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https://www.readbyqxmd.com/read/29656690/maternal-blood-endotoxin-activity-in-pregnancies-complicated-by-preterm-premature-rupture-of-membranes
#1
Stefania Ronzoni, Rohan D'Souza, Oksana Shynlova, Stephen Lye, Kellie E Murphy
OBJECTIVE: To compare maternal blood endotoxin activity (EA) in women with preterm premature rupture of membranes (PPROM) with gestational age (GA) matched controls; to evaluate serial EA till birth in pPROM and its correlation with latency to delivery. METHODS: We followed singleton preterm pregnancies from admission with PPROM until birth. Uncomplicated, GA-matched pregnancies served as controls. Demographics, birth and neonatal outcomes were collected. EA (EAA™) was assessed serially in PPROM and at study entry in controls...
April 15, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29642747/elevated-maternal-serum-free-%C3%AE-human-chorionic-gonadotropin-%C3%AE-hcg-and-reduced-risk-of-spontaneous-preterm-delivery
#2
Shelly Soni, David A Krantz, Matthew J Blitz, Nidhi Vohra, Burton Rochelson
OBJECTIVE: To evaluate the relationship between first and second trimester maternal serum-free β-hCG and the risk of spontaneous preterm delivery (PTD). STUDY DESIGN: This was a case-control study of women evaluated and delivered at our institution from 2011 to 2015. Spontaneous PTD was defined as delivery before 37 weeks due to spontaneous preterm labor or premature rupture of membranes. Patient with multifetal gestation and those with medically indicated term or PTD were excluded...
April 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29623224/spinal-anaesthesia-for-cesarean-section-in-a-patient-with-vascular-type-ehlers-danlos-syndrome
#3
Jeffrey M Carness, Mark J Lenart
We report the administration of spinal anaesthesia for cesarean delivery in a parturient with vascular Ehlers-Danlos syndrome. Parturients who genetically inherit this disorder are at risk for significant morbidity and mortality. Risks during pregnancy include premature labor, uterine prolapse, and uterine rupture. Additionally, such laboring parturients are at increased risk of hemodynamic volatility, vascular stress, and severe postpartum hemorrhage. Instrumented delivery and cesarean delivery bring additional risks...
2018: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/29607580/effectiveness-of-antenatal-perineal-massage-in-reducing-perineal-trauma-and-post-partum-morbidities-a-randomized-controlled-trial
#4
Emmanuel Onyebuchi Ugwu, Eric Sunday Iferikigwe, Samuel Nnamdi Obi, George Uchenna Eleje, Benjamin Chukwuma Ozumba
AIM: The study aimed to evaluate the effectiveness of antenatal perineal massage (APM) in reducing perineal trauma and post-partum morbidities. METHODS: A randomized controlled trial of 108 primigravidae at the University of Nigeria Teaching Hospital, Enugu, Nigeria, was conducted from January 2013 to May 2014. The intervention group received APM, while the control group did not receive APM. RESULTS: Women who received APM were significantly more likely to have an intact perineum after childbirth [27/53 (50...
April 2, 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29577332/human-placental-ppar-%C3%AE-sox2-expression-in-serologically-proved-toxoplasmosis
#5
Marwa Hasby Saad, Noha El-Anwar, Shereef Lotfy, Mohammed Fouda, Eiman Hasby
AIM: to explore PPAR-γ & SOX-2 transcription factors expression in placenta according to maternal anti-Toxoplasma gondii serological profile during pregnancy and pregnancy outcome. METHODS: The study included 240 placentas, grouped according to IgM & IgG sero-status, and then sub-grouped according to pregnancy outcome that varied between miscarriages, premature labor, still birth and giving birth to CNS anomaly or apparently healthy neonates. Samples were H&E stained, and histopathologically scored blindly...
March 26, 2018: Parasite Immunology
https://www.readbyqxmd.com/read/29573249/the-risk-of-spontaneous-preterm-birth-according-to-maternal-pre-pregnancy-body-mass-index-in-twin-gestations
#6
Su Jin Sung, Seung Mi Lee, Sunmin Kim, Byoung Jae Kim, Chan Wook Park, Joong Shin Park, Jong Kwan Jun
BACKGROUND: Maternal obesity is a well-known risk factor for both total preterm birth (PTB) and spontaneous PTB in singleton gestation, whereas this association is not well determined in multiple pregnancy. The objective of this study was to determine the risk of spontaneous PTB according to the pre-pregnancy body mass index (BMI) in twin gestations. METHODS: The association between the risk of PTB and pre-pregnancy BMI was determined in women pregnant with twins between 2004 and 2014...
