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https://www.readbyqxmd.com/read/29907972/resumption-of-sex-after-a-second-birth-an-australian-prospective-cohort
#1
Ellie A McDonald, Deirdre Gartland, Hannah Woolhouse, Stephanie J Brown
BACKGROUND: Few longitudinal studies have examined women's experiences of sex after childbirth. Much of the advice given to couples about what to expect in relation to sex after childbirth is based on cross-sectional studies. OBJECTIVE: To investigate timing of resumption of sex after a second birth and assess associations with obstetric factors (method of birth and perineal trauma) and time interval between first and second births. METHOD: Prospective cohort of 1507 nulliparous women recruited before 25 weeks' gestation in Melbourne, Australia followed up at 3, 6, 9, and 12 months after first births, and 6 and 12 months after second births...
June 15, 2018: Birth
https://www.readbyqxmd.com/read/29907100/demand-for-integrative-medicine-among-women-in-pregnancy-and-childbed-a-german-survey-on-patients-needs
#2
Nikolas Schürger, Evelyn Klein, Alexander Hapfelmeier, Marion Kiechle, Daniela Paepke
BACKGROUND: Although integrative medicine is gaining increasing attention and is claiming more and more its place in modern health care, it still plays a marginal role in conventional maternity care. The present study aims to examine the patterns of Complementary and Alternative Medicine (CAM) use and the demand for integrative therapies, including CAM, relaxation therapies, nutritional counseling, and psychological assistance, among women in pregnancy and childbed. METHODS: The survey was conducted from April 2017 to July 2017 by means of a pseudo-anonymous 38-item questionnaire at the Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University of Munich...
June 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29905543/importance-of-isolated-gestational-hypothyroxinemia-in-the-development-of-obstetric-and-somatic-pathologies
#3
N Morchiladze, B Tkeshelashvili, T Gagua, D Gagua
The isolated hypothyroxinemia of pregnancy (IHP) has gained specific attention in the specialized literature during the recent years as the possible factor impeding the intellectual development of fetus and increasing the risk of complications related with pregnancy, delivery and perinatal period. Aim of the study was to define the importance of isolated hypothyroxinemia in the development of obstetric and somatic pathologies in outpatient population of pregnant females. The study of prospective design was performed at the base of "David Gagua Clinic" Ltd...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29905165/liver-disease-during-pregnancy-a-challenging-clinical-issue
#4
Ivana Mikolasevic, Tajana Filipec-Kanizaj, Ivan Jakopcic, Iva Majurec, Alemka Brncic-Fischer, Nikola Sobocan, Irena Hrstic, Tea Stimac, Davor Stimac, Sandra Milic
One of the least studied topics in the field of obstetrics is liver disease during pregnancy, which creates a challenge for both gynecologists and hepatologists. Approximately 3% of pregnant women are affected by some form of liver disease during pregnancy. Some of these conditions can be fatal for both the mother and child. In addition, 3 types of liver disease need to be differentiated during pregnancy. One type is liver disease directly related to pregnancy, which can occur at a specific time during pregnancy...
June 15, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29904405/predictive-value-of-platelet-aggregation-rate-in-postpartum-deep-venous-thrombosis-and-its-possible-mechanism
#5
Mingxia Sun, Chongdong Liu, Na Zhao, Kaikai Meng, Zhenyu Zhang
The present study investigated the predictive value of the platelet aggregation rate in postpartum deep venous thrombosis and its possible mechanism. From January 2014 to January 2016, 23 patients with postpartum deep vein thrombosis of lower extremity treated in the Department of Obstetrics of Beijing Chaoyang Hospital were as assigned as the observation group. At the same time, 25 cases with normal recovery were assigned as the control group. Blood samples were collected from all the subjects. The platelet aggregation rate was measured using a platelet aggregation apparatus...
June 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29903790/pathways-linking-socioeconomic-status-to-small-for-gestational-age-sga-infants-among-primiparae-a-birth-cohort-study-in-china
#6
Xiu Luo, Lingfei Liu, Huaiting Gu, Fang Hou, Xinyan Xie, Xin Li, Heng Meng, Jiajia Zhang, Shunqing Xu, Ranran Song
OBJECTIVES: Evidence about the relationship between socioeconomic status (SES) and small-for-gestational-age (SGA) infants was insufficient among Chinese primiparae. In addition, factors that may mediate this relationship are poorly understood. The purpose of this study was to investigate the risk of and mediators between SES and SGA. DESIGN: Retrospective cohort study. SETTING: Wuhan, Hubei, China. METHOD: Participants were recruited from patients who gave birth in the maternity care hospital of Wuhan between September 2012 and October 2014...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29903566/patient-provider-discussions-about-strategies-to-limit-air-pollution-exposures
#7
Maria C Mirabelli, Scott A Damon, Suzanne F Beavers, Kanta D Sircar
INTRODUCTION: Exposure to air pollution negatively affects respiratory and cardiovascular health. The objective of this study was to describe the extent to which health professionals report talking about how to limit exposure to air pollution during periods of poor air quality with their at-risk patients. METHODS: In 2015, a total of 1,751 health professionals completed an online survey and reported whether they talk with their patients about limiting their exposure to air pollution...
