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https://www.readbyqxmd.com/read/29028674/urinary-bisphenol-a-concentration-and-gestational-diabetes-mellitus-in-chinese-women
#1
Xia Wang, Xu Wang, Qian Chen, Zhong-Cheng Luo, Shasha Zhao, Weiye Wang, Hui-Juan Zhang, Jun Zhang, Fengxiu Ouyang
BACKGROUND: Bisphenol A (BPA) has been associated with variable metabolic effects in animal models. It is unknown whether BPA exposure affects glucose tolerance in pregnancy. We aimed to investigate whether maternal urinary BPA concentration is associated with gestational diabetes mellitus (GDM). METHODS: This study included 620 pregnant women from Shanghai, China 2012-2013. Maternal urinary BPA concentration was measured by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS)...
October 2017: Epidemiology
https://www.readbyqxmd.com/read/29027107/viral-factors-for-hbv-mother-to-child-transmission
#2
James S Park, Calvin Q Pan
Chronic hepatitis B virus (HBV) remains a leading cause of cirrhosis and hepatocellular carcinoma worldwide. Because chronic hepatitis B infection is rarely eradicated, preventing mother-to-child transmission (MTCT) is the most effective strategy to eliminate HBV globally. Although immunoprophylaxis strategy is widely available and effective for infants born to mothers with chronic hepatitis B infection, postnatal immunoprophylaxis fails in approximately 5-10 % of infants, and this failure rate goes up to 30 % in infants born to highly viremic mothers...
October 12, 2017: Hepatology International
https://www.readbyqxmd.com/read/29026609/ketosis-prone-diabetes-and-sle-co-presenting-in-an-african-lady-with-previous-gestational-diabetes
#3
S Hussain, S Keat, S V Gelding
We describe the case of an African woman who was diagnosed with ketosis-prone diabetes with diabetes-associated autoantibodies, after being admitted for diabetic ketoacidosis (DKA) precipitated by her first presentation of systemic lupus erythematosus (SLE). She had a seven-year history of recurrent gestational diabetes (GDM) not requiring insulin therapy, with return to normoglycaemia after each pregnancy. This might have suggested that she had now developed type 2 diabetes (T2D). However, the diagnosis of SLE prompted testing for an autoimmune aetiology for the diabetes, and she was found to have a very high titre of GAD antibodies...
2017: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/29026545/resuscitative-endovascular-balloon-occlusion-of-the-aorta-as-an-adjunct-for-hemorrhagic-shock-due-to-uterine-rupture-a-case-report
#4
Asami Okada, Osamu Nakamoto, Maya Komori, Hideki Arimoto, Hiroshi Rinka, Hiroaki Nakamura
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a life-saving procedure used to control bleeding and maintain blood pressure temporarily in traumatic hemorrhagic shock. Uterine rupture and placenta accreta provoke uncontrollable massive hemorrhaging. REBOA may be useful for hemodynamic stabilization to prevent cardiac arrest in high-risk pregnancy.
