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BMC Pregnancy and Childbirth

Tuija Hautakangas, Outi Palomäki, Karoliina Eidstø, Heini Huhtala, Jukka Uotila
BACKGROUND: Purpose of this study was to investigate differences between primiparous term pregnancies, one leading to vaginal delivery (VD) and the other to acute cesarean section (CS) due to labor dystocia in the first stage of labor. We particularly wanted to assess the influence of body mass index (BMI) on CS risk. METHODS: A retrospective case-control study in a tertiary delivery unit with 5200 deliveries annually. Cases were 296 term primiparous women whose intended vaginal labor ended in acute CS because of dystocia...
July 18, 2018: BMC Pregnancy and Childbirth
Gloria T Larrabure-Torrealva, Stephanie Martinez, Miguel Angel Luque-Fernandez, Sixto E Sanchez, Pedro A Mascaro, Hugo Ingar, Walter Castillo, Rina Zumaeta, Mirtha Grande, Vicky Motta, Percy Pacora, Bizu Gelaye, Michelle A Williams
BACKGROUND: Gestational diabetes mellitus (GDM) is a global public health concern with potential implications for the health of a mother and her offspring. However, data on the prevalence and risk factors of GDM in Latin America are scarce. The study was designed to estimate the prevalence of GDM and identify maternal risk factors among Peruvian women. METHODS: A cross-sectional study was conducted among 1300 pregnant women attending a prenatal clinic in Lima, Peru...
July 18, 2018: BMC Pregnancy and Childbirth
Muhammad Zakria Zakar, Rubeena Zakar, Mudasir Mustafa, Aisha Jalil, Florian Fischer
BACKGROUND: Pakistan has the highest rate of stillbirths globally. Not much attention has been given so far to exploring the sociocultural factors hindering the reportage of stillbirths and the causes of death. Therefore, the aim of this study was to assess the perspectives of parents, communities and healthcare providers regarding the sociocultural practices and health system-related factors contributing to stillbirths and their underreporting. METHODS: This study used a qualitative approach including in-depth interviews and 14 focus group discussions to collect data from four districts of Pakistan...
July 16, 2018: BMC Pregnancy and Childbirth
Zhanhong Zong, Jianyuan Huang, Xiaoming Sun, Jingshu Mao, Xingyu Shu, Norman Hearst
BACKGROUND: There is a very large population of internal migrants in China, and the majority of migrant women are of childbearing age. Little is known about their utilization of prenatal care and factors that influence this. We examined this using data from a large national survey of migrants. METHODS: 5372 married rural to urban migrant women aged 20-34 who were included in the 2014 National Dynamic Monitoring Survey on Migrants and who delivered a baby within the previous two years were studied...
July 13, 2018: BMC Pregnancy and Childbirth
Alfred Osoti, Davies Kiprop Kibii, Tito Mario Kual Tong, Innocent Maranga
BACKGROUND: The safest, most effective and fastest combined approaches to induction of labor is unknown. In an open-label randomized clinical trial we evaluated the efficacy of combination of extra-amniotic Foley's catheter and vaginal misoprostol compared to vaginal misoprostol alone for cervical ripening and induction of labor on the incidence of failed induction, induction-to-delivery interval and adverse maternal and perinatal outcomes. METHODS: Pregnant women at gestational age of 28 weeks or greater admitted at Kenyatta National Hospital, Kenya for induction of labor were enrolled then randomized to either a combination of extra-amniotic Foley's catheter inflated by 30 cm3 of normal saline and 25 micrograms of vaginal misoprostol or 25 micrograms of vaginal misoprostol alone...
July 12, 2018: BMC Pregnancy and Childbirth
Saba Sheikhbahaei, Roya Sherkat, Nadezhda Camacho-Ordonez, Razie Khoshnevisan, Asadollah Kalantari, Mansour Salehi, Seyed Saman Nazemian, Mohammad Hossein Nasr-Esfahani, Christophe Klein
BACKGROUND: Patients with primary immunodeficiency disease (PID) who survive to adulthood and willing to have a child mostly are worried whether their disease affects their fertility and/or pregnancy and also if their child would be predisposed to PID. CASE PRESENTATION: We report the outcome of conception, pregnancy and their management in 9 families with definite diagnosis of PID. A chronic granulomatous disease subject with an uneventful pregnancy developed fungal sacral osteomyelitis few weeks after delivery...
