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JOURNAL ARTICLE
Katarina Patriksson, Ola Andersson, Filippa Stierna, Kristina Haglund, Li Thies-Lagergren
OBJECTIVE: To describe midwives' experiences of intact cord resuscitation close to the mother for nonvigorous neonates after vaginal birth. DESIGN: Descriptive qualitative. SETTING: Four labor wards in Sweden. PARTICIPANTS: Midwives (N = 13) currently or previously employed in labor wards where the Sustained Cord Circulation and Ventilation (SAVE) study was conducted. METHODS: We analyzed semistructured interviews using reflexive thematic analysis...
January 13, 2024: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
#22
Yuji Tanaka, Tsukuru Amano, Mari Nakata, Akimasa Takahashi, Shunichiro Tsuji, Takashi Murakami
Pleuroperitoneal communication poses a respiratory failure risk due to pleural fluid accumulation with thoracic migration of ascites. Here, we discuss the following cases: Case 1: A woman was diagnosed with a ruptured ovarian tumor with right pleural fluid and ascites, without respiratory failure. Ovarian cystectomy was performed with inadequate removal of ascites. Postoperatively, respiratory failure occurred, and thoracentesis detected pleural fluid resembling ascites. Case 2: A woman was diagnosed with a ruptured ectopic pregnancy with right pleural fluid and ascites without respiratory failure...
January 9, 2024: Journal of Obstetrics and Gynaecology Research
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JOURNAL ARTICLE
Jaime Ferro, Vicente Diago, Diana M Diago, Nuria Pellicer, Inés Olmo, Sheila Vázquez, Coral Lara, Alfredo Perales, Vicente Serra
OBJECTIVE: To analyze the effectiveness of cerclage in twin pregnancies with a short cervix. STUDY DESIGN: Retrospective cohort study performed in two University Institutions in Valencia (Spain) with two different protocols for the management of asymptomatic dichorionic diamniotic twin pregnancies with mid-trimester cervical length ≤ 25 mm: treatment with indomethacin, antibiotics and cerclage (cerclage group) (N = 43) versus expectant management (control group) (N = 37)...
March 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
#24
JOURNAL ARTICLE
Joonsik Park, Sook Hyun Park, Chloe Kim, So Jin Yoon, Joo Hee Lim, Jung Ho Han, Jeong Eun Shin, Ho Seon Eun, Min Soo Park, Soon Min Lee
Despite advances in obstetric care, hypoxic ischemic encephalopathy (HIE) remains a significant disease burden. We determined the national trends of HIE prevalence, therapeutic hypothermia (TH) use, mortality, and outcomes from 2012 to 2019. This study included term infants diagnosed with HIE between 2012 and 2019 from the National Health Insurance Service database. The prevalence of HIE was 2.4 per 1000 births without significant change during the period. TH was performed in approximately 6.7% of infants with HIE, and the annual variation ranged from 2...
December 28, 2023: Scientific Reports
#25
JOURNAL ARTICLE
Vishal Sheth, Smruti Vaishnav, Shilpa Sapre, Rumi Bhattacharjee, Nitin Raithatha, Manisha Asrani
OBJECTIVE: The primary objective of our study to analyze the trend of obstetric hysterectomy (OH) over last 2 decade in rural tertiary care referral center of western India. DESIGN: Retrospective observational and comparative study from single rural tertiary care referral center of western India. METHOD: A retrospective data collected of patients who underwent OH from Jan 2001 to Dec 2021. Each patient studied in detail for demographic and clinical profile, indication of OH, Intra operative and post operative complication and feto-maternal outcome...
December 2023: Journal of Obstetrics and Gynaecology of India
#26
JOURNAL ARTICLE
Isabel Cristina Melo Mendes, Ana Luiza Martins de Oliveira, Priscila Martins Pinheiro Trindade, Wallace Mendes da Silva, Patricia Pontes Frankel, Carolina Carvalho Mocarzel, Marta de Alencar Rosa, Ana Paula Santos Nascimento, Glaucia de Melo Rodrigues, Clarisse Pimentel, Raissa de Moraes Perlingeiro, Alessandra Gonçalves Lisbôa Pereira, Claudia Caminha Escosteguy, Rafael Mello Galliez
BACKGROUND: SARS-CoV-2 infection is associated with worse maternal and fetal outcomes. This study aims to describe the characteristics of pregnant and postpartum women with severe Covid-19 admitted to ICU. METHODS AND FINDINGS: It's a retrospective cohort study evaluating pregnant and postpartum women referenced to a specialized ICU between May 2020 and June 2022. Covid-19 was confirmed with RT-PCR or rapid antigen test on a nasopharyngeal swab. Variables were described by median and IQR when numerical, and by frequency and percentage when categorical...
