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Journal of Pregnancy

Mohammed Akibu, Wintana Tsegaye, Tewodros Megersa, Sodere Nurgi
Background: Postnatal period presents the highest risk of death for mothers and newborns. Although progress has been made in expanding the coverage for most of maternal health services, national prevalence of postnatal care service utilization in Ethiopia is still extremely limited. Hence, this study aims to determine the prevalence and factors associated with complete postnatal care service utilization in Northern Shoa, Ethiopia. Methods: Community based cross-sectional survey was conducted between November 2016 and February 2017...
2018: Journal of Pregnancy
Anteneh Amsalu, Getachew Ferede, Setegn Eshetie, Agete Tadewos, Demissie Assegu
Background: Hepatitis B surface antigen (HBsAg) and hepatitis B e antigen (HBeAg) positive mother has up to 90% likelihood of mother-to-child transmission (MTCT) of hepatitis B virus (HBV) to newborns in the absence of any prophylaxis or antiviral therapy utilization. However, routine antenatal screening and intervention strategies are not yet practiced in Ethiopia. Therefore, this study was conducted to determine the prevalence, infectivity, and associated risk factors of HBV among pregnant women...
2018: Journal of Pregnancy
Tran Thi Trung Thu, Valentina Margarita, Anna Rita Cocco, Alessandra Marongiu, Daniele Dessì, Paola Rappelli, Pier Luigi Fiori
Mycoplasma hominis is considered an opportunistic pathogen able to colonize the lower urogenital tract; in females the infection is associated with severe pregnancy and postpartum complications, including abortion, endometritis, preterm delivery, and low birth weight. Molecular mechanisms of pathogenicity and virulence effectors remain poorly characterized. A number of studies in the last decade have demonstrated that M. hominis can establish an endosymbiotic relationship with Trichomonas vaginalis , a urogenital parasitic protozoon, also associated with adverse pregnancy outcomes...
2018: Journal of Pregnancy
Sahruh Turkmen, Simona Johansson, Marju Dahmoun
To investigate how macrosomia affects foetal-maternal birth outcomes, we conducted a retrospective cohort study of singleton pregnant women who gave birth at gestational age ≥37+0 weeks. The patients were divided into three groups according to birth weight: "macrosomia" group, ≥4500 g, n=285; "upper-normal" group, 3500-4499 g, n=593; and "normal" group, 2500-3499 g, n=495. Foetal-maternal and delivery outcomes were compared among the three groups after adjustment for confounders...
2018: Journal of Pregnancy
Hideki Takahashi, Tatsuo Yamamoto, Motomi Yamazaki, Takayuki Murase, Takayuki Matsuno, Fumihisa Chishima
Aim: To investigate the changes in the maternal immune system at term pregnancy, we studied the expression of natural cytotoxicity receptors (NCRs) and the cytokine production of NK cells in term placenta decidua and peripheral blood. Methods: Term decidua and peripheral blood were taken from patients undergoing elective cesarean section. The lymphocytes were separated using density gradient centrifugation (DGC) from peripheral blood and were separated from decidua using DGC after enzyme digestion...
2018: Journal of Pregnancy
Mehmet Sinan Beksac, Atakan Tanacan, Duygu Aydin Hakli, Gokcen Orgul, Burcu Soyak, Burcu Balci Hayta, Pervin Dincer, Haluk Topaloğlu
Aim: To show the importance of prenatal diagnosis of Duchenne Muscular Dystrophy (DMD) and to demonstrate the effect of DMD gene mutations on gestational outcomes. Materials and Methods: We retrospectively evaluated 89 pregnancies in 81 individuals who were referred to Hacettepe University for prenatal diagnosis of DMD between January 2000 and December 2015. Prenatal diagnostic methods (chorionic villus sampling (CVS): 66, amniocentesis (AC): 23) were compared for test results, demographic features, and obstetric outcomes of pregnancies...
