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https://www.readbyqxmd.com/read/29136712/-long-term-outcome-and-prognostic-factors-in-pregnant-women-with-pulmonary-arterial-hypertension-associated-with-congenital-heart-disease
#1
Q T Ou, J K Lu, J Zhang, Y Chen, Q Li, J L Zhang
Objective: To investigate the perinatal outcome, risk factors and long-term outcome of pregnancy complicated with pulmonary arterial hypertension(PAH) and congenital heart diseases (CHD). Methods: Clinical data of 110 pregnant women who were diagnosed as PAH-CHD were retrospectively analyzed in the Department of Obstetrics and Gynecology and Surgical Intensive Care Unit at Beijing Anzhen Hospital from 2004 to 2013. The survival and treatment status were followed up. Results: 110 subjects consisted of 11 mild PAH, 33 moderate and 66 severe ones...
November 1, 2017: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
https://www.readbyqxmd.com/read/29136148/legal-but-limited-abortion-service-availability-and-readiness-assessment-in-nepal
#2
Suzanne O Bell, Linnea Zimmerman, Yoonjoung Choi, Michelle J Hindin
The government of Nepal revised its law in 2002 to allow women to terminate a pregnancy up to 12 weeks gestation for any indication on request, and up to 18 weeks if certain conditions are met. We evaluated the readiness of facilities in Nepal to provide three abortion services, manual vacuum aspiration (MVA), medication abortion (MA) and post-abortion care (PAC), using the service availability and readiness assessment (SARA) framework. The framework consists broadly of three domains; service availability, general service readiness and service readiness specific to individual services (i...
November 10, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29135270/-effectiveness-of-prenatal-ultrasound-in-fetal-and-neonatal-malformations-and-examination-of-difficulty-and-uncertainty-factors
#3
Fanni Rebeka Erős, Artúr Beke
INTRODUCTION AND AIM: The birth prevalence of congenital malformations is around 2-3%. The aim of this study was to examine the efficacy of ultrasound diagnostics in detecting congenital malformations. METHOD: We have processed the prenatal sonographic and postnatal clinical details of 1867 inborn abnormalities in 1200 fetuses over a 7-year period. RESULTS: The mean maternal age upon delivery/abortion was 29.96 ± 5.88 years. In 671 cases, the pregnancy concluded in delivery with a mean gestational age of 35...
November 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/29124818/diagnosis-and-management-of-patients-with-enhanced-myometrial-vascularity-associated-with-retained-products-of-conception
#4
Yvette S Groszmann, Amie Lynn Healy Murphy, Beryl R Benacerraf
OBJECTIVES: We performed this study to assess the complication rate, including the estimated amount of blood loss, in patients who underwent dilation and curettage for treatment of retained products of conception with markedly enhanced myometrial vascularity mimicking arteriovenous malformations. METHODS: This is a retrospective medical records review study of patients with retained products of conception with enhanced myometrial vascularity presenting to our ultrasound unit between August 1, 2015 and August 1, 2017...
November 10, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29105047/hepatitis-e-virus-seroprevalence-in-pregnant-women-in-pakistan-maternal-and-fetal-outcomes
#5
Najma Javed, Sultana H Ullah, Nazli Hussain, Munir A Sheikh, Ambreen Khan, Farkhanda Ghafoor, Rukhsana Firdous, Waqar Uddin, Arif N Saqib, Ghazal Muhyudin
Hepatitis E virus (HEV) is endemic in Pakistan. Although otherwise asymptomatic, HEV infection becomes fatal in pregnancy, with considerable maternal and fetal morbidity and mortality. We conducted a descriptive study from April to October 2015 in 10 tertiary care hospitals throughout Pakistan to determine maternal and fetal morbidity and mortality in HEV-positive pregnant women with acute jaundice or raised liver function tests. Twenty-one of 135 women were HEV positive and in 3rd trimester except for 1 in 1st trimester...
