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related to obstetrics

Diogo Sobreira-Fernandes, Laetitia Teixeira, Tiago S Lemos, Liliana Costa, Manuela Pereira, António C Costa, Paula S Couto
STUDY OBJECTIVE: To determine the incidence, risk factors, and predictors of survival of perioperative cardiac arrests (PCAs) occurring in patients who underwent non-cardiac and non-obstetric surgery from January 2008 to May 2015 at a tertiary hospital; determine the incidence and risk factors of anesthesia-related PCA. DESIGN: Retrospective observational study. SETTING: Operating room and postoperative recovery area. PATIENTS: Sixty-two PCA cases from an anesthesia database of 122,289 anesthetics...
July 10, 2018: Journal of Clinical Anesthesia
Malgorzata M Bala, Elżbieta Paszek, Wiktoria Lesniak, Dorota Wloch-Kopec, Katarzyna Jasinska, Anetta Undas
BACKGROUND: Antiphospholipid syndrome (APS) is an autoimmune disease characterised by the presence of antiphospholipid (aPL) antibodies that have prothrombotic activity. Antiphospholipid antibodies are associated with an increased risk of pregnancy complications (recurrent miscarriage, premature birth, intrauterine growth retardation) and thrombotic events (both arterial and venous). The most common thrombotic events include brain ischaemia (stroke or transient ischaemic attack) and deep vein thrombosis...
July 13, 2018: Cochrane Database of Systematic Reviews
I A Iwuh, S Fawcus, L Schoeman
BACKGROUND: A maternal near-miss is defined as a life-threatening pregnancy-related complication where the woman survives. The World Health Organization (WHO) has produced a tool for identifying near-misses according to criteria that include the occurrence of a severe maternal complication together with organ dysfunction and/or specified critical interventions. Maternal deaths have been audited in the public sector Metro West maternity service in Cape Town, South Africa, for many years, but there has been no monitoring of near-misses...
February 27, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Yuyun Sun, Shuai Liu, Zheng Feng, Jingyi Cheng, Linjun Lu, Mingwei Wang, Huiyu Yuan, Junyan Xu, Yingjian Zhang
OBJECTIVE: The aim of this study was to explore the clinical and prognostic implication of preoperative fluorine-18-fluorodeoxyglucose uptake value of omental metastasis-related in advanced high-grade serous ovarian cancer patients (HGSC). PATIENTS AND METHODS: We retrospectively investigated HGSC patients with omental metastasis (International Federation of Gynecology and Obstetrics stage IIIB-IV) who underwent PET/CT before primary surgery in our hospital between January 2010 and January 2016...
August 2018: Nuclear Medicine Communications
Enrico Martin, Joeky T Senders, Aislyn C DiRisio, Timothy R Smith, Marike L D Broekman
OBJECTIVE Ideal timeframes for operating on traumatic stretch and blunt brachial plexus injuries remain a topic of debate. Whereas on the one hand spontaneous recovery might occur, on the other hand, long delays are believed to result in poorer functional outcomes. The goal of this review is to assess the optimal timeframe for surgical intervention for traumatic brachial plexus injuries. METHODS A systematic search was performed in January 2017 in PubMed and Embase databases according to the PRISMA guidelines...
June 1, 2018: Journal of Neurosurgery
Marianne Corine Darwinkel, Julius Maina Nduru, Reuben Waswa Nabie, John Anzetse Aswani
BACKGROUND: Most sub-Saharan African countries have too few reproductive health (RH) specialists, resulting in high RH-related mortality and morbidity. In Kenya, task sharing in RH began in 2002, with the training of clinical officer(s)-reproductive health (CORH). Little is known about them and the extent of their role in the health system. METHODS: In 2016, we conducted a retrospective, quantitative two-stage study in Kenya to evaluate the use of CORH and 28 of their curriculum-derived RH competencies, to determine their contribution to expanded access to RH care...
July 11, 2018: Human Resources for Health
Atthapon Jaishuen, Nida Jareemit, Somsak Laiwejpithaya, Boonlert Viriyapak, Mongkol Benjapibal, Navin Horthongkham
PURPOSE: To evaluate the performance of Siriraj liquid-based solution for HPV DNA testing compared with standard transport media METHODS: This cross-sectional study enrolled 217 women aged 30 years or older who attended for cervical cancer screening or had abnormal cervical cytology or were diagnosed with cervical cancer at the Department of Obstetrics-Gynecology, Siriraj Hospital from March 2015 to January 2016. We excluded patients with a history of any cervical procedures, hysterectomy, or previous treatment with pelvic irradiation or chemotherapy...
