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Obstetric 2015

Maria C Mirabelli, Scott A Damon, Suzanne F Beavers, Kanta D Sircar
INTRODUCTION: Exposure to air pollution negatively affects respiratory and cardiovascular health. The objective of this study was to describe the extent to which health professionals report talking about how to limit exposure to air pollution during periods of poor air quality with their at-risk patients. METHODS: In 2015, a total of 1,751 health professionals completed an online survey and reported whether they talk with their patients about limiting their exposure to air pollution...
June 11, 2018: American Journal of Preventive Medicine
Emily N B Myer, Jennifer L Roem, David A Lovejoy, Melinda G Abernethy, Joan L Blomquist, Victoria L Handa
BACKGROUND: There is limited knowledge of the effects of time on change in pelvic floor muscle strength after childbirth. OBJECTIVE: The objectives of this study were to estimate the change in pelvic floor muscle strength in parous women over time and to identify maternal and obstetric characteristics associated with the rate of change. STUDY DESIGN: This is an IRB approved prospective cohort study of parous women. Participants were recruited 5-10 years after first delivery and followed annually...
June 11, 2018: American Journal of Obstetrics and Gynecology
Skandarupan Jayaratnam, Sonia Kua, Caroline deCosta, Richard Franklin
BACKGROUND: Australia has a maternal mortality ratio of 6.8/100000 live births, a rate akin to other developed countries and consistent with the high level care provided within the Australian health care system. With maternal mortality at very low levels assessment of severe maternal morbidity is increasingly being used as an indicator of quality of care and to identify areas for improvement in maternity services. The WHO maternal 'near miss' criteria is a standardised tool has been increasingly used worldwide to assess maternal morbidity and standards of maternity care...
June 11, 2018: BMC Pregnancy and Childbirth
Cagri Gulumser, Yaprak Engin-Ustun, Levent Keskin, Sevki Celen, Sema Sanisoglu, Selma Karaahmetoglu, Ayse Ozcan, Irfan Sencan
OBJECTIVE: The aim of this study was to determine the epidemiological characteristics of maternal mortality due to postpartum hemorrhage, and to investigate whether national preventative measures of the Maternal Mortality Program have been successful in Turkey. DESIGN: A population-based cohort study. SETTING: Turkish National Maternal Mortality Data collected by the Turkish Ministry of Health. PARTICIPANTS: Women who died due to hemorrhage during pregnancy or after delivery within the initial 42 days, from 2012 to 2015, throughout Turkey (N = 812/146)...
June 11, 2018: Journal of Maternal-fetal & Neonatal Medicine
Lynn M Yee, Emily S Miller
OBJECTIVE: To estimate whether there are differences in obstetric interventions or outcomes by the gender of the delivering physician. METHODS: We conducted a retrospective cohort study of all nulliparous women delivering singleton, vertex, live births at 37 weeks of gestation or greater at a tertiary care institution (2014-2015). Patient clinical characteristics were analyzed by delivering physician gender. The primary outcomes were delivery mode and episiotomy...
June 6, 2018: Obstetrics and Gynecology
Tyler M Muffly, Whitney L Giamberardino, Joseph Guido, Robbie Weterings, Brittney Bastow, Jeanelle Sheeder
OBJECTIVE: To evaluate financial relationships between obstetrician-gynecologists (ob-gyns) and industry, including the prevalence, magnitude, and the nature of payments. METHODS: We conducted a cross-sectional study in which we obtained a list of industry contributions to U.S. obstetricians and gynecologists through the Centers for Medicare and Medicaid Services Open Payments Database from August 1, 2013, to December 31, 2015. These data were cross-referenced with the entire cohort of practicing obstetricians and gynecologists, who were identified using the National Provider Identification database, because not all practicing ob-gyns received payments...
June 6, 2018: Obstetrics and Gynecology
Robert M Rossi, Emily A DeFranco
OBJECTIVE: To quantify the rate of maternal complications associated with a periviable birth in a contemporary population of live births in the state of Ohio. METHODS: We conducted a population-based retrospective cohort study of all live births in Ohio (2006-2015). Maternal, obstetric, and neonatal characteristics were compared between women who delivered in the periviable period (20-25 weeks of gestation) with those who delivered preterm (26-36 weeks of gestation) and at term (greater than 36 weeks of gestation)...
