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https://www.readbyqxmd.com/read/27870738/persistent-pain-after-cesarean-delivery-and-vaginal-delivery-a-prospective-cohort-study
#1
J Petter Kainu, Erja Halmesmäki, Kari T Korttila, P Johanna Sarvela
BACKGROUND: Persistent pain after cesarean delivery and vaginal delivery has been the subject of only a few research articles. The primary outcome of our prospective study was the incidence of persistent pain and its association to mode of delivery. We also studied the nature and intensity of pain after delivery. METHODS: A questionnaire was distributed on postpartum day 2 to 1052 women who had given birth vaginally and to 502 who had undergone cesarean delivery in a tertiary maternity hospital in Helsinki, Finland, in 2010...
December 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27761688/whose-values-whose-risk-exploring-decision-making-about-trial-of-labor-after-cesarean
#2
Sonya Charles, Allison B Wolf
In this article, we discuss decision making during labor and delivery, specifically focusing on decision making around offering women a trial of labor after cesarean section (TOLAC). Many have discussed how humans are notoriously bad at assessing risks and how we often distort the nature of various risks surrounding childbirth. We will build on this discussion by showing that physicians make decisions around TOLAC not only based on distortions of risk, but also based on personal values (i.e. what level of risk are you comfortable with or what types of risks are you willing to take) rather than medical data (or at least medical data alone)...
October 20, 2016: Journal of Medical Humanities
https://www.readbyqxmd.com/read/27619845/congenital-and-perinatal-complications-of-chikungunya-fever-a-latin-american-experience
#3
Jaime R Torres, Luiza H Falleiros-Arlant, Lourdes Dueñas, Jorge Pleitez-Navarrete, Doris M Salgado, José Brea-Del Castillo
BACKGROUND: During the years 2014 and 2015, the Region of the Americas underwent a devastating epidemic of chikungunya virus (CHIKV) of the Asian genotype, resulting in millions of affected individuals. However, epidemiological and clinical information on this experience is scarce. Prior knowledge of congenital and neonatal illness caused by CHIKV is limited and almost exclusively based on data obtained from a single outbreak of the East/Central/South African (ECSA) genotype. The effect of chikungunya fever (CHIKF) on pregnancy outcomes and its consequences for infants born to infected mothers at the peak of the epidemic wave in Latin America are reviewed herein...
September 13, 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27512693/the-effect-of-an-instructional-program-based-on-health-belief-model-in-decreasing-cesarean-rate-among-primiparous-pregnant-mothers
#4
Laleh Hassani, Teamur Aghamolaei, Amin Ghanbarnejad, Sakineh Dadipoor
INTRODUCTION: Although cesarean section has saved many mothers' and infants' lives, the problem is in its increasing prevalence. According to recent statistics, the current rate of cesarean in Iran is in fact 3-4 times as more than the standard rate defined by WHO. Therefore, the present study is aimed to estimate the effect of an instructional program based on health belief model on reducing cesarean rate among primiparous pregnant women. MATERIALS AND METHODS: In this semi-experimental research, 60 primiparous women who had visited Bandar Abbas Healthcare Centers were selected as the subjects...
2016: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/27445443/a-natural-twin-hospital-birth-my-birth-story
#5
Jamie Linn Mueller
In this column, the author describes the vaginal birth of her twin daughters. Despite impending complications in the last weeks of her pregnancy that might have required a cesarean, this mother was committed to doing everything possible to give birth naturally. With the support of her husband as well as the obstetrician and the nurse, she was able to give birth to her daughters vaginally.
2016: Journal of Perinatal Education
https://www.readbyqxmd.com/read/27408218/effect-of-antenatal-expression-of-breast-milk-at-term-in-reducing-breast-feeding-failures
#6
G Singh, R Chouhan, K Sidhu
BACKGROUND: Though breast feeding is natural, during the first 2-3 days, when enough breast milk is not available with mother, she may introduce bottle feeding erroneously for improving nutrition to her baby. We studied the effect of antenatal expression of breast milk at term in reducing breast feeding failure as compared to conventional method of initiation of breast feeding. METHODS: A prospective study was carried out in 180 booked cases at term. Daily expression of breast milk at least once a day after 37 weeks of pregnancy was introduced in randomly selected 90 pregnant ladies...