October 30, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29094456/a-prospective-cause-of-death-classification-system-for-maternal-deaths-in-low-and-middle-income-countries-results-from-the-global-network-maternal-newborn-health-registry
#6
Omrana Pasha, Elizabeth M McClure, Sarah Saleem, Shiyam Sunder, Adrien Lokangaka, Antoinette Tshefu, Carl L Bose, Melissa Bauserman, Musaku Mwenechanya, Elwyn Chomba, Waldemar A Carlo, Ana L Garces, Lester Figueroa, K Michael Hambidge, Nancy F Krebs, Shivaprasad Goudar, Bhalachandra S Kodkany, Sangappa Dhaded, Richard J Derman, Archana Patel, Patricia L Hibberd, Fabian Esamai, Constance Tenge, Edward A Liechty, Janet L Moore, Dennis D Wallace, Marion Koso-Thomas, Menachem Miodovnik, Robert L Goldenberg
OBJECTIVE: To describe the causes of maternal death in a population-based cohort in six low and middle-income countries using a standardized, hierarchical, algorithmic cause of death (COD) methodology. DESIGN: A population-based, prospective observational study. SETTING: Seven sites in six low-middle income countries including the Democratic Republic of the Congo (DRC), Guatemala, India (2), Kenya, Pakistan and Zambia. POPULATION: All deaths amongst pregnant women resident in the study sites from 2014 to December 2016...
November 1, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29091916/stakeholder-s-experiences-expectations-and-decision-making-on-reproductive-care-an-ethnographic-study-of-three-districts-in-northern-ghana
#7
Martin Amogre Ayanore, Milena Pavlova, Regien Biesma, Wim Groot
BACKGROUND: In Ghana, priority-setting for reproductive health service interventions is known to be rudimentary with little wider stakeholder involvement. In recognizing the need for broad stakeholder engagement to advance reproductive care provision and utilization, it is necessary to jointly study the varied stakeholder views on reproductive care services. METHODS: We applied an ethnographic study approach where field data was collected between March-May 2015 in three rural districts of northern Ghana...
2017: PloS One
https://www.readbyqxmd.com/read/29073809/pregnancy-and-delivery-with-an-intrauterine-device-in-situ-outcomes-in-the-national-inpatient-sample-database
#8
Sandy Fulkerson Schaeffer, Alexis C Gimovsky, Hany Aly, Mohamed A Mohamed
BACKGROUND: Pregnancy with intrauterine device in place is rare and there are limited data that exist regarding associated perinatal outcomes. OBJECTIVE: The objective of this study is to determine the association between presence of an intrauterine device during pregnancy and spontaneous abortion, induced abortion, and preterm or small for gestational age delivery outcomes. STUDY DESIGN: The National Inpatient Sample database was analyzed for the years 2010 and 2011...
October 26, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29072238/prevalence-of-lupus-anticoagulant-in-women-with-spontaneous-abortion-in-zaria
#9
I N Ibrahim, A I Mamman, S E Adaji, A Hassan, A A Babadoko
INTRODUCTION: Spontaneous abortion (SA) is a common complication of pregnancy. Presence of lupus anticoagulant (LA), one of the antiphospholipid antibodies, has been associated with SA in many studies, especially in Caucasians. This study was carried out to determine the prevalence of LA in women with SA in ABUTH, Zaria. MATERIALS AND METHODS: A cohort of 100 consecutive women presenting with SA with no history of thrombotic episodes were enrolled into the study...
September 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29066809/obstetric-outcomes-in-pregnant-women-with-and-without-depression-population-based-comparison
#10
Hui-Chun Huang, Fung-Chang Sung, Pei-Chun Chen, Cherry Yin-Yi Chang, Chih-Hsin Muo, Huei-Sheng Shiue, Jian-Pei Huang, Tsai-Chung Li, Ya-Ling Tzeng, Shu-I Wu
This study used insurance claims data to evaluate obstetric outcomes in pregnant women with and without depression because population study for Asian women on the issue is limited. We identified 5,064 women with depression at pregnancy in 2005-2013, and 20,024 pregnant women without depression, frequency matched by age, pregnant year and parity. Obstetric events during pregnancy and deliveries were evaluated. The depression group had more events than comparisons for hyperemesis (39.3 vs. 35.5%), abortion (3...
