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https://www.readbyqxmd.com/read/29741208/induction-of-labour-for-improving-birth-outcomes-for-women-at-or-beyond-term
#1
REVIEW
Philippa Middleton, Emily Shepherd, Caroline A Crowther
BACKGROUND: Beyond term, the risks of stillbirth or neonatal death increase. It is unclear whether a policy of labour induction can reduce these risks. This Cochrane review is an update of a review that was originally published in 2006 and subsequently updated in 2012 OBJECTIVES: To assess the effects of a policy of labour induction at or beyond term compared with a policy of awaiting spontaneous labour or until an indication for birth induction of labour is identified) on pregnancy outcomes for infant and mother...
May 9, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29723567/novel-observations-of-female-genital-anatomy-in-classic-bladder-exstrophy-using-three-dimensional-mri-reconstruction
#2
Karl S Benz, Emily Dunn, Meiyappan Solaiyappan, Mahir Maruf, Matthew Kasprenski, John Jayman, Jason E Michaud, James Facciola, John P Gearhart
PURPOSE: Understanding the distinct female anatomy in classic bladder exstrophy is crucial for optimal reconstructive and functional outcomes. This study presents novel quantitative anatomical data in females with classic bladder exstrophy prior to primary closure. MATERIALS AND METHODS: Patients underwent three-dimensional reconstruction of pelvic magnetic resonance imaging studies, and pelvic anatomy was characterized, including measurements of the vagina, cervix, and erectile bodies...
April 30, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29692635/dimensional-analysis-of-the-endometrial-cavity-how-many-dimensions-should-the-ideal-intrauterine-device-or-system-have
#3
Norman D Goldstuck
Background: The geometrical shape of the human uterus most closely approximates that of a prolate ellipsoid. The endometrial cavity itself is more likely to also have the shape of a prolate ellipsoid especially when the extension of the cervix is omitted. Using this information and known endometrial cavity volumes and lateral and vertical dimensions, it is possible to calculate the anteroposterior (AP) dimensions and get a complete evaluation of all possible dimensions of the endometrial cavity...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29689580/normal-cervical-effacement-in-term-labor
#4
Janine S Rhoades, Molly J Stout, Candice Woolfolk, Methodius G Tuuli, George A Macones, Alison G Cahill
OBJECTIVE:  To estimate the natural history of cervical effacement in labor. STUDY DESIGN:  This is a retrospective cohort study of term, vertex, singletons who reached 10 cm of cervical dilation from 2010 to 2014. Interval-censored regression was used to estimate the median number of hours between changes in effacement (measured in centimeters of the residual cervix) and to estimate the median effacement at a given cervical dilation. Analysis was stratified by parity and labor type...
April 24, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29663469/quantitative-ultrasound-analysis-of-proximal-and-distal-cervical-tissue-echogenicity-in-premature-cervical-remodeling
#5
Matthew J Blitz, Sleiman R Ghorayeb, Sarah L Pachtman, Megan Murphy, Zara Rahman, Lakha Prasannan, Cristina P Sison, Nidhi Vohra, Burton Rochelson
OBJECTIVES: To determine whether a novel, noninvasive quantitative ultrasound (US) technique can detect differences in proximal and distal cervical tissue echogenicity in women with and without a shortened cervical length (CL). METHODS: We conducted a retrospective case-control study of singleton pregnancies at 16 to 26 weeks' gestation in which a transvaginal US examination was performed to measure CL from 2013 to 2015. Initial CLs in cases and controls were less than 2...
April 16, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29560285/mid-trimester-cervical-consistency-index-and-cervical-length-to-predict-spontaneous-preterm-birth-in-a-high-risk-population
#6
Núria Baños, Carla Julià, Núria Lorente, Silvia Ferrero, Teresa Cobo, Eduard Gratacos, Montse Palacio
Background  Short cervical length (CL) has not been shown to be adequate as a single predictor of spontaneous preterm birth (sPTB) in high-risk pregnancies. Objective  The objective of this study was to evaluate the performance of the mid-trimester cervical consistency index (CCI) to predict sPTB in a cohort of high-risk pregnancies and to compare the results with those obtained with the CL. Study Design  Prospective cohort study including high-risk singleton pregnancies between 19 +0 and 24 +6 weeks...