March 26, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29571124/prevention-and-management-of-genital-herpes-simplex-infection-during-pregnancy-and-delivery-guidelines-from-the-french-college-of-gynaecologists-and-obstetricians-cngof
#7
REVIEW
Marie-Victoire Sénat, Olivia Anselem, Olivier Picone, Laurent Renesme, Nicolas Sananès, Christelle Vauloup-Fellous, Yann Sellier, Jean-Pierre Laplace, Loïc Sentilhes
OBJECTIVE: Identify measures to diagnose, prevent, and treat genital herpes infection during pregnancy and childbirth as well as neonatal herpes infection. MATERIALS AND METHODS: Bibliographic search from the Medline and Cochrane Library databases and review of international clinical practice guidelines. RESULTS: Genital herpes lesions are most often due to HSV-2 (LE2). The risk of HSV seroconversion during pregnancy is 1-5% (LE2). Genital herpes lesions during pregnancy in a woman with a history of genital herpes is a recurrence...
March 9, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29567642/economic-costs-of-diabetes-in-the-u-s-in-2017
#8
(no author information available yet)
OBJECTIVE: This study updates previous estimates of the economic burden of diagnosed diabetes and quantifies the increased health resource use and lost productivity associated with diabetes in 2017. RESEARCH DESIGN AND METHODS: We use a prevalence-based approach that combines the demographics of the U.S. population in 2017 with diabetes prevalence, epidemiological data, health care cost, and economic data into a Cost of Diabetes Model. Health resource use and associated medical costs are analyzed by age, sex, race/ethnicity, insurance coverage, medical condition, and health service category...
March 22, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29564255/prospective-study-on-prevalence-of-anemia-of-pregnant-women-and-its-outcome-a-community-based-study
#9
Ravishankar Suryanarayana, Muninarayana Chandrappa, Anil Navale Santhuram, S Prathima, S R Sheela
Background: Anemia is one of the most common nutritional deficiency disorders affecting the pregnant women in the developing countries. Anemia during pregnancy is commonly associated with poor pregnancy outcome and can result in complications that threaten the life of both mother and fetus. Objective: The objective of the study was to estimate the prevalence of anemia among pregnant women and to determine its association with maternal and fetal outcomes. Settings and Design: This study design was a prospective, observational, community-based study...
October 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29544195/postnatal-anxiety-prevalence-predictors-and-effects-on-development-a-narrative-review
#10
Tiffany Field
The increasing prevalence of postnatal anxiety highlights the need for summarizing the recent research on this condition to inform screening and intervention efforts. This narrative review of the literature was derived from a search on PubMed and PsycINFO for papers published since 2010. The demographic risk factors for postnatal anxiety include being a young mother, having more education and being employed. Childbirth risk factors include being primiparous in one sample and multiparous in another, caesarean delivery, fear of the birth and of death during delivery, lack of control during labor, low self-confidence for the delivery and the delivery staff, and premature delivery...
March 12, 2018: Infant Behavior & Development
https://www.readbyqxmd.com/read/29534760/temporal-trends-of-preterm-birth-in-shenzhen-china-a-retrospective-study
#11
Changchang Li, Zhijiang Liang, Michael S Bloom, Qiong Wang, Xiaoting Shen, Huanhuan Zhang, Suhan Wang, Weiqing Chen, Yan Lin, Qingguo Zhao, Cunrui Huang
BACKGROUND: Preterm birth is the leading cause of child mortality under 5 years of age. Temporal trends in preterm birth rates are highly heterogeneous among countries and little information exists for China. To address this data gap, we investigated annual changes in preterm birth incidence rate and explored potential determinants of these changes in Shenzhen, China. METHODS: A total of 1.4 million live births, during 2003-2012, were included from the Shenzhen birth registry...
March 13, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29516006/myositis-ganglioneuritis-and-myocarditis-with-distinct-perifascicular-muscle-atrophy-in-a-2-year-old-male-boxer
#12
Paul M Rossman, Stephanie A Thomovsky, Ryan M Schafbuch, Ling T Guo, G D Shelton
A 2-year-old male, intact Boxer was referred for chronic diarrhea, hyporexia, labored breathing, weakness and elevated creatine kinase, and alanine aminotransferase activities. Initial examination and diagnostics revealed a peripheral nervous system neurolocalization, atrial premature complexes, and generalized megaesophagus. Progressive worsening of the dog's condition was noted after 36 h; the dog developed aspiration pneumonia, was febrile and oxygen dependent. The owners elected humane euthanasia. Immediately postmortem biopsies of the left cranial tibial and triceps muscles and the left peroneal nerve were obtained...
2018: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/29508649/new-data-about-preeclampsia-some-possibilities-of-prevention
#13
Adolf E Schindler
This concise report deals with the known effects of progestogen lack in early pregnancy with failure of implantation and blood supply to the placenta depending on proper trophoblast invasion, spiral artery remodeling, and vessel dilatation. The pathophysiology of preeclampsia will be outlined and the most recent data on the effect of dydrogesterone presented. Dydrogesterone appears to be able to reduce significantly the development of preeclampsia. The effect is related to begin with such prevention and this should be continued until 37th weeks of gestation which would also mean prevention of premature labor...