June 11, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29902983/health-providers-pass-knowledge-and-abilities-acquired-by-training-in-obstetric-emergencies-to-their-peers-the-average-treatment-on-the-treated-effect-of-pronto-on-delivery-attendance-in-mexico
#8
Jimena Fritz, Héctor Lamadrid-Figueroa, Gustavo Angeles, Alejandra Montoya, Dilys Walker
BACKGROUND: A significant proportion of newborn and maternal deaths can be prevented through simple and cost-effective strategies. The main aim of this study was to evaluate the impact of the PRONTO obstetric-emergency management training for improving evidence-based birth attendance practices among providers attending the training at 12 hospitals in three states of Mexico from 2010 to 2012, and to estimate dissemination of the training within the hospitals. METHODS: The average treatment on the treated effect of the PRONTO intervention for the probability of performing certain practices during birth attendance was estimated in a sample of 310 health providers...
June 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29902814/effect-of-denaverine-hydrochloride-application-to-heifers-on-the-apgar-score-and-lactate-concentration-in-newborn-calves
#9
Katrin Lange, Wolfgang Heuwieser, Carola Fischer-Tenhagen
OBJECTIVE: The aim of this study was to evaluate the influence of Denaverine hydrochloride (DNH) in heifers on calf vitality. MATERIAL AND METHODS: A total of 83 calvings with 38 female and 45 male calves were included in the study. Thirty minutes after onset of stage 2 of calving, 400 mg DNH or placebo (0.9% NaCl) were administered subcutaneously. If the calving procedure was not completed after 60 minutes, an extraction was conducted and pulling force was measured by using a digital force gauge...
June 2018: Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere
https://www.readbyqxmd.com/read/29902779/a-clinicopathologic-review-and-obstetric-outcome-of-uterine-smooth-muscle-tumor-of-uncertain-malignant-potential-stump-in-a-single-institution
#10
Hyeong In Ha, Min Chul Choi, Jin Hyung Heo, Kyoung Ah Kim, Sang Geun Jung, Hyun Park, Won Duk Joo, Seung Hun Song, Tae Hoen Kim, Chan Lee
OBJECTIVES: The present study aimed to analyze the clinicopathologic features and treatment of uSTUMP in a single institution. In addition, we described the obstetric outcomes after uterine-preserving surgery for uSTUMP. METHODS AND MATERIALS: A retrospective chart review was performed of patients diagnosed with uSTUMP between January 2000 and February 2018 at the Comprehensive Gynecologic Cancer Center, CHA Bundang Medical Center. We obtained data on the patients' demographics, treatment, therapeutic results, time to recurrence, disease-free and overall survival, and subsequent obstetric outcomes...
June 5, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29902712/the-occurrence-and-severity-of-intra-abdominal-adhesions-in-cases-of-pregnancies-complicated-by-placenta-accreta-a-case-control-study
#11
Gali Garmi, Shabtai Romano, Hadas Rubin, Eyal Rom, Sivan Zuarez-Easton, Raed Salim
OBJECTIVE: To examine the occurrence of intra-abdominal adhesions (IAA) among women with placenta accreta (PA). STUDY DESIGN: Case control study conducted at a single teaching hospital on data from January 2004 to December 2016. The cases included women who underwent a cesarean hysterectomy due to PA and had a pathological confirmation of accretion. The controls were matched for delivery date and number of cesarean deliveries (CDs) at a ratio of 1:4. IAA were categorized as "none", "filmy", or "dense"...
June 5, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29902546/review-surgical-smoke-risks-assessment-and-mitigation-strategies
#12
REVIEW
Corey Georgesen, Shari R Lipner
BACKGROUND: Although many dermatologic surgeons are aware of the risks of surgical smoke, many do not employ hazard reduction strategies. OBJECTIVE: To identify the infectious, inhalational, chemical, and mutagenic risks of surgical smoke in dermatologic procedures and suggest evidence based hazard reduction strategies. METHODS: A review of articles indexed for MEDLINE on PubMed using keywords "surgical smoke", "dermatology", "surgical mask", "respirator", "smoke evacuator", and "guidelines" was performed in 13 combinations using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocols...
June 11, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29902446/a-conceptual-framework-for-the-impact-of-obesity-on-risk-of-cesarean-delivery
#13
Anna Joy G Rogers, Lorie M Harper, Giancarlo Mari
Cesarean deliveries accounted for 32.2% of nearly 4 million births in the United States in 2014. Obesity affects a third of reproductive age women and is associated with worse cesarean delivery outcomes. Studies have shown that increasing maternal body mass index correlates linearly with cesarean delivery rates, but little is known about the potential mediating and moderating mechanisms. Thus, a conceptual framework for understanding how obesity correlates with risk of cesarean delivery is crucial to determining safe ways to reduce the cesarean delivery rate among obese gravidas...
