Displaying publications 61 - 80 of 2383 in total

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  1. Ng S, Hamontri S, Chua I, Chern B, Siow A
    Fertil. Steril., 2009 Aug;92(2):448-52.
    PMID: 18930204 DOI: 10.1016/j.fertnstert.2008.08.072
    To present our experience of laparoscopic management of cornual ectopic pregnancy.
    Matched MeSH terms: Pregnancy*; Pregnancy Outcome*; Pregnancy, Ectopic/diagnosis; Pregnancy, Ectopic/surgery*
  2. Gabriel R
    Malays J Reprod Health, 1992 Jun;10(1):19-22.
    PMID: 12345025
    PIP: Between December 1990 and May 1991 in Malaysia, clinicians at the Sultanah Aminah Hospital in Johor Bahru screened 200 women with a diagnosis of threatened miscarriage with ultrasound to determine whether ultrasound could evaluate the viability of the fetus and thus the outcome of pregnancy in cases of threatened abortion. A fetal heartbeat was absent in 65% of cases with the remaining 35% of cases having a fetal heartbeat. Nonviability of the fetus or an abnormal or very early pregnancy may have accounted for an absent fetal heartbeat. The pregnancy of 46% of cases continued while 41% experienced spontaneous abortion. Just 6.2% of cases with a fetal heartbeat suffered from spontaneous abortion compared with 69.7% of those without a fetal heartbeat. 93.8% of cases with a fetal heartbeat continued their pregnancies compared with 30.3% of those without a fetal heartbeat. Inability of ultrasound to detect fetal heartbeats during early pregnancy probably accounted for the somewhat high percentage of those without a fetal heartbeat who continued their pregnancies. Among patients with a fetal heartbeat, the number of pregnancies that continued. Ultrasound detected 13% abnormal pregnancies (i.e., molar pregnancy or ectopic pregnancy). Surgery on these cases confirmed the ultrasound findings. These results showed that ultrasound should be used in every case of threatened miscarriage and that a fetal heartbeat does indicate the viability of the fetus.
    Matched MeSH terms: Pregnancy; Pregnancy Complications*; Pregnancy Outcome*; Pregnancy, Ectopic*
  3. Zulkifli SN, Paine LL, Greener DL, Subramaniam R
    Int J Gynaecol Obstet, 1991 May;35(1):29-36.
    PMID: 1680072
    Trends in selected pregnancy complications from 1969 to 1987 in a tertiary hospital in Malaysia are presented. Complications reviewed were abortion, ectopic pregnancy, anemia, hypertension, hyperemesis, antepartum and postpartum hemorrhage. Possible explanations for the observed trends were discussed, including the role of improved obstetric care and changes in the characteristics of the childbearing population. The data presented give some indication of maternal morbidity in the childbearing population served by this tertiary center and should lead to improvements in provision of services as well as in health data collection in the future.
    Matched MeSH terms: Pregnancy; Pregnancy Complications/epidemiology*; Pregnancy Complications, Cardiovascular/epidemiology; Pregnancy Complications, Hematologic/epidemiology; Pregnancy, Ectopic/epidemiology
  4. Nor Azlin MI, Maisarah AS, Rahana AR, Shafiee MN, Aqmar Suraya S, Abdul Karim AK, et al.
    J Obstet Gynaecol, 2015 Jan;35(1):13-5.
    PMID: 24987985 DOI: 10.3109/01443615.2014.930108
    Reduced fetal movement is a worrisome common complaint, not only for mothers but also for the attending medical personnel. The aim of this study was to analyse the pregnancy outcomes of women who presented primarily with reduced fetal movements (RFM). A retrospective study was performed based on patients' perception alone. Obstetric, past medical history, current presentation and outcomes of pregnancy were analysed. A total of 230 case notes were reviewed, with the majority being primigravidae. Less than half (48.7%) of the women had spontaneous labour, 45.7% had induction and 5.6% had elective caesarean section. There were no maternal complications in 97.4% (n = 224) of them. About 0.9% (n = 2) and 1.7% (n = 4) had primary postpartum haemorrhage and extended perineal tear, respectively. Although there was no major neonatal mortality and morbidity, until a randomised trial with a significant sample is conducted in the management of RFM, careful selections for elective delivery or conservative management would prevent untoward complications.
    Matched MeSH terms: Pregnancy; Pregnancy Outcome*
  5. Fadilah SA, Leong CF, Jamil MY, Cheong SK, Rozilaila R
    Med J Malaysia, 2006 Aug;61(3):358-60.
    PMID: 17240590 MyJurnal
    Hodgkin's disease (HD) in association with pregnancy is rarely reported. Thus, the data in the management of pregnancy complicated by HD is limited. We report here the management of advanced HD in pregnancy that was treated successfully with chemotherapy.
