1.Use of local anesthetics for dental treatment during pregnancy; safety for parturient.
Journal of Dental Anesthesia and Pain Medicine 2017;17(2):81-90
Pregnancy induces significant anatomical and physiological changes in the mother. Many pregnant women need dental treatment due to poor oral hygiene related to pregnancy. However, most dentists are reluctant to provide, and most pregnant women are reluctant to receive, dental treatment during pregnancy. Theoretically, maternally administered drugs are transferred to the fetus. Depending on the types of drugs and the stage of pregnancy, the effects of drugs on the mother, as well as the fetus, may vary. Local anesthetics are the most widely used in dental treatment. It is, therefore, important to understand the potential effects of local anesthetics during pregnancy. In this review, we will focus on the maternal and fetal effects of local anesthetics widely used in dental treatment with consideration of the use of local anesthetics during pregnancy.
Anesthetics, Local*
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Dental Care
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Dentists
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Female
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Fetus
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Humans
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Mothers
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Oral Hygiene
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Pregnancy*
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Pregnant Women
2.Influences of Oral Health Behaviors, Depression and Stress on Periodontal Disease in Pregnant Women.
Hae Jin PARK ; Hae Jung LEE ; Soo Hyun CHO
Journal of Korean Academy of Nursing 2016;46(5):653-662
PURPOSE: The purpose of this study was to identify the influences of oral health behaviors, depression, and stress on periodontal disease in pregnant women. METHODS: The participants in this study were 129 pregnant women. Data were collected using questionnaires which included individual characteristics, oral health care behaviors, the Center for Epidemiological Studies-Depression scale (CES-D), a global measure of perceived stress, and pregnancy stress. A dentist measured periodontal probing depth and classified stages of periodontal disease according to the Community Periodontal Index (CPI). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression. RESULTS: Periodontal disease had significant correlations with oral health care behaviors (r=-.56, p <.001), perceived stress (r=.44 p <.001), pregnancy stress (r=.37 p <.001), diet (r=-.33, p <.001) and depression (r=.18 p =.046). Factors influencing periodontal disease for these pregnant women were being in the 2nd (β=.27, p <.001) or 3rd trimester (β=.45, p <.001), having a pregnancy induced disease (β=.20, p =.002), performing higher oral health behaviors (β=-.30, p <.001), and having higher perceived stress (β=.17, p =.028). The explanation power of this regression model was 61.6% (F=15.52, p <.001). CONCLUSION: The findings of this study indicated that periodic assessment of periodontal disease is essential for pregnant women who are in 2nd or 3rd trimester and have pregnancy induced diseases. Enhancing oral health care behaviors and reducing perceived stress are indicated as effective strategies to reduce periodontal disease in pregnant women.
Dentists
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Depression*
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Diet
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Female
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Humans
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Oral Health*
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Periodontal Diseases*
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Periodontal Index
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Pregnancy
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Pregnant Women*
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Stress, Psychological
3.Characteristics and Mental Health of Battered Women in Shelters.
Sunah KIM ; Soya Ja KIM ; Kyoung A NAM ; Jung Hwa PARK ; Hyun Hwa LEE
Journal of Korean Academy of Nursing 2003;33(7):981-989
PURPOSE: The purposes of this descriptive study were to: (a) describe the identifiable characteristics of the population of battered women; (b) examine mental health aspects by means of measuring level of anxiety, self-esteem, and depression. METHOD: A convenience sample of 96 battered women was recruited from women who were admitted to a shelter. RESULT & CONCLUSION: Data from this study supported the assertion that many battered women were exposed to severe physical abusive situations. Also the major finding was that the levels of anxiety and depression were high and the level of self-esteem was low in battered women living in shelters.
Anxiety
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Battered Women*
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Depression
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Female
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Humans
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Mental Health*
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Methods
4.The status of melasma in non- pregnant women
Journal of Practical Medicine 2005;512(5):71-73
Study on 274 non-pregnant women with melasma at the age of 15-67, treated in Hanoi Dermatology Hospital from November 2001 to October 2004. The results: melasma was a common disease in all of age of woman, but it accounted for 86.49% in 25-55 years old group. Melasma with localized lesions in epithelium accounted for high percentage (58.03%) then mixed lesions (20.2%). The lesions occurred in both 2 cheeks among 50.73% of worker and farmer patients. 6.56% of patients with pigment disorder skin disease, 26.64% patients with chronic disease, 19.7% of patients had related factors such as spontaneous abortion, abortion or taking contraceptive pills, 9.72% of patients had endocrine diseases
Melanosis
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Women
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Pregnant Women
5.Efficacy of daily versus weekly supplementation with folic acid on anemia status of rural women during pregnancy.
