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Rhys Harris, Wasim Awal, Sebastian Jacob-Rogers, Graeme Walker
An intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy, and due to the scarcity of reported cases there are no clear guidelines regarding diagnosis and management of the condition. We report a case of a non-viable intramural ectopic pregnancy managed with intravenous methotrexate, in a patient with no previous pregnancies but a history of uterine cornual cyst excision. The patient subsequently developed a uterine arteriovenous malformation, which was embolised. Following this, she had two pregnancies, one culminating in an elective caesarean section at term, and the other a medical termination of pregnancy at 19 weeks of gestation...
March 2024: Case Reports in Women's Health
#22
JOURNAL ARTICLE
Oishi Sikdar, Hemant Ambulkar, Allan Jenkinson, Catherine Hedley, Jemma Johns, Ravindra Bhat, Theodore Dassios, Christopher Harris, Anne Greenough
OBJECTIVE: Women with sickle cell disease (SCD) have adverse maternal and infant outcomes. Our aim was to determine whether the outcomes of SCD mothers and their infants differed from African or Caribbean women not affected by SCD and whether there were differences between SCD individuals with the haemoglobin SS (HbSS) or haemoglobin SC (HbSC) genotypes. Furthermore, we wished to determine if any differences related to deprivation. DESIGN: A matched cohort study...
April 11, 2024: Archives of Disease in Childhood. Fetal and Neonatal Edition
#23
JOURNAL ARTICLE
Ribka Nigatu Haile, Biruk Beletew Abate, Tegene Atamenta Kitaw
OBJECTIVES: To identify the predictors of late initiation of breastfeeding practice in Ethiopia. DESIGN: Cross-sectional study design. SETTING: Ethiopia. PARTICIPANTS: A total of 1982 weighted samples of mothers with children aged under 24 months were included. OUTCOME MEASURE: Late initiation of breastfeeding practice. RESULTS: The prevalence of late breastfeeding initiation practice is 26...
April 10, 2024: BMJ Open
#24
JOURNAL ARTICLE
Moustafa M I Moustafa, Mohamed S Ali, Conan McCaul, Mostafa S Abbas
INTRODUCTION: Opioids are commonly added to local anaesthetic for subarachnoid block for caesarean section due to their synergistic effects. The physiochemical characteristics of opioids suggest premixing with hyperbaric bupivacaine may limit their distribution within the CSF. We studied the effect of a separate injection with a combination of bupivacaine, morphine and fentanyl on block characteristics, haemodynamic changes, postoperative pain and patient satisfaction. METHOD: Following ethical approval and informed consent, a prospective double-blinded randomised controlled trial was performed in a university hospital...
April 11, 2024: Irish Journal of Medical Science
#25
JOURNAL ARTICLE
Hanna Grundström, Anna Malmquist, Katri Nieminen
BACKGROUND/AIMS: Giving birth is a life-changing experience for women. Most previous studies have focused on risk factors for a negative childbirth experience. The primary aim of this study was to assess childbirth experience in a sample of postnatal Swedish women. The secondary aim was to analyse demographic and clinical determinants associated with a positive birth experience. DESIGN/METHODS: A digital survey including the instrument Childbirth Experience Questionnaire 2 (CEQ2) was answered by 619 women six to 16 weeks postpartum...
April 10, 2024: Journal of Reproductive and Infant Psychology
#26
REVIEW
Jane Sandall, Cristina Fernandez Turienzo, Declan Devane, Hora Soltani, Paddy Gillespie, Simon Gates, Leanne V Jones, Andrew H Shennan, Hannah Rayment-Jones
BACKGROUND: Midwives are primary providers of care for childbearing women globally and there is a need to establish whether there are differences in effectiveness between midwife continuity of care models and other models of care. This is an update of a review published in 2016. OBJECTIVES: To compare the effects of midwife continuity of care models with other models of care for childbearing women and their infants. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Trials Register, ClinicalTrials...
April 10, 2024: Cochrane Database of Systematic Reviews
#27
REVIEW
Minda Abebe, Belete Alemu, Gudeta Teku, Oliyad Eshetu, Endeshaw Wale, Aschalew Besha, Mengistu Yinges Kebede, Lamesgen Geta
BACKGROUND: The analgesic effectiveness of a single perioperative dose of dexamethasone is not clearly defined. The administration of systemic medication like dexamethasone, opioids, and non-steroidal anti-inflammatory drugs has a positive effect on the prolongation of postoperative analgesia after cesarean section under spinal anesthesia. A single-dose administration of dexamethasone with moderate to high dose reduces postoperative pain, reduces opioid consumption, and prolongs spinal anesthesia after cesarean delivery...
2024: Journal of Pain Research
#28
JOURNAL ARTICLE
Oguljemal Redjepova, Ashwini Bilagi
Recent reviews into maternity safety in the United Kingdom (UK) have led to a paradigm shift in culture and policy around caesarean section (CS) rate monitoring. CS rates in the UK have risen considerably over the last few decades and, in this time, there has been national effort at the level of government to kerb such rises due to concerns about the associated morbidity, and the medicalisation of birth. However, recent findings from two landmark reviews raise concerns that the pursuit of low CS rates may have caused harm to patients in some instances, and this has led the UK government to recommend cessation of the use of total CS rates as performance metric for maternity services...
