AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Thyroid and parathyroid surgery outcomes may be worse in pregnant women.
Pregnant women appear to have worse clinical and economic outcomes after thyroid and parathyroid surgery compared with women who are not pregnant, according to a report in the May issue of Archives of Surgery, one of the JAMA/Archives journals (see also JAMA and Archives Journals).
Thyroid and parathyroid surgery are used to treat cancer and other conditions. The incidence of thyroid cancer has increased by almost 250 percent over the last 30 years, increasing from 3.6 to 8.7 cases per 100,000 persons, according to background information in the article. The rate is almost double in pregnant women, with 14.4 cases per 100,000 persons. "Hyperthyroidism [overactive thyroid] has been reported in 0.1 percent to 0.4 percent of pregnancies. Inadequately treated hyperthyroidism during pregnancy poses significant risks to both mother and fetus," the authors write. "Outcomes after thyroid and parathyroid procedures during pregnancy have not been well characterized in the surgical literature."
SreyRam Kuy, M.D., of Yale University School of Medicine, New Haven, Conn., and United States Department of Veterans Affairs, Washington, and colleagues compared clinical and economic outcomes of thyroid and parathyroid surgery performed on 201 pregnant women (average age 29) and a group of 31,155 age-matched, non-pregnant women from 1999 to 2005. Fetal, maternal and surgical complications as well as in-hospital death, length of stay and hospital costs were measured.
Of the 201 pregnant women, 165 underwent thyroid procedures and 36 underwent parathyroid procedures. "Compared with non-pregnant women, pregnant patients had a higher rate of endocrine [relating to glands that secrete hormones](15.9 percent vs. 8.1 percent) and general complications (11.4 percent vs. 3.6 percent), longer unadjusted lengths of stay (two days vs. one day) and higher unadjusted ...
- Pregnant women face high risk of pandemic flu.
- Magazine article from: Internal Medicine Alert September 1, 2009 700+ words
Pregnant women face high risk of pandemic flu H1N1 vaccine trials under way Pregnant women appear to be particularly vulnerable to...present recommendation to promptly treat pregnant women with H1N1 influenza virus infection with...
- Study: Pregnant women with swine flu more at risk
- News wire article from: AP Online July 29, 2009 700+ words
Pregnant women who get swine flu are at least four times as...new study says. While experts don't know if pregnant women are more susceptible to swine flu, they say once pregnant women are infected, they have a higher risk of complications...
- Medicaid and pregnant women: who is being enrolled and when.(Access to Health...
- Health Care Financing Review Ellwood, Marilyn Rymer Kenney, Genevieve December 22, 1995 700+ words
...coverage to all pregnant women with family incomes below 133 percent of the Federal...extend coverage to pregnant women up to 185 percent of the FPL. Subsequent...coverage to all pregnant women with family income below 133 percent of the FPL by...
- H1N1 presents high risks for pregnant women: give antivirals as soon as...
- Magazine article from: OB GYN News Sullivan, Michele G. August 1, 2009 700+ words
Pregnant women who contract the novel influenza A(H1N1) virus...Promotion, in a statement. "Clinicians who treat pregnant women should have a system in place for triaging pregnant women with influenzalike symptoms and they should not...
- CDC To Urge Swine Flu Vaccine For Pregnant Women
- Transcript from: NPR All Things Considered MADELEINE BRAND July 29, 2009 700+ words
...than the proportion of pregnant women in the total population...there are 3.4 million pregnant women in the country at any...yet fewer than 15 percent get seasonal flu shots...hesitancy on the part of pregnant women to do anything or take...
- Websites offer ideal opportunity to communicate with pregnant women: online...
- Newspaper article from: Brand Strategy Djukic, Aleksandra December 1, 2001 700+ words
The market for pregnant women is a market I feel a close affinity...longer live near their families, pregnant women are in danger of becoming isolated...daunting experience. However, pregnant women have become more comfortable with...
- Canada to buy supply of special H1N1 vaccine for pregnant women.(NEWS)
- Newspaper article from: The Record (Kitchener, Ontario) September 5, 2009 700+ words
...unadjuvanted H1N1 flu vaccine to offer to pregnant women who might otherwise choose not to be...vaccine which will be reserved for pregnant women, who are at significantly greater...the virus. "I'm anticipating for pregnant women we will have an option," he said...
- PREGNANT WOMEN RESPONDING POSITIVELY TO SWINE FLU VACCINE IN NORTHEN IRELAND
- News wire article from: US Fed News Service, Including US State News November 6, 2009 700+ words
...McGimpsey has said that up to 5,000 pregnant women in Northern Ireland are expected to...Trust alone, almost half of all their pregnant women, around 1,000 women should be vaccinated...clinics staffed by midwives. Around 750 pregnant women have also been vaccinated in the Belfast...
