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Prenatal check up

Mohammed El-Bali, Dina A M Zaglool, Yousif A W Khodari, Saeed A Al-Harthi
Congenital toxoplasmosis is associated with important morbidity and mortality. Since vertical transmission of Toxoplasma gondii can occur in acute cases, antenatal screening for recent infections is vital. Accurate determination of acute toxoplasmosis requires a combination of immunoassays, usually not routinely applied for screening purposes. This study evaluated the anti-T. gondii (IgG+IgM)/IgM prenatal screening procedure by IgG avidity assay. The routine prenatal screening for (IgG+IgM) anti-T. gondii by indirect hemagglutination (IHA) in serum samples was done of 2247 pregnant women who attended two hospitals between 2011 and 2013 revealed 487 (21...
April 2016: Journal of the Egyptian Society of Parasitology
Yonatan Moges Mesfin, Kelemu Tilahun Kibret, Amsalu Taye
BACKGROUND: Antiretroviral therapy is recommended during pregnancy to decrease the risk of perinatal transmission of HIV-1 infection and to improve maternal health. However, some studies have reported that antiretroviral treatment (ART) containing protease inhibitors (PI) is associated with an increased risk of preterm birth. In contrast, other studies have reported no increased risk. This meta-analysis was conducted to derive a more reliable estimate of the association between the prenatal use of PI based ART regimen and preterm birth...
2016: Reproductive Health
Érika Bárbara Abreu Fonseca Thomaz, Cláudia Maria Coêlho Alves, Cecília Cláudia Costa Ribeiro, Rosângela Fernandes Lucena Batista, Vanda Maria Ferreira Simões, Ricardo Cavalli, Maria da Conceição Saraiva, Viviane Cunha Cardoso, Heloisa Bettiol, Marco Antonio Barbieri, Antônio Augusto Moura da Silva
Studies have shown a possible association of oral diseases during pregnancy with preterm birth (PTB) and low birth weight (LBW). These perinatal outcomes appear to be associated with enamel defects in the primary dentition, which, in turn, seem to predispose to future development of caries in children. Therefore it is relevant to include oral health variables of the mother/child dyad in cohort studies to understand how these factors are associated. The objectives of this study are: 1) check if there is an association between diseases of the oral cavity of pregnant women and PTB, 2) test the hypothesis of association between perinatal outcomes and enamel defects/dental caries in children, 3) examine whether there are associations between perinatal outcomes and disorders of tooth eruption in children; 4) build theoretical models to study social inequities as a common factor between oral conditions and perinatal outcomes...
October 2015: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Augusto A Litonjua, Vincent J Carey, Nancy Laranjo, Benjamin J Harshfield, Thomas F McElrath, George T O'Connor, Megan Sandel, Ronald E Iverson, Aviva Lee-Paritz, Robert C Strunk, Leonard B Bacharier, George A Macones, Robert S Zeiger, Michael Schatz, Bruce W Hollis, Eve Hornsby, Catherine Hawrylowicz, Ann Chen Wu, Scott T Weiss
IMPORTANCE: Asthma and wheezing begin early in life, and prenatal vitamin D deficiency has been variably associated with these disorders in offspring. OBJECTIVE: To determine whether prenatal vitamin D (cholecalciferol) supplementation can prevent asthma or recurrent wheeze in early childhood. DESIGN, SETTING, AND PARTICIPANTS: The Vitamin D Antenatal Asthma Reduction Trial was a randomized, double-blind, placebo-controlled trial conducted in 3 centers across the United States...
January 26, 2016: JAMA: the Journal of the American Medical Association
Rezvan Khorshidi Roozbahani, Mehrnaz Geranmayeh, Sedigheh Hantoushzadeh, Abbas Mehran
BACKGROUND: Gestational diabetes mellitus (GDM) is a form of diabetes that occurs in pregnancy. GDM, defined as glucose intolerance, first diagnosed or initiated during pregnancy affects 1-14% of pregnancies based on various studies. Screening and early diagnosis and appropriate glycemic control can improve prenatal outcomes. Telephone follow-up seems to be a reasonable way for pregnant women follow-up. The present study evaluated the effects of telephone follow-up on blood glucose level during pregnancy and postpartum screening...
2015: Medical Journal of the Islamic Republic of Iran
Rosalie M Grivell, Chad Andersen, Jodie M Dodd
BACKGROUND: Congenital diaphragmatic hernia (CDH), is an uncommon but severe condition in which there is a developmental defect in the fetal diaphragm, resulting in liver and bowel migrating to the chest cavity and impairing lung development and function for the neonate. This condition can be diagnosed during pregnancy and as such, is potentially amenable to in-utero prenatal intervention. Neonatal surgical repair is possible, but even with early surgical repair and improving neonatal management, neonatal morbidity and mortality is high...
