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rate spontaneous pregnancy 45 years

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https://www.readbyqxmd.com/read/30334316/the-problems-associated-with-adolescent-pregnancy-in-romania-a-cross-sectional-study
#1
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
https://www.readbyqxmd.com/read/30323700/associations-between-iron-deficiency-anemia-and-clinical-features-among-pregnant-women-a-prospective-cohort-study
#2
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
https://www.readbyqxmd.com/read/30286056/factors-contributing-to-congenital-syphilis-cases-new-york-city-2010-2016
#3
Jennifer Sanderson Slutsker, Robin R Hennessy, Julia A Schillinger
Congenital syphilis occurs when syphilis is transmitted from a pregnant woman to her fetus; congenital syphilis can be prevented through screening and treatment during pregnancy. Transmission to the fetus can occur at any stage of maternal infection, but is more likely during primary and secondary syphilis, with rates of transmission up to 100% at these stages (1). Untreated syphilis during pregnancy can cause spontaneous abortion, stillbirth, and early infant death. During 2013-2017, national rates of congenital syphilis increased from 9...
October 5, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29961407/maternal-and-neonatal-outcomes-following-expectant-management-of-preterm-prelabor-rupture-of-membranes-before-viability
#4
Winnie Huiyan Sim, Hamon Ng, Penelope Sheehan
PURPOSE: To provide center-based outcome data on obstetric and neonatal complications arising from expectantly managed pregnancies affected by preterm prelabor rupture of membranes (PPROM) before viability. MATERIALS AND METHODS: We collected data on 130 consecutive pregnancies complicated by spontaneous rupture of membranes before 24 week's gestation, occurring over a 7-year period. These were women who delivered >24 h after membrane rupture, and had no signs of chorioamnionitis or advanced labor at admission...
August 13, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29788389/pregnancy-after-vasectomy-surgical-reversal-or-assisted-reproduction
#5
U Valerie, S De Brucker, M De Brucker, V Vloeberghs, P Drakopoulos, S Santos-Ribeiro, H Tournaye
STUDY QUESTION: Should we opt for surgical vasovasostomy or IVF/ICSI after a vasectomy? SUMMARY ANSWER: Both options reveal acceptable pregnancy rates though the time to pregnancy was significantly lower in the immediate IVF/ICSI group. WHAT IS KNOWN ALREADY: About 7.4% of men regret their vasectomy and express a renewed child wish. The choice between surgical vasectomy reversal or ICSI remains difficult for patients and their fertility specialist...
July 1, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29625554/antiepileptic-drug-exposure-in-pregnancy-and-pregnancy-outcome-from-national-drug-usage-data
#6
Noni Richards, David Reith, Michael Stitely, Alesha Smith
BACKGROUND: Antiepileptic drugs (AEDs) are used by pregnant women to manage conditions such as epilepsy and bipolar disorder even though they pose a risk to the developing foetus. This study aimed to determine the overall use of AEDs by women during their childbearing years and women who are pregnant and the association between AED use and rates of pregnancy termination and spontaneous abortion. METHODS: Retrospective population based cohort study using administrative databases in New Zealand between 2008 and 2014...
April 6, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29397624/-retrospective-analysis-of-diagnosis-and-treatment-of-breast-cancer-in-pregnancy
#7
F W Wang, S M Fu, Y C Jin, X H Gong, H D Cheng, K J Wu
Objective: To investigate the principles of diagnosis and treatment of breast cancer during pregnancy. Methods: Clinical data of patients with breast cancer during pregnancy admitted to Obstetrics and Gynecology Hospital of Fudan University between January 2012 to July 2017 were analyzed retrospectively. A total of 17 patients were diagnosed with breast cancer in pregnancy, the median age was 32 years (range from 25 to 45 years old), pathological staging revealed 2 patient with stage 0, 1 with stage Ⅱa, 7 with stage Ⅱb, 1 with stage Ⅲa, 2 with stage Ⅲc, 4 with stage Ⅳ...