October 24, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29065922/persisting-demand-and-supply-gap-for-maternal-and-newborn-care-in-eastern-uganda-a-mixed-method-cross-sectional-study
#11
Rornald Muhumuza Kananura, Suzanne Namusoke Kiwanuka, Elizabeth Ekirapa-Kiracho, Peter Waiswa
BACKGROUND: The slow progress in reducing maternal and newborn death in low and middle-income countries is attributed to both demand and supply-side factors. This study assessed the changes in maternal and newborn services in health facilities as well as demand for maternal and newborn health services in Eastern Uganda. METHODS: The health assessment data were collected in August 2013 and September 2015 in the districts of Kamuli, Pallisa, and Kibuku. We purposively collected data on the availability of services from 40 health facilities that provided maternal and newborn services...
October 24, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29061134/a-birth-cohort-study-in-the-middle-east-the-qatari-birth-cohort-study-qbic-phase-i
#12
Eman Sadoun, Vasiliki Leventakou, Maribel Casas, Heba Fawzy Ahmed, Manolis Kogevinas, Eleni Fthenou
BACKGROUND: The latest scientific reports raise concerns about the rapidly increasing burden of chronic diseases in the state of Qatar. Pregnant Qatari women often confront complications during pregnancy including gestational diabetes, hypertension, abortion and stillbirth. The investigation of early life environmental, genetic, nutritional and social factors that may affect lifelong health is of great importance. Birth cohort studies offer a great opportunity to address early life hazards and their possible long lasting effects on health...
October 23, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29055477/pregnancy-in-multiple-sclerosis-a-portuguese-cohort-study
#13
Joana Jesus-Ribeiro, Inês Correia, Ana Inês Martins, Manuel Fonseca, Inês Marques, Sónia Batista, Carla Nunes, Carmo Macário, Maria Céu Almeida, Lívia Sousa
BACKGROUND: Pregnancy in Multiple Sclerosis (MS) has been a controversial issue, without international standardized treatment recommendations. The goal of our study was to evaluate the clinical course of MS during pregnancy and the respective therapeutic options, obstetrical outcomes and breastfeeding data. METHODS: This was a retrospective study including women with a diagnosis of relapsing-remitting MS at least one year before pregnancy. Three periods were evaluated: one year prior to pregnancy, pregnancy and one year postpartum...
October 2017: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29043707/congenital-malformations-in-singleton-infants-conceived-by-assisted-reproductive-technologies-and-singleton-infants-by-natural-conception-in-tehran-iran
#14
Ramin Mozafari Kermani, Mansoureh Farhangniya, Seyed Abolhassan Shahzadeh Fazeli, Pezhman Bagheri, Mahnaz Ashrafi, Ahmad Vosough Taqi Dizaj
Background: Multiple pregnancies occur more frequently in assisted reproductive technology (ART) compared to normal conception (NC). It is known that the risk of congenital malformations in a multiple pregnancy are higher than single pregnancy. The aim of this study is to compare congenital malformations in singleton infants conceived by ART to singleton infants conceived naturally. MATERIALS AND METHODS: In this historical cohort study, we performed a historical cohort study of major congenital malformations (MCM) in 820 singleton births from January 2012 to December 2014...
January 2018: International Journal of Fertility & Sterility
https://www.readbyqxmd.com/read/29037561/repeated-pregnancy-with-concomitant-presence-of-ovarian-teratoma-a-case-report-and-literature-review
#15
Liang-Hsuan Chen, Shuenn-Dhy Chang, Hong-Yuan Huang, Hsin-Shih Wang, Yung-Kuei Soong, Hsien-Ming Wu
OBJECTIVE: Benign mature teratoma during pregnancy is common, mostly discovered incidentally by antenatal sonography. However, repeated pregnancy coincident with ovarian mature teratoma is rarely reported. The cases of teratoma with rapid growing characteristics are even more unique. CASE REPORT: A 17-year-old woman was pregnant at 6 weeks of gestation with a left ovarian teratoma. She underwent artificial abortion followed by surgical removal of the teratoma. However, eleven years after the surgery, a right ovarian teratoma was found incidentally by antepartum sonography at 21 weeks of gestation...