Journal of Preventive Medicine 2002;12(1):24-30
The efficacy of iron, acid folic supplement between weekly and daily groups showed that: the Hb concentration changed similar between weekly and daily groups after 16 weeks supplement and increased in both groups. Hb concentration of weekly group increased significantly (from 11.4+/-0.9 g/dl at baseline to 12.1+/-1.1 g/dl after 16 wks; P<0.01) and daily group increased significantly (from 11.1+/-0.5 g/dl at baseline to 12.2+/-1.3 g/dl after 16 wks; P<0.001). The side effect in weekly supplement group was lower than in daily supplement group (33% vs. 50%) during 6 first weekly after baseline.
Anemia
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Pregnant Women
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women
6.Mean 24-hour calcium intake of pregnant women
Ho Chi Minh city Medical Association 2003;8(1):3-6
In the 24 hours regime of 80 pregnant unipars women aged 19-45 in a gestation of < 20 weeks without complication, monitored in Hung Vuong Hospital, the average content of Ca of 326g was quantified. Calcium was supplied by milk, in the women calcium supplied group, the mean content of calcium was 422gr, versus 219 gram daily in no calci supplied group. Mean caloric intake was 1.624 613Kcal. Mean protein, carbohydrate and lipid intake were 60 28, 269 94 and 34 26 gram daily respectively. A half of subject number has < 60g protein daily in the diet and 35% among them had a non-protein calories
Calcium
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Pregnant Women
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Women
7.Study on the change of T3, T4, TSH concentrations in the blood of pregnant women
Journal of Vietnamese Medicine 2003;281(2):17-20
RIA and IRMA irradiation quantification technique was applicated for determining the concentration of triiodothyrosin (T3), thyroxin (T4), thyroid stimulating hormon (TSH) in blood of normal woman and pregnant woman. Results showed the significantly higher level of TSH and FT4 has not considerable difference in comparing with normal woman (no pregnancy). For verifying the thyroid disease in pregnant woman, TSH and FT4 should be quantified
Pregnant Women
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Blood
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Women
8.Fetal biparietal diameter from 28 weeks of gestation measured with ultrasound
Journal of Vietnamese Medicine 2003;285(6):12-16
From September 1999 to September 2001 in the Institute of protection of mother and newborn, a study was conducted to measure the biparietal diameter of fetus using ultrasound on 115 pregnant women aged 20-45 among them 53 (54,8%) unipara, 44 (38,3%) secundipara and 8 (6,9%0 multipara women. In the study, a total of 597 ultrasound examination was performed. Results showed a strict correlation between the diameter and the age of fetus during the period from 28 weeks. In average, biparietal diameter reaches an increase of 1,68 mm weekly
Ultrasonography
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pregnant women
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Women
9.Incidence rate of STIs in military candidate and pregnant women in Ha Noi city in 2003
Journal of Vietnamese Medicine 2005;313(8):1-7
The study was carried out on 400 pregnant women and 400 military candidates in Ha Noi in 2003 to evaluate sexually transmitted infections (STIs). The result showed that: HIV infection rate in pregnant women was high (0.75%) and in military candidate was 0.25%. Syphilis was detected at the same rate in two groups: 0.25%. Using PCR technique, the researcher detected gonorrhea and C.trachomatis rates military candidate group were very high (2.0% and 9.0%, respectively), and the rates in pregnant women group was low (0.0% and 1.5%, respectively)
Pregnant Women
10.Cervical Ripening Balloon for Induction of Labour in High Risk Pregnancies
Hian Yan Voon ; Angeline TY Wong ; Moi Ling Ting ; Haris Njoo Suharjono,
The Medical Journal of Malaysia 2015;70(4):224-227
Background: The Cervical Ripening Balloon (CRB) is a novel
mechanical method for induction of labour (IOL), reducing
the risks of hyperstimulation associated with
pharmacological methods. However, there remains a paucity
of literature on its application in high risk mothers, who have
an elevated risk of uterine rupture, namely those with
previous scars and grandmultiparity.
Methodology: A retrospective study on IOL using the CRB in
women with previous caesarean section or grandmultiparity
between January 2014 and March 2015. All cases were
identified from the Sarawak General Hospital CRB request
registry. Individual admission notes were traced and data
extracted using a standardised proforma.
Results: The overall success rate of vaginal delivery after
IOL was 50%, although this increases to about two-thirds
when sub analysis was performed in women with previous
tested scars and the unscarred, grandmultiparous woman.
There was a significant change in Bishop score prior to
insertion and after removal of the CRB. The Bishop score
increased by a score of 3.2 (95% CI 2.8-3.6), which was
statistically significant (p<0.01) and occurred across both
subgroups, not limited to the grandmultipara. There were no
cases of hyperstimulation but one case of intrapartum fever
and scar dehiscence each (1.4%). Notably, there were two
cases of change in lie/presentation after CRB insertion.
Conclusion: CRB adds to the obstetricians’ armamentarium
and appears to provide a reasonable alternative for the IOL
in women at high risk of uterine rupture. Rates of
hyperstimulation, maternal infection and scar dehiscence
are low and hence appeals to the user.
Pregnant Women