June 11, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29902445/longitudinal-changes-in-pelvic-floor-muscle-strength-among-parous-women
#14
Emily N B Myer, Jennifer L Roem, David A Lovejoy, Melinda G Abernethy, Joan L Blomquist, Victoria L Handa
BACKGROUND: There is limited knowledge of the effects of time on change in pelvic floor muscle strength after childbirth. OBJECTIVE: The objectives of this study were to estimate the change in pelvic floor muscle strength in parous women over time and to identify maternal and obstetric characteristics associated with the rate of change. STUDY DESIGN: This is an IRB approved prospective cohort study of parous women. Participants were recruited 5-10 years after first delivery and followed annually...
June 11, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29902220/timing-of-singleton-births-by-onset-of-labour-and-mode-of-birth-in-nhs-maternity-units-in-england-2005-2014-a-study-of-linked-birth-registration-birth-notification-and-hospital-episode-data
#15
Peter Martin, Mario Cortina-Borja, Mary Newburn, Gill Harper, Rod Gibson, Miranda Dodwell, Nirupa Dattani, Alison Macfarlane
BACKGROUND: Maternity care has to be available 24 hours a day, seven days a week. It is known that obstetric intervention can influence the time of birth, but no previous analysis at a national level in England has yet investigated in detail the ways in which the day and time of birth varies by onset of labour and mode of giving birth. METHOD: We linked data from birth registration, birth notification, and Maternity Hospital Episode Statistics and analysed 5,093,615 singleton births in NHS maternity units in England from 2005 to 2014...
2018: PloS One
https://www.readbyqxmd.com/read/29902160/imaging-placental-function-current-technology-clinical-needs-and-emerging-modalities
#16
Chengxi Wu, Carolyn L Bayer
The function of the placenta is challenging to characterize and as a result is understudied, despite the growing awareness of the impact of the placental environment on human health and development. Medical imaging has the potential to improve our ability to screen for diseases associated with placental insufficiency, and improve the monitoring and treatment of complex obstetric patients. This review provides an overview of clinical and preclinical imaging modalities currently available for assessing placental function, with an emphasis on emerging preclinical imaging modalities; as a group, these emerging modalities provide exceptional contrast and sensitivity for multimodal functional and molecular imaging of the placenta...
June 14, 2018: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/29901928/uterine-and-ovary-blood-flow-after-uterine-desarterialization
#17
Sebastián Carranza-Lira, Liliana Sillas-Pardo, Sergio Rosales-Ortíz
Background: The aim of this article is to compare the effect of uterine desarterialization (UD) and hypogastric arteries ligature (HAL) in uterine and ovarian blood flow indirectly measured with the pulsatility index (PI). Methods: Women in which UD or HAL was carried out for obstetric hemorrhage control were studied. Control group were puerperal women in which no UD or HAL was carried out. In all them uterine and ovarian blood flow was evaluated with the PI measured with Doppler ultrasound at 48 hours, 15 days and at 6 weeks after the procedure...
March 2018: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29901770/serotonin-syndrome-in-obstetrics-a-case-report-and-review-of-management
#18
Capt Heisy B Asusta, Maj Erin Keyser, Patricia Dominguez, Marvin Miller
Serotonin syndrome (SS) is a life-threatening condition, usually precipitated by a combination of serotonergic agents. Data regarding the incidence and management of SS in obstetrics are limited. This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and reviews the management of SS in an obstetric patient. We present a case of a schizophreniform, pregnant patient with a singleton gestation admitted to a community, military hospital for serotonin syndrome...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29901722/genitourinary-surgical-workload-at-deployed-u-s-facilities-in-iraq-and-afghanistan-2002-2016
#19
Caryn A Turner, Jean A Orman, Zsolt T Stockinger, Steven J Hudak
Introduction: Genitourinary surgery constitutes approximately 1.15% of procedures performed for combat injuries. During forward deployment, surgeons usually deploy without urology support. To better understand the training and skills maintenance needs for genitourinary procedures by describing in detail the genitourinary surgical workload during 15 years of combat operations and compare our findings with those from previously published articles. Material and Methods: A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Roles 2 and 3 medical treatment facilities in Iraq and Afghanistan, from January 2002 to May 2016...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29900612/prevalence-antenatal-management-and-perinatal-outcomes-of-monochorionic-monoamniotic-twin-pregnancies-a-collaborative-multicentre-study-in-england-2000-2013
#20
Svetlana V Glinianaia, Judith Rankin, Asma Khalil, Julia Binder, Gareth Waring, Stephen N Sturgiss, Basky Thilaganathan, Therese Hannon
OBJECTIVES: To determine the prevalence of monochorionic monoamniotic (MCMA) twin pregnancies and to describe perinatal outcomes and clinical management of these pregnancies. METHODS: This multicentre cohort study used population-based data on MCMA twin pregnancies from 11 Northern Survey of Twin and Multiple Pregnancy (NorSTAMP) maternity units for the prevalence estimation of MCMA twinning. Pregnancy outcomes at <24 weeks' gestation, antenatal parameters and perinatal outcomes (from ≥24 weeks to the first 28 days of life) were analysed using combined data on pregnancies with confirmed MCMA chorionicity from the NorSTAMP and the Southwest Thames Region of London Obstetric Research Collaborative (STORK) multiple pregnancy cohort for 2000-2013...
June 13, 2018: Ultrasound in Obstetrics & Gynecology
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