keyword
https://read.qxmd.com/read/34645356/antepartum-vaginal-bleeding-characteristics-associated-with-delivery-within-seven-days
#21
JOURNAL ARTICLE
Rachel A Newman, Joshua Makhoul, Jenny Chang, Dana Senderoff, Bradley Bosse, B Adam Crosland, Emily Seet, Kenneth Chan
Objective: To identify maternal and/or fetal characteristics associated with delivery within seven days for patients who present with vaginal bleeding in the antepartum period. Methods: This is a retrospective chart review performed at a community-academic tertiary care center. Three hundred and twenty-two consecutive charts associated with admission for vaginal bleeding during pregnancy between January 2015 and May 2020 were reviewed. One hundred and twenty-six women were included based on singleton gestation, gestational age 24 0/7 - 36 6/7 weeks, self-limited vaginal bleeding, vital sign stability (blood pressure >100/60 mmHg, heart rate >60 beats per minute, respiratory rate <20 breaths per minute), absence of signs of labor, no known placenta previa/accreta, recent vaginal intercourse, or trauma...
October 13, 2021: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/34629785/decreasing-the-duration-of-point-of-decision-to-getting-non-stress-test-done-a-quality-improvement-study
#22
JOURNAL ARTICLE
Manisha Jhirwal, Charu Sharma, Shashank Shekhar, Pratibha Singh, Satya Prakash Meena
INTRODUCTION: Non-stress test is an important non-invasive tool of antepartum surveillance. The hypoxia, acidemia in the fetus can easily be picked up by a non-stress test. It is important to get a non-stress test done on time to prevent the adverse neonatal outcome. AIM: This quality improvement project aims to evaluate the waiting period for a non-stress test (NST) from the point of decision in the antenatal outpatient department and to increase the percentage of pregnant women getting NST done in less than 4 h from the point of decision from a baseline of 41% to 80% in 4 weeks...
August 2022: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/34454456/perinatal-outcomes-of-high-dose-versus-low-dose-oxytocin-regimen-used-for-labor-induction-and-factors-associated-with-adverse-perinatal-outcome-in-four-hospitals-of-ethiopia-a-multicenter-comparative-study
#23
MULTICENTER STUDY
Melese Gezahegn Tesemma, Demisew Amenu Sori, Desta Hiko Gemeda
BACKGROUND: There is limited evidence on effect of high and low dose oxytocin used for labor induction on perinatal outcomes. We compared perinatal outcomes among pregnant mothers who received the two different oxytocin regimens and identified risk factors associated with adverse perinatal outcomes. METHODS: Facility based comparative cross-sectional study was conducted in four hospitals of Ethiopia over eight month's period during 2017/2018 year with 216 pregnant women who received high and low dose oxytocin for labor induction...
August 28, 2021: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/34396910/impact-of-braxton-hicks-contractions-on-fetal-wellbeing-a-prospective-analysis-through-computerised-cardiotocography
#24
JOURNAL ARTICLE
Marco La Verde, Gaetano Riemma, Marco Torella, Clelia Torre, Stefano Cianci, Anna Conte, Carlo Capristo, Maddalena Morlando, Nicola Colacurci, Pasquale De Franciscis
To estimate the correlation between the maternal perception of Braxton-Hicks contractions (BHC) and foetal wellbeing throughout antepartum computerised cardiotocography (cCTG) parameters, we performed a prospective observational study between April 2019 and March 2020. Non-labouring women with a term pregnancy were recruited. We collected data regarding maternal perception of BHC in the last two weeks before delivery. For each patient, an external computerised cardiotocography (cCTG) was registered. Women were subdivided in accordance with perception or non-perception of BHC...
