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https://www.readbyqxmd.com/read/27914313/requests-for-cesarean-deliveries-the-politics-of-labor-pain-and-pain-relief-in-shanghai-china
#1
Eileen Wang
Cesarean section rates have risen dramatically in China within the past 25 years, particularly driven by non-medical factors and maternal requests. One major reason women request cesareans is the fear of labor pain, in a country where a minority of women are given any form of pain relief during labor. Drawing upon ethnographic fieldwork and in-depth interviews with 26 postpartum women and 8 providers at a Shanghai district hospital in June and July of 2015, this article elucidates how perceptions of labor pain and the environment of pain relief constructs the cesarean on maternal request...
November 24, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27911377/hybrid-cut-an-improved-sectioning-method-for-recalcitrant-plant-tissue-samples
#2
Tien-Kuan Chen, Hui-Ting Yang, Su-Chiung Fang, Yi-Chen Lien, Ting-Ting Yang, Swee-Suak Ko
Maintaining plant section integrity is essential for studying detailed anatomical structures at the cellular, tissue, or even organ level. However, some plant cells have rigid cell walls, tough fibers and crystals (calcium oxalate, silica, etc.), and high water content that often disrupt tissue integrity during plant tissue sectioning. This study establishes a simple Hybrid-Cut tissue sectioning method. This protocol modifies a paraffin-based sectioning technique and improves the integrity of tissue sections from different plants...
November 23, 2016: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/27896623/effect-of-the-new-maternity-insurance-scheme-on-medical-expenditures-for-caesarean-delivery-in-wuxi-china-a-retrospective-pre-post-reform-case-study
#3
Chun Chen, Zhihong Cheng, Ping Jiang, Mei Sun, Qi Zhang, Jun Lv
Aiming to control rising medical expenditures and help improve China's healthcare systems, this study examined whether a cap-based medical insurance scheme with shared financial interest between the insurance and healthcare providers is effective in containing hospitals' C-section medical expenditures. We used 6547 caesarean delivery case records from a teaching tertiary-level general public hospital located in Wuxi, China (2004-2013), and used the Chow test to investigate the possibility of significant variation in mean medical expenditures for caesarean deliveries pre- and post-reform...
November 28, 2016: Frontiers of Medicine
https://www.readbyqxmd.com/read/27882759/-management-of-care-of-hiv-positive-pregnant-women-in-the-period-1996-2014
#4
M Mojhová, I Mikysková, M Halaška, M Staňková, H Rozsypal, J Šrámek, J Záhumenský, M Malý
OBJECTIVE: The evaluation of multidisplinary care about HIV positive pregnant women in the Czech Republic. DESIGN: Review. SETTINGS: Gynekologicko-porodnická klinika 1. LF UK a Nemocnice na Bulovce, Praha. METHODS: The vertical transmission of HIV infection from mother to fetus occurs most often during birth, still 1-2% of HIV-positive pregnant women will transfer the virus transplacenta. Due to careful screening for HIV during pregnancy, counselling, combination antiretroviral (cART) therapy, childbirth planning and its performance by C-section there appears a significant decrease of the virus transmission to the fetus, its occurrence is around 2%...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27873161/fgf-treatment-of-host-embryos-injected-with-es-cells-increases-rates-of-chimaerism
#5
Cathérine Dupont, Friedemann Loos, John Kong-A-San, Joost Gribnau
In spite of the emergence of genome editing tools, ES cell mediated transgenesis remains the most controllable way of creating genetically modified animals. Although tetraploid (4N) complementation of 4N host embryos and ES cells, is the only method guaranteeing that offspring are entirely ES cell derived, this technique is challenging, not always successful and difficult to implement in some laboratory settings. The current study shows that pretreatment of host blastocysts with FGF4 prior to ES cell injection can provide an alternative method for the generation of animals displaying high rates of chimaerism...
