Wednesday, December 2, 2009

plus 4, Glucose intolerance in pregnancy associated with postpartum ... - Science Centric

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plus 4, Glucose intolerance in pregnancy associated with postpartum ... - Science Centric


Glucose intolerance in pregnancy associated with postpartum ... - Science Centric

Posted: 02 Dec 2009 07:49 AM PST

Women who have gestational glucose intolerance (a condition less severe than gestational diabetes) exhibit multiple cardiovascular risk factors as early as three months after birth, according to a new study accepted for publication in The Endocrine Society's Journal of Clinical Endocrinology and Metabolism (JCEM).

Researchers in this study sought to evaluate the relationship between gestational glucose intolerance and postpartum risk of metabolic syndrome (defined as the clustering of several cardiometabolic risk factors including obesity, hypertension and low HDL cholesterol). Metabolic syndrome, like gestational diabetes itself, is associated with increased risk of developing type 2 diabetes and cardiovascular disease.

Researchers followed 487 women who underwent oral glucose tolerance testing during pregnancy. Each subject was classified as either having normal glucose tolerance, gestational glucose intolerance or gestational diabetes. At three months postpartum, researchers evaluated each subject's cardiometabolic characteristics, such as blood pressure, weight, waist measurement and lipid levels.

Findings support that even mild glucose intolerance during pregnancy predicts an increased likelihood of the metabolic syndrome at 3 months postpartum. The presence of cardiovascular risk factors as early as three months postpartum indicates that these risk factors may be longstanding and contribute to the long-term risk of cardiovascular disease in this patient population.

'The study findings raise the important possibility that women with gestational glucose intolerance and subsequent postpartum metabolic syndrome represent a patient population at particularly high risk for the future development of metabolic and vascular disease,' said Ravi Retnakaran, MD, of Mount Sinai Hospital and the University of Toronto and lead author of the study. 'Further research with long-term follow-up is needed to address this possibility.'

'Our data also suggests that glucose tolerance screening in pregnancy, as is currently practised, may provide previously unrecognised insight into a woman's postpartum cardiovascular risk-factor profile,' said Retnakaran. 'Furthermore, glucose tolerance screening may identify subgroups of young women for whom cardiovascular risk-factor monitoring may be warranted.'

Source: Endocrine Society

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1 in 5 Oz women smokes during pregnancy - Newstrack India

Posted: 02 Dec 2009 04:00 AM PST

Melbourne, Dec 2 (ANI): A new Australian research has found that one out of five women smokes during pregnancy despite increased awareness about the effect of tobacco on children.

 

Dr Elizabeth Maloney and Dr Delyse Hutchinson of the National Drug and Alcohol Research Centre at the University of New South Wales reviewed data from the Growing Up in Australia: The Longitudinal Study of Australian Children (LSAC) to come up with their findings.

 

The research suggests that mothers are more likely to smoke while pregnant and after giving birth if their partner smokes, reports the Daily Telegraph.

 

Consequently, about 29,000 babies below 12 months of age and 36,000 children aged 4-5 inhale tobacco smoke at home.

 

According to the study: "Smoking inside the home remains a major public health concern, and a difficult issue to address as it would be impossible to regulate."

 

Although, the study noted that overall smoking was decreasing, it revealed that babies and children were still exposed to smoke.

 

Nearly 18 percent mothers said they smoked during pregnancy, but a majority had less than 10 cigarettes in a day.

 

Dr Maloney pointed out that the research showed that women found it hard to kick the habit.

 

She said: "They also show that partners are the single strongest influence on whether a mother will continue smoking after giving birth and importantly whether she will start smoking again after quitting during pregnancy.

 

"That is why we need to target families and partners not just mothers."

 

"There are vulnerable groups that need to be targeted. You need to target the ones that can't give up during pregnancy and those that quit and then start again, " Dr Malony added. (ANI)

 

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Teen pregnancy jumps in Berkshire County - WBZ News Radio 1030

Posted: 30 Nov 2009 09:17 AM PST

Pittsfield (AP) -- A United Way report says that while the teen pregnancy rate in most parts of the state has dropped by 21 percent in the past decade, it's up 20 percent in Berkshire County.

That is one of the findings included in a fiscal 2010 Community Impact baseline report, commissioned by the Berkshire United Way and completed by the Berkshire Regional Planning Commission.

Berkshire United Way President and CEO Kristine Hazzard tells The Berkshire Eagle the teen pregnancy figures in the report are for girls between the ages of 15 and 19, and were obtained from Berkshire County's teen birth rate statistics between 1998 and 2007.

Hazzard says the report will help the United Way identify community problems, and prioritize them with the goal of achieving "results-driven accountability."

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Pregnancy and veins - KHSLTV

Posted: 02 Dec 2009 03:41 PM PST

A Crisis in Late Pregnancy - New England Journal of Medicine

Posted: 02 Dec 2009 02:08 PM PST

Akshay S. Desai, M.D., M.P.H., William A. Chutkow, M.D., Ph.D., Elazer Edelman, M.D., Ph.D., Katherine E. Economy, M.D., and G. William Dec, Jr., M.D.

In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 31-year-old woman in the 37th week of an uncomplicated pregnancypresented to the emergency department with sudden onset of severebitemporal headache and shortness of breath. Her medical historywas notable for hypothyroidism and pernicious anemia (both treated).She had had four previous pregnancies: the first was terminatedtherapeutically for elective reasons, the next two resultedin spontaneous abortions, and the . . . [Full Text of this Article]

Commentary


Source Information

From the Division of Cardiovascular Medicine (A.S.D., W.A.C., E.E.) and the Center for Maternal–Fetal Medicine, Department of Obstetrics and Gynecology (K.E.E.), Brigham and Women's Hospital: and the Division of Cardiology, Massachusetts General Hospital (G.W.D.) — both in Boston.

No potential conflict of interest relevant to this article was reported.

An Interactive Medical Case related to this Clinical Problem-Solving article is available at NEJM.org.

Address reprint requests to Dr. Desai at the Division of Cardiovascular Medicine, PBB-A3, AB370, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115, or at adesai@partners.org.



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