    Matched MeSH terms: Pregnancy; Pregnancy Complications, Neoplastic/surgery*
  6. Wahab AA, Ali UK, Mohammad M, Md Monoto EM, Rahman MM
    Pak J Med Sci, 2015 4 17;31(1):217-9.
    PMID: 25878647 DOI: 10.12669/pjms.311.5932
    Syphilis in pregnancy remains an important medical condition due to its consequences. We present two cases of young pregnant women who were diagnosed syphilis during their antenatal visit. The first case was a 29-year-old Malay lady diagnosed with syphilis during the first trimester of pregnancy, while the second case was a 21-year-old Chinese lady diagnosed with syphilis during the third trimester of pregnancy. The diagnosis and management of the syphilis in pregnancy are discussed.
    Matched MeSH terms: Pregnancy; Pregnancy Trimester, First; Pregnancy Trimester, Third
  7. Ravindran J
    Med J Malaysia, 2003 Mar;58 Suppl A:23-35.
    PMID: 14556348
    Globally, abortion mortality accounts for approximately 13% of all maternal mortality. Unsafe abortion procedures, untrained abortion providers, restrictive abortion laws and high maternal mortality and morbidity from abortion tend to occur together. Unplanned and unwanted pregnancies constitute a serious public health responsibility. While fertility has declined by half in developing countries, the motivation to control and space births has risen faster than the rate of contraceptive use. Preventing maternal mortality and morbidity from abortion in countries where these remain high is a matter of good public health policy and medical practice, and constitutes an important part of safe motherhood initiatives. A range of positive steps has been taken to reduce deaths and morbidity from abortion in a growing number of countries over the past 15 years. Making abortion legal is an essential prerequisite in making it safe. In this respect, changing the law does matter and assertions to the contrary are ill conceived and unsupported in practice. Although, in many countries, trends towards safer abortion have often occurred prior to or in the absence of changes in the law, legal changes need to take place if safety is to be sustained for all women. Religious laws may also require attention when legal change is being contemplated. There are three main ways of approaching this problem: liberalizing the existing law within the penal or criminal code; partially or fully legalizing abortion through a positive law or a court ruling; and decriminalising abortion by taking it out of the law. Women's health groups and other advocates, parliamentarians and health professionals, can work together to support the right of women not to die from unsafe abortions and to ensure they receive treatment for complications. Committed doctors can make a difference by providing treatment for abortion complications, interpreting the law in a liberal way and providing safe services where these are legal as well as training providers in the safest techniques to reduce mortality and morbidity. Although law, policy and women's rights are central to this issue, making abortions safe is above all a public health responsibility of governments. Moreover, reducing maternal mortality by making abortions safe is also an important part of the international commitment made in Cairo in 1994 at the ICPD and reaffirmed at the Cairo meeting in 1999.
    Matched MeSH terms: Pregnancy; Pregnancy, Unwanted*
  8. Jackson N, Hamizah I
    Int J Hematol, 1996 Dec;65(1):85-8.
    PMID: 8990629
    A 25-year-old lady presented with a severe normocytic anemia (Hb 5.3 g/dl) and a sideroblastic marrow at the end of her first pregnancy. Six months into the puerperium, after the transfusion of a total of 8 units of red cells, there was apparent spontaneous improvement and then she was lost to follow-up. After a second pregnancy without clinical problems, she presented during a third pregnancy, at the age of 30 years, with similar hematological findings. Twenty-two months later she was well with a normal blood count. One possible reason for relapse in pregnancy is the increased demand for pyridoxine that occurs, but only one other case of sideroblastic anemia relapsing during pregnancies has been reported.
    Matched MeSH terms: Pregnancy; Pregnancy Complications*
  9. Loke KH, Salleh R
    Med J Malaysia, 1983 Jun;38(2):131-3.
    PMID: 6621443
    Three cases of acute psychosis during pregnancy had been treated with electroconvulsive therapy (ECT) during their stay in hospital, due to their slow response to anti-psychotic medication. All three responded well to the treatment and two subsequently delivered normal healthy infants and they did not suffer maternal complications. The authors feel that ECT is as safe, if not safer than the use of high dosage of anti-psychotic medication and a review of the world literature appears to confirm this view. In addition, the psychotic process usually settles faster with the use of ECT than with the use of anti-psychotic drugs.
