keyword
https://read.qxmd.com/read/38283596/-labisia-pumila-as-a-culprit-of-primary-uterine-rupture-alongside-abruptio-placentae-a-case-report
#1
Luthfi Rahman, Kania Praharsini, Aditiyo Januajie, Ruswana Anwar
PURPOSE: Uterine rupture is a rare obstetrical and surgical emergency but is often associated with a catastrophic obstetric complication. Traditionally, unscarred uteri without risk factors are considered immune to rupture and information about its risk factors is only few due to its rarity. Complementary and alternative medicine is commonly used in pregnant woman in southeast Asian countries such as Indonesia, however information regarding its toxicity due to irrational use is few. This case report presents a G2P1A0 35-year-old woman with acute abdomen with spontaneous unscarred uterine rupture >15 cm after continuously consuming herbal water made of Kacip Fatimah leaves in boiling water...
2024: International Medical Case Reports Journal
https://read.qxmd.com/read/38219630/placentation-and-complications-of-art-pregnancy-an-update-on-the-different-possible-etiopathogenic-mechanisms-involved-in-the-development-of-obstetric-complications
#2
REVIEW
Francesco Galanti, Serena Riccio, Andrea Giannini, Ottavia D'Oria, Giovanni Buzzaccarini, Maria Scudo, Ludovico Muzii, Francesco Antonino Battaglia
INTRODUCTION: Infertile couples' percentage is increasing all over the world, especially in Italy, with high number of children born in our country through assisted reproductive techniques (ART). However, pregnancies obtained by ART have increased potential obstetrical risks which could be caused by fetus-placenta unit development, most of all due to placentation's evolution. These can be reassumed into miscarriage, chromosomal abnormalities, preterm delivery, multiple pregnancy, IUGR, placenta previa, abruptio placentae, preeclampsia and hypertensive disorders, postpartum hemorrhage...
December 30, 2023: Journal of Reproductive Immunology
https://read.qxmd.com/read/38161847/a-retrospective-study-on-clinical-outcomes-of-pregnancy-related-acute-kidney-injury-patients-at-a-south-indian-tertiary-care-hospital
#3
JOURNAL ARTICLE
Maniyar Iqbal Anvar, Sidhant Talwar, Shashikanth Mallapur
Introduction Acute kidney injury (AKI) significantly contributes to maternal morbidity and mortality in developing nations. In a retrospective study conducted at our tertiary care center in collaboration between the Department of Nephrology and the Department of Obstetrics and Gynecology, we investigated patients admitted with pregnancy-related acute kidney injury (PR-AKI) under the following parameters: incidence, etiology, and maternal outcomes. Methods We evaluated 70 patients admitted with PR-AKI from May 2016 to August 2020...
November 2023: Curēus
https://read.qxmd.com/read/38091804/pregnancy-outcomes-of-women-presenting-with-stage-1-hypertension-during-the-first-prenatal-clinic-visit-before-20-gestational-weeks
#4
JOURNAL ARTICLE
Mikovhe Rejoice Mphaphuli, Lawrence Chauke, Nnabuike Chibuoke Ngene
OBJECTIVE: To determine the pregnancy outcomes of women who had 2017 American College of Cardiologists stage 1 hypertension during the first prenatal clinic visit before 20 gestational weeks in a tertiary hospital in South Africa. STUDY DESIGN: A retrospective cohort study involving the review of medical records of 127 participants with stage 1 hypertension and 128 control with blood pressure (BP) less than stage 1 hypertension before 20 weeks' gestation. MAIN OUTCOME MEASURES: The primary outcome measure was progression to stage 2 hypertension (BP ≥ 140/90 mmHg)...
December 12, 2023: Pregnancy Hypertension
https://read.qxmd.com/read/38042795/maternal-and-obstetric-outcomes-after-ex-utero-intrapartum-treatment-exit-a-single-center-experience
#5
JOURNAL ARTICLE
Marta Domínguez-Moreno, Ángel Chimenea, Lutgardo García-Díaz, Guillermo Antiñolo
BACKGROUND: The Ex-utero Intrapartum Treatment (EXIT) is a procedure developed to manage a range of fetal conditions, aiming to ensure the maintenance of neonatal airway and preserving the feto-placental circulation. Its goal is to enhance the neonatal ability to successfully transition and adapt to postnatal life, thereby reducing perinatal morbidity and mortality. However, EXIT has been associated with a high risk of maternal complications. This paper provides an overview of the indications and characteristics of the EXIT procedure, as well as the obstetric outcomes and maternal complications...
