or from an egg donor) are fertilized with sperm (from a partner or donor)
in a Petri dish.
Adolescents who become pregnant prior to
completion of their education typically face
expulsion from school, and those who give
birth often are not readmitted. In many African
societies for example, once a young woman
has given birth she is regarded as an adult, a
role that is generally perceived as
incompatible with continued formal educa-
tion. In the event that a young woman is
forced to abandon her education due to early
pregnancy, she likely faces curtailment of her
social, intellectual and economic develop-
Infertility is a disease of the reproductive system that impairs one of the
body's most basic functions: the conception of children. In the United States,
infertility affects about 7.3 million women and their partners, or about 12%
of the reproductive-aged population. For many of these couples, the answer
lies in conventional medical therapy, such as drug treatment or surgery to
repair reproductive organs. Since 1978, ART has provided another solution
for many would-be parents.
Ooplasmic transfer involves egg retrieval from the woman undergoing IVF and another woman
donating ooplasm (the cytoplasm of an egg cell: the material outside the nucleus). The egg is
then fertilized with sperm and implanted into the woman intending to become pregnant. The
resulting child has DNA from both women because of the mitochondrial DNA present in the
ooplasm of the donor, as well as DNA from the sperm provider (partner or donor), and therefore
has three genetic parents. It had been used for women whose infertility seemed to stem from the
ooplasm in their eggs.
Surrogacy is an agreement in which a woman becomes pregnant and gives birth to a child for
someone else. Surrogacy can be paid or unpaid, and often involves a legal contract in which the
surrogate gives up parental rights to the child she births. If the surrogate’s own eggs are used
through alternative insemination or IVF, she is known as the “genetic surrogate.” If embryos are
created using another woman’s eggs and implanted in the surrogate, she is known as the
“gestational surrogate” and has no genetic tie to the child. Hiring a surrogate in the US can...
Your Choice When a woman discovers she is pregnant, her life will never be the same again, no matter what choice she makes. And when the pregnancy is unplanned, deciding what to do can be very difficult and scary. Whether you feel happy about your pregnancy or it caught you by surprise, you now have a big decision to make. Keeping perspective at this time is critical, but the most important thing to remember is that: you do have choices and you are not alone. Pregnancy brings with it many physical and emotional changes and when you are not sure...
Although not specifically referred to as quick starting, previous Faculty guidance has advised
that contraceptive methods can be started at any point in the menstrual cycle if a
practitioner is reasonably certain that the woman is not currently pregnant (Box 1)8 or at risk
of pregnancy. As sperm may be viable in the female reproductive tract for up to 7 days,
health professionals should consider if a woman is at risk of becoming pregnant as a result of
unprotected sexual intercourse (UPSI) within the last 7 days.
Affirming the right of every child and every pregnant and lactating woman to
be adequately nourished, as a means of attaining and maintaining health;
Recognizing that infant malnutrition is part of the wider problems of lack of
education, poverty, and social injustice;
Recognizing that the health of infants and young children cannot be isolated
from the health and nutrition of women, their socioeconomic status and their roles as
Conscious that breast-feeding is an unequalled way of providing ideal food for
the healthy growth and development of infants; that it forms a uniqu...
How can a provider be reasonably sure that a woman is not pregnant, or just about to be pregnant in a conception cycle?
WHOSPR advises that the provider can be reasonably certain that the woman is not pregnant if she has no symptoms or signs of pregnancy and one or more of the following criteria apply:
1. She has not had intercourse since last normal menses 2. She has been correctly and consistently using a reliable [sic] method of contraception 3. She is within the first 7 days after (onset of) normal menses 4. She is within 4 weeks postpartum for...