2018: Journal of Pregnancy
Jordyn T Wallenborn, Gregory Chambers, Elizabeth P Lowery, Saba W Masho
Background: Parental disagreement in pregnancy intention elevates the risk of adverse health events for mother and child. However, research surrounding parental pregnancy intention discrepancies and breastfeeding duration is limited. This study aims to examine the relationship between couple's discordant pregnancy intention and breastfeeding duration. Methods: Data from the 2011-2013 National Survey of Family Growth was analyzed. Parental pregnancy intention was categorized as "intended by both parents," "unintended by both parents," "father intended and mother unintended," and "father unintended and mother intended...
2018: Journal of Pregnancy
Irisa Zile, Inguna Ebela, Valdis Folkmanis, Ingrida Rumba Rozenfelde
Introduction: Stillbirth is one of the most common adverse pregnancy outcomes worldwide. Late foetal death (LFD) rates are mostly used for international comparisons because of the large variations in stillbirth rates between countries. Objective: To examine trends in LFD (including antepartum and intrapartum) by multiple births, birth weight, and maternal age in two time periods. Methods: A retrospective cohort study was used to analyse data from the Medical Birth Register (2001-2014), divided into 2 periods of 7 years each...
2018: Journal of Pregnancy
Zenebe Hubena, Ahadu Workneh, Yibeltal Siraneh
Background: Operative vaginal deliveries (OVD) are vaginal deliveries accomplished with the use of a vacuum device or forceps. If it is technically feasible and can be safely accomplished, termination of second stage labor by operative vaginal delivery is indicated in any condition threatening the mother or fetus that is likely to be relieved by delivery. Hence, the objective of this study is to assess the prevalence, common indication, outcome, and associated factors of operative vaginal delivery among mothers who gave birth in Jimma University Medical Center (JUMC)...
2018: Journal of Pregnancy
Maria Portelli, Byron Baron
Preeclampsia (PE) is a disorder which affects 1-10% of pregnant women worldwide. It is characterised by hypertension and proteinuria in the later stages of gestation and can lead to maternal and perinatal morbidity and mortality. Other than the delivery of the foetus and the removal of the placenta, to date there are no therapeutic approaches to treat or prevent PE. It is thus only possible to reduce PE-related mortality through early detection, careful monitoring, and treatment of the symptoms. For these reasons the search for noninvasive, blood-borne, or urinary biochemical markers that could be used for the screening, presymptomatic diagnosis, and prediction of the development of PE is of great urgency...
2018: Journal of Pregnancy
Maria Bullarbo, Helena Mattson, Anna-Karin Broman, Natalia Ödman, Thorkild F Nielsen
Objective: To investigate the effect of magnesium (Mg) supplementation in healthy pregnant women for prevention of blood pressure increase. Secondary outcomes were comparison of biomarkers for hypertensive disorders and labour and fetal outcomes between the groups. Methods: Two hundred nulliparous healthy pregnant women were double-blind randomized to receive Mg daily or placebo. Results: There were no differences in blood pressure increase...
2018: Journal of Pregnancy
Aram Thapsamuthdechakorn, Ratanaporn Sekararithi, Theera Tongsong
Objective: To determine the effectiveness of trial of labor after cesarean section (TOLAC) and the factors associated with a successful TOLAC. Materials and Methods: A retrospective cohort study was conducted on consecutive singleton pregnancies with a previous single low-transverse cesarean section planned for TOLAC at a tertiary teaching hospital. The potential risk factors of a successful TOLAC were compared with those associated with a failed TOLAC. A simple audit system used in the first two years was also taken into account in the analysis as a potential factor for success...
2018: Journal of Pregnancy
Charamporn Holumyong, Kathleen Ford, Siriporn Sajjanand, Aphichat Chamratrithirong
The objective of this paper is to determine whether social support and acculturative stress were related to obtaining antenatal and postpartum care for pregnant female migrants, as well as access to health care for migrant children. The study utilized data of 987 migrant workers in Thailand who originated from hill tribes and mountain communities in Myanmar and Cambodia. Regression analysis showed that the language barrier, a crucial factor behind acculturative stress, adversely influenced access to maternal care...