May 2022: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://read.qxmd.com/read/34340644/maternal-cardiovascular-function-in-the-prediction-of-fetal-distress-in-labor-a-prospective-cohort-study
#25
JOURNAL ARTICLE
Ilenia Mappa, Maria Luviso, Silvio Tartaglia, Pavjola Maqina, Jia Li Angela Lu, Alexander Makatsariya, Giuseppe Rizzo
OBJECTIVE: To explore the strength of association and the diagnostic accuracy of maternal hemodynamic parameters detected noninvasively in predicting an adverse perinatal outcome in labor. METHODS: Prospective cohort study of singleton women undergoing antepartum care at 37-39 weeks of gestation. A noninvasive ultrasonic cardiac output monitor (USCOM®) was used for cardiovascular assessment. The study outcome was a composite score of adverse perinatal outcome, which included at least one of the following variables: Cesarean or instrumental delivery for abnormal fetal heart monitoring, umbilical artery pH <7...
August 3, 2021: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/34191734/reconstruction-of-missing-samples-in-antepartum-and-intrapartum-fhr-measurements-via-mini-batch-based-minimized-sparse-dictionary-learning
#26
JOURNAL ARTICLE
Yefei Zhang, Zhidong Zhao, Yanjun Deng, Xiaohong Zhang, Yu Zhang
Fetal Heart Rate (FHR), an important recording in Cardiotocography (CTG)-based fetal health status monitoring, is the only information that clinical obstetricians can directly obtain and use. A challenge, however, is that missing samples are very common in FHR due to various causes such as fetal movements and sensor malfunctions. The aim is the development of an inpainting tool which is suitable for different missing lengths q and various total missing percentages Q, as well as for use in online mode. This study focused on two major impediments to existing inpainting methods: the longer the missing length, the more difficult it is to recover with mathematical methods; the reliance on tens of thousands of training samples, and the computational burden caused by full batch-based dictionary learning algorithms...
January 2022: IEEE Journal of Biomedical and Health Informatics
https://read.qxmd.com/read/34107848/predicting-the-need-for-blood-transfusion-requirement-in-postpartum-hemorrhage
#27
JOURNAL ARTICLE
Emmanuel Attali, Ariel Many, Guy Kern, Lee Reicher, Adiel Kahana, Asaf Shemer, Georgy Kagan, Ronni Gamzu, Yariv Yogev, Liat Zakar
OBJECTIVE: We aimed to assess the role of lactate and hemoglobin levels as predictors for the need for blood transfusion in post-partum hemorrhage (PPH). METHODS: A retrospective cohort study of women with PPH in a single university-affiliated tertiary medical center between August 2018 and June 2020. PPH was defined as an estimated excessive blood loss (of more than 500 ml following vaginal delivery and 1000 ml following a cesarean delivery) requiring at least one uterotonic drug and fluid resuscitation...
June 9, 2021: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/34011889/antepartum-fetal-surveillance-acog-practice-bulletin-number-229
#28
JOURNAL ARTICLE
(no author information available yet)
The goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those in which complications have developed (eg, fetal growth restriction)...
June 1, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34011881/antepartum-fetal-surveillance-acog-practice-bulletin-summary-number-229
#29
JOURNAL ARTICLE
(no author information available yet)
The goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those in which complications have developed (eg, fetal growth restriction)...
June 1, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/33949824/monitoring-fetal-well-being-in-labor-in-late-fetal-growth-restriction
#30
REVIEW
Andrea Dall'asta, Greta Cagninelli, Letizia Galli, Tiziana Frusca, Tullio Ghi
Late-onset fetal growth restriction (FGR) accounts for approximately 70-80% of all cases of FGR secondary to uteroplacental insufficiency. It is associated with an increased incidence of adverse antepartum and perinatal events, which in most instances result from hypoxic insults either present at the onset of labor or supervening during labor as a result of uterine contractions. Labor represents a stressful event for the fetoplacental unit being uterine contractions associated with an up-to 60% reduction of the uteroplacental perfusion...
August 2021: Minerva obstetrics and gynecology
https://read.qxmd.com/read/33944711/cerebral-palsy-and-criteria-implicating-intrapartum-hypoxia-in-neonatal-encephalopathy-an-obstetric-perspective-for-the-south-african-setting
#31
JOURNAL ARTICLE
I Bhorat, E Buchmann, P Soma-Pillay, E Nicolaou, L Pistorius, I Smuts
The science surrounding cerebral palsy indicates  that it is a complex medical condition with multiple contributing variables and factors, and causal pathways are often extremely difficult to delineate. The pathophysiological processes are often juxtaposed on antenatal factors, genetics, toxins, fetal priming, failure of neuroscientific autoregulatory mechanisms, abnormal biochemistry and abnormal metabolic pathways. Placing this primed compromised compensated brain through the stresses of an intrapartum process could be the final straw in the pathway  to brain injury and later CP...
