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https://www.readbyqxmd.com/read/29240754/maternal-death-review-and-outcomes-an-assessment-in-lagos-state-nigeria
#1
Friday Okonofua, Donald Imosemi, Brian Igboin, Adegboyega Adeyemi, Chioma Chibuko, Adewale Idowu, Wilson Imongan
The objective of the study was to investigate the results of Maternal and Perinatal Death Surveillance and Response (MPDSR) conducted in three referral hospitals in Lagos State, Nigeria over a two-year period and to report the outcomes and the lessons learned. MPDRS panels were constituted in the three hospitals, and beginning from January 2015, we conducted monthly MPDSR in the three hospitals using a nationally approved protocol. Data on births and deaths and causes of deaths as identified by the MPDSR panels were collated in the hospitals...
2017: PloS One
https://www.readbyqxmd.com/read/29240317/inflammations-of-the-mammary-gland
#2
Tuomo Meretoja, Hanna Ihalainen, Marjut Leidenius
Breast inflammation, i.e. mastitis is an entity with a variable etiology and severity, typically affecting women of fertile age. In most cases, anamnesis reveals the etiology of the disease, bacterial puerperal mastitis associated with breastfeeding being the most common. Periductal mastitis is a breast inflammation typically associated with smoking in women of 40 to 50 years of age, localized to the region of the areola. Granulomatous mastitis and other rare breast inflammations usually require specialized care...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29213289/endometritis-and-in-vitro-pge2-challenge-modify-properties-of-cattle-endometrial-mesenchymal-stem-cells-and-their-transcriptomic-profile
#3
Evelyn Lara, Alejandra Velásquez, Joel Cabezas, Nathaly Rivera, Paulina Pacha, Lleretny Rodríguez-Alvarez, Fernando Saravia, Fidel Ovidio Castro
Mesenchymal stem cells (MSCs) were isolated and characterized from postpartum bovine endometrium of animals with subclinical (n = 5) and clinical endometritis (n = 3) and healthy puerperal females (n = 5). Cells isolated displayed mean morphological features of MSCs and underwent osteogenic, chondrogenic, and adipogenic differentiation after induction (healthy and subclinical). Cells from cows with clinical endometritis did not undergo adipogenic differentiation. All cells expressed mRNAs for selected MSC markers...
2017: Stem Cells International
https://www.readbyqxmd.com/read/29190037/routine-antibiotic-prophylaxis-after-normal-vaginal-birth-for-reducing-maternal-infectious-morbidity
#4
REVIEW
Mercedes Bonet, Erika Ota, Chioma E Chibueze, Olufemi T Oladapo
BACKGROUND: Infectious morbidities contribute to considerable maternal and perinatal morbidity and mortality, including women at no apparent increased risk of infection. To reduce the incidence of infections, antibiotics are often administered to women after uncomplicated childbirth, particularly in settings where women are at higher risk of puerperal infectious morbidities. OBJECTIVES: To assess whether routine administration of prophylactic antibiotics to women after normal (uncomplicated) vaginal birth, compared with placebo or no antibiotic prophylaxis, reduces postpartum maternal infectious morbidities and improves outcomes...
November 13, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29175179/effects-of-oxytocin-and-pgf2%C3%AE-on-uterine-contractility-in-cows-with-and-without-metritis-an-in-vitro-study
#5
M Heppelmann, J Volland, C Pfarrer, M Kietzmann, W Bäumer, S Merbach, H-A Schoon, O Wellnitz, M Schmicke, M Hoedemaker, H Bollwein
The aim of this study was to investigate the effects of PGF2α and oxytocin in vitro on myometrial contractility in puerperal uteri. Thirteen puerperal uteri were removed and perfused after euthanasia of cows with (n=7) and without metritis (n=6). Measurement of uterine contractility was done using four piezoelectric crystals, which were implanted into the myometrium along the greater curvature of the uterine horn where fetal implantation occurred during the previous pregnancy. After 30min of equilibration, oxytocin (5 IU) or PGF2α (2...
November 23, 2017: Animal Reproduction Science
https://www.readbyqxmd.com/read/29166440/maternal-complications-and-cesarean-section-without-indication-systematic-review-and-meta-analysis
#6
Keila Cristina Mascarello, Bernardo Lessa Horta, Mariângela Freitas Silveira
OBJECTIVE: The objective of this study was to determine the risks of severe acute maternal complications associated with cesarean section without medical indication. METHODS: A systematic review was carried out with meta-analysis. The literature search was performed systematically, in multiple stages, in the PubMed, Lilacs, and Web of Science databases using the following descriptors: (postpartum period) and (cesarean section or natural childbirth) and ((morbidity or mortality) or (postpartum hemorrhage) or (puerperal infection) or (surgical infection) or (puerperal disorders))...