April 2009: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27375911/placenta-increta-complicating-persistent-cesarean-scar-ectopic-pregnancy-following-failed-excision-with-subsequent-preterm-cesarean-hysterectomy
#7
M F Malik, L R Hoyos, J Rodriguez-Kovacs, J Gillum, S C Johnson
Introduction. Cesarean scar pregnancies (CSPs) are one of the rarest forms of ectopic pregnancy. Given their rarity, there is lack of consensus regarding the management and natural course of CSPs. Case. A 37-year-old G10 P3063 female with a history of two prior cesarean deliveries was diagnosed with her second CSP at 6 weeks and 5 days in her tenth pregnancy. The patient underwent vertical hysterotomy, excision of a gestational sac implanted in the cesarean sac, and bilateral salpingectomy via a laparotomy incision...
2016: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27349652/birth-by-cesarean-section-and-schizophrenia-results-from-the-multicenter-face-sz-data-set
#8
G Fond, E Bulzacka, L Boyer, P M Llorca, O Godin, L Brunel, M G Andrianarisoa, B Aouizerate, F Berna, D Capdevielle, I Chereau, H Denizot, J M Dorey, C Dubertret, J Dubreucq, C Faget, F Gabayet, Y Le Strat, J A Micoulaud-Franchi, D Misdrahi, R Rey, R Richieri, M Roger, C Passerieux, A Schandrin, M Urbach, P Vidalhet, F Schürhoff, M Leboyer
Children born by cesarean section ("c-birth") are known to have different microbiota and a natural history of different disorders including allergy, asthma and overweight compared to vaginally born ("v-birth") children. C-birth is not known to increase the risk of schizophrenia (SZ), but to be associated with an earlier age at onset. To further explore possible links between c-birth and SZ, we compared clinical and biological characteristics of c-born SZ patients compared to v-born ones. Four hundred and fifty-four stable community-dwelling SZ patients (mean age = 32...
June 27, 2016: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/27306663/natural-history-of-the-infant-gut-microbiome-and-impact-of-antibiotic-treatment-on-bacterial-strain-diversity-and-stability
#9
Moran Yassour, Tommi Vatanen, Heli Siljander, Anu-Maaria Hämäläinen, Taina Härkönen, Samppa J Ryhänen, Eric A Franzosa, Hera Vlamakis, Curtis Huttenhower, Dirk Gevers, Eric S Lander, Mikael Knip, Ramnik J Xavier
The gut microbial community is dynamic during the first 3 years of life, before stabilizing to an adult-like state. However, little is known about the impact of environmental factors on the developing human gut microbiome. We report a longitudinal study of the gut microbiome based on DNA sequence analysis of monthly stool samples and clinical information from 39 children, about half of whom received multiple courses of antibiotics during the first 3 years of life. Whereas the gut microbiome of most children born by vaginal delivery was dominated by Bacteroides species, the four children born by cesarean section and about 20% of vaginally born children lacked Bacteroides in the first 6 to 18 months of life...
June 15, 2016: Science Translational Medicine
https://www.readbyqxmd.com/read/27297698/impact-of-labor-on-peripheral-blood-maternal-t-cell-subsets-and-on-regulatory-t-and-b-cells
#10
Jorge Lima, Catarina Martins, Glória Nunes, Maria-José Sousa, Jorge C Branco, Luís M Borrego
PURPOSE: Labor is thought to positively influence immune system development in the offspring, but studies investigating the impact of different modes of delivery on maternal immune system cells are scarce. Therefore, the aim of this study was to investigate the effect of labor on maternal peripheral blood T-cell subsets and on the recently described regulatory T and B cells. METHODS: Cross-sectional study comparing the absolute counts and percentages of peripheral blood T-cell subsets (maturation and activation profiles) and regulatory T and B cells between healthy pregnant women who delivered their newborns via elective cesarean (no labor; n = 14) and those who had a spontaneous vaginal delivery (after labor; n = 18)...