February 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28264624/age-specific-ivf-outcomes-in-infertile-women-with-baseline-fsh-levels-%C3%A2-20-miu-ml
#8
Vitaly A Kushnir, Maxie Safdie, Sarah K Darmon, David F Albertini, David H Barad, Norbert Gleicher
INTRODUCTION: Infertile women with severely diminished ovarian reserve who have low birth chances with in vitro fertilization (IVF) are often denied treatment with autologous oocytes. This study was designed to determine age-specific treatment efficacy and clinical characteristics of infertile women with severely diminished ovarian reserve who had live birth following IVF with autologous oocytes. METHODS: This retrospective cohort study investigated 291 infertile women who underwent 482 IVF cycles with autologous oocytes during 2004 to 2016 at our academically affiliated private fertility center...
June 2018: Reproductive Sciences
https://www.readbyqxmd.com/read/28110591/linear-association-between-maternal-age-and-spontaneous-breech-presentation-in-singleton-pregnancies-after-32-weeks-gestation
#9
Pierre-Yves Robillard, Malik Boukerrou, Francesco Bonsante, Thomas C Hulsey, Gustaaf Dekker, Jean-Bernard Gouyon, Silvia Iacobelli
PURPOSE: To investigate the association between maternal age and spontaneous breech presentation. MATERIAL AND METHODS: Fifteen-year observational study over (2001-2015). All consecutive singleton births delivered at the Centre Hospitalier Universitaire Sud Reunion's maternity. The only single exclusion criterion was uterine malformations (N = 123) women. RESULTS: Of the 60,963 singleton births, there was a linear association (χ2 for linear trend, p< 0...
February 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27862684/injury-to-the-endometrium-prior-to-the-frozen-thawed-embryo-transfer-cycle-improves-pregnancy-rates-in-patients-with-repeated-implantation-failure
#10
Emiko Kanazawa, Akira Nakashima, Koji Yonemoto, Misako Otsuka, Naomi Yoshioka, Takeshi Kuramoto, Hiroshi Mitao, Hiroto Imaishi, Kan Komai, Kimio Ushijima
AIM: This retrospective cohort study evaluated the effectiveness of injury to the endometrium prior to the frozen-thawed embryo transfer (FET) cycle in patients with repeated implantation failure (RIF) in our clinic. METHODS: Included in this study were 173 patients, aged ≤ 41 years, who failed to become pregnant after repeating fair and/or good embryo transfer more than twice between February 2012 and February 2015. The patients were divided into three groups: Group A (n = 38) underwent soft curettage to the endometrium twice, prior to the FET cycle; Group B (n = 45) underwent hysteroscopy prior to the FET cycle, with no significant factors, such as endometrial polyp; and Group C (n = 90) was the no-treatment group...
January 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27185318/sexual-activity-and-dyspareunia-the-first-year-postpartum-in-relation-to-degree-of-perineal-trauma
#11
Kathrine Fodstad, Anne Cathrine Staff, Katariina Laine
INTRODUCTION AND HYPOTHESIS: Knowledge on sexual complaints and time to sexual resumption after obstetric anal sphincter injury (OASI) is scarce. The aim of the study was to investigate self-reported sexual activity and coital problems 1 year postpartum in relation to perineal trauma, in addition to delivery mode. METHODS: Among 2,846 women recruited during pregnancy, all women who delivered with OASI (n = 42, all third-degree perineal tears), in addition to 20 randomly selected controls per OASI case, a total of 882 women, were sent a self-administered questionnaire addressing time to coital resumption after delivery and potential coital difficulty 1 year postpartum...