2015: Cochrane Database of Systematic Reviews
Arihiro Shiozaki, Satoshi Yoneda, Takashi Iizuka, Tae Kusabiraki, Masami Ito, Mika Ito, Noriko Yoneda, Hideo Yoshimoto, Shigeru Saito
Enterolithiasis is an uncommon finding of a dilated hyperechogenic bowel with multiple ball-like echogenic structures at a routine prenatal check-up using ultrasonography. We here report a case of prenatally diagnosed enterolithiasis at 18 weeks of gestation, showing multiple hyperechogenic foci rolling within the bowel fluid after peristalsis. The size of the dilated bowel gradually increased during pregnancy. Magnetic resonance image demonstrated the dilated lower bowel with blind-ending rectum. A postnatal contrast medium study with retrograde urethrography revealed a middle imperforate anus and a rectourethral fistula...
January 2015: Journal of Medical Ultrasonics
Simona Di Mario, Vittorio Basevi, Carlo Gagliotti, Daniela Spettoli, Gianfranco Gori, Roberto D'Amico, Nicola Magrini
BACKGROUND: Congenital toxoplasmosis is considered a rare but potentially severe infection. Prenatal education about congenital toxoplasmosis could be the most efficient and least harmful intervention, yet its effectiveness is uncertain. OBJECTIVES: To assess the effects of prenatal education for preventing congenital toxoplasmosis. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 May 2015), and reference lists of relevant papers, reviews and websites...
2015: Cochrane Database of Systematic Reviews
Zeleke Dutamo, Nega Assefa, Gudina Egata
BACKGROUND: Pregnancy and child birth are natural process of continuity of life. For many it is a normal process, for some it puts life at risk impending complications. Provision of skilled care for all women before, during, and after childbirth is a key in saving women's life and ensuring delivery of healthy baby. Maternal health service drop-out through the course of pregnancy is widely claimed, yet by how much it is dropped is not known. The main aim of this study was to identify the use of maternal health service over the course of pregnancy and child birth in a comprehensive manner...
2015: BMC Health Services Research
Jian-zhen Zhang, Jing He
OBJECTIVE: To investigate the risks of recurrent preeclampsia and observe the incidence and long-term prognosis of recurrent preeclampsia. METHODS: One hundred and fifteen women with preeclampsia history admitted in Women's Hospital, Zhejiang University School of Medicine from January 2009 to December 2013 were enrolled in the study. The clinical data were retrospectively analyzed. RESULTS: Among 115 women with preeclampsia, 82 cases (71.3%)had recurrent preeclampsia...
May 2015: Zhejiang da Xue Xue Bao. Yi Xue Ban, Journal of Zhejiang University. Medical Sciences
Juan Pablo Peña-Rosas, Luz Maria De-Regil, Maria N Garcia-Casal, Therese Dowswell
BACKGROUND: Iron and folic acid supplementation has been the preferred intervention to improve iron stores and prevent anaemia among pregnant women, and it is thought to improve other maternal and birth outcomes. OBJECTIVES: To assess the effects of daily oral iron supplements for pregnant women, either alone or in conjunction with folic acid, or with other vitamins and minerals as a public health intervention in antenatal care. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (10 January 2015)...
2015: Cochrane Database of Systematic Reviews
Melissa Whitworth, Leanne Bricker, Clare Mullan
BACKGROUND: Diagnostic ultrasound is a sophisticated electronic technology, which utilises pulses of high-frequency sound to produce an image. Diagnostic ultrasound examination may be employed in a variety of specific circumstances during pregnancy such as after clinical complications, or where there are concerns about fetal growth. Because adverse outcomes may also occur in pregnancies without clear risk factors, assumptions have been made that routine ultrasound in all pregnancies will prove beneficial by enabling earlier detection and improved management of pregnancy complications...
2015: Cochrane Database of Systematic Reviews
D Haile, S Biadgilign, M Azage
BACKGROUND: Vitamin A supplementation is one of the best proven, safest and most cost-effective interventions in public health. However, childhood vitamin A supplementation has not reached adequate levels of coverage in developing countries. This study aimed to identify factors associated with childhood vitamin A supplementation in Ethiopia. STUDY DESIGN: Cross-sectional study with stratified, two-stage cluster design. METHODS: Analysis of data from the 2011 Ethiopian Demographic and Health Survey (EDHS) was used to identify factors associated with childhood vitamin A supplementation...