2023: PloS One
#27
REVIEW
Courtney Stanley Sundin, Laura Gomez, Brian Chapman
Amniotic fluid embolism (AFE) is a rare, sudden, and catastrophic complication of pregnancy that can result in cardiopulmonary arrest, potentially leading to death. The pathophysiology of an AFE includes an inflammatory and coagulopathic response due to fetal materials entering maternal circulation with the hallmark triad of symptoms: acute respiratory distress, cardiovascular collapse, and coagulopathy. Management of AFE should include high-quality cardiopulmonary resuscitation, immediate delivery of the fetus if applicable, early intubation to provide adequate oxygenation and ventilation, fluid volume resuscitation, and ongoing evaluation of coagulopathy...
January 2024: MCN. the American Journal of Maternal Child Nursing
#28
JOURNAL ARTICLE
Marina Sourouni, Ariane Germeyer, Manuel Feißt, Alexandra Balzer, Helen Köster, Annemarie Minte, Dörthe Brüggmann, Celine Kohll, Kristin Reinhardt, Michaela Möginger, Anja Leonhardt, Constanze Banz-Jansen, Michael Bohlmann, Christiane Fröhlich, Clara Backes, Dietrich Hager, Lisa Kaup, Elsa Hollatz-Galuschki, Charlotte Engelbrecht, Filiz Markfeld-Erol, Carsten Hagenbeck, Hening Schäffler, Jennifer Winkler, Johannes Stubert, Katharina Rathberger, Laura Lüber, Linda Hertlein, Antonia Machill, Manuela Richter, Martin Berghäuser, Michael Weigel, Mirjam Morgen, Nora Horn, Peter Jakubowski, Bastian Riebe, Babett Ramsauer, Robert Sczesny, Ute Margaretha Schäfer-Graf, Susanne Schrey, Sven Kehl, Julia Lastinger, Sven Seeger, Olaf Parchmann, Antonella Iannaccone, Jens Rohne, Luise Gattung, Christine A Morfeld, Michael Abou-Dakn, Markus Schmidt, Michaela Glöckner, Anja Jebens, Kathleen Marie Sondern, Ulrich Pecks, Ralf Schmitz, Mareike Möllers
INTRODUCTION: Studies have shown that pregnant women with COVID-19 have a higher risk of intensive care unit admission and invasive mechanical ventilation support than non-pregnant women. Pregnancy-associated physiological changes in respiratory function may contribute to the elevated risk. Alteration in lung volumes and capacities are attributed to the mechanical impediment caused by the growing fetus. Multiple pregnancies may therefore compromise functional lung capacity earlier than singleton pregnancies and contribute to severe respiratory symptoms of COVID-19...
December 2023: Geburtshilfe und Frauenheilkunde
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JOURNAL ARTICLE
Thais G Sardinha, Giuliane J Lajos, Renato T Souza, Jose G Cecatti, Adriana G Luz, Maria Lúcia R Oppermann, Rodolfo C Pacagnella, Carolina C Ribeiro-Do-Valle, Guilherme M Nobrega, Thayna B Griggio, Charles M Charles, Carla Silveira, Maria J Miele, Ricardo P Tedesco, Karayna G Fernandes, Sérgio Ha Martins-Costa, Frederico Ja Peret, Francisco E Feitosa, Evelyn Traina, Edson V Cunha Filho, Janete Vettorazzi, Samira M Haddad, Carla B Candreucci, José P Guida, Mario D Correa Junior, Marcos Ab Dias, Leandro G Oliveira, Elias F Melo Junior, Marília Gq Da Luz, Maria Laura Costa
OBJECTIVES: To compare maternal and perinatal outcomes among women with obesity, overweight, and normal body mass index, associated with COVID-19 infection during pregnancy and postpartum. METHOD: Prospective Cohort Study, within the REBRACO (Brazilian Network of COVID-19 in Pregnancy) multicenter initiative. Confirmed positive cases of SARS-CoV-2 were included, and women categorized into three groups according to their pre-pregnancy BMI: obesity (BMI ≥ 30), overweight (BMI <30 but >25), and normal BMI...