June 13, 2016: Reproductive Sciences
https://www.readbyqxmd.com/read/27290834/-acute-pancreatitis-in-pregnancy
#11
D Saldivar-Rodríguez, O R Treviño-Montemayor, A Guzmán-López, G Treviño-Martínez, C C Flores-Acosta
BACKGROUND: Acute pancreatitis is an inflammatory disease that affects the pancreatic tissue, which have been proposed numerous causes, with unpredictable results, it appears as a complication of rare occurrence, so the information on maternal and fetal complications is limited. Objective: Exposing obstetric and perinatal outcomes of patients diagnosed with pancreatitis complicating pregnancy. METHODOLOGY: A retrospective, observational, transverse and descriptive study; data were obtained and analyzed by reviewing medical records of patients diagnosed with pancreatitis and pregnancy...
February 2016: Ginecología y Obstetricia de México
https://www.readbyqxmd.com/read/27289038/human-beta-defensin-1-2-and-3-production-by-amniotic-epithelial-cells-with-respect-to-human-papillomavirus-hpv-infection-hpv-oncogenic-potential-and-the-mode-of-delivery
#12
Dariusz Szukiewicz, Habib Alkhalayla, Michal Pyzlak, Mateusz Watroba, Grzegorz Szewczyk, Jaroslaw Wejman
BACKGROUND: Human beta-defensins (HBD) produced by human amniotic epithelial cells (HAEC) co-create an innate antiviral immune response in the materno-placento-fetal unit. Oncogenic potential of HPV may reflect its ability to avoid immune recognition. In this study we assessed the risk of HAEC infection with human papillomavirus (HPV) in relation to the type of labor and the impact of the oncogenic potential of HPV on HBD production in HAEC. METHODS: A comparative analysis [HPV(+) vs...
August 2016: Microbial Pathogenesis
https://www.readbyqxmd.com/read/27171469/comparison-of-breast-crawl-between-infants-delivered-by-vaginal-delivery-and-cesarean-section
#13
Mohammad Heidarzadeh, Sevil Hakimi, Abbas Habibelahi, Marzieh Mohammadi, Shakiba Pourasad Shahrak
BACKGROUND: Exclusive breastfeeding is the single most cost-effective intervention to reduce infant mortality. Breast crawl (BC) is deemed a natural way for the baby to behave immediately after delivery. BC is the method that may help initiation of breastfeeding in the most natural way. The aim of this study is to compare successful BC between neonates born through vaginal delivery and those born through cesarean section (CS) and factors associated with a positive outcome. METHODS: Participants were mothers who delivered their babies during the period of October 2012 to December 2013 in Alzahra Hospital in Tabriz, through cesarean or vaginal delivery...
May 12, 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/27097586/-establishment-of-the-patent-ductus-arteriosus-model-in-preterm-rats
#14
Meng-Ru Zhu, Hai-Yan Liu, Pan-Pan Liu, Hui Wu
OBJECTIVE: To establish the patent ductus arteriosus model in preterm rats using the improved natural development method. METHODS: In the light of the flaws of the natural development method in establishing the patent ductus arteriosus model, the experimental technology was modified to avoid the influence of fixation, dehydration, and section method on blood vessel diameter. Cesarean section was performed for a Wistar rat pregnant for 19 days, and 8 neonatal rats were obtained...
April 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/27071145/delivery-modes-in-case-of-fetal-malformations
#15
Tuangsit Wataganara, Amos Grunebaum, Frank Chervenak, Miroslaw Wielgos
An estimated 276,000 babies die within 4 weeks of birth every year, worldwide, from congenital anomalies. Better quality ultrasound screening can increase the detection of these fetal malformations in the prenatal period. Prenatal counseling for the pregnant woman and her family, regarding the nature of the disease and prognosis is necessary. Options for management in prenatal, perinatal, intrapartum, neonatal, and childhood periods need to be thoroughly discussed, so that the family can make an informed decision...