December 2, 2023: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38034106/effectiveness-of-laparoscopic-adenomyomectomy-on-perinatal-outcomes
#6
JOURNAL ARTICLE
Yosuke Ono, Hajime Ota, Yoshiyuki Fukushi, Hikaru Tagaya, Yasuhiko Okuda, Osamu Yoshino, Hideto Yamada, Shuji Hirata, Shinichiro Wada
OBJECTIVES: The objective of this study was to observe the influence of laparoscopic adenomyomectomy on perinatal outcomes. MATERIALS AND METHODS: The retrospective cohort study included 43 pregnant cases with adenomyosis who did not undergo laparoscopic surgery before pregnancy (nonsurgery group; 26 cases) and did (surgery group; 17 cases). To evaluate the impact of surgery on perinatal outcomes, nine obstetric complications including preterm delivery, hypertensive disorder of pregnancy, placental malposition, oligohydramnios, gestational diabetes mellitus, uterine rupture, abruptio placentae, and postpartum hemorrhage were selected...
2023: Gynecology and Minimally Invasive Therapy
https://read.qxmd.com/read/38021680/chronic-abruptio-placentae-with-multiple-alloantibodies-an-obstetrician-s-challenge
#7
Girija S Mohanty, Tanvi Katoch, Sujata Siwatch, Divjot S Lamba, Ratti R Sharma
The current case highlights the management of abruptio placentae in pregnant women with an O Rhesus (Rh)-negative blood group with multiple alloantibodies. We describe a unique case of chronic placental separation in a young primigravida presenting with intrauterine hematoma and intrauterine fetal death (IUFD), who had an O Rhesus-negative blood group with alloimmunization against D, C, and S antigens. The implications in management were the dilemma in diagnosis, the ABO blood grouping discrepancy, multiple alloantibodies including Rh alloimmunization, chronic placental abruption with postpartum hemorrhage, and scope for further pregnancies...
October 2023: Curēus
https://read.qxmd.com/read/37924629/no-donors-on-top-of-anti-hypertensive-therapy-reduces-complications-in-chronic-hypertensive-pregnancies-with-hypodynamic-circulation
#8
JOURNAL ARTICLE
Barbara Vasapollo, Gian Paolo Novelli, Daniele Farsetti, Francesca Pometti, Roberta Frantellizzi, Filomena Maellaro, Marco Silvestrini, Marcello Pais, Herbert Valensise
OBJECTIVES: Chronic hypertension is associated with significant adverse maternal and fetal outcomes that appear to be often associated to a hypodynamic circulation. Treatment of hypertensive disorders of pregnancy tailored on maternal hemodynamics might reduce or mitigate these complications. Our purpose was to assess the hemodynamic modifications induced by the addition of NO donors and increased oral fluid intake on top of standard antihypertensive therapy in hypodynamic chronic hypertensive patients...
October 31, 2023: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/37920254/case-report-abruptio-placentae-and-epileptic-seizure-after-occurrence-of-perinatal-hyperglycaemia-in-woman-with-gestational-diabetes-mellitus-and-hypertriglyceridemia-induced-acute-pancreatitis
#9
Yanlang He, Zhijie Huang, Changli Wei, Jianyong Chen
Hypertriglyceridemia-induced acute pancreatitis seldom occurs in the second trimester of pregnancy with gestational diabetes mellitus. For these patients, the existing knowledge on concomitant hyperglycemia is not sufficient. We report a case of abruptio placentae and epileptic seizure following perinatal hyperglycaemia in woman with gestational diabetes mellitus and hypertriglyceridemia-induced acute pancreatitis. The occurrence of abruptio placentae and epileptic seizure may be associated with concomitant hyperglycemia, and the epileptic seizure was terminated after she underwent treatment with insulin...
2023: Frontiers in Endocrinology
https://read.qxmd.com/read/37548502/relationship-between-gestational-weight-gain-during-different-phases-and-maternal-complications-or-neonatal-outcomes
#10
JOURNAL ARTICLE
Yingying Lin, Juan Lin, Zhiwei Chen, Xiaoyan Xiu, Ronghua Zhang, Lihua Lin, Jianying Yan
OBJECTIVES: Improper gestational weight gain (GWG) causes many adverse obstetrical and neonatal outcomes. This study evaluates the relationship between weight gain in different phases and maternal outcomes or neonatal outcomes. MATERIAL AND METHODS: Finally, this study recruited 2,608 women delivered at Fujian Provincial Maternity and Child Health, affiliated hospital of Fujian Medical University from December 2017 to January 2019. To evaluate the relationship between maternal outcome and neonatal outcome, the participants were divided into four groups based on their baseline BMI and weight gain in the second/third trimester of pregnancy...
