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https://www.readbyqxmd.com/read/28483844/perinatal-outcomes-in-multifetal-pregnancy-following-fetal-reduction
#1
Neda Razaz, Tehila Avitan, Joseph Ting, Tracy Pressey, K S Joseph
BACKGROUND: There is currently insufficient evidence regarding the prognosis of multifetal pregnancy following elective fetal reduction to twin or singleton pregnancy. We compared perinatal outcomes in pregnancies with and without fetal reduction. METHODS: We used data on all stillbirths and live births in British Columbia, Canada, from 2009 to 2013. We compared outcomes of multifetal pregnancies with fetal reduction (to twin or singleton pregnancy) with outcomes of pregnancies without fetal reduction...
May 8, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28341515/computerised-interpretation-of-fetal-heart-rate-during-labour-infant-a-randomised-controlled-trial
#2
(no author information available yet)
BACKGROUND: Continuous electronic fetal heart-rate monitoring is widely used during labour, and computerised interpretation could increase its usefulness. We aimed to establish whether the addition of decision-support software to assist in the interpretation of cardiotocographs affected the number of poor neonatal outcomes. METHODS: In this unmasked randomised controlled trial, we recruited women in labour aged 16 years or older having continuous electronic fetal monitoring, with a singleton or twin pregnancy, and at 35 weeks' gestation or more at 24 maternity units in the UK and Ireland...
April 29, 2017: Lancet
https://www.readbyqxmd.com/read/28303982/twin-chorionicity-and-prospective-stillbirth-risk-experience-at-a-tertiary-care-hospital
#3
Shazia Masheer, Zaheena Islam, Dhanwanti Dileep, Shama Munim
OBJECTIVE: To determine the prospective risk of stillbirth, perinatal death and neonatal morbidities in twins. METHODS: This retrospective cohort study was conducted at the Aga Khan University Hospital, Karachi, and comprised cases of twin pregnancies from January 2001 to December 2012. . Cases of both monochorionic diamniotic and dichorionic diamniotic twin pregnancies were included. SPSS 19 was used for data analysis.. RESULTS: Of the 394 cases, 84(21...
March 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28166593/impact-of-rare-bleeding-disorders-during-pregnancy-on-maternal-and-fetal-outcomes-review-of-29-pregnancies-at-a-single-center
#4
Gokcen Orgul, Fatih Aktoz, M Sinan Beksac
Objective This study aims to give information about the relationship between different types of factor deficiencies and maternal/obstetric outcomes. Methods We retrospectively reviewed the medical records of eight women with factor deficiency disorders. The demographic and clinical features of the patients after their last pregnancies were registered retrospectively. Results There were 29 pregnancies among the 8 patients. The spontaneous abortion rate was relatively high in two patients with factor XIII deficiency (80% and 57...
January 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28002532/stillbirth-in-dichorionic-twins-discordant-for-major-and-minor-anomaly-followed-by-asynchronous-delivery-a-rare-occurrence-case-presentation
#5
George Lucian Zorilă, Marius Cristian Marinaş, Maria Florea, Ciprian LaurenŢiu Pătru, Roxana Cristina Drăguşin, Răzvan Grigoraş Căpitănescu, Marian Valentin Zorilă, Roxana Eugenia Zăvoi, Cristiana Eugenia Simionescu, Dominic Gabriel Iliescu, Ştefania Tudorache
The single stillbirth long-term intrauterine retention in dichorionic twin pregnancy is rarely reported. Also, the birth of a fetus is followed in most cases by immediate expulsion of the second twin. We hereby present an unusual case of asynchronous delivery of dichorionic twins, associating discordance for major and minor anomaly. The intrauterine death of the twin A, presenting a large sacrococcygeal tumor, occurred in the second trimester. The deceased twin A was born at 29 weeks' gestational age (GA). The twin B was extracted by Caesarean section at 31 weeks and had a good outcome...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27926659/macroprolactinomas-and-nonfunctioning-pituitary-adenomas-and-pregnancy-outcomes
#6
Kimberley Lambert, Kate Rees, Paul T Seed, Mandish K Dhanjal, Marian Knight, David R McCance, Catherine Williamson
OBJECTIVE: To examine the monitoring, management, and outcomes of pituitary tumors in pregnancy. METHODS: A national, prospective, observational, population-based case series study was conducted in all U.K. consultant-led obstetric units over 3 years using the U.K. Obstetric Surveillance System. To evaluate rates of adverse pregnancy outcomes, women with a macroprolactinoma (10 mm or greater) or nonfunctioning pituitary adenoma, diagnosed before or during pregnancy, were compared with two comparison groups: 1) a U...
