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Dengue Infection And Miscarriage: A Prospective Case Control Study, Si Lay Khaing May 2012

Dengue Infection And Miscarriage: A Prospective Case Control Study, Si Lay Khaing

Si Lay Khaing

Abstract Background: Dengue is the most prevalent mosquito borne infection worldwide. Vertical transmissions after maternal dengue infection to the fetus and pregnancy losses in relation to dengue illness have been reported. The relationship of dengue to miscarriage is not known. Method: We aimed to establish the relationship of recent dengue infection and miscarriage. Women who presented with miscarriage (up to 22 weeks gestation) to our hospital were approached to participate in the study. For each case of miscarriage, we recruited 3 controls with viable pregnancies at a similar gestation. A brief questionnaire on recent febrile illness and prior dengue infection …


Information Sharing To Promote Informed Choice In Prenatal Screening In The Spirit Of The Sogc Clinical Practice Guideline: A Proposal For An Alternative Model, Meredith G. Vanstone Mar 2012

Information Sharing To Promote Informed Choice In Prenatal Screening In The Spirit Of The Sogc Clinical Practice Guideline: A Proposal For An Alternative Model, Meredith G. Vanstone

Meredith Vanstone

The 2011 SOGC clinical practice guideline “Prenatal Screening for Fetal Aneuploidy in Singleton Pregnancies” recommends that clinicians offer prenatal screening to all pregnant women and provide counselling in a non-directive manner . Non-directive counselling is intended to facilitate autonomous decision-making and remove the clinician’s views regarding a particular course of action . However, recent research in genetic counselling raises concerns that nondirective counselling is neither possible nor desirable, and that it may not be the best way to facilitate informed choice . We propose an alternative model of information-sharing specific to prenatal screening that combines attributes of the models of …


Dengue Infection And Miscarriage: A Prospective Case Control Study, Si Lay Khaing Jan 2012

Dengue Infection And Miscarriage: A Prospective Case Control Study, Si Lay Khaing

Khaing Si Lay

Dengue is the most prevalent mosquito-borne infection with two billion of the world's population at risk and 100 million infections every year. Dengue is increasingly important due to expansion in the vector's range, increased population density in endemic areas from urbanisation, social and environment change. Miscarriage and stillbirth is associated with dengue when the illness is severe. Dengue can also be transmitted directly from the ill mother through the placenta to the fetus in later pregnancy with variable effect to the fetus. However, dengue infection is asymptomatic to mild only in almost 90% of cases and up to 20% of …