October 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29034092/choosing-the-uterine-preservation-surgery-for-placental-polyp-determined-by-blood-flow-evaluation-a-retrospective-cohort-study
#16
Sumire Sorano, Tatsuya Fukami, Maki Goto, Sakiko Imaoka, Miho Ando, Yoko To, Sumie Nakamura, Hiroko Yamamoto, Fuyuki Eguchi, Hiroshi Tsujioka
BACKGROUND: A placental polyp is an intrauterine polypoid mass or pedunculated mass occurring from residual trophoblastic tissue following abortion, cesarean section or vaginal delivery. Recently uterine preservation surgery represented by transcervical resection (TCR) has been performed for placental polyps. However TCR without intravascular intervention, including uterine artery embolization (UAE) may cause profound bleeding which necessitate emergency laparotomy. METHODS: Seventeen cases of placental polyp were retrospectively examined...
November 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29033730/intentional-intra-arterial-injection-of-midazolam-in-a-patient-with-status-epilepticus-in-the-intensive-care-unit
#17
Muhammad Asghar Ali, Muhammad Yahya
Fundamental medical care includes intravenous (IV) access which provides prompt resuscitation and reliable delivery of analgesics, antibiotics, and vasoactive medication. Difficult access populations, especially in critical area, continue to challenge providers to consider and utilize alternative means to provide IV access. Potential options under such circumstances include intramuscular, intraosseous, and intratracheal drug administration, but in extreme cases where no other options are available, intra-arterial route might be considered...
October 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29030199/effect-of-iodine-supplementation-in-pregnant-women-on-child-neurodevelopment-a-randomised-double-blind-placebo-controlled-trial
#18
Sueppong Gowachirapant, Nidhi Jaiswal, Alida Melse-Boonstra, Valeria Galetti, Sara Stinca, Ian Mackenzie, Susan Thomas, Tinku Thomas, Pattanee Winichagoon, Krishnamachari Srinivasan, Michael B Zimmermann
BACKGROUND: Iodine deficiency during pregnancy might be associated with reduced intelligence quotient (IQ) score in offspring. We assessed the effect of iodine supplementation in mildly iodine-deficient pregnant women on neurodevelopment of their offspring in areas where schoolchildren were iodine sufficient. METHODS: In this randomised, placebo-controlled trial, pregnant women in Bangalore, India, and Bangkok, Thailand, were randomly assigned (1:1) to receive 200 μg iodine orally once a day or placebo until delivery...
November 2017: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/29027718/hypervascular-retained-product-of-conception-characteristic-magnetic-resonance-imaging-and-possible-relationship-to-placental-polyp-and-pseudoaneurysm
#19
Yuji Shiina, Takatomo Itagaki, Hiroya Ohtake
The cases of two patients who developed myometrial vascularization following dilatation and curettage are described. In case 1, pathological diagnosis was possible with the resected specimens. This patient had hypervascular retained products of conception (RPOC). In case 2, the natural course of this pathological condition was observed, confirming a process of regression during repeated withdrawal bleeding. The three principal magnetic resonance imaging (MRI) findings in these cases were: (i) presence of a remnant; (ii) breaking of the junctional zone in contact with the remnant; and (iii) vascularization/flow voids infiltrating into the myometrium from the broken junctional zone...
October 13, 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29023747/cross-sectional-study-of-associations-between-prior%C3%A2-spontaneous-abortions-and-preterm-delivery
#20
Reza O Samani, Mohammad A Mansournia, Mahdi Sepidarkish, Amir Almasi-Hashiani, Saeid Safiri, Samira Vesali, Payam Amini, Saman Maroufizadeh
OBJECTIVE: To evaluate associations between a history of spontaneous abortion and preterm delivery during subsequent pregnancies. METHODS: The present secondary analysis included cross-sectional survey data related to all deliveries at 103 hospitals in Tehran, Iran, between July 6 and 21, 2015. Trained midwives interviewed patients within 24 hours of delivery. Adjusted odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to investigate associations between spontaneous abortion and preterm delivery...
October 12, 2017: International Journal of Gynaecology and Obstetrics
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