April 12, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/27045582/cesarean-section-changes-neonatal-gut-colonization
#16
Jakob Stokholm, Jonathan Thorsen, Bo L Chawes, Susanne Schjørring, Karen A Krogfelt, Klaus Bønnelykke, Hans Bisgaard
BACKGROUND: Delivery by means of cesarean section has been associated with increased risk of childhood immune-mediated diseases, suggesting a role of early bacterial colonization patterns for immune maturation. OBJECTIVE: We sought to describe the influence of delivery method on gut and airway colonization patterns in the first year of life in the Copenhagen Prospective Studies on Asthma in Childhood2010 (COPSAC2010) birth cohort. METHODS: Seven hundred children from the COPSAC2010 birth cohort participated in this analysis...
September 2016: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/27000894/reproductive-outcomes-following-robotic-assisted-laparoscopic-myomectomy-ralm
#17
Olga A Tusheva, Anthony Gyang, Sejal D Patel
Uterine myomas are the most common type of benign tumor in women of reproductive age and are commonly associated with menorrhagia, dysmenorrhea, dyspareunia, and urinary symptoms. Uterine fibroids have been also linked to infertility and pregnancy loss. Women wishing to preserve or restore their fertility are best treated by myomectomy. Robotic-assisted laparoscopic myomectomy is one of the latest technological applications of minimally invasive surgery. Limited data exist regarding the feasibility of robotic-assisted laparoscopic myomectomy (RALM) in terms of pregnancy and surgical outcomes, and more studies are needed...
March 2013: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/26981296/metastasis-of-pregnancy-associated-breast-cancer-suspected-to-be-hereditary-breast-and-ovarian-cancer-to-the-brain-diagnosed-at-18-weeks-gestation-a-case-report-and-review-of-the-literature
#18
Tomohiro Okuda, Sakura Yamamoto, Seiki Matsuo, Hisashi Kataoka, Jo Kitawaki
We report a case of pregnancy-associated breast cancer with metastasis to the brain, likely resulting from hereditary breast and ovarian cancer (HBOC). A 35-year-old woman (gravida 2, para 0-1-0-1) underwent a right mastectomy and right axillary dissection after a cesarean section at 30 years of age; her mother died at 47 years of age due to breast cancer. Histopathological examination indicated an invasive ductal carcinoma with triple-negative cancer (cancer stage 2B [pT3N0M0]). The patient refused adjuvant therapy because of the risk of infertility...
2016: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26962481/high-prevalence-of-vitamin-d-deficiency-and-adverse-pregnancy-outcomes-in-yazd-a-central-province-of-iran
#19
Azar Pirdehghan, Mahmood Vakili, Reyhane Dehghan, Fatemeh Zare
BACKGROUND: There is a growing concern about the high prevalence of vitamin D deficiency and its relationship with variety of diseases worldwide. The objective of this study was to determine the prevalence of vitamin D deficiency and its relationship with pregnancy adverse effects in Yazd. METHODS: This was a cross sectional study conducted among 200 nulliparous women from October 2013 to April 2014. Data containing socio-demographic and personal details, vitamin D level, pregnancy complications and growth situation of newborns were collected and analyzed using Mann-Whitney, Kruskal-Wallis and Pearson's correlation coefficient by SPSS...
January 2016: Journal of Reproduction & Infertility
https://www.readbyqxmd.com/read/26955857/risks-and-benefits-of-the-skin-to-skin-cesarean-section-a-retrospective-cohort-study
#20
Selina Posthuma, Fleurisca J Korteweg, J Marinus van der Ploeg, Hans D de Boer, Hannah D Buiter, David P van der Ham
OBJECTIVE: Comparing maternal and neonatal outcomes after conventional cesarean section (CS) versus a "natural" or "skin-to-skin" cesarean section (SSCS). METHODS: Retrospective cohort of women who underwent a SSCS (01-2013 until 12-2013) compared to conventional CS (08-2011 to 08-2012). CS before 37 weeks, under general anesthesia and in case of fetal distress were excluded. Main outcome measures were maternal blood loss, post-operative infection and admission; neonatal infection and admission; procedural outcomes...
January 2017: Journal of Maternal-fetal & Neonatal Medicine
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