January 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27812086/tuberculosis-disease-during-pregnancy-and-treatment-outcomes-in-hiv-infected-and-uninfected-women-at-a-referral-hospital-in-cape-town
#7
Adrie Bekker, Hendrik S Schaaf, Heather R Draper, Magdalena Kriel, Anneke C Hesseling
BACKGROUND: Tuberculosis during pregnancy and treatment outcomes are poorly defined in high prevalence tuberculosis and HIV settings. METHODS: A prospective cohort study of pregnant and postpartum women identified to be routinely on antituberculosis treatment was conducted at Tygerberg Hospital, Cape Town, South Africa, from January 2011 through December 2011. Maternal tuberculosis disease spectrum and tuberculosis-exposed newborns were characterized by maternal HIV status...
2016: PloS One
https://www.readbyqxmd.com/read/27801485/what-are-the-prognostic-factors-in-the-delivery-of-the-second-twin
#8
Dhia Mekki, Mechaal Mourali, Lassad Mekaouer, Faouzia Hemila, Chiraz El Fekih
Objective To evaluate the prognosis of the second twin according to different criteria (presentation, mode of delivery , term, weight, weight difference between twins ,twin to twin delivery time interval, studying the Apgar scores at birth and neonatal morbidity and mortality. Materials and Methods This is a retrospective study of 183 parturients carrying twin pregnancies collected at the department of Obstetrics-Gynecology in Mahmoud Matri Hospital (Ariana) over a period of 9 years ( 1st January 2001 to 31st December, 2009 ) ...
May 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/27769193/maternal-near-miss-and-quality-of-care-in-a-rural-rwandan-hospital
#9
Richard Kalisa, Stephen Rulisa, Thomas van den Akker, Jos van Roosmalen
BACKGROUND: The WHO Maternal Near Miss (MNM) approach was developed to evaluate and improve quality of obstetric care worldwide. This study aimed to study the incidence of MNM and quality of care at a district hospital in rural Rwanda by applying this approach. METHODS: A facility based, prospective cohort study conducted at a district hospital in rural Rwanda between June 2013 and December 2014. Subjects were followed from time of admission to discharge or death...
October 21, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27682544/deliver-twins-at-37-weeks-to-give-them-the-best-chance
#10
(no author information available yet)
Twins should be delivered at 37 weeks to minimise stillbirths and newborn deaths, say experts who analysed more than 35,000 twin pregnancies.
September 28, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27645498/undernutrition-and-malaria-in-pregnancy-a-dangerous-dyad
#11
EDITORIAL
Holger W Unger, Per Ashorn, Jordan E Cates, Kathryn G Dewey, Stephen J Rogerson
BACKGROUND: In low-resource settings, malaria and macronutrient undernutrition are major health problems in pregnancy, contributing significantly to adverse pregnancy outcomes such as preterm birth and fetal growth restriction. Affected pregnancies may result in stillbirth and neonatal death, and surviving children are at risk of poor growth and infection in infancy, and of non-communicable diseases in adulthood. Populations exposed to macronutrient undernutrition frequently reside in malaria-endemic areas, and seasonal peaks of low food supply and malaria transmission tend to coincide...