October 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27141465/laparoscopic-fimbrioplasty-and-neosalpingostomy-in-female-infertility-a-review-of-402-cases-at-the-gynecological-endoscopic-surgery-and-human-reproductive-teaching-hospital-in-yaound%C3%A3-cameroon
#12
Jean Marie Kasia, Jean Dupont Kemfang Ngowa, Yolande Salome Mimboe, Michel Toukam, Anny Ngassam, Claude Cyrile Noa, Etienne Belinga, Alexis Medou
BACKGROUND: More than 70 million couples suffer from infertility worldwide. The aim of this study was to evaluate the fertility outcomes after laparoscopic fimbrioplasty and neosalpingostomy in female infertility. METHODS: Laparoscopic distal tuboplasty was carried out for 402 cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaoundé-Cameroon in Central Africa from December 2002 to December 2007. Laparoscopic fimbrioplasty and neosalpingostomy were done using bipolar electrocoagulation and conventional endoscopic instruments...
April 2016: Journal of Reproduction & Infertility
https://www.readbyqxmd.com/read/27005892/autologous-cell-therapy-with-cd133-bone-marrow-derived-stem-cells-for-refractory-asherman-s-syndrome-and-endometrial-atrophy-a-pilot-cohort-study
#13
Xavier Santamaria, Sergio Cabanillas, Irene Cervelló, Cristina Arbona, Francisco Raga, Jaime Ferro, Julio Palmero, Jose Remohí, Antonio Pellicer, Carlos Simón
STUDY QUESTION: Could cell therapy using autologous peripheral blood CD133+ bone marrow-derived stem cells (BMDSCs) offer a safe and efficient therapeutic approach for patients with refractory Asherman's syndrome (AS) and/or endometrial atrophy (EA) and a wish to conceive? SUMMARY ANSWER: In the first 3 months, autologous cell therapy, using CD133+ BMDSCs in conjunction with hormonal replacement therapy, increased the volume and duration of menses as well as the thickness and angiogenesis processes of the endometrium while decreasing intrauterine adhesion scores...
May 2016: Human Reproduction
https://www.readbyqxmd.com/read/26874299/universal-cervical-length-screening-implementation-and-outcomes
#14
Lorene A Temming, Jennifer K Durst, Methodius G Tuuli, Molly J Stout, Jeffrey M Dicke, George A Macones, Alison G Cahill
BACKGROUND: Transvaginal measurement of cervical length (CL) has been advocated as a screening tool to prevent preterm birth, but controversy remains regarding the overall utility of universal screening. OBJECTIVE: We aimed to evaluate the acceptability of a universal CL screening program. Additionally we evaluated risk factors associated with declining screening and subsequent delivery outcomes of women who accepted or declined screening. STUDY DESIGN: This was a retrospective cohort study of transvaginal CL screening at a single institution from July 1, 2011, through December 31, 2014...
April 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26850271/cyst-aspiration-or-gnrh-antagonist-administration-for-ovarian-cysts-detected-at-the-start-of-fresh-in-vitro-fertilization-cycles
#15
Nigel Pereira, Selma Amrane, Elie Hobeika, Jovana P Lekovich, Pak H Chung, Zev Rosenwaks
The primary objective of this study is to investigate the effect of transvaginal ultrasonogram (TVUS)-guided cyst aspiration or gonadotropin releasing hormone antagonist (GnRH-ant) administration for the management of solitary ovarian cysts detected at the start of in vitro fertilization (IVF) cycles on the outcomes of the same cycles. This is a single-center, retrospective, cohort study of patients who had TVUS-guided cyst aspiration or GnRH-ant treatment for ovarian cysts detected at the start of IVF during a 5-year period...
July 2016: Gynecological Endocrinology
https://www.readbyqxmd.com/read/26757569/hepatitis-c-virus-in-children-deferring-treatment-in-expectation-of-direct-acting-antiviral-agents
#16
REVIEW
Esther Granot, Etienne M Sokal
The major route of hepatitis C virus (HCV) infection in the pediatric age group is vertical, with infection occurring in up to 5% of infants born to mothers positive for HCV-RNA. The natural course of pediatric HCV infection is characterized by a high rate of spontaneous clearance, an asymptomatic clinical course, and normal or mild histologic changes. Cirrhosis is reported in 1-2% of children, and progression to severe chronic liver disease and HCC occurs 20-30 years after infection. Treatment with pegylated interferon (Peg-IFN) + ribavirin results in a sustained viral response (SVR) reaching 100% in children with HCV genotypes 2 or 3 but only 45-55% in those infected with genotypes 1 or 4...