August 7, 2023: Ginekologia Polska
https://read.qxmd.com/read/37529951/-risk-factors-for-neonatal-asphyxia-and-establishment-of-a-nomogram-model-for-predicting-neonatal-asphyxia-in-hubei-enshi-tujia-and-miao-autonomous-prefecture-a-multicenter-study
#11
JOURNAL ARTICLE
Fang Jin, Yu Chen, Yi-Xun Liu, Su-Ying Wu, Chao-Ce Fang, Yong-Fang Zhang, Lu Zheng, Li-Fang Zhang, Xiao-Dong Song, Hong Xia, Er-Ming Chen, Xiao-Qin Rao, Guang-Quan Chen, Qiong Yi, Yan Hu, Lang Jiang, Jing Li, Qing-Wei Pang, Chong You, Bi-Xia Cheng, Zhang-Hua Tan, Ya-Juan Tan, Ding Zhang, Tie-Sheng Yu, Jian Rao, Yi-Dan Liang, Shi-Wen Xia
OBJECTIVES: To investigate the risk factors for neonatal asphyxia in Hubei Enshi Tujia and Miao Autonomous Prefecture and establish a nomogram model for predicting the risk of neonatal asphyxia. METHODS: A retrospective study was conducted with 613 cases of neonatal asphyxia treated in 20 cooperative hospitals in Enshi Tujia and Miao Autonomous Prefecture from January to December 2019 as the asphyxia group, and 988 randomly selected non-asphyxia neonates born and admitted to the neonatology department of these hospitals during the same period as the control group...
July 15, 2023: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://read.qxmd.com/read/37283160/placental-histopathology-maternal-characteristics-and-neonatal-outcome-in-cases-of-preterm-birth-in-a-high-risk-population-in-south-africa
#12
JOURNAL ARTICLE
Sharlene Govender
Preterm birth remains a global health concern and is one of the most common pregnancy complications associated with perinatal morbidity and mortality.   Objective. This study investigated placental pathology and its associations with obstetric, maternal and neonatal outcomes in the Eastern Cape region of South Africa in order to help understand its associations with preterm birth in that region.   Methods. In this prospective study, placentas were collected consecutively from patients attending a public tertiary referral hospital in South Africa, delivering preterm (n=100; 28-34 weeks gestational age) and term (n=20; >36 weeks gestational age)...
April 4, 2023: South African Medical Journal
https://read.qxmd.com/read/37283149/placental-histopathology-maternal-characteristics-and-neonatal-outcome-in-cases-of-preterm-birth-in-a-high-risk-population-in-south-africa
#13
JOURNAL ARTICLE
K E Sprong, C A Wright, M Mabenge, S Govender
BACKGROUND: Preterm birth remains a global health concern and is one of the most common pregnancy complications associated with perinatal morbidity and mortality. OBJECTIVE: To investigate placental pathology and its associations with obstetric, maternal and neonatal outcomes in the Eastern Cape region of South Africa (SA) in order to help understand its associations with preterm birth in that region. METHODS: In this prospective study, placentas were collected consecutively from patients attending a public tertiary referral hospital in SA, delivering preterm (n=100; 28 - 34 weeks gestational age) and term (n=20; >36 weeks gestational age)...
April 4, 2023: South African Medical Journal
https://read.qxmd.com/read/37251679/influence-of-ovarian-reserves-on-assisted-reproductive-and-perinatal-outcomes-in-patients-with-endometriosis-a-retrospective-study
#14
MULTICENTER STUDY
Shuai Liu, Yaxin Guo, Fei Li, Lei Jin
OBJECTIVE: To investigate the association between different ovarian reserves and reproductive and adverse perinatal outcomes in patients with endometriosis. DESIGN: Retrospective study. SETTING: Reproductive Medicine Center in a hospital. PATIENTS: Patients surgically diagnosed with endometriosis were divided into three groups according to their ovarian reserve: diminished ovarian reserve (DOR) group (n=66), normal ovarian reserve (NOR) group (n=160), and high ovarian reserve (HOR) group (n=141)...
2023: Frontiers in Endocrinology
https://read.qxmd.com/read/37187663/maternal-hyperhomocysteinemia-as-a-predictor-of-placenta-mediated-pregnancy-complications-a-two-year-novel-study
#15
JOURNAL ARTICLE
Sharmeen I Memon, Neema S Acharya, Sourya Acharya, Jyotsana Potdar, Megha Karnik, Shazia Mohammad
Background Placenta-mediated pregnancy complications (PMPCs) are a significant contributor to adverse maternal and fetal outcomes. Though the exact cause of the array of pregnancy-related vascular disorders is still unknown, increased maternal serum homocysteine (Hct) levels have been linked to the pathophysiology. Hyperhomocysteinemia (HHct) has been strongly linked with the risk of developing PMPCs such as preeclampsia (PE), fetal growth restriction (FGR), intrauterine fetal death (IUFD), preterm births and placental abruption...
