Thursday December 13, 2018

Anaemia During Pregnancy Might Spike Up Risk of Heart Disease

They also found that high renal function at the end of pregnancy indicated a 1.5-fold increased risk of cardiovascular disease

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Pregnancy after breast cancer does not increase a woman's risk of a relapse. Pixabay
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Gestational anaemia — lack of blood — in pregnancy may be a marker for cardiovascular disease (CVD) and stroke later, a study has found.

Simple blood tests during pregnancy may reveal cardiovascular disease and stroke, up to 25 years before the disease outbreak, said researchers from Soroka Medical Center and Ben Gurion University, in Israel.

In women with anaemia, CVD was 1.5 times higher than in women without anaemia. The rate of hospitalization for CVD was 4.35 per cent for women with gestational anaemia, compared to 3.7 per cent for the control group, the Xinhua reported.

The high risk of CVD was significant even after neutralising factors that might bias outcomes such as smoking, obesity, and hypertension disorders.

Among the diseases diagnosed in the pregnant patients are heart attacks, angina, heart failure, stroke, renal failure and hypertension with damage to internal organs.

Pregnancy
The high risk of CVD was significant even after neutralising factors that might bias outcomes such as smoking, obesity, and hypertension disorders. Pixabay

The study reinforces the need for use of iron products, not necessarily for immediate results but also for long-term complications. The researchers also recommend women with a longer-term follow-up anaemia to prevent recurrence of heart and blood vessel diseases, researchers said.

For the study, the team followed about 30,000 women with anaemia who gave birth at Soroka hospital between 1988 and 2014. The control group was over 50,000 women who gave birth in those years and did not suffer from anaemia.

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They also found that high renal function at the end of pregnancy indicated a 1.5-fold increased risk of cardiovascular disease.

Among the blood tests found to be associated with a high risk of morbidity were creatinine and urea levels, a measure of kidney function, and potassium levels. (IANS)

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First Successful Case Of Womb Transplant in Brazil

In the Brazilian case, the recipient had been born without a uterus due to a condition called Mayer-Rokitansky-Küster-Hauser syndrome. The donor was 45 and died of a stroke.

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Womb Transplant
Medical team hold the first baby born via uterus transplant from a deceased donor at the hospital in Sao Paulo, Brazil. VOA

A woman in Brazil who received a womb transplanted from a deceased donor has given birth to a baby girl in the first successful case of its kind, doctors reported.

The case, published in The Lancet medical journal, involved connecting veins from the donor uterus with the recipient’s veins, as well as linking arteries, ligaments and vaginal canals.

It comes after 10 previously known cases of uterus transplants from deceased donors – in the United States, the Czech Republic and Turkey – failed to produce a live birth.

The girl born in the Brazilian case was delivered via caesarean section at 35 weeks and three days, and weighed 2,550 grams (nearly 6 lbs), the case study said.

Dani Ejzenberg, a doctor at Brazil’s Sao Paulo University hospital who led the research, said the transplant – carried out in September 2016 when the recipient was 32 – shows the technique is feasible and could offer women with uterine infertility access to a larger pool of potential donors.

Womb
. The woman’s previously fertilized and frozen eggs were implanted after seven months and 10 days later she was confirmed pregnant.. Pixabay

The current norm for receiving a womb transplant is that the organ would come from a live family member willing to donate it.

“The numbers of people willing and committed to donate organs upon their own deaths are far larger than those of live donors, offering a much wider potential donor population,” Ejzenberg said in a statement about the results.

She added, however, that the outcomes and effects of womb donations from live and deceased donors have yet to be compared, and said the technique could still be refined and optimised.

The first baby born after a live donor womb transplant was in Sweden in 2013. Scientists have so far reported a total of 39 procedures of this kind, resulting in 11 live births.

Experts estimate that infertility affects around 10 to 15 percent of couples of reproductive age worldwide. Of this group, around one in 500 women have uterine problems.

Before uterus transplants became possible, the only options to have a child were adoption or surrogacy.

Infants, baby, WOmb
The case, published in The Lancet medical journal, involved connecting veins from the donor uterus with the recipient’s veins. Pixabay

In the Brazilian case, the recipient had been born without a uterus due to a condition called Mayer-Rokitansky-Küster-Hauser syndrome. The donor was 45 and died of a stroke.

Also Read: Pregnancy is Possible For Survivors of Breast Cancer

Five months after the transplant, Ejzenberg’s team wrote, the uterus showed no signs of rejection, ultrasound scans were normal, and the recipient was having regular menstruation. The woman’s previously fertilized and frozen eggs were implanted after seven months and 10 days later she was confirmed pregnant.

At seven months and 20 days – when the case study report was submitted to The Lancet – the baby girl was continuing to breastfeed and weighed 7.2 kg (16 lb). (VOA)