July 11, 2018: Journal of Medical Virology
Jaeseong Jang, Yejin Park, Bukweon Kim, Sung Min Lee, Ja-Young Kwon, Jin Keun Seo
Ultrasound diagnosis is routinely used in obstetrics and gynecology for fetal biometry, and owing to its time-consuming process, there has been a great demand for automatic estimation. However, the automated analysis of ultrasound images is complicated because they are patient-specific, operator-dependent, and machine-specific. Among various types of fetal biometry, the accurate estimation of abdominal circumference (AC) is especially difficult to perform automatically because the abdomen has low contrast against surroundings, non-uniform contrast, and irregular shape compared to other parameters...
November 21, 2017: IEEE Journal of Biomedical and Health Informatics
Christopher J Hillary, Christoper R Chapple
Vesico-vaginal fistula is a global healthcare problem that has a high prevalence in sub-Saharan Africa, where obstetric complications lead to the development of this condition. Despite this, comparatively few fistula repairs are performed in well-resourced countries, where iatrogenic injury is the leading aetiological factor. As a consequence, much of our knowledge results from the experience of relatively few fistula surgeons in areas of high prevalence borne out of large case series or retrospective cohorts rather than high level evidence...
July 2018: Asian Journal of Urology
Ashley Hite, David Victorson, Rita Elue, Beth A Plunkett
PURPOSE: To determine whether primary care physicians can accurately assess body mass index (BMI) by visual inspection and to assess barriers related to the diagnosis and management of obesity. DESIGN: Prospective Survey Study. SETTING: Hospitals and Clinics. SUBJECTS: Primary care providers in the fields of Internal Medicine, Family Medicine and Obstetrics/Gynecology. MEASURES: Measures investigated included providers visual assessment of BMI, BMI knowledge, diagnosis and management of obese patients, and perceived barriers to treatment...
January 1, 2018: American Journal of Health Promotion: AJHP
Jean Guglielminotti, Ruth Landau, Cynthia A Wong, Guohua Li
BACKGROUND: The incidence of severe maternal morbidity is increasing in the United Sates. To improve maternal outcomes, three maternal complications have been selected for priority intervention based on their proportionate mortality and preventability: obstetric hemorrhage, severe hypertension, and venous thromboembolism. This approach excludes complications that are not associated with high mortality but significantly contribute to maternal morbidity. The aim of this study was to provide an alternative ranking of maternal complications requiring interventions using cost-based criticality analysis...
June 28, 2018: Journal of Patient Safety
Jesmin Antony, Wasifa Zarin, Ba' Pham, Vera Nincic, Roberta Cardoso, John D Ivory, Marco Ghassemi, Sarah Louise Barber, Sharon E Straus, Andrea C Tricco
OBJECTIVES: This review was commissioned by WHO, South Africa-Country office because of an exponential increase in medical litigation claims related to patient safety in obstetrical care in the country. A rapid review was conducted to examine the effectiveness of quality improvement (QI) strategies on maternal and newborn patient safety outcomes, risk of litigation and burden of associated costs. DESIGN: A rapid review of the literature was conducted to provide decision-makers with timely evidence...
July 6, 2018: BMJ Open
Alexander E P Heazell, Jayne Budd, Minglan Li, Robin Cronin, Billie Bradford, Lesley M E McCowan, Edwin A Mitchell, Tomasina Stacey, Bill Martin, Devender Roberts, John M D Thompson
OBJECTIVE: To report perception of fetal movements in women who experienced a stillbirth compared with controls at a similar gestation with a live birth. DESIGN: Case-control study. SETTING: 41 maternity units in the UK. PARTICIPANTS: Cases were women who had a late stillbirth ≥28 weeks gestation (n=291) and controls were women with an ongoing pregnancy at the time of the interview (n=733). Controls were frequency matched to cases by obstetric unit and gestational age...
