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maternal outcomes 45 years

Mihai Dimitriu, Cringu Antoniu Ionescu, Alexandra Matei, Roxana Viezuina, George Rosu, Corina Ilinca, Mihai Banacu, Liana Ples
RATIONALE: The extent of pregnancy in adolescents and young adults, especially in low and middle-income countries, is a source of increasing concern given its social and economic impact. AIMS AND OBJECTIVE: We hypothesized that there would be correlations between female patients becoming pregnant at a young age and practices such as harmful alcohol misuse, cigarette smoking, and drug use, the use of toxic substances, low educational attainment, and an essential absence of health care seeking about the outcome of adolescent pregnancies...
October 17, 2018: Journal of Evaluation in Clinical Practice
Elizabeth Wall-Wieler, Suzan L Carmichael, Marcelo L Urquia, Can Liu, Anders Hjern
We examined whether women experiencing severe maternal morbidity (SMM) are more likely to be treated for a psychiatric illness or be prescribed psychotropic medications in the postpartum year than mothers who did not experience SMM. We also examine the relationship between SMM and specific mental health-related outcomes, and the relationship between specific SMM diagnoses/procedures and postpartum mental-health-related outcomes. The national registers in Sweden were used to create a population-based matched cohort...
October 17, 2018: Archives of Women's Mental Health
Andrew G Herzog, Hannah B Mandle, Devon B MacEachern
Importance: If unintended pregnancy is common among women with epilepsy and is associated with increased risk of spontaneous fetal loss (SFL), it is important to develop guidelines for safe and effective contraception for this community. Objective: To assess whether planned pregnancy is a determinant of SFL in women with epilepsy. Design, Setting, and Participants: The Epilepsy Birth Control Registry conducted this web-based, retrospective survey between 2010 and 2014...
October 15, 2018: JAMA Neurology
Saeed Baradwan, Abdullah Alyousef, Abdulrhman Turkistani
Background: Iron deficiency anemia (IDA) during pregnancy is a common and preventable disorder. It remains a contributing factor to maternal morbidity and mortality and is associated with high perinatal mortality rates. Objective: To determine the prevalence of IDA and its associated clinical features among pregnant women. Methods: This analytical prospective cohort study included 1,579 pregnant women who attended an antenatal clinic, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia, between January 2018 and April 2018...
2018: Journal of Blood Medicine
Telmo Henrique Barbosa de Lima, Leila Katz, Samir Buainain Kassar, Melania Maria Amorim
BACKGROUND: To investigate the associations of maternal variables - sociodemographic, obstetrical and maternal near miss (MNM) variables - with neonatal near miss (NNM) using the new concept of NNM formulated by the Centro Latino-Americano de Perinatologia (CLAP) and the corresponding health indicators for NNM. METHODS: An analytical prospective cohort study was performed at maternity hospital for high-risk pregnancy in Northeastern Brazil. Puerperal women whose newborn infants met the selection criteria were subjected to interviews involving pretested questionnaires...
October 12, 2018: BMC Pregnancy and Childbirth
Alison G Cahill, Sindhu K Srinivas, Alan T N Tita, Aaron B Caughey, Holly E Richter, W Thomas Gregory, Jingxia Liu, Candice Woolfolk, David L Weinstein, Amit M Mathur, George A Macones, Methodius G Tuuli
Importance: It is unclear whether the timing of second stage pushing efforts affects spontaneous vaginal delivery rates and reduces morbidities. Objective: To evaluate whether immediate or delayed pushing results in higher rates of spontaneous vaginal delivery and lower rates of maternal and neonatal morbidities. Design, Setting, and Participants: Pragmatic randomized clinical trial of nulliparous women at or beyond 37 weeks' gestation admitted for spontaneous or induced labor with neuraxial analgesia between May 2014 and December 2017 at 6 US medical centers...
October 9, 2018: JAMA: the Journal of the American Medical Association
Frank D Groves, Brittany T Watkins, Daniel J Roberts, Thomas C Tucker, Tiefu Shen, Timothy J Flood
OBJECTIVE: To confirm the previously reported increased risk of leukemia among macrosomic children (those with birth weight >4 kg). METHODS: Birth certificates of Arizona, Illinois, and Kentucky children diagnosed as having acute lymphoblastic leukemia (ALL) before age 5 years were matched with birth certificates from leukemia-free children of the same sex, race, and ethnicity who were born in the same county on or about the same day. Odds ratios (ORs) for ALL among children of low (<2...
