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https://www.readbyqxmd.com/read/27627565/fetal-heart-rate-monitoring-using-maternal-abdominal-surface-electrodes-in-third-trimester-can-we-obtain-additional-information-other-than-ctg-trace
#1
Tomasz Fuchs, Krzysztof Grobelak, Michał Pomorski, Mariusz Zimmer
BACKGROUND: Cardiotocography (CTG) is the most widely used procedure despite its low specificity for fetal acidosis and poor perinatal outcome. Fetal electrocardiography (fECG) with transabdominal electrodes is a new, non-invasive and promising method with greater potential for detecting impairment of fetal circulation. This study is the first that attempts to assess the usefulness of fECG in comparison to CTG during antepartum period. OBJECTIVES: To determine if a single fECG examination along with CTG tracing and Doppler flow measurement in the fetal vessels has any additional clinical value in normal and intrauterine growth restricted (IUGR) fetuses...
March 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/27609984/the-effect-of-an-immediate-frozen-embryo-transfer-following-a-freeze-all-protocol-a-retrospective-analysis-from-two-centres
#2
Samuel Santos-Ribeiro, Nikolaos P Polyzos, Vuong Thi Ngoc Lan, Johannie Siffain, Shari Mackens, Lisbet Van Landuyt, Herman Tournaye, Christophe Blockeel
STUDY QUESTION: Does the timing of the first frozen embryo transfer (FET) after gonadotropin-releasing hormone (GnRH) agonist triggering with the elective cryopreservation of all embryos affect pregnancy outcome? SUMMARY ANSWER: FETs performed immediately after a freeze-all cycle did not vary significantly from delayed FETs in terms of pregnancy rates. WHAT IS KNOWN ALREADY: As interest in, and use of, the freeze-all strategy expands in the field of reproductive medicine, the optimal timing to perform the subsequent FET has become increasingly important...
November 2016: Human Reproduction
https://www.readbyqxmd.com/read/27607874/differences-in-mortality-between-pregnant-and-nonpregnant-women-after-cardiopulmonary-resuscitation
#3
Mulubrhan F Mogos, Jason L Salemi, Kiara K Spooner, Barbara L McFarlin, Hamisu M Salihu
OBJECTIVE: To examine the association between pregnancy status and in-hospital mortality after cardiopulmonary resuscitation (CPR) in an inpatient setting. METHODS: We conducted a population-based cross-sectional study using the Nationwide Inpatient Sample databases (2002-2011). International Classification of Diseases, 9th Revision, Clinical Modification codes were used to define cases, comorbidities, and clinical outcomes. Rates of CPR among study groups were calculated by patient and hospital characteristics...
October 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27504944/assessment-of-ultrasound-and-doppler-parameters-in-the-third-trimester-of-pregnancy-as-predictors-of-adverse-perinatal-outcome-in-unselected-pregnancies
#4
Alberto Borges Peixoto, Taciana Mara Rodrigues da Cunha Caldas, Tácito Augusto Godoy Silva, Mário Sérgio Silva Gomes Caetano, Wellington P Martins, Eduardo Felix Martins Santana, Edward Araujo Júnior
OBJECTIVES: The aim of the study was to investigate ultrasound and Doppler parameters in the third trimester of pregnancy as possible predictors of adverse perinatal outcome in unselected pregnancies. MATERIAL AND METHODS: We performed a retrospective cross-sectional study including unselected pregnant women be-tween 27 and 36 + 6 weeks of gestation. The following ultrasound and Doppler parameters were assessed: estimated fetal weight (EFW) [g], EFW percentile, placental maturity grade (Grannum classification), single vertical deepest pocket (SVDP) of amniotic fluid [cm], amniotic fluid index (AFI) [cm], mean uterine artery (UtA) pulsatility index (PI), umbilical artery (UA) PI, middle cerebral artery (MCA) PI, MCA peak systolic velocity (PSV) [cm/s], and cerebroplacental ratio (CPR)...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27494075/d-dimer-test-for-excluding-the-diagnosis-of-pulmonary-embolism
#5
REVIEW
Fay Crawford, Alina Andras, Karen Welch, Karen Sheares, David Keeling, Francesca M Chappell
BACKGROUND: Pulmonary embolism (PE) can occur when a thrombus (blood clot) travels through the veins and lodges in the arteries of the lungs, producing an obstruction. People who are thought to be at risk include those with cancer, people who have had a recent surgical procedure or have experienced long periods of immobilisation and women who are pregnant. The clinical presentation can vary, but unexplained respiratory symptoms such as difficulty breathing, chest pain and an increased respiratory rate are common...
