European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 2004
ReviewThe obstetrician and depression during pregnancy.
The objective of this article is to review the literature as to the presence of depression during and after pregnancy and some of its clinical implications; and to present a simple statistical aide for screening purposes. Clinical depression affects at least one in five women of childbearing age. During pregnancy, this figure does not diminish and not only signals problems for the pregnant woman but also for the child, measurably so into adolescence. ⋯ The obstetrician should regularly test for depression from the very first moments of planning for a child, and use the test results for a "pregnancy mood profile". This profile requires only a few minutes and is very simple to complex. It could serve for early control of depression during pregnancy as well as determine the risk for postpartum depression and thus serve as a pre-alert for postpartum suicide.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 2004
Case ReportsFactor VII deficiency and its treatment in delivery with recombinant factor VII.
The authors present two cases of pregnant women with coagulation disorders--one with inherited deficiency of factor VII and the second with chronic hepatitis. Both cases were successfully treated with recombinant activated factor VII of coagulation (NovoSeven) in delivery. The advantages of using this product are discussed.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Sep 2004
Evaluating the decision--to--delivery interval in emergency caesarean sections.
To assess the interval between the decision to carry out an emergency caesarean section and delivery, and to determine whether this interval can be shortened. ⋯ The recommended interval of 30 min is not routinely achieved. Improving communication within the perinatal team could decrease the decision--to--operating theatre interval and should be promoted.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Aug 2004
Awareness of the use of folic acid to prevent neural tube defects in a Mediterranean area.
The risk of neural tube defects (NTDs) is decreased in women who take folic acid during the periconceptional period. The main objective of our study was to evaluate the awareness of the need for folic acid supplementation and also the actual intake during the periconceptional period to prevent neural tube defects in a Mediterranean area. ⋯ Although the population is aware of the need to take folic acid, the real impact of the present recommendations is almost negligible. Information in primary care and preconceptional counselling to specifically inform patients about the need to take folic acid to prevent NTDs seem to be crucial to improve the final intake of folic acid during the protective period.