Obstetric Issues

04:55 EST 7 Dec 2012 | Anya de Iongh

There has been considerable media interest in a particular obstetric condition in recent days – Hyperemesis Gravidarum. Whilst concerning for the Royal family themselves, the disease charity Hyperemesis Education and Research, hope this publicity will help promote research in this under-funded area. So what other research is happening in Obstetrics?
It is clear that pregnancy initiates many changes in the body, some of which are more welcome than others. While gestational diabetes is relatively common, other forms of insulin-related problems can occur. There is new evidence that suggests insulinoma (tumour secreting insulin) is a possible cause of hypoglycaemia during and right after pregnancy – a differential diagnosis that requires significant treatment 
Other hormonal changes involve those related to calcium homeostatsis, secreted from the parathyroid. Hypoparathyroid is difficult to diagnose, but important to treat, because of the impact during pregnancy and lactation. The numerous treatment strategies are outlined in this paper
Whilst most do not get it as bad as cases with HG, many women do experience vomiting and nausea during their pregnancies, so it is no surprise perhaps that that is the focus of much research. The effectiveness of nutritional supplements containing specific vitamins such as Thiamine or Promethazine are being studied

Key Words: Pregnancy, Obstetrics, fetus


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