August 5, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27484063/perifollicular-blood-flow-and-its-relationship-with-endometrial-vascularity-follicular-fluid-eg-vegf-igf-1-and-inhibin-a-levels-and-ivf-outcomes
#6
Fisun Vural, Birol Vural, Emek Doğer, Yiğit Çakıroğlu, Mustafa Çekmen
PURPOSE: The aim of this study is to investigate the association of perifollicular blood flow (PFBF) with follicular fluid EG-VEGF, inhibin-a, and insulin-like growth factor-1 (IGF-1) concentrations, endometrial vascularity, and IVF outcomes. METHODS: Forty women with tubal factor infertility were included in a prospective cohort study. Each woman underwent IVF/ICSI procedure. Individual follicles of ≥16 mm (n = 156) were evaluated by power Doppler analysis and categorized as well-vascularized follicles (WVFs) or poorly vascularized follicles (PVFs)...
October 2016: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/27381205/hiv-1-infection-and-pregnancy-in-young-women-in-brazil-socioeconomic-and-drug-resistance-profiles-in-a-cross-sectional-study
#7
Yanna Andressa Ramos Lima, Mônica Nogueira Guarda Reis, Ludimila Paula Vaz Cardoso, Mariane Martins Araújo Stefani
OBJECTIVES: To describe socioeconomic and antiretroviral (ARV) drug resistance profiles among young pregnant women infected with HIV-1. SETTING: A public health antenatal programme responsible for screening ∼90 000 pregnant women per year for nine different infectious diseases in Central Western Brazil. PARTICIPANTS: 96 young pregnant women (15-24 years) infected with HIV-1. PRIMARY AND SECONDARY OUTCOME MEASURES: Standard interviews and blood samples were taken at the time of recruitment, at the first medical appointment after confirmation of diagnosis of HIV-1 infection, and before ARV prophylaxis initiation...
2016: BMJ Open
https://www.readbyqxmd.com/read/27279852/the-safety-of-intracytoplasmic-sperm-injection-in-men-with-hepatitis-b
#8
Zhong Zheng, Xiaoming Zhao, Yan Hong, Bing Xu, Jing Tong, Lan Xia
INTRODUCTION: In this study, we aimed to evaluate the safety of using different sources of sperm when male partners were infected with hepatitis B virus (HBV). MATERIAL AND METHODS: A total of 338 couples receiving their first intracytoplasmic sperm injection (ICSI) cycle at the Department of Reproduction, Ren Ji Hospital, between 2007 and 2012 were enrolled if the female partner tested negative for HBV DNA, HBsAg, HBeAg, HBeAb and HBcAb. Couples were divided into HBV active infection (group B), convalescent infection (group C) and controls (group A)...
June 1, 2016: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/27211568/maternal-collapse-challenging-the-four-minute-rule
#9
M D Benson, A Padovano, G Bourjeily, Y Zhou
INTRODUCTION: The current approach to, cardiopulmonary resuscitation of pregnant women in the third trimester has been to adhere to the "four-minute rule": If pulses have not returned within 4min of the start of resuscitation, perform a cesarean birth so that birth occurs in the next minute. This investigation sought to re-examine the evidence for the four-minute rule. METHODS: A literature review focused on perimortem cesarean birth was performed using the same key words that were used in formulating the "four-minute rule...
April 2016: EBioMedicine
https://www.readbyqxmd.com/read/27098989/use-of-conditional-centiles-of-middle-cerebral-artery-pulsatility-index-and-cerebroplacental-ratio-in-the-prediction-of-adverse-perinatal-outcomes
#10
Henriette O Karlsen, Cathrine Ebbing, Svein Rasmussen, Torvid Kiserud, Synnøve L Johnsen
INTRODUCTION: Centiles of middle cerebral artery pulsatility index and cerebroplacental ratio are useful for predicting adverse perinatal outcomes. A 'conditional centile' is conditioned by a previous measurement reflecting degree of individual change over time. Here we test whether such centiles are independent predictors and whether their combination improves prediction. MATERIAL AND METHODS: This prospective longitudinal study included 220 pregnant women diagnosed with or at risk of having a small-for-gestational-age fetus...