    Matched MeSH terms: Pregnancy; Pregnancy Complications/therapy*
  10. Leigh B, Ebrahim GJ, Lovell H, Yusof K
    J Trop Pediatr, 1983 10;29(5):265-7.
    PMID: 6644850 DOI: 10.1093/tropej/29.5.265
    Matched MeSH terms: Pregnancy; Pregnancy Complications*
  11. Edwards MD
    Trop Anim Health Prod, 1985 Nov;17(4):201-8.
    PMID: 4089967 DOI: 10.1007/BF02356977
    This paper examines the effect of age at first calving and milking system on the overall lactation performance and incidence of lactation failure of 442 F1 Bos indicus/Bos taurus dairy crossbreds in Sabah. The two types of crossbred used in the study were imported F1 Sahiwal x Friesian and locally bred Friesian x Local Indian Dairy. Heifers which did not lactate for at least 120 days or produced less than 20 kg of milk during the fourteenth week of lactation were considered to have failed to establish a lactation. The imported and locally bred heifers recorded failure rates of 23.4 and 21.4% respectively. Three milking systems were examined namely machine milking without calf, machine milking with calf and hand milking. They produced failure rates of 30, 12 and 5.6% respectively. The cows that passed recorded 120 day milk production figures of 878, 1,134 and 1,054 kg respectively. The three age groups of less than 30 months, 30 to 34 months and greater than 34 months recorded failure rates of 37, 22 and 10% respectively. The heifers machine milked without their calf which calved at less than 30 months of age recorded a failure rate of 44% while those which calved at greater than 34 months recorded a failure rate of only 17%.
    Study site: Tawau and Sebrang Livestock Breeding Centres, Sabah, Malaysia
    Matched MeSH terms: Pregnancy; Pregnancy, Animal*
  12. Sukumaran S, Kanagalingam D
    Med J Malaysia, 2019 02;74(1):85-86.
    PMID: 30846669
    We present two cases of diamniotic, dichorionic twin pregnancies in which after the loss of the first foetus in the setting of clinical chorioamnionitis, both pregnancies were successfully managed by delayed-interval delivery. A fourstage protocol including aspects of management in this specific setting is proposed. We consider the importance of a selection process when managing conservatively, measures to promote latency and decisions regarding delivery of the foetuses. Whilst we report successful case studies of conservative management with delayed-interval delivery, we support a cautious approach and understand that in the setting of clinical chorioamnionitis of the remaining foetus, delivery is necessary.
    Matched MeSH terms: Pregnancy; Pregnancy, Twin*
  13. Taib NA, Rahmat K
    Adv Exp Med Biol, 2020;1252:43-51.
    PMID: 32816261 DOI: 10.1007/978-3-030-41596-9_6
    Benign cystic or solid lumps frequently occur in the breasts of young women, and consequently can also be seen during pregnancy and lactation. Simple cysts do not increase the risk of malignancy. The current management is routine follow-up. Complex cysts are thick walled or contain a mass, and should be followed by a US-guided biopsy and then treated similar to any non-gravid, non-lactating patient.Galactoceles can be detected during the last trimester of pregnancy and during or after stopping lactation. Aspiration can be done to confirm the content. Co-existence of galactocele and malignancy is extremely rare, and the key is to follow up until it resolves.Fibroadenoma is the most frequent lesion found during pregnancy and lactation. Management is usually conservative after triple assessment. Surgery is usually not recommended in pregnant and lactating women unless rapid increase in size occurs or there is discordance in the triple assessment.Lactating adenomas are sometimes interpreted as a variant of fibroadenoma . They can naturally disappear at the end of pregnancy or lactation. Management is usually conservative, and an excisional biopsy is only mandated if it is rapidly enlarging or if there is discordance in the triple assessment.Gestational gigantomastia is a rare condition consisting of diffuse severe hypertrophy of both breasts during pregnancy . Mastectomy and reconstruction may rarely be required in such cases.
    Matched MeSH terms: Pregnancy; Pregnancy Complications*
  14. Thangatorai R, Lim FC, Nalliah S
    J Matern Fetal Neonatal Med, 2018 Jun;31(12):1638-1645.
    PMID: 28412851 DOI: 10.1080/14767058.2017.1319930
    BACKGROUND: Preterm births occur frequently in multiple pregnancies with a short cervix. The cervical pessary is a potential intervention for prevention of preterm births.