January 2018: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/29517679/observational-study-pelvic-ultrasound-a-useful-tool-in-the-diagnosis-and-differentiation-of-precocious-puberty-in-chinese-girls
#7
Xiaoduo Wen, Denggui Wen, Hui Zhang, Huifeng Zhang, Yi Yang
Rapid and noninvasive diagnosis on and differentiation between normal, central precocious puberty (CPP), and isolated precocious puberty (IPP) is imperative before a decision can be made with gonadotropin-releasing hormone (GnRH) agonist treatment. Our study aims to evaluate such a role by pelvic ultrasound.We consecutively enrolled 84 cases of IPP (59 with premature thelarche/ pubarche and 25 with premature menarche), 47 CPP, and 177 age-matched normal controls. The IPP and CPP were diagnosed by clinical examination and GnRH-stimulation test and confirmed by over 2 years' follow-up...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29468770/pessary-for-prevention-of-preterm-birth-in-twin-pregnancy-with-short-cervix-3-year-follow-up-study
#8
J van 't Hooft, J H van der Lee, B C Opmeer, A G van Wassenaer-Leemhuis, A L van Baar, D J Bekedam, L J P Steenis, S Liem, E Schuit, C Cuijpers, E Bleeker, M E Vinke, N Simons, I M de Graaf, B W J Mol, C van de Beek
OBJECTIVE: A recent randomized clinical trial (ProTWIN) showed that a cervical pessary prevented preterm birth and improved neonatal outcome in women with multiple pregnancy and cervical length (CL) < 38 mm. In this follow-up study, the long-term developmental outcome of these children was evaluated at 3 years' corrected age. METHODS: This was a follow-up study of ProTWIN, a multicenter trial conducted between 2009 and 2012 in which asymptomatic women with a multiple pregnancy were randomized to placement of a cervical pessary or no intervention...
May 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29461973/mid-pregnancy-cervical-length-as-a-risk-factor-for-cesarean-section-in-women-with-twin-pregnancies
#9
Su Jin Sung, Seung Mi Lee, Sohee Oh, Joo Hee Choi, Jee Yoon Park, Byoung Jae Kim, Joon Ho Lee, Chan-Wook Park, Joong Shin Park, Jong Kwan Jun
OBJECTIVE: It is well known that a short cervix at mid-pregnancy is a risk factor for spontaneous preterm birth in both singleton and twin gestations. Recent evidence also suggests that a long cervix at mid-pregnancy is a predictor of the risk of cesarean section (C/S) in singleton gestation. The purpose of this study was to determine whether a long cervix at mid-pregnancy was associated with an increased risk of C/S in women with twin pregnancies. METHODS: We enrolled 746 women pregnant with twins whose cervical length was measured by trans-vaginal ultrasonography at a mean of 22 weeks of gestation and who delivered in our institution...
February 20, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29456583/fetal-adrenal-gland-biometry-and-cervical-elastography-as-predictors-of-preterm-birth-a-comparative-study
#10
Shubhra Agarwal, Arjit Agarwal, Pawan Joon, Shalini Saraswat, Shruti Chandak
Background: Preterm birth is a major health problem in developing and developed countries leading to rising health care costs and long-term neurodevelopmental disability. The study aims to evaluate the role of new quantitative markers, like the elastography of cervix (shear wave speed estimation), fetal adrenal zone enlargement, and corrected fetal adrenal gland volume; in preterm birth prediction and analyze their relative importance. Thus, these markers may be beneficial in early preterm birth detection and prevent the related morbidities...
February 2018: Ultrasound: Journal of the British Medical Ultrasound Society
https://www.readbyqxmd.com/read/29447720/no-257-ultrasonographic-cervical-length-assessment-in-predicting-preterm-birth-in-singleton-pregnancies
#11
Kenneth Lim, Kimberly Butt, Joan M Crane
OBJECTIVES: To review (1) the use of ultrasonographic-derived cervical length measurement in predicting preterm birth and (2) interventions associated with a short cervical length. OUTCOMES: Reduction in rates of prematurity and/or better identification of those at risk, as well as possible prevention of unnecessary interventions. EVIDENCE: Published literature was retrieved through searches of PubMed and The Cochrane Library up to December 2009, using appropriate controlled vocabulary and key words (preterm labour, ultrasound, cervix, incompetent cervix, transvaginal, transperineal, cervical length, fibronectin)...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29446813/ultrasound-monitoring-of-cervical-length-in-twin-pregnancies
#12
Kaouther Dimassi, Ines Bouriel, Amel Triki, Ali Mrabet, Mohamed Faouzi Gara
BACKGROUND: Preterm delivery is the major cause of adverse outcomes in twin pregnancy.  A shortened cervix at 20-24 weeks of amenorrhea is a good predictor of preterm birth in asymptomatic patients. However, there are no recommendations for serial cervical length measurements for these high risk pregnancies. OBJECTIVES: To evaluate the benefits from monthly cervical length monitoring in asymptomatic twin pregnancies. METHODS: This was a prospective study...
March 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29422255/prevention-of-spontaneous-preterm-birth-universal-cervical-length-assessment-and-vaginal-progesterone-in-women-with-a-short-cervix-time-for-action
#13
EDITORIAL
Stuart Campbell
No abstract text is available yet for this article.
February 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29397279/cost-of-tobacco-related-cancer-hospitalizations-in-the-u-s-2014
#14
Eric W Tai, Gery P Guy, C Brooke Steele, S Jane Henley, Michael S Gallaway, Lisa C Richardson
INTRODUCTION: Smoking has been causally linked to 12 tobacco-related cancers: oral cavity and pharynx, esophagus, stomach, colon and rectum, liver, pancreas, larynx, lung, cervix, bladder, kidney, and acute myeloid leukemia. Tobacco-related cancers-related morbidity and mortality have been well described, but little is known about the prevalence of tobacco-related cancer hospitalizations and associated costs. This study estimates the annual number of tobacco-related cancer hospitalizations and their associated direct medical costs in the U...