November 27, 2023: International Journal of Gynaecology and Obstetrics
#30
JOURNAL ARTICLE
Chris Gale, Don Sharkey, Kathryn E Fitzpatrick, Helen Mactier, Alessandra Morelli, Mariko Nakahara, Madeleine Hurd, Anna Placzek, Marian Knight, Shamez N Ladhani, Elizabeth S Draper, Cora Doherty, Maria A Quigley, Jennifer J Kurinczuk
OBJECTIVE: Neonatal infection with wildtype SARS-CoV-2 is rare and good outcomes predominate. We investigated neonatal outcomes using national population-level data to describe the impact of different SARS-CoV-2 variants. DESIGN: Prospective population-based cohort study. SETTING: Neonatal, paediatric and paediatric intensive care inpatient care settings in the UK. PATIENTS: Neonates (first 28 days after birth) with confirmed SARS-CoV-2 infection who received inpatient care, March 2020 to April 2022...
November 15, 2023: Archives of Disease in Childhood. Fetal and Neonatal Edition
#31
JOURNAL ARTICLE
Sayo Umeda, Takeru Abe, Soichiro Obata, Shigeru Aoki, Ichiro Takeuchi
BACKGROUND: Postpartum hemorrhage is the leading cause of maternal death and severe maternal morbidity worldwide. Previous studies have reported the importance of multidisciplinary treatment approaches for postpartum hemorrhage; however, only a few studies have shown a clear improvement in maternal outcomes. Therefore, this study aimed to investigate the efficacy of a call system for postpartum hemorrhage in a tertiary emergency facility for rapid multidisciplinary treatment and its effect on maternal outcomes...
November 11, 2023: BMC Pregnancy and Childbirth
#32
JOURNAL ARTICLE
Mohamed Ali Daw, Mahamat Hassabarassoul Mahamat, Said Emhamed Wareg, Abdallah H El-Bouzedi, Mohamed Omar Ahmed
BACKGROUND: Healthcare-associated infection is a serious global problem, particularly in developing countries. In North African countries, comprehensive research on the incidence and effects of such infections is rare. This study evaluated the epidemiology and determined the impact of healthcare-associated infections in Libyan national teaching hospitals. METHODS: A prospective longitudinal study was carried out in Libya's four largest teaching and referral hospitals (Tripoli Medical Center, Tripoli-Central Hospital, Benghazi Medical Center, and Sabha Medical Center) from November 1, 2021, to October 31, 2022...
November 6, 2023: Antimicrobial Resistance and Infection Control
#33
JOURNAL ARTICLE
Jeffrey Carlson, Regina M Simeone, Sascha Ellington, Romeo Galang, Carla L DeSisto, Katherine Fleming-Dutra, Laura Riley, Dana Meaney-Delman, Van T Tong
OBJECTIVE: To examine the relationship between coronavirus disease 2019 (COVID-19) diagnosis at delivery and adverse maternal health and pregnancy outcomes during pre-Delta, Delta, and Omicron variant predominance, with a focus on the time period of Omicron variant predominance. METHODS: We conducted a cross-sectional observational study with data from delivery hospitalizations in the Premier Healthcare Database from February 2020 to August 2023. The pre-Delta (February 2020-June 2021), Delta (July 2021-December 2021), and Omicron (January 2022-August 2023) periods of variant predominance were examined...
November 2, 2023: Obstetrics and Gynecology
#34
REVIEW
Chinelo Udemgba, Katia Bravo-Jaimes, Miluska O Mejia, Prakash Raj Oli, Dhan Bahadur Shrestha, Sagun Dawadi, Dinesh Kadariya, Gladys Velarde
BACKGROUND: Takotsubo syndrome (TS) during pregnancy and postpartum is rare but may lead to significant maternal and fetal morbidity. We compared clinical characteristics and prognosis according to1 timing of presentation (pregnancy vs post-partum) and2 modes of delivery (cesarean section vs vaginal delivery). METHODS: Systematic review of articles published in PubMed, Scopus, Embase, and Medline databases from inception to July 30, 2023. Patient demographics, obstetric, electrocardiographic, laboratory, echocardiographic characteristics, and prognosis were summarized descriptively...