March 6, 2018: Gynecological Endocrinology
https://www.readbyqxmd.com/read/29508063/labor-estimation-by-informational-objective-assessment-leioa-for-preterm-delivery-prediction
#14
Iker Malaina, Larraitz Aranburu, Luis Martínez, Luis Fernández-Llebrez, Carlos Bringas, Ildefonso M De la Fuente, Martín Blás Pérez, Leire González, Itziar Arana, Roberto Matorras
PURPOSE: To introduce LEIOA, a new screening method to forecast which patients admitted to the hospital because of suspected threatened premature delivery will give birth in < 7 days, so that it can be used to assist in the prognosis and treatment jointly with other clinical tools. METHODS: From 2010 to 2013, 286 tocographies from women with gestational ages comprehended between 24 and 37 weeks were collected and studied. Then, we developed a new predictive model based on uterine contractions which combine the Generalized Hurst Exponent and the Approximate Entropy by logistic regression (LEIOA model)...
March 5, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29506420/maternal-serum-advanced-glycation-end-products-level-as-an-early-marker-for-predicting-preterm-labor-pprom-a-prospective-preliminary-study
#15
Hatice Kansu-Celik, Yasemin Tasci, Burcu Kisa Karakaya, Mehmet Cinar, Tuba Candar, Gamze Sinem Caglar
OBJECTIVE: To evaluate the value of maternal serum advanced glycation end products (AGEs) level at 11-13 weeks' gestation for the prediction of preterm labor and or preterm premature rupture of membranes (PPROM). MATERIALS AND METHODS: This prospective cross-sectional study is performed in a university-affiliated hospital between February and April 2016. The participants of this study are low risk pregnant women. Blood samples for maternal AGEs level were collected in the first trimester of pregnancy and all women completed their antenatal follow-up and delivered in our center...
March 5, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29501236/enrollment-and-reporting-practices-in-pediatric-general-surgical-randomized-clinical-trials-a-systematic-review-and-observational-analysis
#16
Etienne St-Louis, Marcus Oosenbrug, Tara Landry, Robert Baird
BACKGROUND: Pediatric surgical randomized clinical trials (RCTs) are labor-intensive and costly. This systematic review investigated patient accrual and estimates of study duration in RCTs by interrogating enrollment and registration practices. METHODS: We performed a peer-review search of multiple databases from 2000 to 2016 evaluating RCTs salient to the field with inclusion mandated that a self-identified pediatric surgeon be listed as an author. Trial registries were also searched...
February 8, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29499810/when-clinicians-drop-out-and-start-over-after-adverse-events
#17
Jason Rodriquez, Susan D Scott
BACKGROUND: The impact of adverse clinical events on health care workers has become a growing topic of research. Previous research has confirmed that after adverse clinical events, clinical staff often feel as though they failed not only their patient but also themselves, resulting in second-guessing of their clinical skills, competencies, and even career choices. This exploratory study reports on the experiences of health care providers who changed career paths as a consequence of an adverse clinical event...
March 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29496431/-in-the-case-of-premature-live-birth-is-very-early-rupture-of-the-membranes-an-additional-risk-factor-for-morbidity-and-mortality
#18
T Isnard, A Vincent-Rohfritsch, C Le Ray, F Goffinet, J Patkai, J Sibiude
OBJECTIVE: To describe survival rate after preterm premature rupture of membranes (PPROM) before 25 weeks of gestation and compare neonatal morbidity and mortality among those born alive with a control group of infants born at a similar gestational age without premature rupture of membranes. METHODS: We conducted a retrospective single-centre study at Port-Royal maternity, from 2007 to 2015, comparing neonatal outcomes between liveborninfants exposed to PPROM prior to 25 weeks of gestation (WG) and a control group not exposed to premature rupture of the membranes...
February 26, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29495098/presepsin-as-predictor-of-eons-in-umbilical-cord-blood-of-premature-with-prom
#19
Wael Seliem, Amira M Sultan
BACKGROUND: The aim of our study is to use presepsin level in umbilical cord blood as a predictor of EONS in preterm labor with premature rupture of membranes allowing rational use of antibiotics. METHODS: All preterm infants between 24+0 and 36+6 weeks of gestation born to pregnant women with a PROM were enrolled in our study. Blood samples were obtained from clamped umbilical cords after delivery of the neonates and prior to the delivery of the placenta for CRP and presepsin detection...
March 1, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/29490472/comparison-of-hair-cortisol-levels-and-perceived-stress-in-mothers-who-deliver-at-preterm-and-term
#20
Allyson R Duffy, Donna L Schminkey, Maureen W Groer, Melissa Shelton, Samia Dutra
OBJECTIVE: To evaluate relationships between hair cortisol levels and perceived stress in mothers who deliver preterm and term. We hypothesized that the rate of change in cortisol levels would be greater in the preterm delivery group. METHODS: This preliminary study compared hair cortisol levels and Perceived Stress Scale (PSS) scores in predominately Caucasian mothers who delivered preterm ( n = 22) and term ( n = 30). We collected PSS and hair samples of ≥10 cm in length from mothers after delivery...
January 1, 2018: Biological Research for Nursing
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