July 11, 2018: BMC Pregnancy and Childbirth
Ran Cui, Menghui Li, Junli Lu, Huimin Bai, Zhenyu Zhang
BACKGROUND: The unique clinical features of pregnancy termination in the second trimester with concurrent placenta accreta spectrum (PAS) disorders place obstetricians in a complex and delicate situation. However, there are limited data on this rare and dangerous condition. The objective of this research was to investigate and evaluate the clinical management strategies of this patient group. METHODS: The medical records of patients who were diagnosed and treated in our hospital from December 2005 and December 2015 were retrospectively reviewed...
July 11, 2018: BMC Pregnancy and Childbirth
Vahideh Firouzan, Mahnaz Noroozi, Mojgan Mirghafourvand, Ziba Farajzadegan
BACKGROUND: The participation of the father during the perinatal period is an important strategy for improving the mother's health. Very few studies exist about the father's role in promoting the health of the mother in Iran; thus, the present study was conducted to examine the role of fathers in perinatal care. METHODS: The present study was a qualitative research. Participants were selected using purposeful sampling with maximum variation and the data was collected through in-depth interviews, focus group discussions and field notes...
July 11, 2018: BMC Pregnancy and Childbirth
Satu Jokela, Eero Lilja, Tarja I Kinnunen, Mika Gissler, Anu E Castaneda, Päivikki Koponen
BACKGROUND: Since reproductive health is often considered a highly sensitive topic, underreporting in surveys and under coverage of register data occurs frequently. This may lead to inaccurate information about the reproductive health. This study compares the proportion of women having births and induced abortions among migrant women of Russian, Somali and Kurdish origin in Finland to women in the general Finnish population and examines the agreement between survey- and register-based data...
July 10, 2018: BMC Pregnancy and Childbirth
Evelyn Sakeah, Raymond Aborigo, James Kotuah Sakeah, Maxwell Dalaba, Ernest Kanyomse, Daniel Azongo, Dominic Anaseba, Samuel Oladokun, Abraham Rexford Oduro
BACKGROUND: Globally, maternal mortality is still a challenge. In Ghana, maternal morbidity and mortality rates remain high, particularly in rural areas. Postnatal Care (PNC) is one of the key strategies for improving maternal health. This study examined determinants of at least three PNC visits in rural Ghana. METHODS: We conducted a cross-sectional study at the Community-Based Health Planning and Services (CHPS) Zones in the Builsa and West Mamprusi Districts between April and June 2016...
July 9, 2018: BMC Pregnancy and Childbirth
Biresaw Wassihun, Shegaw Zeleke
BACKGROUND: Compassionate and respectful maternity care is one of the most important facilitating factors to increase access to skilled maternity care. Disrespect and abuse is a violation of human rights and is the main hindering factor preventing skilled birth utilization versus other more commonly recognized deterrents such as financial and geographical obstacles. METHODS: Institution based cross-sectional study design was conducted. A structured and pre-tested interviewer administered questionnaire was used to collect the data from 284 study participants...
July 9, 2018: BMC Pregnancy and Childbirth
Elham Dashtinejad, Parvin Abedi, Poorandokht Afshari
BACKGROUND: This study aimed to compare the effect of breast pump stimulation with that of oxytocin administration regarding the duration of the third stage of labor, postpartum hemorrhage, and anemia after delivery. METHODS: In this study, 108 women were randomly assigned to two groups of breast pump stimulation (n = 54) and oxytocin administration (n = 54). Women in the breast stimulation group received breast pump stimulation (10 min intermittently for each breast with a negative pressure of 250 mmHg), while the women in the oxytocin (control) group received an infusion of 30 IU oxytocin in 1000 mL of Ringer's serum with a maximum rate of 10 mL infusion per min after delivery...
July 7, 2018: BMC Pregnancy and Childbirth
Chenyu Xu, Jingli Liu, Lanhua Liu, Yongchun Bi, Biyun Xu, Jie Chen, Biao Xu, Tingmei Chen, Yali Hu, Yi-Hua Zhou
BACKGROUND: Pregnancy is a unique physiological condition with the cellular immune functions compromised at some extents to allow the mature of growing fetus. Whether pregnancy may influence the replication of hepatitis B virus (HBV) is less studied. The present study aimed to investigate the influence of pregnancy on the replication of HBV and expression of viral antigens by comparing the levels of HBV DNA and viral antigens in pregnant and non-pregnant women. METHODS: A total of 727 HBsAg-positive serum samples, collected from 214 pregnant women and 513 non-pregnant women of childbearing age, were included...