2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160487/educational-practices-of-nursing-in-the-puerperium-social-representations-of-puerperal-mothers
#7
Hilana Dayana Dodou, Tamires Daianny Araújo de Oliveira, Mônica Oliveira Batista Oriá, Dafne Paiva Rodrigues, Patrícia Neyva da Costa Pinheiro, Izaildo Tavares Luna
OBJECTIVE: To understand the social representations of puerperal women regarding the contents of the educational practices carried out by nursing in the puerperium. METHOD: Descriptive and qualitative study, carried out from June to September 2014, in Fortaleza, Ceará State, Brazil. Nineteen puerperal women were administered a semi-structured interview. The Theory of Social Representations was used as a theoretical reference. Lexical analysis was performed with ALCESTE (version 2012) software...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29153698/adolescent-pregnancy-maternal-and-fetal-outcomes-in-patients-with-and-without-preeclampsia
#8
Felly Bakwa-Kanyinga, Edimárlei Gonsales Valério, Vera Lúcia Bosa, Cecília Ogando Alfama, Marianna Sperb, Edison Capp, Janete Vettorazzi
OBJECTIVE: To determine the prevalence of preeclampsia (PE) in adolescents and to evaluate its association with risk factors for, and the occurrence of, adverse maternal and fetal outcomes. RESULTS: Of 3006 deliveries, 533 (17.7%) were from teenage mothers, with twenty-eight (5.3%) presenting PE; 17.8% of these cases were classed as severe. Vitamin and mineral supplementation was associated with the occurrence of PE (p=0.034). Puerperal complications and prematurity were more frequent in the PE group...
October 2017: Pregnancy Hypertension
https://www.readbyqxmd.com/read/29153524/minimum-inhibitory-concentrations-of-frequently-used-antibiotics-against-escherichia-coli-and-trueperella-pyogenes-isolated-from-uteri-of-postpartum-dairy-cows
#9
A Pohl, A Lübke-Becker, W Heuwieser
The objective of this study was to determine minimum inhibitory concentrations (MIC) of frequently used antimicrobials for Escherichia coli and Trueperella pyogenes isolated from postpartum bovine uteri of cows with acute puerperal metritis (APM, n = 67), cows suspected to have APM (n = 37), and healthy cows (n = 37) and to evaluate possible differences in MIC according to clinical signs. Cows with APM had reddish-brown, fetid vaginal discharge and rectal temperature (RT) ≥39.5°C within 21 d in milk; cows suspected to have APM had either reddish-brown, fetid vaginal discharge or RT ≥39...
November 15, 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/29132943/breast-abscess-due-to-actinomyces-turicensis-in-a-non-puerperal-woman
#10
Fernando Cobo
No abstract text is available yet for this article.
November 10, 2017: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/29113335/maternal-and-fetal-outcomes-of-pregnant-women-with-type-1-diabetes-a-national-population-study
#11
Shu-Fu Lin, Chang-Fu Kuo, Meng-Jiun Chiou, Shang-Hung Chang
Pregnancy in women with type 1 diabetes is associated with poor maternal and neonatal outcomes. However, the risk of these outcomes has never been evaluated in an Asian national population. In this work, we report the maternal and fetal outcomes of pregnant women with type 1 diabetes in Taiwan. A total of 2,350,339 pregnancy records created between 2001 and 2012 were obtained from the National Health Insurance database and analyzed. Here, 630 pregnancy records were identified in women having type 1 diabetes...
October 6, 2017: Oncotarget
https://www.readbyqxmd.com/read/29099117/deficiencia-de-vitamina-d-en-madres-y-neonatos-mexicanos
#12
E C Ochoa-Correa, P A García-Hernández, J Z Villarreal-Pérez, C Treviño-Garza, I Rodríguez-Balderrama, L E Martínez-de Villarreal, C A Zapata-Castilleja, M E De la O-Cavazos
Objective: The purpose of this study is to establish the prevalence of vitamin D deficiency and their newborns and analyze the risk factors related to this deficiency. Methods: This is an observational, transversal, and prospective study. It included 191 puerperal women and their full-term newborns. Serum 25 hydroxyvitamin D values were analyzes by enzyme immunoassay. Results: 61% of the puerperal presented deficiency and 26% insufficiency of vitamin D...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/29096053/antibiotic-prophylaxis-for-episiotomy-repair-following-vaginal-birth
#13
REVIEW
Mercedes Bonet, Erika Ota, Chioma E Chibueze, Olufemi T Oladapo
BACKGROUND: Bacterial infections occurring during labour, childbirth, and the puerperium may be associated with considerable maternal and perinatal morbidity and mortality. Antibiotic prophylaxis might reduce wound infection incidence after an episiotomy, particularly in situations associated with a higher risk of postpartum perineal infection, such as midline episiotomy, extension of the incision, or in settings where the baseline risk of infection after vaginal birth is high. However, available evidence is unclear concerning the role of prophylactic antibiotics in preventing infections after an episiotomy...