June 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27006853/management-of-a-septic-open-abdomen-patient-with-spontaneous-jejunal-perforation-after-emergent-c-s-with-confounding-factor-of-mild-acute-pancreatitis
#11
Fahri Yetisir, Akgün Ebru Sarer, Hasan Zafer Acar, Gokhan Osmanoglu, Mehmet Özer, Faik Yaylak
Introduction. We report the management of a septic Open Abdomen (OA) patient by the help of negative pressure therapy (NPT) and abdominal reapproximation anchor (ABRA) system in pregnant woman with spontaneous jejunal perforation after emergent cesarean section (C/S) with confounding factor of mild acute pancreatitis (AP). Presentation of Case. A 29-year-old and 34-week pregnant woman with AP underwent C/S. She was arrested after anesthesia induction and responded to cardiopulmonary resuscitation (CPR). There were only ash-colored serosanguinous fluid within abdomen during C/S...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/26965272/prior-colorectal-surgery-for-endometriosis-associated-infertility-improves-icsi-ivf-outcomes-results-from-two-expert-centres
#12
Marcos Ballester, Horace Roman, Emmanuelle Mathieu, Salma Touleimat, Jeremy Belghiti, Emile Daraï
OBJECTIVE(S): To assess fertility outcomes after ICSI-IVF in infertile women having undergone prior complete surgical removal of colorectal endometriosis. STUDY DESIGN: Prospective longitudinal cohort study in two referral French centres including 60 infertile women who underwent ICSI-IVF after complete surgical removal of colorectal endometriosis, from January 2005 to May 2014. Women underwent either conservative colorectal surgery (i.e., rectal shaving or full thickness disc excision, n=18) or segmental colorectal resection (n=42)...
February 22, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/26957705/case-report-on-effective-cardiopulmonary-resuscitation-in-a-pregnant-woman
#13
Radhe Sharan, Anita Madan, Vega Makkar, Joginder Pal Attri
The management of cardiac arrest in pregnancy is an important task for the emergency physicians. Some reasons for cardiac arrest are reversible and should be recognized and managed promptly. Cardiopulmonary resuscitation follows general advanced cardiac life support guidelines with several modifications for pregnant women, taking into account the lives of both mother and fetus. Here, we present the case of 23-year-old pregnant patient who came to Guru Nanak Dev Hospital, Amritsar; in shock, had a cardiac arrest, successfully resuscitated in Intensive Care Unit (ICU), delivered by emergency cesarean section and was discharged from ICU on 9(th) day in healthy state...
January 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26908002/dispatcher-assisted-compression-only-cardiopulmonary-resuscitation-provides-best-quality-cardiopulmonary-resuscitation-by-laypersons-a-randomised-controlled-single-blinded-manikin-trial
#14
Oliver Spelten, Tobias Warnecke, Wolfgang A Wetsch, Robert Schier, Bernd W Böttiger, Jochen Hinkelbein
BACKGROUND: High-quality cardiopulmonary resuscitation (CPR) by laypersons is a key determinant of both outcome and survival for out-of-hospital cardiac arrest. Dispatcher-assisted CPR (telephone-CPR, T-CPR) increases the frequency and correctness of bystander-CPR but results in prolonged time to first chest compressions. However, it remains unclear whether instructions for rescue ventilation and/or chest compressions should be recommended for dispatcher-assisted CPR. OBJECTIVE: The aim of this study was to evaluate both principles of T-CPR with respect to CPR quality...
August 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/26693367/respiratory-arrest-in-an-obese-pregnant-woman-with-hyperemesis-gravidarum
#15
Ayumi Iwashita, Yosuke Baba, Rie Usui, Akihide Ohkuchi, Shigeaki Muto, Shigeki Matsubara
A pregnant, non-Japanese-speaking Peruvian, and, thus, with communication difficulty, suffered hyperemesis gravidarum and had respiratory arrest, requiring cardiopulmonary resuscitation. The obese pregnant woman (prepregnancy weight: 107 kg) had vomited and lost 15 kg in bodyweight over appropriately 2 weeks prior to the arrest but had not complained due to communication difficulty, which, together with her obesity, prevented a Japanese obstetrician from noticing her severe condition. 1,000 mL of low potassium fluid plus thiamine was administered...