June 2015: Public Health
Jenny Hill, Kassoum Kayentao, Florence Achieng, Samba Diarra, Stephanie Dellicour, Sory I Diawara, Mary J Hamel, Peter Ouma, Meghna Desai, Ogobara K Doumbo, Feiko O ter Kuile, Jayne Webster
BACKGROUND: Coverage of malaria in pregnancy interventions in sub-Saharan Africa is suboptimal. We undertook a systematic examination of the operational, socio-economic and cultural constraints to pregnant women's access to intermittent preventive treatment (IPTp), long-lasting insecticide-treated nets (LLINs) and case management in Kenya and Mali to provide empirical evidence for strategies to improve coverage. METHODS: Focus group discussions (FGDs) were held as part of a programme of research to explore the delivery, access and use of interventions to control malaria in pregnancy...
2015: PloS One
T Fujiwara
OBJECTIVES: Previous studies have demonstrated the effectiveness of educational materials on infant crying to change caregivers' knowledge and behaviours related to shaken baby syndrome or abusive head trauma (SBS/AHT) using selected samples in randomized controlled trials. This study investigated the impact of public health practices to prevent SBS/AHT in Japan through the use of educational materials. STUDY DESIGN: Cross-sectional study. METHODS: The intervention was comprised of two parts: (1) the screening of an educational DVD at a prenatal class; and (2) the distribution of a public health pamphlet at a postnatal home visit...
May 2015: Public Health
M É Diémé Faye, P Moreira, É Tamofo, A A Diouf, A Diouf, J-C Moreau
OBJECTIVES: To assess the quality of prenatal monitoring of pregnant women with a previous cesarean delivery and determine the maternal and neonatal prognosis in an African setting. PATIENTS AND METHODS: This prospective, descriptive, and analytical study took place at Roi Baudouin Health Center in Dakar (Senegal) and examined the records of women giving birth from November 1, 2009 to August 31, 2010. It included all women admitted for delivery at 22 weeks of gestation or more, with at least one previous cesarean, and a prenatal consultation record booklet...
October 2014: Médecine et Santé Tropicales
Kaji Tamanna Keya, Ubaidur Rob, Moshiur Rahman, Ashish Bajracharya, Benjamin Bellows
Although the maternal mortality ratio in Bangladesh has decreased, significant underutilization of facilities continues to be a persistent challenge to policy makers. Women face long distances and significant transportation cost to deliver at health facilities. This study identifies the distance traveled to utilize facilities, associated transportation cost, and transport mode used for maternal healthcare services. A total of 3,300 mothers aged 18-49 years, who had given birth in the year before the survey, were interviewed from 22 sub-districts in 2010...
2014: International Quarterly of Community Health Education
Annie Rajaratnam, Neha Maria Baby, Thomas S Kuruvilla, Santhosh Machado
BACKGROUND: Asymptomatic bacteriuria (AB) is common inwomen and increases in prevalence with age or sexual activity. Prompt detection and treatment of this condition and associated factors decreases complications like acute pyleonephritis, intrauterine growth retardation and preterm labour. Chromogenic media is a versatile tool in rapid primary screening of the causative organisms considerably reducing daily routine workload. AIM: To determine the prevalence of AB among pregnant women in a tertiary care set-up and analyse the contributory risk factors, its effects on pregnancy and the role of chromogenic media in the laboratory diagnosis of these cases...
September 2014: Journal of Clinical and Diagnostic Research: JCDR
Sadequa Shahrook, Rintaro Mori, Tumendemberel Ochirbat, Harumi Gomi
BACKGROUND: Each year about two million pregnant women are infected with preventable syphilis infection, mostly in developing countries. Despite the expansion of antenatal syphilis screening programmes over the past few decades, syphilis continues to be a major public health concern in developing countries. Point-of-care syphilis testing may be a useful strategy to substantially prevent syphilis-associated perinatal mortality and other negative consequences in resource-poor settings. However, the evidence on effectiveness has been generated mostly from observational study designs or has been reported as a mixed-intervention effect...
2014: Cochrane Database of Systematic Reviews
Gemma C Sharp, Sarah J Stock, Jane E Norman
BACKGROUND: Fetal assessment following preterm prelabour rupture of membranes (PPROM) may result in earlier delivery due to earlier detection of fetal compromise. However, early delivery may not always be in the fetal or maternal interest, and the effectiveness of different fetal assessment methods in improving neonatal and maternal outcomes is uncertain. OBJECTIVES: To study the effectiveness of fetal assessment methods for improving neonatal and maternal outcomes in PPROM...
2014: Cochrane Database of Systematic Reviews
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