2018: Journal of Pregnancy
Jordyn T Wallenborn, Saba W Masho
Introduction: Healthcare providers play an integral role in breastfeeding education and subsequent practices; however, the education and support provided to patients may differ by type of provider. The current study aims to evaluate the association between type of birth attendant and breastfeeding duration. Methods: Data from the prospective longitudinal study, Infant Feeding Practices Survey II, was analyzed. Breastfeeding duration and exclusive breastfeeding duration were defined using the American Academy of Pediatrics' national recommendations...
2018: Journal of Pregnancy
Khashayar Mehdizadehkashi, Shahla Chaichian, Abolfazl Mehdizadehkashi, Ebrahim Jafarzadepour, Zeinab Tamannaie, Bahram Moazzami, Mohaddeseh Pishgahroudsari
[This corrects the article DOI: 10.1155/2014/675792.].
2018: Journal of Pregnancy
Dorian Fernandez, Imoleayo Salami, Janelle Davis, Florence Mbah, Aisha Kazeem, Abreah Ash, Justin Babino, Laquiesha Carter, Jason L Salemi, Kiara K Spooner, Omonike A Olaleye, Hamisu M Salihu
Objective: HIV and tuberculosis represent diseases of major public health importance worldwide. Very little is known about HIV-TB coinfection among pregnant women, especially from industrialized settings. In this study, we examined the association between TB, HIV, and HIV-TB coinfection among pregnant mothers and obstetric complications, alcohol use, drug abuse, and depression. Method: We examined inpatient hospital discharges in the United States from January 1, 2002, through December 31, 2014...
2018: Journal of Pregnancy
Raquel González-Ochoa, Elly N Sánchez-Rodríguez, Anahi Chavarría, Gabriel Gutiérrez-Ospina, Tania Romo-González
Gestational stress is believed to increase the risk of pregnancy failure and perinatal and adult morbidity and mortality in both the mother and her child or children. However, some contradictions might arise from methodological issues or even from differences in the philosophical grounds that guide the studies on gestational stress. Biased perspectives could lead us to use and/or design inadequate/incomplete panels of biochemical determinations and/or psychological instruments to diagnose it accurately during pregnancy, a psychoneuroimmune-endocrine state in which allostatic loads may be significant...
2018: Journal of Pregnancy
D Mannaerts, L Van der Veeken, H Coppejans, Y Jacquemyn
Purpose: To compare the incidence of nausea, vomiting, and arterial hypotension between carbetocin and oxytocin to prevent haemorrhage after caesarean section (CS). Methods: A randomized controlled trial in term pregnant women undergoing planned CS. Groups were randomized to carbetocin or oxytocin. Blood pressure (BP), heart rate, presence of nausea/vomitus, and need for vasopressors were evaluated throughout surgery. Preoperative and postoperative haemoglobin and haematocrit levels were compared...
2018: Journal of Pregnancy
Yohannes Mehretie Adinew, Netsanet Abera Assefa
Background: In Ethiopia, majority (62%) of pregnant women attend antenatal care at least once, yet only 26% deliver with skilled birth attendants in the available health units. Thus, this study explored beliefs and behaviors related to labour and skilled attendance among the women, their perspectives on health care providers, and traditional birth attendants. Methods: Sixteen key informant interviews and eight focus group discussions were conducted among purposively selected women who had previous experience of facility based childbirth but gave birth to their most recent child without skilled attendance in the last 12 months...
2017: Journal of Pregnancy
Gabriela Amstad Bencaiova, Alexander Krafft, Roland Zimmermann, Tilo Burkhardt
Objective: We assess and compare the efficacy of anemia treatment in pregnant women with anemia of chronic disease with true iron deficiency and in women with iron deficiency anemia. Study Design: Fifty patients with moderate anemia (hemoglobin 8.0-9.9 g/dl) and iron deficiency (ferritin < 15  μ g/l) were treated in the Anemia Clinic at the Department of Obstetrics. Results: All patients showed stimulation of erythropoiesis as evidenced by an increase in reticulocyte count at day eight of therapy and showed an increase in hemoglobin and hematocrit at the end of therapy ( p < 0...
2017: Journal of Pregnancy
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