    OBJECTIVE: To assess the effectiveness of cervical pessary in the prevention of preterm births in multiple pregnancies with a short cervix (<25 mm).

    SEARCH STRATEGY: Major databases from 2006 to 20th November 2016 were searched for relevant terms.

    SELECTION CRITERIA: We included randomized controlled trials that assessed the effectiveness of cervical pessary on pregnancy outcomes in multiple pregnancies with a short cervix.

    DATA COLLECTION AND ANALYSIS: Risk ratio was used as the summary measure with random effects model. We assessed heterogeneity between studies using the I2 index. Quality assessment was done based on Cochrane Handbook Method.

    MAIN RESULTS: Pooled data showed no benefit of using cervical pessary in the prevention of preterm births, birth weights less than 1500 g, less than 2500 g, adverse neonatal events and fetal/neonatal deaths in twin pregnancies with a short cervix.

    CONCLUSION: We are unable to show benefit of using cervical pessary in preventing preterm births in twin pregnancies with a short cervix. However, as cervical pessary is a reasonable intervention, there is a need for more randomized controlled trials in this area.

    Matched MeSH terms: Pregnancy; Pregnancy, Multiple*
  15. Thambu JA
    Med J Malaya, 1967 Dec;22(2):87-93.
    PMID: 4231984
    Matched MeSH terms: Pregnancy; Pregnancy Complications, Cardiovascular*
  16. Maitland HB, Llewellyn-Jones D
    Med J Malaya, 1965 Jun;19(4):273-6.
    PMID: 4220852
    Matched MeSH terms: Pregnancy; Pregnancy Tests*
  17. TASKER P, RICHARDSON AM, LLEWELLYN-JONES D
    J Obstet Gynaecol Br Emp, 1956 Jun;63(3):409-14.
    PMID: 13332461
    Matched MeSH terms: Pregnancy; Pregnancy Complications*
  18. Natasha MN, Khoo HW, Sulaiman AS, Nur Azurah AG, Md Dali AZH, Jamil MA
    Medicine & Health, 2012;7(2):107-111.
    MyJurnal
    Levonorgestrel (LNG) is a well-known safe and efficacious emergency contraception (EC). However, ectopic pregnancy following the failure of LNG-only EC has been reported. The exact incidence of ectopic pregnancy has been hindered by lack of data due to the fact that LNG-only EC is accessible at pharmacies without a prescription. We describe a case of ectopic pregnancy in an 18 year-old single woman who took LNG-only EC within 48 hours of unprotected sexual intercourse. She presented to the emergency department at 8 weeks period of amenorrhoea with an acute abdomen and hypovolaemic shock. Laparotomy confirmed a ruptured right tubal pregnancy and salpingectomy was performed. The patient was discharged well after 2 days. We aim to highlight this potential adverse effect and to discuss the plausible causality of ectopic pregnancy following administration of LNG-only EC.
    Matched MeSH terms: Pregnancy; Pregnancy, Ectopic; Pregnancy, Tubal
  19. Suhaiza, A., Che Anuar, C.Y., Nik Zuky, N.L., Mokhtar, A.
    MyJurnal
    Monoamniotic twin pregnancy is a rare type of twin pregnancy which poses risk of cord entanglement and
    sudden death of either one or both fetuses. The role of antenatal surveillance by Ultrasound Doppler for
    umbilical cord and ultrasonic evidence of cord entanglement or knotting may predict the pregnancy outcome
    but yet unavoidable. The discussion will include antenatal surveillance in this rare type of pregnancy.
    Matched MeSH terms: Pregnancy; Pregnancy Outcome; Pregnancy, Twin
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