November 2015: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/26551441/outcomes-of-in-vitro-fertilization-with-preimplantation-genetic-diagnosis-an-analysis-of-the-united-states-assisted-reproductive-technology-surveillance-data-2011-2012
#17
COMPARATIVE STUDY
Jeani Chang, Sheree L Boulet, Gary Jeng, Lisa Flowers, Dmitry M Kissin
OBJECTIVE: To assess the characteristics of IVF cycles for which preimplantation genetic diagnosis (PGD) was used and to evaluate indications for PGD and treatment outcomes associated with this procedure as compared with cycles without PGD with the data from the U.S. National ART Surveillance System. DESIGN: Retrospective cohort study. SETTING: None. PATIENT(S): Fresh autologous cycles that involved transfer of at least one embryo at blastocyst when available...
February 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/26484079/using-snp-array-to-identify-aneuploidy-and-segmental-imbalance-in-translocation-carriers
#18
B Xiong, K Tan, Y Q Tan, F Gong, S P Zhang, C F Lu, K L Luo, G X Lu, G Lin
Translocation is one of the more common structural rearrangements of chromosomes, with a prevalence of 0.2%. The two most common types of chromosomal translocations, Robertsonian and reciprocal, usually result in no obvious phenotypic abnormalities when balanced. However, these are still associated with reproductive risks, such as infertility, spontaneous abortion and the delivery of babies with mental retardation or developmental delay. In recent years, array-based whole-genome amplification (WGA) technologies, including microarray comparative genomic hybridization (array CGH; aCGH) and single-nucleotide polymorphism (SNP) micro-arrays, have enabled the screening of every chromosome for whole-chromosome aneuploidy and segmental imbalance...
December 2014: Genomics Data
https://www.readbyqxmd.com/read/26357530/magnetic-resonance-guided-high-intensity-focused-ultrasound-mrghifu-treatment-of-symptomatic-uterine-fibroids-an-evidence-based-analysis
#19
REVIEW
G Pron
BACKGROUND: Magnetic resonance-guided high-intensity focused ultrasound (MRgHIFU) is a noninvasive uterine-preserving treatment alternative to hysterectomy for women with symptomatic uterine leiomyomas (fibroids). Uterine fibroids commonly occur, have a broad impact on women's health and lifestyle, continue to be the main indication for hysterectomy, and represent a costly public health burden. OBJECTIVES: The objectives of the analysis were to evaluate patients' eligibility for MRgHIFU treatment of symptomatic uterine fibroids and the technical success, safety, effectiveness, and durability of this treatment...
2015: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/26060131/reproductive-and-obstetric-outcomes-in-mosaic-turner-s-syndrome-a-cross-sectional-study-and-review-of-the-literature
#20
Emek Doğer, Yiğit Çakıroğlu, Yasin Ceylan, Esen Ulak, Özkan Özdamar, Eray Çalışkan
BACKGROUND: Turner's syndrome (TS) is depicted as a total or partial absence of one X chromosome that results in ovarian dysgenesis. Chances of spontaneous pregnancy in TS are rare and the outcome of the pregnancies is known to be poor with an increased risk of miscarriage and stillbirths. Our aim is to evaluate reproductive and obstetric outcomes of natural conception and in-vitro fertilization (IVF) cycles in mosaic TS patients. METHODS: A total of 22 mosaic TS cases (seventeen 45,X/46,XX and five 45,X/46,XX/47,XXX karyotypes) were evaluated...
2015: Reproductive Biology and Endocrinology: RB&E
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