November 21, 2016: Transgenic Research
https://www.readbyqxmd.com/read/27862066/fractional-co2-laser-treatment-of-caesarean-section-scars-a-randomized-controlled-split-scar-trial-with-long-term-follow-up-assessment
#6
Katrine E Karmisholt, Elisabeth H Taudorf, Camilla B Wulff, Emily Wenande, Peter A Philipsen, Merete Haedersdal
BACKGROUND AND OBJECTIVES: Caesarean section (c-section) scars can be pose functional and cosmetic challenges and ablative fractional laser (AFXL) treatment may offer benefit to patients. We evaluated textural and color changes over time in AFXL-treated versus untreated control scars. MATERIALS AND METHODS: A randomized, controlled, intra-individual split-scar trial with three sessions of AFXL-treatments for mature c-section scars. Settings of AFXL were adjusted to each individual scar...
November 8, 2016: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/27856389/mini-laparoscopy-of-removal-partial-adnexae-at-the-time-of-hysterectomy
#7
António Gutierrez Setúbal, João Sequeira Alves, Olga Lavado, Joana Faria
STUDY OBJECTIVE: To describe our technique of mini laparoscopic adnexectomy or salpingectomy at the time of total laparoscopic hysterectomy DESIGN: Step-by-step video explanation of our technique SETTING: The advantages of laparoscopic surgery have been widely recognised in the past two decades: improved vision, exposure, reduction in operative trauma because of smaller incisions and more gentle tissue´s handling, that result in a faster postoperative recovery. The technology development has allowed the use of smaller caliber instruments while maintaining the high standard surgical performance...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27852276/coverage-and-equity-in-reproductive-and-maternal-health-interventions-in-brazil-impressive-progress-following-the-implementation-of-the-unified-health-system
#8
Giovanny V A França, María Clara Restrepo-Méndez, Maria Fátima S Maia, Cesar G Victora, Aluísio J D Barros
BACKGROUND: The Brazilian SUS (Unified Health System) was created in 1988 within the new constitution, based on the premises of being universal, comprehensive, and equitable. The SUS offers free health care, independent of contribution or affiliation. Since then, great efforts and increasing investments have been made for the system to achieve its goals. We assessed how coverage and equity in selected reproductive and maternal interventions progressed in Brazil from 1986 to 2013. METHODS: We reanalysed data from four national health surveys carried out in Brazil in 1986, 1996, 2006 and 2013...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27825539/-assessment-delivery-and-peripartum-care-in-the-case-of-a-uterine-rupture-during-labor-of-a-woman-with-a-previous-c-section
#9
Alberto Parrilla-Fernández, Javier Manrique-Tejedor, M Inmaculada Figuerol-Calderó, Verónica García-Romero
Uterine rupture is a rare but severe complication in obstetrics. A previous C-section is the most important risk factor. Its incidence during labor in women with a previous C-section is of approximately 0.3-0.47%, being potentially severe. We present the case of a pregnant women with a previous C-section who suffered uterine rupture during labor. The rapid assessment and action of the midwife and obstetric team was essential to obtain a successful obstetric outcome, avoiding maternal and fetal mortality; and nursing care given to the mother and the newborn after birth contributed to achieving a normal postpartum...
November 4, 2016: Enfermería Clínica
https://www.readbyqxmd.com/read/27818444/utilization-and-outcomes-of-inpatient-surgery-at-safety-net-hospitals
#10
Lindsey A Herrel, Sandra L Wong, Zaojun Ye, David C Miller
Funding changes enacted with health care reform may compromise care and outcomes for vulnerable populations undergoing surgery in safety-net hospitals (SNHs). We performed a retrospective cohort study of surgical patients from 2007 through 2011. We examined the distribution of surgical procedures for SNHs (quartile of hospitals with the highest proportion of Medicaid plus self-pay discharges) vs. non-SNHs (lowest quartile). We fit multivariable models to compare in-hospital mortality, prolonged length of stay (LOS), and hospital costs at SNHs vs...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27814873/chronic-caesarian-section-scar-pain-treated-with-fascial-scar-release-techniques-a-case-series
#11
Jennifer B Wasserman, Jessica L Steele-Thornborrow, Jeremy S Yuen, Melissa Halkiotis, Elizabeth M Riggins
OBJECTIVE: To describe outcomes of two subjects with chronically painful Caesarian section (C-section) scars following an intervention of specific myofascial scar release techniques. STUDY DESIGN: Case series. BACKGROUND: Over 1.3 million C-sections are performed annually in the US. Anywhere from 7 to 18% of those will develop chronic scar pain. Although anecdotal evidence supporting the use of fascial release in reducing surgical scar pain exists, almost no research has been published...