June 6, 2018: Obstetrics and Gynecology
Ning Tian, Weiyuan Zhang
This study aimed to identify cardiotocography patterns that discriminate fetal acidemia newborns by comprehensively evaluating the parameters obtained from Holter monitoring during delivery. Between June 1, 2015, and August 1, 2016, a prospective observational study of 85 patients was conducted using fetal Holter monitoring at the Beijing Obstetrics and Gynecology Hospital, Capital Medical University, China. Umbilical cord blood was sampled immediately after delivery and fetal acidemia was defined as umbilical cord arterial blood pH < 7...
2018: BioMed Research International
Robert M Rossi, Emily A DeFranco
OBJECTIVE:  Preterm birth before 23 weeks of gestation typically results in neonatal death (5% survival). Society for Maternal-Fetal Medicine and American College of Obstetricians and Gynecologists published consensus guidelines recommending cesarean delivery (CD) not be performed for fetal indications between 20 and 226/7 weeks given the lack of proven benefit. We sought to quantify the previable CD rate and identify characteristics associated with previable CD. METHODS:  We performed a population-based retrospective cohort study of all live births in Ohio (2006-2015)...
June 8, 2018: American Journal of Perinatology
Felicity Mayer, Debra Bick, Cath Taylor
BACKGROUND: Cardiac disease is associated with adverse outcomes in pregnancy and is the leading cause of indirect maternal death in the United Kingdom (UK) and internationally. National and international guidelines recommend women should receive care from multidisciplinary teams; however evidence is lacking to inform how they should be operationalised. OBJECTIVES: To describe the composition and processes of multidisciplinary care between maternity and cardiac services before, during and after pregnancy for women with cardiac disease, and explore clinicians' (cardiologists, obstetricians, nurses, midwives) and women's experiences of delivering/receiving care within these models...
May 22, 2018: International Journal of Nursing Studies
Takassi Ounoo Elom, Salou Mounérou, Fiawoo Mawouto, Guédénon Koffi, Akpadja Koffi, Atakouma Yawo
INTRODUCTION: Preventing mother-to-child transmission (PMTCT) of HIV decreases new HIV infections in children. The objectives of our study were to describe the sociodemographic and obstetric characteristics of the patients of a protocol for the PMTCT of HIV-1 in Sylvanus Olympio Teaching Hospital. METHODS: We conducted a prospective cross-sectional descriptive study of the follow-up cohort type in the PMTCT siteof Sylvanus Olympio Teaching Hospital. It extended from 27 June 2011 to 27 May 2015...
December 2017: La Tunisie Médicale
Carrie E Neerland
INTRODUCTION: Confidence is a term often used in research literature and consumer media in relation to birth, but maternal confidence has not been clearly defined, especially as it relates to physiologic labor and birth. The aim of this concept analysis was to define maternal confidence in the context of physiologic labor and childbirth. METHODS: Rodgers' evolutionary method was used to identify attributes, antecedents, and consequences of maternal confidence for physiologic birth...
June 6, 2018: Journal of Midwifery & Women's Health
D Neubert, D Ondrová, J Hambálek, M Maděrka, K Sobková, D Stejskal, G Krejčí, R Pilka
AIM: Trefoil peptides are a family of small proteins that are expressed in a site-specific fashion by certain epithelial tissues. These peptides might be used as markers for neoplastic uterine disease. DESIGN: Experimental study. SETTING: Department of Obstetrics and Gynaecology, University Hospital, Medical Faculty, Palacký University, Olomouc; Department of Laboratory Biochemistry, Central Moravian Hospital Trust, Member of Agel holding, Prostějov...
2018: Ceská Gynekologie
M Němec, L Horčička, M Dibonová, M Krčmář, I Urbánková, L Krofta, J Feyereisl
OBJECTIVE: The aim of the study is to analyse the musculo-fascial component of the pelvic floor in symptomatic group of woman with pelvic organ prolapse before planned vaginal reconstruction using synthetic vaginal mesh. DESIGN: Observational cohort study. SETTING: Department of Obstetrics and Gynaecology, Hospital in Frýdek-Místek; GONA Ltd, Prague; Institute for Care of Mother and Child, Prague; 3rd Faculty of Medicine CHU Prague. METHODOLOGY: The study involved 285 female volunteers (6 nulliparous, all other patients gave birth vaginally at least once) that in the period 2008-2015 before the planned reconstructive vaginal operations have undergone a comprehensive urogynaecology examination supplemented by magnetic resonance imaging (MRI) of the pelvic floor...