March 31, 2021: South African Medical Journal
https://read.qxmd.com/read/33392323/immunotherapies-application-in-active-stage-of-systemic-lupus-erythematosus-in-pregnancy-a-case-report-and-review-of-literature
#32
Zhi-Hui Xiong, Xiao-Song Cao, Hai-Lian Guan, Hui-Ling Zheng
BACKGROUND: Pregnancy in the setting of systemic lupus erythematosus can worsen the condition from the stable to active stage, with quality of life and fertility desire being particular concerns. Pregnancy in the active stage of systemic lupus erythematosus (ASLE), although rare and complicated to manage, can be treated favorably with immunotherapies ifs used properly. Here we report such a success case. CASE SUMMARY: A 31-year-old primigravida patient, diagnosed with SLE seven years ago, was induced ASLE after a cold at 21 + weeks...
December 26, 2020: World Journal of Clinical Cases
https://read.qxmd.com/read/33345867/variations-in-reported-outcomes-in-studies-on-vasa-previa-a-systematic-review
#33
REVIEW
Linda A Villani, Sureka Pavalagantharajah, Rohan D'Souza
OBJECTIVE: To evaluate reported outcomes of published studies on the diagnosis and management of vasa previa in pregnancy. MATERIALS AND METHODS: Databases such as MEDLINE, Embase, Cochrane, PubMed, and ClinicalTrials.gov were searched up to March 2018 for all published studies on vasa previa using combinations of the following medical subject headings and key words: vasa previa, placenta previa, low-lying placenta, succenturiate lobe or placenta, bilobed or bilobate placenta, and velamentous insertion...
August 2020: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/33285878/complexity-of-cardiotocographic-signals-as-a-predictor-of-labor
#34
JOURNAL ARTICLE
João Monteiro-Santos, Teresa Henriques, Inês Nunes, Célia Amorim-Costa, João Bernardes, Cristina Costa-Santos
Prediction of labor is of extreme importance in obstetric care to allow for preventive measures, assuring that both baby and mother have the best possible care. In this work, the authors studied how important nonlinear parameters (entropy and compression) can be as labor predictors. Linear features retrieved from the SisPorto system for cardiotocogram analysis and nonlinear measures were used to predict labor in a dataset of 1072 antepartum tracings, at between 30 and 35 weeks of gestation. Two groups were defined: Group A-fetuses whose traces date was less than one or two weeks before labor, and Group B-fetuses whose traces date was at least one or two weeks before labor...
January 16, 2020: Entropy
https://read.qxmd.com/read/33155452/evaluation-of-the-human-placenta-optical-scattering-properties-using-continuous-wave-and-frequency-domain-diffuse-reflectance-spectroscopy
#35
JOURNAL ARTICLE
Siddharth M Khare, Thien Nguyen, Afrouz A Anderson, Brian Hill, Roberto Romero, Amir H Gandjbakhche
SIGNIFICANCE: Placenta is an essential organ for fetal development and successful reproduction. Placental insufficiency can lead to fetal hypoxia and, in extreme cases anoxia, leading to fetal death. Of the 145 million deliveries per year worldwide, ∼15 million neonates are small for gestational age and, therefore, at risk for antepartum and intrapartum hypoxia. Clinical methods to assess placental function largely rely on the assessment of fetal heart rate changes but do not assess placental oxygenation...