October 2018: Southern Medical Journal
S L Loy, Y B Cheung, S E Soh, S Ng, M T Tint, I M Aris, J Y Bernard, Y S Chong, K M Godfrey, L P Shek, K H Tan, Y S Lee, H H Tan, B S M Chern, N Lek, F Yap, S Y Chan, C Chi, J K Y Chan
STUDY QUESTION: Are higher overall and central adiposity associated with reduced fecundability, measured by time-to-pregnancy (TTP), in Asian women? SUMMARY ANSWER: Higher overall adiposity, but not central adiposity, was associated with longer TTP in Asian women. WHAT IS KNOWN ALREADY: High body mass index (BMI) has been associated with a longer TTP, although the associations of body composition and distribution with TTP are less clear. There are no previous studies of TTP in Asian women, who have a relatively higher percentage of body fat and abdominal fat at relatively lower BMI...
October 4, 2018: Human Reproduction
Becca Feldman, Sharon Orbach-Zinger, Maya Leventer-Roberts, Moshe Hoshen, Noa Dagan, Ran Balicer, Leonid A Eidelman
OBJECTIVE: To evaluate whether a woman's age at first birth is associated with cardiovascular risk and metabolic health outcomes (cardiometabolic outcomes) by age 45. METHODS: This is a retrospective, population-based cohort study that uses electronic health record data from the largest health fund in Israel. Women aged 34-39 at baseline (2004-2006) free of chronic diseases were identified as nulliparous at baseline and were followed up to 10 years (through 2016)...
October 2, 2018: Journal of Maternal-fetal & Neonatal Medicine
G Justus Hofmeyr, Theresa A Lawrie, Álvaro N Atallah, Maria Regina Torloni
BACKGROUND: Pre-eclampsia and eclampsia are common causes of serious morbidity and death. Calcium supplementation may reduce the risk of pre-eclampsia, and may help to prevent preterm birth. This is an update of a review last published in 2014. OBJECTIVES: To assess the effects of calcium supplementation during pregnancy on hypertensive disorders of pregnancy and related maternal and child outcomes. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials...
October 1, 2018: Cochrane Database of Systematic Reviews
Pantea Nazeri, Zhale Tahmasebinejad, Yadollah Mehrabi, Mehdi Hedayati, Parvin Mirmiran, Fereidoun Azizi
BACKGROUND: The necessity of iodine supplementation in lactating mothers residing in countries with sustained salt iodization programs for iodine sufficiency of breast-fed infants remains unclear. The aims of this study were to investigate the effect of iodine supplementation on iodine status and growth parameters of lactating mothers and breast-fed infants and to compare these data with that of formula-feeding mothers and their infants during the first year of infancy. METHODS: In this multicenter, double-blinded, randomized clinical trial conducted in four healthcare centers in Tehran (Iran), healthy lactating mothers and their term newborns aged 3-5 days were randomly assigned to treatment groups: placebo, 150 μg/day iodine, or 300 μg/day iodine...
September 29, 2018: Thyroid: Official Journal of the American Thyroid Association
Sailaja Devi Kallur, Tarakeswari Surapaneni, Hari Kishan Boorugu, Nuzhat Aziz, Anisha Ramniklal Gala, Swathi Donnuri
The incidence of dengue has risen in India in recent years. Evidence suggests that dengue in pregnancy may be associated with adverse maternal and fetal outcomes. The aim of our study was to analyse outcomes in pregnant women with confirmed dengue infection who had the benefit of close monitoring and intensive management at a tertiary maternity facility. We reviewed hospital data of 44 (0.11%) such women at Fernandez Hospital, a tertiary maternity unit, during the five-year period from 2011 to 2016. Maternal and fetal variables were collected from case sheets...
September 30, 2018: Tropical Doctor
Tereza Rebecca de Melo E Lima, Paula Ferdinanda Conceição de Mascena Diniz Maia, Emanuelle Pessa Valente, Francesca Vezzini, Giorgio Tamburlini
BACKGROUND: The potential role of Community Health Workers (CHWs) in improving maternal and child health outcomes, particularly in low and middle-income countries and in disadvantaged communities, is receiving increased attention. Adequate and focused training is among the key requisites for enhancing CHWs performances and research is necessary to identify effective training methods. METHODS: A randomized controlled study was designed to assess the effectiveness of a training course in improving knowledge, attitudes and practices (KAP) of CHWs regarding maternal and infant health...