December 2024: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
#29
JOURNAL ARTICLE
Tabassum Elahi, Saima Ahmed, Muhammed Mubarak, Ejaz Ahmed
BACKGROUND: Pregnancy in women with systemic lupus erythematosus (SLE) has remained a great challenge for clinicians in terms of maternal and fetal outcomes. The outcomes in women with pre-existing lupus nephritis (LN) are variable. The impact of different classes of LN on maternal and fetal outcomes during pregnancy is not well defined, as data is very scarce, especially from the developing countries. METHODS: A retrospective analysis was conducted on 52 women with 89 pregnancies...
April 9, 2024: Lupus
#30
JOURNAL ARTICLE
Nurul Iftida Basri
Listeriosis is a rare foodborne infection caused by Listeria monocytogenes It has been reported to be commonly found among the obstetric population, immunocompromised group and elderly, presumably due to the lower immunity status in these populations. Presentation in pregnancy is usually non-specific like fever, diarrhoea, respiratory tract symptoms and preterm rupture of membrane. These make the diagnosis challenging and may delay the correct management. We present a case of a female in her early 40s, gravida 4 para 0+3 at 27 weeks who presented with fever...
April 8, 2024: BMJ Case Reports
#31
JOURNAL ARTICLE
Yeon Mi Hwang, Qi Wei, Samantha N Piekos, Bhargav Vemuri, Sevda Molani, Philip Mease, Leroy Hood, Jennifer Hadlock
BACKGROUND: Immune-mediated inflammatory diseases (IMIDs) are likely to complicate maternal health. However, literature on patients with IMIDs undergoing pregnancy is scarce and often overlooks the presence of comorbidities. We aimed to evaluate the impact of IMIDs on adverse pregnancy outcomes after assessing and addressing any discrepancies in the distribution of covariates associated with adverse pregnancy outcomes between patients with and without IMIDs. METHODS: We conducted a retrospective cohort study using data from an integrated U...
February 2024: EClinicalMedicine
#32
JOURNAL ARTICLE
Prerona Saha, Chandita Konwar, Aditya Pandey, Prabal Bharali
BACKGROUND AND AIMS: There is limited data on the effects of norepinephrine on neonatal outcomes and maternal complications relative to other vasopressors. The study aimed to compare neonatal outcomes and maternal complications after bolus intravenous doses of phenylephrine and norepinephrine for post-spinal hypotension in elective caesarean section women. METHODS: This randomised study was done on 100 elective caesarean section women under spinal anaesthesia. Block randomisation divided women into two groups to receive intravenous phenylephrine 50 μg bolus (Group A) or norepinephrine 5 μg bolus (Group B) following post-spinal hypotension...
April 2024: Indian Journal of Anaesthesia
#33
JOURNAL ARTICLE
Shefali Gautam, Pratibha Mall, Ravi Prakash, Kirtika Yadav, Rajesh Raman, Manish K Singh
BACKGROUND AND AIMS: Apprehension of pain due to a spinal needle is often a cause of anxiety and refusal. ShotBlocker provides non-painful physical stimulation, inhibiting pain perception. The vapocoolant spray contains ethyl chloride vapours, rapidly raising the skin temperature and hampering the transmission of noxious stimuli. The present study compared the effectiveness of the ShotBlocker device and the vapocoolant spray in reducing spinal needle-associated pain in primigravida women undergoing elective lower-segment caesarean section (LSCS)...
April 2024: Indian Journal of Anaesthesia
#34
JOURNAL ARTICLE
Estelle Jean Dit Gautier, Agathe Thorsteinsson-Burlin, Laurent Storme, Charles Garabedian, Véronique Debarge, Damien Subtil
OBJECTIVE: If a small for gestational age (SGA) foetus needs to be delivered because of severity (< 3rd centile) attempting induction of labor theoretically increases the risk of caesarean section and neonatal acidosis, but these risks are poorly understood. This article aims to assess the risk of caesarean section and neonatal acidosis in attempted vaginal birth of a moderately preterm foetus in the setting of severe SGA. METHOD: A single-centre hospital-based observational study conducted over a period of 17 consecutive years in mothers with a single foetus in cephalic presentation with severe SGA (< 3rd centile) needing foetal extraction...
April 5, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
#35
JOURNAL ARTICLE
Davis Kamondo, Magoma Mwancha-Kwasa, Moses Kamita, Caroline Mwangi, Maxwell Murage, Prabhjot K Juttla, Daniel Gicheru, Jesse Gitaka
The global response to COVID-19 undermined established public health goals. This study investigated the impact of COVID-19 on reproductive, maternal, neonatal, and child health (RMNCH) services in Kiambu County, Kenya. It was a retrospective cross-sectional study, where data on antenatal care (ANC), delivery, postnatal care (PNC), and family planning (FP) before and after COVID-19 was retrieved and compared. New ANC clients and 4th ANC visits decreased by 2.9% and 17% respectively. New clients attending PNC increased by 13...