April 2023: Curēus
https://read.qxmd.com/read/37164498/placental-abruption-at-near-term-and-term-gestations-pathophysiology-epidemiology-diagnosis-and-management
#16
REVIEW
Justin S Brandt, Cande V Ananth
Placental abruption is the premature separation of the placenta from its uterine attachment before the delivery of a fetus. The clinical manifestations of abruption typically include vaginal bleeding and abdominal pain with a wide variety of abnormal fetal heart rate patterns. Clinical challenges arise when pregnant people with this condition present with profound vaginal bleeding, necessitating urgent delivery, especially when there is a concern for maternal and fetal compromise and coagulopathy. Abruption occurs in 0...
May 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/37159784/serum-ldh-levels-in-normotensive-and-preeclamptic-eclamptic-pregnant-women-and-its-correlation-with-fetomaternal-outcome
#17
JOURNAL ARTICLE
Manila Reddy Eleti, Manjusha Agrawal, Deepika Dewani, Nidhi Goyal
Background One of the most prevalent medical issues observed during pregnancy is hypertension. Hypertensive disorders of pregnancy (HDP) and their consequences affect around 5-10% of all pregnancies globally. Preeclampsia is caused by endothelial dysfunction, which causes widespread endothelial leakage and contributes to potentially fatal consequences, such as eclampsia, placental abruption, disseminated intravascular coagulation (DIC), severe renal failure, pulmonary edema, and hepatocellular necrosis. As a result, looking for predictive markers for at-risk pregnancies that can suggest poor maternal or fetal outcomes is critical...
April 2023: Curēus
https://read.qxmd.com/read/37012959/plasma-homocysteine-folic-acid-and-vitamin-b12-in-abruptio-placentae-a-cross-sectional-study-of-their-role-and-feto-maternal-outcome
#18
JOURNAL ARTICLE
Seema Meena, Harsha S Gaikwad, Banashree Nath
Background Out of the many causes of abruptio placentae, the micronutrient association with its occurrence and severity has not been researched extensively till now. We aim to measure the serum levels of homocysteine, folic acid and vitamin B12 in patients with abruptio placentae in the third trimester of pregnancy and compare the levels with those without the complication. We also propose to compare the feto-maternal outcome between the groups. Methods The cross-sectional study was undertaken in 50 pregnant women with abruption before or during delivery and 50 controls with uncomplicated pregnancy over 28 weeks of gestation...
March 2023: Curēus
https://read.qxmd.com/read/37006836/reverse-diastolic-flow-of-the-fetal-middle-cerebral-artery-associated-with-placental-chorangiomatosis-and-asymptomatic-concealed-placental-abruption
#19
David M Sherer, Olabisi Makanjoula, Alessia Field, Margarita Sokolovski, Aleksandra Zigalo, Sheila Hyppolite-Francis, Mudar Dalloul
Reverse diastolic flow of the fetal middle cerebral artery is a rare, yet ominous finding which has been associated with adverse perinatal outcomes including: intracranial hemorrhage, growth restriction, fetal-maternal hemorrhage, severe anemia, hydrops, hepatic anomaly, subsequent stillbirth, and early neonatal death. We report a case in which following notation of a nonreassuring fetal heart rate at 32 weeks' gestation, sonographic documentation of persistent reverse diastolic flow of the fetal middle cerebral artery was noted in association with sonographic findings of vascular placental dysmorphology and an asymptomatic concealed placental abruption...
May 2023: Radiology Case Reports
https://read.qxmd.com/read/37006445/a-five-year-review-of-feto-maternal-outcome-of-antepartum-haemorrhage-in-a-tertiary-center
#20
JOURNAL ARTICLE
Charlotte B Oguejiofor, Chidimma D Okafor, George U Eleje, Joseph I Ikechebelu, Chigozie G Okafor, Joseph O Ugboaja, Chukwudi A Ogabido, Tobechi K Njoku, Osita S Umeononihu, Boniface C Okpala, Malarchy E Nwankwo, Chijioke O Ezeigwe, Chukwunonso I Enechukwu, Ahizechukwu C Eke
BACKGROUND: Pregnancies complicated with antepartum-haemorrhage is high risk pregnancies associated with adverse maternal, fetal-and-perinatal-outcomes. It contributes significantly to fetal and maternal mortality especially in the developing countries. Proper antenatal care and prompt intervention is necessary to forestall adverse and improve outcome. OBJECTIVE: To determine the prevalence, sociodemographic characteristics, risk factors, fetomaternal outcome of pregnancies with antepartum haemorrhage...
March 2023: International journal of innovative research in medical science
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