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Fertility and pregnancy after operation for a prolactinoma (1986)

RICHARDS, AMANDA M. ; BULLOCK, M. R. R. ; TEASDALE, G. M. ; [et al.]

Oxford, UK : Blackwell Publishing Ltd

BJOG 93 (1986), S. 0

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ISSN: 1471-0528

Source: Blackwell Publishing Journal Backfiles 1879-2005

Topics: Medicine

Notes: Summary. Pituitary exploration was performed in 40 women with hyperprolactinaemic infertility and a prolactinoma was found in 37. After operation 26 (65%) of the 40 patients had a normal serum prolactin concentration; 31 women have so far had 49 pregnancies; in seven of these patients bromocriptine therapy was used after surgery. Eight of the remaining nine women were shown to be ovulating, but four of these subsequently decided not to attempt a pregnancy. The course and outcome of the 49 pregnancies were similar to those in normal women and no visual or endocrine complications occurred. Surgical removal of a prolactinoma often restores fertility, and may secure a safer pregnancy.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1111/j.1471-0528.1986.tb08660.x

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2

Electronic Resource

Fertility and pregnancy after operation for a prolactinoma (1986)

RICHARDS, AMANDA M. ; BULLOCK, M. R. R. ; TEASDALE, G. M. ; [et al.]

Oxford, UK : Blackwell Publishing Ltd

BJOG 93 (1986), S. 0

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Details

ISSN: 1471-0528

Source: Blackwell Publishing Journal Backfiles 1879-2005

Topics: Medicine

Notes: Summary. Pituitary exploration was performed in 40 women with hyperprolactinaemic infertility and a prolactinoma was found in 37. After operation 26 (65%) of the 40 patients had a normal serum prolactin concentration; 31 women have so far had 49 pregnancies; in seven of these patients bromocriptine therapy was used after surgery. Eight of the remaining nine women were shown to be ovulating, but four of these subsequently decided not to attempt a pregnancy. The course and outcome of the 49 pregnancies were similar to those in normal women and no visual or endocrine complications occurred. Surgical removal of a prolactinoma often restores fertility, and may secure a safer pregnancy.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1111/j.1471-0528.1986.tb07936.x

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Electronic Resource

Active management of the unconscious eclamptic patient (1986)

RICHARDS, A.M. ; MOODLEY, J. ; GRAHAM, D. I. ; [et al.]

Oxford, UK : Blackwell Publishing Ltd

BJOG 93 (1986), S. 0

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ISSN: 1471-0528

Source: Blackwell Publishing Journal Backfiles 1879-2005

Topics: Medicine

Notes: Summary. Of the many complications which may develop after eclamptic seizures, prolonged unconsciousness is one of the most difficult for obstetricians to manage as the pathophysiology of this condition remains largely unknown. Computed axial tomography (CT scan) was performed on 20 unconscious eclamptic patients, and autopsy was obtained on an additional two patients. Changes compatable with cerebral oedema were demonstrated in 75% of patients; cerebral haemorrhage occurred in 9%. A programme of intensive neurological management aimed at optimizing cerebral perfusion and controlling intracranial pressure is outlined. We have reduced the mortality rate for unconscious eclamptic patients from 50% to 17% in our institution.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1111/j.1471-0528.1986.tb07953.x

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