The practice of maternal–fetal medicine (MFM) in the Philippines originated within the broader scope of obstetrics and gynecology. The specialty started to emerge to address the need for specialized care for high‑risk pregnancies and the management of fetal complications. Over the years, the development of MFM as a distinct subspecialty has evolved through advancements in medical technology, training programs, and the increasing complexity of pregnancy management. The Philippine Society of MFM (PSMFM), established in 1996, is the primary organization representing MFM specialists in the country. It is dedicated to advancing the field through education, training, service, and research. PSMFM provides its members a platform to enhance their knowledge, improve their skills, foster collaboration, and share expertise.
Perinatology ; Pregnancy, High-Risk

Objective: This case report highlights antenatal depression as a common condition with potentially grave outcomes if left untreated. However, treatment options can be limited by the need to protect the fetus from medication-induced side effects. Methods: We report a young female obstetric patient who was carrying twins conceived through assisted reproduction, and her pregnancy was complicated by placenta previa major and repeated antepartum hemorrhages, which necessitated multiple admissions and strict bed rest. She became intensely depressed and anxious, developed suicidal ideation and refused examinations that were necessary to her physical health. She was referred to a psychiatrist and was given low-dose medication, supportive counseling, and case management. Results: She responded well to treatment, showing marked improvement in her mood and cooperation with obstetric care. Her twins were delivered at 35 weeks’ gestation in good health. Her progress was maintained into the postpartum period. Conclusions: This case of antenatal depression was successfully treated using a combination of medication, case management and psychological support. It adds to evidence that this illness benefits from early identification and is highly treatable.
Pregnancy, High-Risk ; Antidepressive Agents

No abstract available.
Acoustic Stimulation* ; Acoustics* ; Pregnancy, High-Risk*

No abstract available.
Pregnancy, High-Risk* ; Rheology* ; Umbilical Arteries*

The management of the pregnant patient with a brain tumor must be individualized for each patient. It is a tailored and coordinated multi speciialty effort where well-defined seams are fitted for the individual and the outfit appropriate for the occasion. In the end, what matter most is the best appropriate management that is rational and safe is given for both individuals.
Human ; Adult ; PREGNANCY ; BRAIN NEOPLASMS ; MENINGIOMA ; PREGNANCY, HIGH- RISK

A case of a 40 year old, term multigravid parturient with active pulmonary tuberculosis and with severe congenital kyphoscoliosis on the thoraocolumbar area. patient came in due to decreased fetal movement and was found to have severe oligohydramnios by biophysical scoring. She underwent emergency cesarean section with bilateral tubal ligation under general anesthesia. Patient delivered a live, healthy, term male baby. Bilateral tubal ligation was then performed. How she was positioned, induced and maintained for the procedure would be the topic of this paper. Technical issues of supine positionig, intubation and respiratory support need to be considered during anesthetic planing. Although regional anesthesia is commonly administered for cesarean section, maternalcompromise and technical factors may preclude this approach.
Human ; Female ; Adult ; STERILIZATION, TUBAL ; MCDONOUGH SYNDROME ; PREGNANCY, HIGH-RISK

OBJECTIVES: In this study, we compared anxiety, depression, and maternal-fetal attachment between high-risk pregnant women and normal pregnant women, and investigated whether there was a correlation between anxiety, depression, and maternal-fetal attachment in each group.METHODS: Two hundred and eleven pregnant women(118 high-risk pregnant women, 93 normal pregnant women) were recruited. All subjects were administered a sociodemographic and obstetric questionnaire, Stait Trait Anxiety Inventory-State(STAI-S), Beck Depression Inventory- II(BDI-II), and Maternal-Fetal Attachment Scale(MFAS).RESULTS: Total score of STAI-S in high-risk pregnant women was 13.704 point higher than that in normal pregnant women(95% CI=10.449–16.959, p<0.001). Also, total BDI-II score in high-risk pregnant women was 5.325 higher than that in normal pregnant women(95% CI=1.850–3.711, p<0.001). There was no significant difference between total MFAS score of normal pregnant women and that of high-risk pregnant women(t=1.594, p=0.112). There was a significant positive correlation between anxiety and depression in both normal(r=0.529, p<0.001) and high-risk(r=0.582, p<0.001) groups. In normal pregnant women, there was a significant negative correlation between anxiety and maternal-fetal attachment(r=−0.284, p=0.006).CONCLUSION: High-risk pregnant women experienced more anxiety and depression than normal pregnant women, and the maternal-fetal attachment was not significantly different between the two groups. The higher the level of anxiety of the pregnant women, the lower the degree of maternal-fetal attachment. Psychological support for dealing with the emotional problems of high-risk pregnant women and promoting maternal-fetal attachment is needed.
Anxiety ; Depression ; Female ; Humans ; Pregnancy, High-Risk ; Pregnant Women

Liver transplantation has become a successful treatment modality for serious hepatic disease and it has been reported that there are successful pregnanies after liver transplantation. Previous reports regarding pregnancy after liver transplantation have described an increased risk of pregnancy complications, such as hypertension, preeclampsia, preterm delivery, and anemia. Hence, it is suggested that pregnancy after liver transplantation should be managed as high-risk pregnancy. We have experienced a case of successful full-term delivery after liver transplantation in patient with Wilson's disease and presented with brief review of literatures.
Anemia ; Hepatolenticular Degeneration* ; Humans ; Hypertension ; Liver Transplantation* ; Liver* ; Pre-Eclampsia ; Pregnancy ; Pregnancy Complications ; Pregnancy, High-Risk

Liver transplantation has become a successful treatment modality for serious hepatic disease and it has been reported that there are successful pregnanies after liver transplantation. Previous reports regarding pregnancy after liver transplantation have described an increased risk of pregnancy complications, such as hypertension, preeclampsia, preterm delivery, and anemia. Hence, it is suggested that pregnancy after liver transplantation should be managed as high-risk pregnancy. We have experienced a case of successful full-term delivery after liver transplantation in patient with Wilson's disease and presented with brief review of literatures.
Anemia ; Hepatolenticular Degeneration* ; Humans ; Hypertension ; Liver Transplantation* ; Liver* ; Pre-Eclampsia ; Pregnancy ; Pregnancy Complications ; Pregnancy, High-Risk

We present a case of a 20 year old patient with twin pregnancy 25-26 weeks AOG on top of a reexisting mitral stenosis in congestive heart failure accompanied by comunity acquired pneumonia; questionable asthma and gestational diabetes mellitus. The physiologic changes associated with twin pregnancy such as increaased blood volume, cardiac output, heart rate and a decrease in systemic vascular resistance are conflicting with the requirements of mitral stenosis, thus down grading the mitral stenosis to NYHA class IVD. Anesthesia was provided with continuous lumber epidural anesthesia using isobaric bupivacaine 0.5% under vigilant and invasive monitoring. Central venous pressure was monitored and maintained to normal with judicious fluid administration and diuresis. Epidural morphine was given for postoperative pain control.
Human ; Female ; Young Adult ; PREGNANCY, TWIN ; ANESTHESIA ; MITRAL VALVE STENOSIS ; HEART FAILURE ; PREGNANCY ; PREGNANCY, HIGH-RISK