November 2020: Journal of Biomedical Optics
https://read.qxmd.com/read/32986989/epidemiology-of-coronavirus-disease-2019-in-pregnancy-risk-factors-and-associations-with-adverse-maternal-and-neonatal-outcomes
#36
JOURNAL ARTICLE
Justin S Brandt, Jennifer Hill, Ajay Reddy, Meike Schuster, Haylea S Patrick, Todd Rosen, Mark V Sauer, Carla Boyle, Cande V Ananth
BACKGROUND: Coronavirus disease 2019 may be associated with adverse maternal and neonatal outcomes in pregnancy, but there are few controlled data to quantify the magnitude of these risks or to characterize the epidemiology and risk factors. OBJECTIVE: This study aimed to quantify the associations of coronavirus disease 2019 with adverse maternal and neonatal outcomes in pregnancy and to characterize the epidemiology and risk factors. STUDY DESIGN: We performed a matched case-control study of pregnant patients with confirmed coronavirus disease 2019 cases who delivered between 16 and 41 weeks' gestation from March 11 to June 11, 2020...
April 2021: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/32957140/decision-to-incision-and-risk-for-fetal-acidemia-low-apgar-scores-and-hypoxic-ischemic-encephalopathy
#37
JOURNAL ARTICLE
Sabine Bousleiman, Dwight J Rouse, Cynthia Gyamfi-Bannerman, Yongmei Huang, Mary E D'Alton, Zainab Siddiq, Jason D Wright, Alexander M Friedman
OBJECTIVE: This study aimed to assess risk for fetal acidemia, low Apgar scores, and hypoxic ischemic encephalopathy based on decision-to-incision time interval in the setting of emergency cesarean delivery. STUDY DESIGN: This unplanned secondary analysis of the Maternal-Fetal Medicine Units prospective observational cesarean registry dataset evaluated risk for hypoxic ischemic encephalopathy, umbilical cord pH ≤7.0, and Apgar score ≤4 at 5 minutes based on decision-to-incision time for emergency cesarean deliveries...
March 2022: American Journal of Perinatology
https://read.qxmd.com/read/32335341/-comparison-of-antepartum-management-of-breech-versus-cephalic-presentation
#38
JOURNAL ARTICLE
C Benzekri, L Ghesquière, E Drumez, V Houfflin-Debarge, D Subtil, C Garabedian
OBJECTIVES: Delivery mode of term breech presentation is still being discussed. The aim of this study was to compare the labor management of a breech presentation to a vertex presentation during a vaginal delivery attempt. METHODS: It was a single-center, comparative, descriptive retrospective study from 2014 to 2017. We studied fetal heart rate (FHR) during labor and expulsion, duration of the different stage of labor, mode of delivery and neonatal outcomes for breech and vertex presentations...
October 2020: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/32268951/gynecologic-cancer-in-pregnancy
#39
REVIEW
Travis-Riley K Korenaga, Krishnansu S Tewari
Cancer complicates 1 in 1000 pregnancies. Multidisciplinary consensus comprised of Gynecologic Oncology, Pathology, Neonatology, Radiology, Anesthesiology, Maternal Fetal Medicine, and Social Work should be convened. Pregnancy provides an opportunity for cervical cancer screening, with deliberate delays in treatment permissible for early stage carcinoma. Vaginal delivery is contraindicated in the presence of gross lesion(s) and radical hysterectomy with lymphadenectomy at cesarean delivery is recommended. Women with locally advanced and metastatic/recurrent disease should commence treatment at diagnosis with chemoradiation and systemic therapy, respectively; neoadjuvant chemotherapy to permit gestational advancement may be considered in select cases...
June 2020: Gynecologic Oncology
https://read.qxmd.com/read/32228514/is-perinatal-asphyxia-predictable
#40
JOURNAL ARTICLE
Anna Locatelli, Laura Lambicchi, Maddalena Incerti, Francesca Bonati, Massimo Ferdico, Silvia Malguzzi, Ferruccio Torcasio, Patrizia Calzi, Tiziana Varisco, Giuseppe Paterlini
BACKGROUND: The objective of our study was to evaluate the association between perinatal asphyxia and hypoxic-ischemic encephalopathy (HIE) with the presence of ante and intrapartum risk factors and/or abnormal fetal heart rate (FHR) findings, in order to improve maternal and neonatal management. METHODS: We did a prospective observational cohort study from a network of four hospitals (one Hub center with neonatal intensive care unit and three level I Spoke centers) between 2014 and 2016...
March 30, 2020: BMC Pregnancy and Childbirth
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