2015: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26442427/-evaluation-of-knowledge-on-cardiopulmonary-resuscitation-for-pregnant-woman-among-g2010-aha-bls-hcp-participants
#16
Nobuyasu Komasawa, Noriyasu Yamamoto, Tatsumi Kuroda, Shunsuke Fujiwara, Toshiaki Minami
Cardiac arrest during pregnancy is a rare event but it needs rapid and effective cardiopulmonary resuscitation to prevent loss of two lives. In this questionnaire survey, G2010 AHA-BLS Healthcare Provider Course participants answered four questions about CPR caveats which should be considered during pregnancy. The correct answer ratio is generally low among the four questions. Special situation explanation addition such as left uterine displacement in the AHA-BLS healthcare provider course may be needed for the empowerment of knowledge about cardiopulmonary resuscitation during pregnancy...
August 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26234896/carotid-doppler-blood-flow-measurement-during-cardiopulmonary-resuscitation-is-feasible-a-first-in-man-study
#17
Adeyinka A Adedipe, Deborah L Fly, Scott D Schwitz, Dawn B Jorgenson, Haris Duric, Michael R Sayre, Graham Nichol
OBJECTIVE: High quality chest compressions are the cornerstone of effective cardiopulmonary resuscitation (CPR). There is no available method of real time noninvasive hemodynamic measurement and feedback to inform rescuers of the efficacy of compressions. Ultrasound-based measures of blood flow may provide immediate, noninvasive hemodynamic information. Our objective was to determine the feasibility and safety of using ultrasound to measure blood flow on patients with cardiac arrest. METHODS: Study design This was a prospective cohort study in an emergency department setting...
November 2015: Resuscitation
https://www.readbyqxmd.com/read/26161426/comparisons-of-the-pentax-aws-glidescope-and-macintosh-laryngoscopes-for-intubation-performance-during-mechanical-chest-compressions-in-left-lateral-tilt-a-randomized-simulation-study-of-maternal-cardiopulmonary-resuscitation
#18
RANDOMIZED CONTROLLED TRIAL
Sanghyun Lee, Wonhee Kim, Hyunggoo Kang, Jaehoon Oh, Tae Ho Lim, Yoonjae Lee, Changsun Kim, Jun Hwi Cho
PURPOSE: Rapid advanced airway management is important in maternal cardiopulmonary resuscitation (CPR). This study aimed to compare intubation performances among Pentax-AWS (AWS), Glidescope (GVL), and Macintosh laryngoscope (MCL) during mechanical chest compression in 15° and 30° left lateral tilt. METHODS: In 19 emergency physicians, a prospective randomized crossover study was conducted to examine the three laryngoscopes. Primary outcomes were the intubation time and the success rate for intubation...
2015: BioMed Research International
https://www.readbyqxmd.com/read/26027304/-application-of-ffn-and-crp-in-the-evaluation-of-therapeutic-effect-for-preterm-labor
#19
Rui Li
Select 106 pregnant women with threatened preterm labor between 28 and 37 weeks of gestation. They have been treated continually by the preventing preterm labor therapy including antibiotics and magnesium sulfate. Cervicovaginal fetal fibronectin (fFN) and C-reactive protein (CRP) in serum were detected before treatment and after 3-day and 7-day treatment respectively. 100 normal pregnant women were included as control group. (1) The fFN and CRP had significant differences between study group and control group (P<0...
January 2015: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
https://www.readbyqxmd.com/read/25981849/mri-evaluation-of-maternal-cardiac-displacement-in-pregnancy-implications-for-cardiopulmonary-resuscitation
#20
Signy Holmes, Iain D C Kirkpatrick, Carolyn M Zelop, Davinder S Jassal
OBJECTIVE: The purpose of this study was to determine, with the use of cardiac magnetic resonance imaging, whether there is vertical displacement of the heart during pregnancy. Cardiopulmonary resuscitation guidelines during pregnancy recommend placing the hands 2-3 cm higher on the sternum than in nonpregnant individuals. This recommendation is based on the presumption that the heart is displaced superiorly by the diaphragm during the third trimester. Whether there is true cardiac displacement because of the expanding uterus in pregnancy remains unknown...
September 2015: American Journal of Obstetrics and Gynecology
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