October 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27806530/a-retrospective-study-of-maternal-and-neonatal-outcomes-following-conventional-and-water-birth-in-ecuador
#12
Sharon Rosales, Esteban Ortiz-Prado, Diego Alarcón, Dayana Rosales, Ana Lucia Iturralde
OBJECTIVES: Demonstrate maternal and neonatal complications reported in women giving birth in water birth compared to those conventional land births. METHODS: An observational retrospective analysis of the incidence of maternal and neonatal outcomes among 358 women who deliver their newborns throughout conventional vaginal delivery and 308 women giving birth in water during 2013 in Quito, Ecuador. Maternal Age, Educational attainment, Neonatal weight, height, APGAR scores, vaginal tearing and the need to resuscitate a newborn were the variables matched for both groups...
August 4, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27804180/non-invasive-high-intensity-focused-ultrasound-treatment-of-the-placental-unit-preliminary-in-vivo-study-using-a-monkey-model-of-pregnancy
#13
J Caloone, C Huissoud, A Kocot, J Vincenot, C Dehay, P Giroud, P Misery, F Allias, R C Rudigoz, D Melodelima
OBJECTIVE: To demonstrate the feasibility and efficacy of high-intensity focused ultrasound (HIFU) to non-invasively treat placental tissues in a monkey model of pregnancy. MATERIALS AND METHODS: A toroidal HIFU transducer working at 2.5 MHz with an integrated ultrasound-imaging probe was used. Eight pregnant monkeys were exposed to HIFU treatment after anesthesia. Lesions on placental tissues were performed non-invasively by placing the HIFU probe on the skin. Fetal and maternal parameters, such as maternal heart rate, fetal heart rate, and subcutaneous and intra-amniotic fluid temperature, were recorded during HIFU exposure...
November 2, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27774001/the-significance-of-the-enteric-microbiome-on-the-development-of-childhood-disease-a-review-of-prebiotic-and-probiotic-therapies-in-disorders-of-childhood
#14
REVIEW
John Slattery, Derrick F MacFabe, Richard E Frye
Recent studies have highlighted the fact that the enteric microbiome, the trillions of microbes that inhabit the human digestive tract, has a significant effect on health and disease. Methods for manipulating the enteric microbiome, particularly through probiotics and microbial ecosystem transplantation, have undergone some study in clinical trials. We review some of the evidence for microbiome alteration in relation to childhood disease and discuss the clinical trials that have examined the manipulation of the microbiome in an effort to prevent or treat childhood disease with a primary focus on probiotics, prebiotics, and/or synbiotics (ie, probiotics + prebiotics)...
2016: Clinical Medicine Insights. Pediatrics
https://www.readbyqxmd.com/read/27766973/factors-associated-with-maternal-near-miss-in-childbirth-and-the-postpartum-period-findings-from-the-birth-in-brazil-national-survey-2011-2012
#15
Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Arthur Orlando Corrêa Schilithz, Maria do Carmo Leal
BACKGROUND: Maternal near-miss (MNM) audits are considered a useful approach to improving maternal healthcare. The aim of this study was to evaluate the factors associated with maternal near-miss cases in childbirth and the postpartum period in Brazil. METHODS: The study is based on data from a nationwide hospital-based survey of 23,894 women conducted in 2011-2012. The data are from interviews with mothers during the postpartum period and from hospital medical files...