October 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29026423/comprehensive-maternal-characteristics-associated-with-birth-weight-bayesian-modeling-in-a-prospective-cohort-study-from-iran
#5
Marjan Mansourian, Raziyeh Mohammadi, Hamid Reza Marateb, Akram Yazdani, Masoomeh Goodarzi-Khoigani, Sajedeh Molavi
BACKGROUND: In this study, we aimed to determine comprehensive maternal characteristics associated with birth weight using Bayesian modeling. MATERIALS AND METHODS: A total of 526 participants were included in this prospective study. Nutritional status, supplement consumption during the pregnancy, demographic and socioeconomic characteristics, anthropometric measures, physical activity, and pregnancy outcomes were considered as effective variables on the birth weight...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/29025632/modifiers-of-the-effect-of-maternal-multiple-micronutrient-supplementation-on-stillbirth-birth-outcomes-and-infant-mortality-a-meta-analysis-of-individual-patient-data-from-17-randomised-trials-in-low-income-and-middle-income-countries
#6
Emily R Smith, Anuraj H Shankar, Lee S-F Wu, Said Aboud, Seth Adu-Afarwuah, Hasmot Ali, Rina Agustina, Shams Arifeen, Per Ashorn, Zulfiqar A Bhutta, Parul Christian, Delanjathan Devakumar, Kathryn G Dewey, Henrik Friis, Exnevia Gomo, Piyush Gupta, Pernille Kæstel, Patrick Kolsteren, Hermann Lanou, Kenneth Maleta, Aissa Mamadoultaibou, Gernard Msamanga, David Osrin, Lars-Åke Persson, Usha Ramakrishnan, Juan A Rivera, Arjumand Rizvi, H P S Sachdev, Willy Urassa, Keith P West, Noel Zagre, Lingxia Zeng, Zhonghai Zhu, Wafaie W Fawzi, Christopher R Sudfeld
BACKGROUND: Micronutrient deficiencies are common among women in low-income and middle-income countries. Data from randomised trials suggest that maternal multiple micronutrient supplementation decreases the risk of low birthweight and potentially improves other infant health outcomes. However, heterogeneity across studies suggests influence from effect modifiers. We aimed to identify individual-level modifiers of the effect of multiple micronutrient supplements on stillbirth, birth outcomes, and infant mortality in low-income and middle-income countries...
November 2017: Lancet Global Health
https://www.readbyqxmd.com/read/29025051/integrating-behavioral-health-risk-assessment-into-centralized-intake-for-maternal-and-child-health-services
#7
Sarah Kye Price, D Crystal Coles, Tracey Wingold
Effectively promoting women's health during and around the time of pregnancy requires early, nonstigmatizing identification and assessment of behavioral health risks (such as depression, substance use, smoking, and interpersonal violence) combined with timely linkage to community support and specialized interventions. This article describes an integrated approach to behavioral health risk screening woven into a point of first contact with the health care delivery system: centralized intake for maternal and child health home visiting programs...
September 4, 2017: Health & Social Work
https://www.readbyqxmd.com/read/29024912/how-important-is-aspirin-adherence-when-evaluating-effectiveness-of-low-dose-aspirin
#8
REVIEW
Kate Navaratnam, Zarko Alfirevic, Munir Pirmohamed, Ana Alfirevic
Low-dose aspirin (LDA) is advocated for women at high-risk of pre-eclampsia, providing a modest, 10%, reduction in risk. Cardiology meta-analyses demonstrate 18% reduction in serious vascular events with LDA. Non-responsiveness to aspirin (sometimes termed aspirin resistance) and variable clinical effectiveness are often attributed to suboptimal adherence. The aim of this review was to identify the scope of adherence assessments in RCTs evaluating aspirin effectiveness in cardiology and obstetrics and discuss the quality of information provided by current methods...
October 3, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29023736/an-investigation-of-fetal-behavioural-states-during-maternal-sleep-in-healthy-late-gestation-pregnancy-an-observational-study
#9
Peter R Stone, Wendy Burgess, Jordan McIntyre, Alistair J Gunn, Christopher A Lear, Laura Bennet, Edwin A Mitchell, John M D Thompson
BACKGROUND: Fetal behavioural states (FBS) are measures of fetal wellbeing. Maternal position affects FBS with supine being associated with an increased likelihood of fetal quiescence consistent with the human fetus adapting to a lower oxygen consuming state. A number of studies now confirm the association of sleep position with risk of late intrauterine death. We designed this study to observe the effects of maternal sleep positions overnight in healthy late gestation pregnancy. METHOD: Twenty nine healthy women had continuous fetal ECG recordings overnight...
October 11, 2017: Journal of Physiology
https://www.readbyqxmd.com/read/29023582/presence-of-children-in-the-home-and-intimate-partner-violence-among-women-seeking-elective-pregnancy-termination
#10
Corinne Peek-Asa, Audrey F Saftlas, Anne B Wallis, Karisa Harland, Penny Dickey
INTRODUCTION: Growing evidence identifies adverse health effects for children who witness intimate partner violence at home. Research has also identified that women seeking elective pregnancy termination are at high risk for partner violence. However, little is known about the risk for violence exposure among the children of women seeking elective pregnancy termination. METHODS: We conducted a cross-sectional study of 957 women seeking elective pregnancy termination at a large family planning clinic...