March 31, 2024: African Journal of Reproductive Health
#36
JOURNAL ARTICLE
Amaar Marefi, Nafisa Husein, Mary Dunbar, Deborah Dewey, Nicole Letourneau, Maryam Oskoui, Adam Kirton, Michael Shevell
BACKGROUND: To identify if a predetermined set of potential risk factors are associated with spastic diplegic cerebral palsy (SDCP) in term-born children. METHODS: This is a case-control study with cases (n = 134) extracted from the Canadian Cerebral Palsy Registry (CCPR) and controls (n = 1950) from the Alberta Pregnancy Outcomes and Nutrition (APrON) study. Our primary variable was the SDCP phenotype in term-born children. Possible risk factors were selected a priori and include extreme maternal age (<19 or >35 years), pregnancy complications, maternal disease, substance use, perinatal infection, mode of delivery, perinatal adversity (i...
March 20, 2024: Pediatric Neurology
#37
JOURNAL ARTICLE
Silvia Fernández-García, Laura Del Campo-Albendea, Dharshini Sambamoorthi, Jameela Sheikh, Karen Lau, Nana Osei-Lah, Anoushka Ramkumar, Harshitha Naidu, Nicole Stoney, Paul Sundaram, Paulomi Sengupta, Samay Mehta, Shruti Attarde, Sophie Maddock, Millie Manning, Zainita Meherally, Kehkashan Ansari, Heidi Lawson, Magnus Yap, Tania Kew, Andriya Punnoose, Chloe Knight, Eyna Sadeqa, Jiya Cherian, Sangamithra Ravi, Wentin Chen, Kate Walker, Keelin O'Donoghue, Madelon van Wely, Elizabeth van Leeuwen, Elena Kostova, Heinke Kunst, Asma Khalil, Vanessa Brizuela, Edna Kara, Caron Rahn Kim, Anna Thorson, Olufemi T Oladapo, Lynne Mofenson, Sami L Gottlieb, Mercedes Bonet, Ngawai Moss, Javier Zamora, John Allotey, Shakila Thangaratinam
OBJECTIVE: To assess the effects of COVID-19 vaccines in women before or during pregnancy on SARS-CoV-2 infection-related, pregnancy, offspring and reactogenicity outcomes. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Major databases between December 2019 and January 2023. STUDY SELECTION: Nine pairs of reviewers contributed to study selection. We included test-negative designs, comparative cohorts and randomised trials on effects of COVID-19 vaccines on infection-related and pregnancy outcomes...
April 4, 2024: BMJ Global Health
#38
JOURNAL ARTICLE
Siobhan Elizabeth Fitzpatrick, Kristen Foley, Tamara Crittenden, David Watson, Nicola R Dean
BACKGROUND: Post-partum rectus diastasis, or the separation of the abdominal muscles after pregnancy, occurs in conjunction with physical symptoms and impaired quality of life. In Australia, health funding for surgery to treat diastasis was ceased in 2016, but reinstated in mid-2022, providing a unique context from which women's experiences of this condition can be analysed. OBJECTIVES: The objective is to examine the experiences of Australian women with post-partum rectus diastasis...
2024: Women's Health
#39
JOURNAL ARTICLE
Asra Bari, Riffat Jaleel, Shehla Arif
OBJECTIVE: To determine the frequency of successful trials of vaginal birth after Caesarean section (VBAC) using the Flamm and Geiger model. STUDY DESIGN: Observational study. Place and Duration of the Study: Obstetrics and Gynaecology Unit II of Dr. Ruth K.M. Pfau Civil Hospital, Karachi, Pakistan, from August 2022 to January 2023. METHODOLOGY: Women with singleton pregnancy having cephalic presentation, previous one lower segment caesarean section (LSCS), and without any contraindication for vaginal delivery were included...
April 2024: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
#40
JOURNAL ARTICLE
Abiodun S Adeniran, Duum C Nwachukwu, Amaka N Ocheke, Salisu O Mohammed, Abdulkarim O Musa, Silas Ochejele, Rais S Ibraheem, Samuel Pam, Amsa B Mairami, Aishatu A Gobir, Eyinade K Olateju, Fatimah J Baba, Patricia F Medupin, Grace Ahmed, Sarah Ango, Godwin Akaba, Taofik O Ogunkunle, Egwu Agada, Luz Gibbons, Olufemi T Oladapo, Tina Lavin, Jamilu Tukur, Abiodun P Aboyeji
OBJECTIVE: To describe the outcomes and quality of care for women and their babies after caesarean section (CS) in Nigerian referral-level hospitals. DESIGN: Secondary analysis of a nationwide cross-sectional study. SETTING: Fifty-four referral-level hospitals. POPULATION: All women giving birth in the participating facilities between 1 September 2019 and 31 August 2020. METHODS: Data for the women were extracted, including sociodemographic data, clinical information, mode of birth, and maternal and perinatal outcomes...
April 4, 2024: BJOG: An International Journal of Obstetrics and Gynaecology
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