September 19, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27645282/how-much-have-we-learned-from-time-lapse-in-clinical-ivf
#12
D Castelló, Y Motato, N Basile, J Remohí, M Espejo-Catena, M Meseguer
Can the time-lapse system (TLS) identify the best embryo for transfer? Although there are several studies that support this hypothesis, more research is required to improve the quality of the current evidence and also to assess live birth rate, miscarriage, stillbirth or clinical pregnancy in order to choose between a TLS or conventional incubation. In addition, although some authors report on effectiveness and safety in the use of TLS monitoring of embryo development in vitro, other authors that have not found relevant differences between the two systems for the culture and subsequence embryo selection...
October 2016: Molecular Human Reproduction
https://www.readbyqxmd.com/read/27642062/perinatal-outcome-in-pregnant-women-with-cancer-are-there-any-effects-of-chemotherapy
#13
S Garofalo, V A Degennaro, S Salvi, M P De Carolis, G Capelli, S Ferrazzani, S De Carolis, A Lanzone
Cancer is the leading cause of death in women of reproductive age. During the last decades and especially in developed countries, the incidence of cancer is increasing dramatically, with an incidence of 1 in 1,000 pregnancies. This is mostly related to delay of pregnancy into the late reproductive years. The aim of this study was to investigate the outcome of pregnancy in women with diagnosis of cancer; in particular, neonatal morbidity and mortality, after in utero exposure to chemotherapy, were evaluated...
September 19, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27599496/prospective-risk-of-stillbirth-and-neonatal-complications-in-twin-pregnancies-systematic-review-and-meta-analysis
#14
REVIEW
Fiona Cheong-See, Ewoud Schuit, David Arroyo-Manzano, Asma Khalil, Jon Barrett, K S Joseph, Elizabeth Asztalos, Karien Hack, Liesbeth Lewi, Arianne Lim, Sophie Liem, Jane E Norman, John Morrison, C Andrew Combs, Thomas J Garite, Kimberly Maurel, Vicente Serra, Alfredo Perales, Line Rode, Katharina Worda, Anwar Nassar, Mona Aboulghar, Dwight Rouse, Elizabeth Thom, Fionnuala Breathnach, Soichiro Nakayama, Francesca Maria Russo, Julian N Robinson, Jodie M Dodd, Roger B Newman, Sohinee Bhattacharya, Selphee Tang, Ben Willem J Mol, Javier Zamora, Basky Thilaganathan, Shakila Thangaratinam
OBJECTIVE: To determine the risks of stillbirth and neonatal complications by gestational age in uncomplicated monochorionic and dichorionic twin pregnancies. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Medline, Embase, and Cochrane databases (until December 2015). REVIEW METHODS: Databases were searched without language restrictions for studies of women with uncomplicated twin pregnancies that reported rates of stillbirth and neonatal outcomes at various gestational ages...
September 6, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27592442/clinical-response-after-chitosan-microparticle-administration-and-preliminary-assessment-of-efficacy-in-preventing-metritis-in-lactating-dairy-cows
#15
RANDOMIZED CONTROLLED TRIAL
R Daetz, F Cunha, J H Bittar, C A Risco, F Magalhaes, Y Maeda, J E P Santos, K C Jeong, R F Cooke, K N Galvão
The objectives were to evaluate the clinical response to intrauterine administration of chitosan microparticles (CM) and to assess efficacy for preventing metritis in dairy cows. Holstein cows (n=104; 40 primiparous and 64 multiparous) at increased risk for metritis (cows that had abortion, dystocia, twins, stillbirth, or retained placenta) were randomly assigned to 1 of 2 treatments at 1d in milk (DIM; 24h postpartum): CM group (n=52), daily intrauterine infusion of 8g of CM dissolved in 40mL of sterile water for 5d; control (CON) group (n=52), daily intrauterine infusion of 40mL of sterile water for 5d...