2017: PloS One
https://www.readbyqxmd.com/read/29023294/cleft-lip-and-palate-demographic-patterns-and-the-associated-communication-disorders
#11
Firas S D Alfwaress, Fadwa A Khwaileh, Ma'amon A Rawashdeh, Mahmoud A Alomari, Mohammad S Nazzal
PURPOSE: This study investigated demographical characteristics, health status, and associated communication disorders in patients with orofacial clefts (OFCs) in Northern Jordan. METHODS: A retrospective study of 226 cleft patients and their families was carried out between March 2012 and September 2016 at the Speech and Hearing Clinic and the Maxillofacial Center at King Abdullah University Hospital. Data were collected by interviewing patients and caregivers, having patients or caregiver to complete a questionnaire and reviewing the patient's medical records...
October 11, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29022925/anti-cytomegalovirus-immunoglobulin-m-titer-for-congenital-infection-in-first-trimester-pregnancy-with-primary-infection-a-multicenter-prospective-cohort-study
#12
K Toriyabe, F Morikawa, T Minematsu, M Ikejiri, S Suga, T Ikeda
OBJECTIVE: We evaluated cytomegalovirus (CMV) immunoglobulin M (IgM) titer in pregnant women with primary infection as a predictive factor for congenital infection. STUDY DESIGN: Maternal CMV antibody screening during the first trimester was conducted prospectively at 16 centers in Japan between September 2013 and 2015. Women with confirmed maternal primary infection underwent testing for fetal congenital infection, and we investigated the positive predictive value of CMV IgM titer levels for congenital infection in women with a low IgG avidity...
October 12, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29022187/assessing-the-role-of-reversible-contraceptives-in-the-health-care-of-women-as-it-pertains-to-cancer-prevention
#13
REVIEW
Carolyn M Ross, Lee P Shulman
The use of effective and reversible contraception is characterized by many non-contraceptive benefits distinct from its ability to prevent pregnancy. Notably, the use of hormonal and non-hormonal birth control methods is known to impact the risk for developing certain female genital cancers as well as breast and colon cancers. We present here the current understanding of the role of effective and reversible contraceptives in the prevention and development of female genital cancers along with breast and colon cancers...
October 11, 2017: Advances in Therapy
https://www.readbyqxmd.com/read/29020782/-external-cephalic-version-after-36th-week-of-gestationanalysis-of-women%C3%A2-s-perspective
#14
K Wágnerová, L Hruban, P Janků
OBJECTIVE: Evaluation of opinions and subjective feelings of patients who have undergone an external cephalic version of a fetus in breech presentation after the 36th week of pregnancy. DESIGN: Observational analytic cohort study. SETTING: Department of Obstetrics and Gynecology, Masaryk University, University Hospital Brno. MATERIALS AND METHODS: We collected opinions and subjective evaluation from pregnant women who underwent an attempt of external cephalic version at the department of Gynecology and Obstetrics, Masaryk University in Brno in the period from 1st January 2015 to 31st December 2016 through a questionnaire...
2017: Ceská Gynekologie
https://www.readbyqxmd.com/read/29020282/elevated-levels-of-estradiol-in-hiv-positive-pregnant-women-on-protease-inhibitor-based-regimens
#15
Kayode A Balogun, Monica Guzman Lenis, Eszter Papp, Mona Loutfy, Mark H Yudin, Jay MacGillivray, Sharon L Walmsley, Michael Silverman, Lena Serghides
Background: HIV-positive pregnant women on protease inhibitor (PI)-based combination antiretroviral therapy (cART) have a greater risk for adverse birth outcomes, and an association with steroid hormone levels has been implicated. The objective of this study was to investigate the association between PI-cART and estradiol levels in pregnancy. Methods: Fifty-five HIV-positive and 49 HIV-negative Canadian pregnant women were followed prospectively throughout gestation...
