Ehlers-Danlos patients often have a high degree of gastrointestinal problems such as GERD (gastroesophageal reflux disease), IBS (Irritable bowel syndrome), Motility problems, hernias and intestinal obstructions. Although these issues are not usually life threatening they can be resistant to many treatment methods which in turn can affect the person’s quality of life [4,5]. Women with EDS hypermobility are at an increased risk of complications seen in menstruation and pregnancy. Some manifestations associated with this condition are painful and irregular menstruation, uterine and or rectal prolapse and vessel rupture during pregnancy and delivery. Due to these issues infants are at an elevated risk of premature birth. Infants also are seen
It is our pleasure to see and provide FTS for Ms. Jennifer Mullins. She is a 19yo, G1 P0, with EDD by an 8-week 1-day ultrasound performed in your office giving an EDD of 12/25/17. Her past medical history is notable for morbid obesity with a prepregnancy BMI of 45. She takes prenatal vitamins, denies any surgical history, is normotensive with a normal urine dip here. This is her 1st pregnancy. Her social history is negative x3. Her family history is notable for breast cancer, HTN, diabetes in her maternal grandmother, and heart disease in her as well. She has having occasional nausea, vomiting, and heartburn and says that the Diclegis is not working at all and would like a different prescription.
Dan Beth was born in 1970, and lived his childhood through from 1974 through 1983. His family consisted of his father, mother, his sisters, Linda, Debra, Cindy, and Martha, and his brothers, David, Gary, and Melvin. A typical day for Dan was going to school, coming home to do homework, eating dinner, and then going to the golf course to sell golf balls. When he wasn’t working he hanged out with his brothers and friends. They rode bikes, played kick the can, or wandered around the neighborhood.
The Mitchell MD100 is an impressive 12-string acoustic guitar. It has a true dreadnought-sized body. This instrument combines a lot of high-quality features into one wonderful package. It makes great music on stage or even just jamming at home.
The god of air and storms, “He decreed the fates, his command could not be altered, and he was the god who granted kingship.” (oracc.museum.upenn.edu/amgg/listofdeities/enlil/) Enlil is in several myths involving his son ninurta. The myth of Enlil and Ninlil is about Enlil's serial seduction of the goddess Ninlil in various guises, resulting in the conception of the moon-god Nanna and the underworld deities Nergal,Ninazu,and Enbil.(https://en.wikipedia.org/wiki/Enbilulu) He held the tables of destiny.
Physiological changes occurring in Amber’s body are happening in her gastrointestinal, urinary, respiratory and cardiovascular system. She is feeling sick because of the increased hCG, progesterone and estrogen levels. Her story is only until her 11th week of her pregnancy, but she may feel many symptoms throughout the rest of her pregnancy if it is not aborted. Those symptoms could be increased urination because the kidneys are disposing of fetal metabolic waste as well as her own. Blood volume also rises to help accommodate the fetus’ needs (Marieb & Hoehn 2013).
This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks
Professor P J Graham — Consultant Psychiatrist, Hospital for Sick Children, Great Ormond Street, London
Mr. Fantastic, the Fantastic Four comic book hero, can stretch himself to staggering proportions before snapping back to normal. But what if that characteristic existed outside the comic book world? Well, it does, but snapping back to normal is not an option for those who have Ehlers-Danlos Syndrome, or EDS. There is very little snapping back for these people. Dealing with their symptoms is a daily struggle. Recognized as far back as 400 B.C. by Hippocrates, the syndrome is named after two physicians. In the early 20th century Edvard Ehlers of Denmark and Henri-Alexandre Danlos of France lent their names to the syndrome, which has many symptoms besides stretchy skin.
Once diagnosed, I found the paucity of reliable, concrete treatments shocking; but, using extensive PubMed research, I cured myself within a year. I overcame GERD by changing habits, chugging gallons of aloe vera leaf juice and essentially understanding my body’s natural processes and ethnobotany, which I found personally relieving and intellectually fascinating. My victory prompted me to partake in Townsend’s series of scientific research classes, requiring my joining an academic laboratory
The risk factors selected for this study were a family history of diabetes, a personal history of GDM, maternal age of 35 or older, a BMI ≥25 kg/m2, and a history of macrosomia in a previous pregnancy. It should be noted that two of these criteria (previous GDM and previous macrosomic infant) cannot be applied to nulliparous women. In this study, investigators found that the number of risk factors identified was directly proportional to the prevalence of GDM and the incidence of adverse events related to GDM, including preeclampsia, macrosomia, LGA infants, and shoulder dystocia. Interestingly, 35% of the women on the study that did not have any of the risk factors identified were subsequently diagnosed with gestational diabetes. These women also experienced more GDM-related events, despite being treated, than women without GDM. This high percentage is likely reflective of the low number of risk factors used in the study (only three risk factors for nulliparous women), combined with the fact that patients may be mistaken regarding family medical history. The patients in this study were predominantly of low socioeconomic status, which is considered by many experts to be a risk factor for GDM (Gunderson, et al., 2007). If socioeconomic status had been used as one of the risk factors evaluated, it is likely that far fewer than 35% of patients without risk factors would have
A total of 200 pregnant women diagnosed with GDM. Group A (n=100) was treated with metformin, and group B (n=100) was treated with insulin.
It affects 3-5% of pregnant women and it is one of major reasons associated with maternal-fetal mortality. In severe cases red blood hemolysis, low platelet count, edema, kidney and liver dysfunction can happen. (Turner K & Hammed AB, 2017).
Endometriosis can impact women greatly. They will face many challenges throughout the journey of having endometriosis. A woman with endometriosis will have many problems relating her physical health. One being she will be infertile and struggle to become pregnant. This will me hard when she is trying to have a baby and she might have to have surgery to remove the endometriosis tissue but it’s not always certain that they will become pregnant, although a percentage of women do. Women with this condition also experience many symptoms like severe period pain. This would be hard as some
The sign and symptoms of PPH include; the apparent excessive bleeding, hematocrit-reduction of the number of red blood cells, reduced blood pressure, development of symptoms of shock and anaemia, and severe pain and swelling of tissues and muscles of the vagina, vulva, pelvic and perineum (Simpson & Creehan, 2008). Besides, Ricci & Kyle (2009) avow that there are different factors that place a mother at risk for PPH, and they comprise; prolonged first, second or third stage of labour, previous history of PPH, foetal macrosomia, uterine infection, arrest of descent and multiple gestation. Other risk factors may include; mediolateral episiotomy, coagulation abnormalities, maternal hypertension, maternal exhaustion, malnutrition or anaemia, preeclampsia, precipitous birth, polyhydramnios and previous placenta previa (Ricci & Kyle, 2009).
Prematurity is the main risk factor for RDS. Other risk factors associated with RDS include maternal diabetes, multiple gestation, elective cesarean delivery without labor, Caucasian race, male sex, precipitous delivery, and perinatal asphyxia. Factors associated with decreased risk for RDS include chronic hypertension, pre-eclampsia, chorioamnionitis, and prolonged rupture of membranes.