April 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29374983/management-of-twin-twin-transfusion-syndrome-with-an-extremely-short-cervix
#15
Myrna S Aboudiab, Andrew H Chon, Lisa M Korst, Arlyn Llanes, Joseph G Ouzounian, Ramen H Chmait
The objective of this study was to describe the management and perinatal outcomes of patients with twin-twin transfusion syndrome (TTTS) and an extremely short cervical length (CL). This retrospective study examined 17 patients with TTTS and a preoperative CL ≤1.0 cm who had undergone laser surgery and perioperative cervical cerclage placement successfully. In this subset of patients, the median interval between surgery and delivery was 9.6 (range 2.1-13.9) weeks and only one patient had PPROM within 3 weeks of surgery...
April 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29374885/-clinical-outcome-of-therapeutic-cervical-cerclage-in-short-cervix-syndrome
#16
H L Wang, Z Yang, Y Shen, Q L Wang
Objective: To investigate the clinical effect of therapeutic cervical cerclage on short cervix syndrome for anti-premature birth in the second trimester. Methods: Totally 44 singleton pregnant patients were diagnosed as short cervix syndrome, which was cervical length ≤2.5 cm without cervical dilatation, and received treatment from January 2008 and July 2015 in Peking University Third Hospital were collected. Among them, 30 patients who received therapeutic cervical cerclage were defined as cerclage group and another 14 cases who received conservative treatment were defined as un-cerclage group...
January 25, 2018: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/29369336/economic-consequences-of-over-diagnosis-of-threatened-preterm-labor
#17
Marta Coloma, Fatima Kang, Laura Vallejo-Torres, Paloma Díaz, Yurena Méndez, Margarita Álvarez de la Rosa
OBJECTIVE: To investigate whether adherence to a cervical length-based protocol can reduce both unnecessary admissions and the socioeconomic costs associated with inappropriately admitted patients. METHOD: The present retrospective observational study included women admitted for threatened preterm labor (TPL) at 24-34 weeks of pregnancy to a tertiary hospital in the Canary Islands, 2009-2014. Data were reviewed from all patients admitted for TPL. Those with a long cervix (>25 mm) were classified as "inappropriate admissions", and both the economic burden based on diagnosis-related group (DRG) and the social costs associated with sick leave for these women were calculated...
January 25, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29363371/the-impact-of-cerclage-in-twin-pregnancies-on-preterm-birth-rate-before-32-weeks
#18
Michelle N Han, Betsy E O'Donnell, Melanie M Maykin, Juan M Gonzalez, Khalil Tabsh, Stephanie L Gaw
PURPOSE: To evaluate whether cerclage in twins reduces the rate of spontaneous preterm birth <32 weeks when compared to expectant management. METHODS: This is a retrospective cohort study of twin pregnancies with the following indications for cerclage from two institutions: history of prior preterm birth, ultrasound-identified short cervix ≤2.5 cm, and cervical dilation ≥1.0 cm. The "cerclage" cohort received a cerclage from a single provider at a single institution from 2003-2016...
January 23, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29343574/novel-human-polyomavirus-non-coding-control-regions-differ-in-bi-directional-gene-expression-according-to-host-cell-large-t-antigen-expression-and-clinically-occurring-rearrangements
#19
Elvis T Ajuh, Zongsong Wu, Emma Kraus, Fabian H Weissbach, Tobias Bethge, Rainer Gosert, Nicole Fischer, Hans H Hirsch
Human polyomavirus (HPyV) DNA genomes contain three regions denoted early viral gene region (EVGR) encoding the regulatory T-antigens and one microRNA, late viral gene region (LVGR) encoding the structural Vp capsid proteins, and non-coding control region (NCCR). The NCCR harbours the origin of viral genome replication and bi-directional promoter/enhancer functions governing EVGR- and LVGR-expression on opposite DNA strands. Despite principle similarities, HPyV-NCCRs differ in length, sequence, and architecture...
January 17, 2018: Journal of Virology
https://www.readbyqxmd.com/read/29305115/the-waterbirth-project-s%C3%A3-o-bernardo-hospital-experience
#20
Joyce C S Camargo, Vitor Varela, Fernanda M Ferreira, Lucila Pougy, Angela M Ochiai, Maria Elisabete Santos, Maria Catarina L R Grande
INTRODUCTION: The following quantitative observational study aimed to analyse the maternal and neonatal outcomes of 90 low-risk pregnant women who gave birth in water at São Bernardo Hospital. METHODS: A form containing information on the obstetric history of the parturient, the type of immersion, and the labour and birth follow-up was used by midwives to collect the data. BACKGROUND: The Apgar score (at 1min after birth) used in this study, called Aqua Apgar, was adapted by Cornelia Enning...
January 2, 2018: Women and Birth: Journal of the Australian College of Midwives
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