November 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29081673/a-3-year-retrospective-review-of-mortality-in-women-of-reproductive-age-in-a-tertiary-health-facility-in-port-harcourt-nigeria
#14
Ngozi C Orazulike, Justina O Alegbeleye, Christopher C Obiorah, Tamunomie K Nyengidiki, Samuel A Uzoigwe
PURPOSE: To determine the causes of death and associated risk factors among women of reproductive age (WRA) in a tertiary institution in Port Harcourt, Nigeria. PATIENTS AND METHODS: This was a retrospective survey of all deaths in women aged 15-49 years at the University of Port Harcourt Teaching Hospital that occurred from January 1, 2013 to December 31, 2015. Data retrieved from ward registers, death registers, and death certificates were analyzed with Epi Info version 7...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29071455/assessment-of-significant-psychological-distress-at-the-end-of-pregnancy-and-associated-factors
#15
L Lorén-Guerrero, A Gascón-Catalán, D Pasierb, M A Romero-Cardiel
The aim of this study is to study the prevalence of mental distress at the end of pregnancy and after birth and the impact of selected socio-demographic and obstetric factors. This is a cross-sectional study. The sample is consisted of 351 puerperal women at the age of 18 and over. Sociodemographic, obstetric variables were collected to detect significant psychological distress; the instrument used was General Health Questionnaire (GHQ-28). Logistic multivariable regressions were used to investigate associations...
October 25, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29043436/cervical-dilation-balloon-combined-with-intravenous-drip-of-oxytocin-for-induction-of-term-labor-a-multicenter-clinical-trial
#16
Xueqin Wu, Chunxiang Wang, Yufang Li, Chunmei Ouyang, Jiaying Liao, Weibin Cai, Yilei Zhong, Jianping Zhang, Hui Chen
OBJECTIVE: This study aimed to investigate the effectiveness and safety of a method combining double-balloon catheter for cervical ripening and intravenous drip of oxytocin on the induction of term labor, providing the reference for clinical safety. METHODS: A total of 120 pregnant women with a gestation between 37(+0) and  41(+6) weeks, indications of labor induction, singleton pregnancy with cephalic presentation were enrolled. The patients were divided into the research group receiving cervical dilation balloon combined with intravenous drip of oxytocin and the control group receiving an intravenous drip of oxytocin at a concentration of 0...
October 17, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29043282/the-effect-of-aromatherapy-treatment-on-fatigue-and-relaxation-for-mothers-during-the-early-puerperal-period-in-japan-a-pilot-study
#17
Kyoko Asazawa, Yoshihiro Kato, Atsuko Yamaguchi, Asako Inoue
BACKGROUND: Early in the postpartum period, mothers are often nervous and tired from the delivery, breast-feeding and caring for a new-born. The aim of this study was to evaluate the process and outcome of using aromatherapy treatments to increase relaxation and decrease fatigue for mothers during the first to the seventh day of the postpartum period. METHODS: This non-randomized controlled study with a quasi-experimental one-group pretest-posttest design was used to evaluate scores in relaxation and fatigue before and after the intervention...
October 2017: International Journal of Community Based Nursing and Midwifery
https://www.readbyqxmd.com/read/29026430/gestational-perinatal-and-postnatal-factors-that-interfere-with-practice-of-exclusive-breastfeeding-by-six-months-after-birth
#18
Mariana Moraes de Oliveira, José Simon Camelo
BACKGROUND: Despite evidences indicating the superiority of breastfeeding and recent advances in the indicators of breastfeeding in Brazil, exclusive breastfeeding (EBF) during the first six months after birth continues to be an infrequent practice in the country. The objective of the present study was to determine which gestational, perinatal, and postnatal factors of the mother-baby dyad might be associated with the cessation of EBF by six months after birth. METHODS: Data were collected at the rooming-in facility of the Reference Center of Women's Health of Ribeirão Preto-Mater (CRSM-Mater) during the postpartum period (24 to 72 h after birth) from December 2012 to April 2013 and by telephone contact between the researcher and participating mothers by six months after birth...
2017: International Breastfeeding Journal
https://www.readbyqxmd.com/read/28977324/knowledge-of-puerperal-mothers-about-the-guthrie-test
#19
Giovanna Abadia Oliveira Arduini, Marly Aparecida Spadotto Balarin, Roseane Lopes da Silva-Grecco, Alessandra Bernadete Trovó de Marqui
OBJECTIVE: This study aimed to assess the knowledge of puerperal mothers about the Guthrie test. METHODS: A total of 75 mothers who sought primary care between October 2014 and February 2015 were investigated. The form was applied by the main researcher and the data was analyzed, using descriptive statistics with Microsoft Office Excel, and Statistical Package for Social Sciences (SPSS) programs. Association tests and statistical power were applied. RESULTS: Among the 75 mothers, 47 (62...
April 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/28973183/puerperal-complications-of-a-retroplacental-uterine-leiomyoma
#20
Jody M Gerome, Tyler L Church
Leiomyoma can be found concomitant with pregnancy and can cause complications during labor, delivery, and postpartum management. In the present case, a 26-year-old nulliparous patient at 39.4 weeks gestational age with a 12×9-cm retroplacental leiomyoma underwent a spontaneous vaginal delivery. Nine weeks after delivery, the patient presented with acute pain and vaginal bleeding. Immediate manual removal of the bulk of the leiomyoma tissue via vaginal approach was performed. Four weeks later, the patient returned for removal of the remaining tissue via hysteroscopic excision...
October 1, 2017: Journal of the American Osteopathic Association
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