2018: Ceská Gynekologie
Rajni Sethi, Yueh Chun Kuo, Babak Edraki, Dimitry Lerner, Daniel Paik, William Bice
PURPOSE: Doppler ultrasound (US) gives real-time information regarding anatomy and blood vessel location to guide needle placement for gynecologic interstitial (IS) brachytherapy (BT). We retrospectively assessed Doppler US images for vessel quantity, size, and distribution in cervical cancer patients undergoing high-dose-rate BT at our institution. METHODS AND MATERIALS: Eleven consecutive patients undergoing IS high-dose-rate BT implants for cervical cancer between 2015 and 2017 were included...
May 31, 2018: Brachytherapy
Kaji Tamanna Keya, Pooja Sripad, Emmanuel Nwala, Charlotte E Warren
BACKGROUND: Women living with obstetric fistula often live in poverty and in remote areas far from hospitals offering surgical repair. These women and their families face a range of costs while accessing fistula repair, some of which include: management of their condition, lost productivity and time, and transport to facilities. This study explores, through women's, communities', and providers' perspectives, the financial, transport, and opportunity cost barriers and enabling factors for seeking repair services...
June 1, 2018: International Journal for Equity in Health
Maryanne Ibrahim, Kenneth Maswabi, Gbolahan Ajibola, Sikhulile Moyo, Michael D Hughes, Oganne Batlang, Maureen Sakoi, Chloe Auletta-Young, Laura Vaughan, Shahin Lockman, Patrick Jean-Philippe, Xu Yu, Matthias Lichterfeld, Daniel R Kuritzkes, Joseph Makhema, Roger L Shapiro
INTRODUCTION: Most African countries perform infant HIV testing at 6 weeks or later. The addition of targeted testing at birth may improve retention in care, treatment outcomes and survival for HIV-infected infants. METHODS: HIV-exposed infants were screened as part of the Early Infant Treatment (EIT) study in Botswana. Screened infants were ≥35 weeks gestational age and ≥2000 g at birth. Risk factors for mother-to-child transmission (MTCT) were assessed by maternal obstetric card or verbally...
May 2018: Journal of the International AIDS Society
Yue He, Qun Zhao, Yu-Ning Geng, Shu-Li Yang, Xing-Ming Li, Dominique Finas, Cheng-Hong Yin, Yu-Mei Wu
The purpose of this study is to investigate short-term efficacy as defined by the Response Evaluation Criteria in Solid Tumors (RECIST) and pathological response of neoadjuvant chemotherapy (NACT) comprised of paclitaxel and cisplatin (TP) followed by radical surgery in patients with locally advanced cervical cancer (LACC).This is a prospective study involving 61 women with histologically confirmed LACC referred for NACT following radical surgery at Beijing Obstetrics and Gynecology Hospital between April 2013 and January 2015...
June 2018: Medicine (Baltimore)
Maria Barreix, Kelli Barbour, Affette McCaw-Binns, Doris Chou, Max Petzold, Gathari N Gichuhi, Luis Gadama, Frank Taulo, Özge Tunçalp, Lale Say
OBJECTIVE: To field test a standardized instrument to measure nonsevere morbidity among antenatal and postpartum women. METHODS: A cross-sectional study was conducted in Jamaica, Kenya, and Malawi (2015-2016). Women presenting for antenatal care (ANC) or postpartum care (PPC) were recruited if they were at least 28 weeks into pregnancy or 6 weeks after delivery. They were interviewed and examined by a doctor, midwife, or nurse. Data were collected and securely stored electronically on a WHO server...
May 2018: International Journal of Gynaecology and Obstetrics
Reiko Kishi, Atsuko Araki, Chihiro Miyashita, Sachiko Itoh, Machiko Minatoya, Sumitaka Kobayashi, Keiko Yamazaki, Yu Ait Bamai, Ryu Miura, Naomi Tamura
Since "Our Stolen Future" by Theo Colborn was published in 1996, global interest on the impact of chemical substances, such as the endocrine-disrupting action of chemicals, has increased. In Japan, "The Hokkaido Study on Environment and Children's Health: Malformation, Development and Allergy" was launched in 2001. It was a model of Japan Environment and Children's Study of the Ministry of the Environment. In a large-scale, Hokkaido cohort, we obtained the consent of 20,926 mothers at the organogenesis stage with the cooperation of 37 obstetrics clinics in Hokkaido...
2018: Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene
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