September 27, 2018: BMC Medical Education
N E Grotenfelt, K Rönö, J G Eriksson, A Valkama, J Meinilä, H Kautiainen, B Stach-Lempinen, S B Koivusalo
Background: Maternal metabolic derangements associated with early pregnancy gestational diabetes may affect the fetus differently compared with gestational diabetes diagnosed later in pregnancy. The aim of this observational study was to assess neonatal outcomes according to timing of gestational diabetes diagnosis in obese women. Methods: Women ≥18 years of age with a pre-pregnancy body mass index ≥30 kg/m2 were grouped according to the results of a 75 g 2-h oral glucose tolerance test performed at 13...
September 27, 2018: Journal of Public Health
Dongying Chen, Minxi Lao, Jianyu Zhang, Yanfeng Zhan, Weinian Li, Xiaoyan Cai, Zhongping Zhan
Objective: To investigate the fetal and maternal outcomes as well as predictors of APOs in women with SLE who conceived when the disease was stable, the so-called "planned pregnancy." Methods . A retrospective multicenter study of 243 patients with SLE who underwent a planned pregnancy was performed. APOs in fetus and mothers were recorded. Results: The average age at conception was 28.9 ± 3.9 years. Duration of SLE prior to pregnancy was 4.4 ± 4...
2018: Journal of Immunology Research
Elsa Lorthe, Loïc Sentilhes, Mathilde Quere, Cécile Lebeaux, Norbert Winer, Héloïse Torchin, François Goffinet, Pierre Delorme, Gilles Kayem
OBJECTIVE: To assess whether planned route of delivery is associated with perinatal and 2-year outcomes for preterm breech singletons. DESIGN: Prospective nationwide population-based EPIPAGE-2 cohort study. SETTING: France, 2011. SAMPLE: 390 women with breech singletons born at 26-34 weeks of gestation after preterm labor or preterm prelabor rupture of membranes. METHODS: Propensity-score analysis...
September 14, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Meliha Salahuddin, Dorothy J Mandell, David L Lakey, Catherine S Eppes, Divya A Patel
BACKGROUND: Cesarean delivery accounts for over one-third of the ~400 000 annual births in Texas, with first-time cesarean accounting for 20% of the overall cesareans. We examined associations of maternal medical comorbidities with cesarean delivery among nulliparous, term, singleton, vertex (NTSV) deliveries in Texas. METHODS: Nulliparous, term, singleton, vertex deliveries to women aged 15-49 years were identified using the 2015 Texas birth file (Center for Health Statistics, Texas Department of State Health Services)...
September 9, 2018: Birth
Zahe Gul, Seema Rajar, Zeenat Fareed Shaikh, Kashif Shafique, Nazli Hossain
Objective: To compare the perinatal outcome among fasting and non fasting pregnant mothers. Methods: A total of 180 women, who came for delivery in the labor suite were included, after verbal informed consent. These women were divided in two groups fasting (n=100), and non-fasting (n=80). Results: The mean age of the mothers was 27.16±4.27 years in the fasting group and 27.36±4.92 years in non-fasting group. The average BMI of mothers was 25...
July 2018: Pakistan Journal of Medical Sciences Quarterly
Jean-Ju Sheen, Jason D Wright, Dena Goffman, Adina R Kern-Goldberger, Whitney Booker, Zainab Siddiq, Mary E D'Alton, Alexander M Friedman
OBJECTIVE: The objective of this study was to characterize the risk for severe maternal morbidity and other pregnancy complications by maternal age during delivery hospitalizations. METHODS: This retrospective cohort analysis used the Perspective database to characterize the risk for adverse maternal outcomes from 2006 to 2015 based on maternal age. Women were divided into seven categories based on maternal age: 15-17 years of age, 18-24, 25-29, 30-34, 35-39, 40-44 and 45-54...
August 25, 2018: American Journal of Obstetrics and Gynecology
Rajendra Singh Tanwar, Dhananjai Agarwal, Rakesh Kumar Gupta, Vinay Rathore, Pankaj Beniwal, Parvati Joshi, Vinay Malhotra
Postpartum acute kidney injury (AKI) is one of the serious complications of pregnancy and is associated with high mortality and morbidity. We conducted this study to determine the characteristics and outcome of the most severe form of postpartum AKI requiring dialysis. This prospective, observational study was conducted in Sawai Man Singh Medical College, Jaipur. All postpartum female suffering from AKI requiring dialysis between July 2014 and December 2016 were included in the study. Demographic, clinical and laboratory data of the patients were recorded...
July 2018: Saudi Journal of Kidney Diseases and Transplantation
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