October 30, 2023: Current Problems in Cardiology
#35
JOURNAL ARTICLE
Sung Hee Lee, Ju Hyun Jin, Jong Ha Yoo, Shin Won Yoon
BACKGROUND: : Limited clinical reports have investigated the effects of maternal coronavirus disease 2019 (COVID-19) on fetuses and neonates. PURPOSE: : This retrospective study aimed to assess the impact of maternal COVID-19 on neonates during the perinatal period, including neonatal clinical outcomes, versus the outcomes of neonates of mothers without COVID-19. METHODS: : Neonates born to COVID-19-infected mothers at the National Health Insurance Service Ilsan Hospital between February 2021 and March 2022 were included...
October 24, 2023: Clinical and experimental pediatrics
#36
JOURNAL ARTICLE
Magdalena Sitter, Ulrich Pecks, Christoph Härtel, Patrick Meybohm, Michael K Bohlmann
Although admission to an intensive care unit during pregnancy is rare, pregnant women may become critically ill due to either obstetric or non-obstetric illness. Whilst critical illness due to obstetric reasons during the peripartum period (e.g. peripartum haemorrhage, HELLP-syndrome) is more common, it is also important to know how to care for critically ill pregnant women with non-obstetric illness (e.g. infection, cardiovascular diseases, neurological diseases, trauma). Physiological changes during pregnancy may affect critical care treatment, variation in standard and target values for blood pressure management or artificial ventilation...
October 2023: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
#37
JOURNAL ARTICLE
Jennifer Rodrigues Boock, Alexis Strickler, María Teresa Silva Elgueta, Loreto Twele Montecinos, Carolina Lizama Deluchi
INTRODUCTION: Adolescent pregnancy is a physiological process, but it can evolve with premature delivery, severe obstetric or clinical pathologies, mortality, or sequelae for mother and child. We aim to report the progressive multiple organ dysfunction syndrome secondary to pyelonephritis and sepsis during prepartum, delivery, and puerperium of adolescent pregnancy and its sequelae. CASE REPORT: A 14-year-old adolescent with a pregnancy of 27 weeks of gestation controlled from 8 to 25 weeks...
October 13, 2023: Medwave
#38
JOURNAL ARTICLE
Kim E van Nieuwenhuizen, Hans J Friedericy, Sjaak van der Linden, Frank Willem Jansen, Anne C van der Eijk
OBJECTIVE: To determine the user experience of wearing comfort of reusable sterile surgical gowns and compare these gowns with conventional disposable surgical gowns. DESIGN: Cross-sectional survey. SETTINGS: An academic hospital in the Netherlands, population Gynaecologists, surgeons, residents and operating room assistants (n = 80). METHODS: Quantitative and qualitative data were obtained via a written questionnaire...
October 8, 2023: BJOG: An International Journal of Obstetrics and Gynaecology
#39
JOURNAL ARTICLE
Eleni Tsamantioti, Anna Sandström, Giulia M Muraca, K S Joseph, Katarina Remaeus, Neda Razaz
OBJECTIVE: To quantify temporal trends and regional variation in severe maternal morbidity (SMM) in Sweden. DESIGN: Cohort study. POPULATION: Live birth and stillbirth deliveries in Sweden, 1999-2019. METHODS: Types and subtypes of SMM were identified, based on a standard list (modified for Swedish clinical setting after considering the frequency and validity of each indicator) using diagnoses and procedure codes, among all deliveries at ≥22 weeks of gestation (including complications within 42 days of delivery)...
October 5, 2023: BJOG: An International Journal of Obstetrics and Gynaecology
#40
JOURNAL ARTICLE
Xi Deng, Jieshu Zhou, Min Diao, Hao Li, Xuemei Lin
OBJECTIVE: Gas embolism is a common complication of hysteroscopic surgery that causes serious concern among gynecologists and anesthesiologists due to the potential risk to patients. The factors influencing gas embolism in hysteroscopic surgery have been extensively studied. However, the effect of the oxygen concentration inhaled by patients on gas embolism during hysteroscopic surgery remains elusive. Therefore, we designed a double-blind, randomized, controlled trial to determine whether different inhaled oxygen concentrations influence the occurrence of gas embolism during hysteroscopic surgery...
October 4, 2023: International Journal of Gynaecology and Obstetrics
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