August 24, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29020221/systemic-inflammatory-response-to-malaria-during-pregnancy-is-associated-with-pregnancy-loss-and-preterm-delivery
#16
Michal Fried, Jonathan D Kurtis, Bruce Swihart, Sunthorn Pond-Tor, Amadou Barry, Youssoufa Sidibe, Santara Gaoussou, Moussa Traore, Sekouba Keita, Almahamoudou Mahamar, Oumar Attaher, Adama B Dembele, Kadidia B Cisse, Bacary S Diarra, Moussa B Kanoute, Alassane Dicko, Patrick E Duffy
Background: Pregnancy malaria (PM) is associated with a proinflammatory immune response characterized by increased levels of cytokines and chemokines such as tumor necrosis factor-α, interferon-γ, interleukin 10 (IL-10), and CXCL9. These changes are associated with poor outcomes including low birthweight delivery and maternal anemia. However, it is unknown if inflammatory pathways during malaria are related to pregnancy loss and preterm delivery (PTD). Methods: Cytokine and chemokine levels were measured in maternal peripheral blood at enrollment, gestational week 30-32, and delivery, and in placental blood, of 638 women during a longitudinal cohort study in Ouelessebougou, Mali...
July 20, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29018583/effects-of-nutrition-interventions-during-pregnancy-on-low-birth-weight-an-overview-of-systematic-reviews
#17
Katharina da Silva Lopes, Erika Ota, Prakash Shakya, Amarjargal Dagvadorj, Olukunmi Omobolanle Balogun, Juan Pablo Peña-Rosas, Luz Maria De-Regil, Rintaro Mori
INTRODUCTION: Low birth weight (LBW, birth weight less than 2500 g) is associated with infant mortality and childhood morbidity. Poor maternal nutritional status is one of several contributing factors to LBW. We systematically reviewed the evidence for nutrition-specific (addressing the immediate determinants of nutrition) and nutrition-sensitive (addressing the underlying cause of undernutrition) interventions to reduce the risk of LBW and/or its components: preterm birth (PTB) and small-for-gestational age (SGA)...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29016589/risk-factors-associated-with-low-birth-weight-among-deliveries-at-bharatpur-hospital
#18
Kamal Prasad Kandel, Sindhu Kafle
BACKGROUND: Babies with a birth weight of less than 2500 grams, irrespective of the period of their gestation are termed as Low Birth Weight (LBW) babies. Despite consistent efforts to improve the quality of maternal and child health, more than twenty million low birth-weight (LBW) babies are born every year throughout the world. Though, the health situation of Nepal has improved substantially over the years, the low birth-weight (LBW) rate is still high. The objective of this study was to assess the proportion of low birth weight and identify the associated factors for low birth weight in a live born infant among the institutionally delivered newborns...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016512/trial-of-labor-compared-with-cesarean-delivery-in-superobese-women
#19
Jennifer L Grasch, Jennifer L Thompson, J Michael Newton, Amy W Zhai, Sarah S Osmundson
OBJECTIVE: To examine whether labor compared with planned cesarean delivery is associated with increased maternal and neonatal morbidity. METHODS: We conducted a retrospective cohort study of all women with body mass indexes (BMIs) at delivery of 50 or greater delivering a live fetus at 34 weeks of gestation of greater between January 1, 2008, and December 31, 2015. Pregnancies with multiple gestations and major fetal anomalies were excluded. The primary outcome was a composite of maternal and neonatal morbidity and was estimated to be 50% in superobese women based on institutional data...
October 6, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29016509/maternal-vascular-malperfusion-and-adverse-perinatal-outcomes-in-low-risk-nulliparous-women
#20
Emily Wright, Melanie C Audette, Xiang Y Ye, Sarah Keating, Barry Hoffman, Stephen J Lye, Prakesh S Shah, John C Kingdom
OBJECTIVE: To evaluate the disease burden of placental maternal vascular malperfusion pathology in a low-risk nulliparous population and test the hypothesis that a multiparameter model in the second trimester can predict maternal vascular malperfusion with high precision. METHODS: A single-center, prospective cohort study was conducted in healthy nulliparous women. Maternal vascular malperfusion disease burden was estimated by incidence, relative risk (RR), and population-attributable risk percent...
October 6, 2017: Obstetrics and Gynecology
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