October 17, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27757227/new-insights-into-therapeutic-strategies-for-gut-microbiota-modulation-in-inflammatory-diseases
#16
Angélica Thomaz Vieira, Claudio Fukumori, Caroline Marcantonio Ferreira
The interaction between the gut microbiota and the host immune system is very important for balancing and resolving inflammation. The human microbiota begins to form during childbirth; the complex interaction between bacteria and host cells becomes critical for the formation of a healthy or a disease-promoting microbiota. C-section delivery, formula feeding, a high-sugar diet, a high-fat diet and excess hygiene negatively affect the health of the microbiota. Considering that the majority of the global population has experienced at least one of these factors that can lead to inflammatory disease, it is important to understand strategies to modulate the gut microbiota...
June 2016: Clinical & Translational Immunology
https://www.readbyqxmd.com/read/27746239/factors-influencing-the-infant-gut-microbiome-at-age-3-6%C3%A2-months-findings-from-the-ethnically-diverse-vitamin-d-antenatal-asthma-reduction-trial-vdaart
#17
Joanne E Sordillo, Yanjiao Zhou, Michael J McGeachie, John Ziniti, Nancy Lange, Nancy Laranjo, Jessica R Savage, Vincent Carey, George O'Connor, Megan Sandel, Robert Strunk, Leonard Bacharier, Robert Zeiger, Scott T Weiss, George Weinstock, Diane R Gold, Augusto A Litonjua
BACKGROUND: The gut microbiome in infancy influences immune system maturation, and may have an important impact on allergic disease risk. OBJECTIVE: We sought to determine how prenatal and early life factors impact the gut microbiome in a relatively large, ethnically diverse study population of infants at age 3 to 6 months, who were enrolled in Vitamin D Antenatal Asthma Reduction Trial, a clinical trial of vitamin D supplementation in pregnancy to prevent asthma and allergies in offspring...
October 13, 2016: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/27723068/costs-of-the-use-of-carbetocin-in-the-prevention-of-uterine-atony-following-delivery-of-the-infant-by-caesarean-section-retrospective-multicenter-study
#18
Maciej Sobkowski, Zbigniew Celewicz, Jarosław Kalinka, Krzysztof Szymanowski, Marcin Serafin, Katarzyna Śmieja, Anna Grzymała-Figura, Kinga Pacocha, Izabela Pieniążek, Jacek Walczak, Agnieszka Żyła, Adam Bierut
OBJECTIVES: The aim of this study was to compare the costs of using carbetocin in the prevention of uterine atony following delivery of the infant by Cesarean section (C-section) under epidural or spinal anesthesia with standard methods of prevention (SMP). MATERIAL AND METHODS: This retrospective multicenter study was based on data from three medical centers. A questionnaire was developed to gather patient records on consumption and costs of resources related to C-section, prevention of uterine atony and postpartum hemorrhage (PPH) treatment...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27704507/comparison-of-two-oxytocin-administration-protocols-in-elective-cesarean-section-5-iu-versus-10-iu
#19
Mohamed Derbel, Dhia Mekki, Abir Riahi, Kaouther Dimassi, Mhamed Sami Mebazaa, Mohamed Faouzi Gara
Background Although Oxytocin is used systematically during caesarean section, no recommendation precise optimal dose for this indication. The bolus administration of 10 IU intravenously after extraction of the newborn, is accompanied by side effects mainly hemodynamic. Objectives To compare two Oxytocin protocols:  05 IU bolus Vs. 10 IU bolus during Cesarean section by studying their respective effectiveness (effects on uterine tone) and adverse effects. Methods A prospective randomized double-blind study including 87 term parturients for undergoing a C-section under loco regional anesthesia...
April 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/27690708/characterization-of-mothers-at-risk-of-delivery-at-the-limit-of-viability-and-factors-related-to-infant-survival
#20
Fermín García-Muñoz Rodrigo, José Ángel García Hernández, Alfredo García-Alix
OBJECTIVES: To determine the socio-demographic and clinical characteristics of mothers of infants at the limit of viability, and to know the perinatal factors associated to infants' survival. METHOD: Single center cohort study of mothers and newborns assisted in our tertiary care center (2004-2010). Demographic and perinatal variables were compared between mothers who gave birth ≤26 weeks GA and the general population. The association between perinatal factors and neonatal survival was studied by Cox regression analysis...
October 3, 2016: Journal of Maternal-fetal & Neonatal Medicine
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