July 6, 2018: BMJ Open
E L Gómez-Durán, C Martin-Fumadó, J Benet-Travé, J Arimany-Manso
Professional liability and patient safety are worldwide concerns and efforts to identify claimed physicians' characteristics cross borders. Interventions with "at risk populations" would help to better address the underlying problems that lead to many claims. We analyzed physicians' characteristics of every paid claim between 2005 and 2014 in Catalonia region (Spain). We identified 808 physicians involved in 725 paid claims. A total of 12.38% physicians had at least two paid claims over the study period...
June 27, 2018: Journal of Forensic and Legal Medicine
Egle Bartuseviciene, Justina Kacerauskiene, Arnoldas Bartusevicius, Marija Paulionyte, Ruta Jolanta Nadisauskiene, Mindaugas Kliucinskas, Virginija Stankeviciute, Laima Maleckiene, Dalia Regina Railaite
OBJECTIVE: To compare midwife-led and obstetrician-led care and their relation to caesarean section rates and obstetric and neonatal outcomes in low-risk births. DESIGN: Hospital registry based retrospective cohort study. SETTING: Tertiary-care women's hospital in Kaunas, Lithuania. PARTICIPANTS: A total of 1384 and 1283 low-risk delivering women in 2012 and 2014, respectively. METHODS: The women choose either a midwife as their lead carer (midwife-led group), or an obstetrician-gynaecologist (obstetrician-led group)...
June 21, 2018: Midwifery
Daniel Ishoso Katuashi, Antoinette Kitoto Tshefu, Yves Coppieters
BACKGROUND: Due to a lack of relevant data on induced abortions in the Democratic Republic of the Congo (DRC) as well as the persistence of maternal deaths in the country, this study aims to analyse the induced abortion-related complications in women who were admitted to the Kinshasa Reference General Hospital (KRGH). METHODS: This is a cross-sectional study on 368 obstetric and gynecological patients who were admitted, as emergency cases, to the KRGH during 2014...
July 6, 2018: Reproductive Health
Alessandro Favilli, Valentina Tosto, Margherita Ceccobelli, Vittorio Bini, Sandro Gerli
INTRODUCTION: Retained placenta (RP) is an obstetric complication of third stage of labour. We aimed to evaluate risk factors for RP and to propose a scoring system in order to predict this potentially fatal disorder. METHODS: This was a retrospective case-control study, comparing women with RP after vaginal delivery (≥ 24 weeks of gestation) and women with regular placental separation. Data were collected from January 2007 to October 2017, in two 2nd level University Hospitals...
June 19, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
M M Jeppesen, P T Jensen, D G Hansen, R D Christensen, O Mogensen
OBJECTIVE: To test the hypothesis that patient-initiated follow-up reduces fear of cancer recurrence (FCR) and health care use when compared to traditional hospital-based follow-up. DESIGN: Pragmatic, multi-centre randomized trial. SETTING: Four Danish departments of gynaecology between May 2013 and May 2016. POPULATION: 156 women diagnosed with International Federation of Gynaecology and Obstetrics (FIGO) stage I low-intermediate risk endometrial carcinoma METHODS: Women allocated to the control group attended hospital-based follow-up consisting of regular out-patient visits for three years after primary treatment...
July 6, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Xianling Zeng, Yafei Zhang, Taohong Zhang, Yan Xue, Huiqiu Xu, Ruifang An
Purpose. To explore risk factors of vulvovaginal candidiasis (VVC) among women of reproductive age in Xi'an district and then to offer reference for clinical prevention and treatment of VVC. Methods. Patients from the outpatient department of gynecology and obstetrics in the First Affiliated Hospital of Xi'an Jiaotong University from June 2016 to May 2017 were recruited strictly according to the inclusion and exclusion criteria. Participants diagnosed as simple VVC were assigned to the case group, while women who underwent routine gynecological examination and had normal vaginal microflora were assigned to the control group...
2018: BioMed Research International
Kamala Adhikari, Deborah A McNeil, Sheila McDonald, Alka B Patel, Amy Metcalfe
BACKGROUND: The existing inconsistent association between the caesarean rate and maternal socio-economic status (SES) may be the result of a failure to examine the association across indications for caesarean. This study examined the variation in caesarean rates by maternal SES across diverse obstetric-indications. METHODS: Data on demographics, education, insurance status, medical-conditions, and obstetric characteristics needed to classify deliveries according to Robson's 10 obstetric-groups were extracted from the 2015 US birth certificate data (n = 3 988 733)...
July 5, 2018: Paediatric and Perinatal Epidemiology
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