November 2016: Journal of Dairy Science
https://www.readbyqxmd.com/read/27552976/evaluation-of-pregnancy-outcomes-from-the-tysabri%C3%A2-natalizumab-pregnancy-exposure-registry-a-global-observational-follow-up-study
#16
Susan Friend, Sandra Richman, Gary Bloomgren, Lynda M Cristiano, Madé Wenten
BACKGROUND: Patients with multiple sclerosis (MS) or Crohn's disease (CD) being treated with natalizumab (Tysabri®, Biogen) who are planning to become pregnant or discover they are pregnant after exposure to natalizumab are currently advised to balance the potential benefits and potential risks of exposure when considering treatment options. This study was undertaken to evaluate pregnancy outcomes of women with MS or CD who were exposed to natalizumab at any time within 3 months prior to conception or during pregnancy...
August 24, 2016: BMC Neurology
https://www.readbyqxmd.com/read/27546016/concurrence-of-gestational-diabetes-and-pre-gravid-obesity-diabesity-in-twin-gestations
#17
Teresinha Simões, Alexandra Queirós, Sandra Valdoleiros, Ana Teresa Marujo, Nisa Felix, Isaac Blickstein
OBJECTIVE: To assess the effect of the concurrence of gestational diabetes mellitus (GDM) and pre-gravid obesity in twin gestations ("diabesity"). METHODS: We compared perinatal outcomes of twin gestation in mothers with GDM and pre-gravid obesity (1.7%), mothers with GDM but with normal BMI (6.2%), and obese mothers without GDM (7.0%). RESULTS: Twin pregnancies with "diabesity" were associated with significantly higher incidence of stillbirth (OR = 6...
September 5, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27452785/early-neonatal-lamb-mortality-postmortem-findings
#18
I H Holmøy, S Waage, E G Granquist, T M L'Abée-Lund, C Ersdal, L Hektoen, R Sørby
An investigation of stillbirth and early neonatal lamb mortality was conducted in sheep flocks in Norway. Knowledge of actual causes of death are important to aid the interpretation of results obtained during studies assessing the risk factors for lamb mortality, and when tailoring preventive measures at the flock, ewe and individual lamb level. This paper reports on the postmortem findings in 270 liveborn lambs that died during the first 5 days after birth. The lambs were from 17 flocks in six counties. A total of 27% died within 3 h after birth, 41% within 24 h and 80% within 2 days...
February 2017: Animal: An International Journal of Animal Bioscience
https://www.readbyqxmd.com/read/27443356/neurodevelopmental-disorders-or-early-death-in-siblings-of-children-with-cerebral-palsy
#19
Mette C Tollånes, Allen J Wilcox, Camilla Stoltenberg, Rolv T Lie, Dag Moster
OBJECTIVES: To explore the presence of shared underlying causes of cerebral palsy (CP) and other neurodevelopmental disorders, by examining risks of other disorders in siblings of children with CP. METHODS: We used Norwegian national registries to identify 1.4 million pairs of full siblings (singletons) and 28 000 sets of twins born from 1967 to 2006, identify stillbirths and neonatal deaths, and find individuals with CP, epilepsy, intellectual disability, autism spectrum disorders, attention-deficit/hyperactivity disorder, blindness, deafness, schizophrenia, and bipolar disorder...
August 2016: Pediatrics
https://www.readbyqxmd.com/read/27439998/the-impact-of-gender-on-anthropometric-measures-of-twins
#20
Shayesteh Jahanfar, Kenneth Lim
INTRODUCTION: Literature suggests that male hormones influence fetal growth in singleton pregnancies. We hypothesized that the same phenomenon is seen in twin gestations. OBJECTIVES: (1) to identify the impact of gender associated with fetal birth weight, head circumference, and birth length for twins; (2) to examine the effect of gender on standardized fetal growth at birth, according to gestational age and birth order; (3) to examine the effect of gender on placenta weight and dimensions...
December 2016: Twin Research and Human Genetics: the Official Journal of the International Society for Twin Studies
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