July 6, 2018: BMC Pregnancy and Childbirth
Youwen Mei, Yonghong Lin, Dan Luo, Lan Gao, Li He
BACKGROUND: The primary aim of the study is to investigate the perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP) with monochorionic diamniotic (MCDA) twin pregnancy. METHODS: This study is a retrospective observational study for women with ICP and MCDA twin pregnancy. Included cases were divided into mild ICP group (10-39 mmol/L) and severe ICP group (> = 40 mmol/L), whose perinatal outcomes were compared between this two groups and whose predictors of adverse perinatal outcomes were evaluated...
July 6, 2018: BMC Pregnancy and Childbirth
Thomas Easterling, Mary Hebert, Hillary Bracken, Emad Darwish, Mohamed Cherine Ramadan, Salwa Shaarawy, Dyanna Charles, Tamer Abdel-Aziz, Ahmed Shokry Nasr, Sherif Mohamed Safwal, Beverly Winikoff
BACKGROUND: Magnesium sulfate is the preferred pharmacological intervention for the prevention and treatment of eclamptic seizures in pregnancy. Pain associated with intramuscular injections and the need for an electronic infusion pump for use intravenously represent significant barriers to broader utilization. We hypothesize that an alternative regimen based on serial intravenous (IV) boluses can produce serum concentrations comparable to those produced by a continuous infusion. METHODS: An open-label randomized trial was performed at two hospitals in Egypt...
July 6, 2018: BMC Pregnancy and Childbirth
Rosa Virgara, Carol Maher, Gisela Van Kessel
BACKGROUND: Approximately 50% of Australian women experience low back pain in pregnancy, with somewhere between 8 and 36% of women suffering from pregnancy related depression/anxiety. Both low back and pelvic pain and depression and anxiety are associated with poor maternal health outcomes, including increased sick leave, higher rates of functional disability, and increased access to healthcare. It also impacts upon time and mode of delivery with an increase in inductions and elective caesarean sections...
July 4, 2018: BMC Pregnancy and Childbirth
Shibani Pokras, Jeanne Pimenta, Evie Merinopoulou, Dimitra Lambrelli
BACKGROUND: Preterm labour and birth (PTL/PTB) is characterised by major health and developmental risks for children, life-changing consequences for their families, and substantial healthcare and economic challenges for wider society. While it is known that PTL/PTB impacts infant healthcare costs in the short and long term in Germany, maternal costs have not been described in detail. The aim of this study was to comprehensively describe costs and resource use among PTL/PTB mothers during pregnancy, at hospitalisation for delivery, and up to three years after delivery-overall and according to gestational age (GA) at delivery...
July 4, 2018: BMC Pregnancy and Childbirth
S W E Baijens, A G Huppelschoten, J Van Dillen, J W M Aarts
BACKGROUND: Shared decision-making (SDM) is an important aspect of modern health care. Many studies evaluated different interventions to improve SDM, however, none in an inpatient clinical setting. A tool that has been proven effective in an outpatient department is the three questions intervention. These questions are created for patients to get optimal information from their medical team and to make an informed medical decision. In this study, we evaluated the feasibility and effectiveness of this simple intervention on SDM in the obstetric inpatient department of a university hospital in the Netherlands...
July 4, 2018: BMC Pregnancy and Childbirth
Amnesty LeFevre, Rose Mpembeni, Charles Kilewo, Ann Yang, Selena An, Diwakar Mohan, Idda Mosha, Giulia Besana, Chrisostom Lipingu, Jennifer Callaghan-Koru, Marissa Silverman, Peter J Winch, Asha S George
BACKGROUND: The postpartum period represents a critical window where many maternal and child deaths occur. We assess the quality of postpartum care (PPC) as well as efforts to improve service delivery through additional training and supervision in Health Centers (HCs) in Morogoro Region, Tanzania. METHODS: Program implementers purposively selected nine program HCs for assessment with another nine HCs in the region remaining as comparison sites in a non-randomized program evaluation...
July 4, 2018: BMC Pregnancy and Childbirth
Eyal Ravid, Liat Salzer, Liat Arnon, Michal Eisner, Arnon Wiznitzer, Aron Weller, Lee Koren, Eran Hadar
BACKGROUND: Several studies have shown inconsistent associations between anxiety during pregnancy and adverse pregnancy outcome. This inconsistency may be due to lack of controlling for the timing and type of maternal anxiety. We aimed to isolate a specific type of anxiety - maternal anxiety propensity, which is not directly related to pregnancy, and evaluate its association with adverse pregnancy outcome. METHODS: We conducted a prospective observational study of 512 pregnant women, followed to delivery...
July 4, 2018: BMC Pregnancy and Childbirth
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