430 results match your criteria AJP reports[Journal]


Risk Factors for Postpartum Maternal Infection Following Spontaneous Vaginal Delivery Complicated by Chorioamnionitis.

AJP Rep 2020 Apr 15;10(2):e159-e164. Epub 2020 May 15.

Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.

 Guidelines for the management of chorioamnionitis include intrapartum antibiotics, while postpartum antibiotics after spontaneous vaginal delivery (SVD) are reserved high-risk women. Our objective is to describe the incidence of and risk factors for postpartum infection after SVD complicated by chorioamnionitis.  This is a retrospective study of SVDs with clinically diagnosed chorioamnionitis at a single center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1709983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228805PMC

Antibiotic Prophylaxis Trials in Obstetrics: A Call for Pediatric Collaboration.

AJP Rep 2020 Apr 15;10(2):e155-e158. Epub 2020 Apr 15.

Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York.

Surgical site infections are common complications of cesarean delivery. Many recent studies, including meta-analyses, have assessed the efficacy of antibiotic prophylaxis. Those articles have demonstrated that preincision antibiotic prophylaxis reduces the incidence of surgical site infections postcesarean, and that the use of adjunctive azithromycin further reduces infection after nonelective cesarean deliveries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1709513DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159977PMC

Applying a Prediction Model for Vaginal Birth after Cesarean to a Latina Inner-City Population.

AJP Rep 2020 Apr 15;10(2):e148-e154. Epub 2020 Apr 15.

Department of Maternal-Fetal Medicine, Adventist Health White Memorial Medical Center, Los Angeles, California.

 The Maternal-Fetal Medicine Units (MFMU) Network developed a prediction model for calculating the likelihood of successful vaginal birth after cesarean (VBAC) in patients undergoing a trial of labor after cesarean (TOLAC). In this prediction model, Latina ethnicity is considered a negative predictive factor for successful VBAC. Subsequent studies have found mixed results regarding VBAC success in Latina ethnicity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1708493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159979PMC

Perinatal Hypophosphatasia in a Premature Infant.

AJP Rep 2020 Apr 15;10(2):e139-e147. Epub 2020 Apr 15.

Department of Pediatrics, University at Buffalo, Buffalo, New York.

A premature male infant was delivered at 32 weeks' gestation due to category-2 fetal tracing after preterm labor. The physical exam showed shortened and bowed long bones, with calvarium felt in small area of the head. Serum alkaline phosphatase was very low on admission. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1709512DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159980PMC

The Carit Maneuver: A Novel Approach for the Relief of Shoulder Dystocia-A Case Series.

AJP Rep 2020 Apr 15;10(2):e133-e138. Epub 2020 Apr 15.

Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey, Monterrey, Nuevo León.

 The main purpose of this article is to describe the technique and mechanism of action of a novel intervention for the relief of shoulder dystocia we are labeling Carit maneuver.  We report a cohort study of eight cases of shoulder dystocia not relieved by the combination of McRobert's maneuver and suprapubic pressure treated with the Carit maneuver. This intervention involves the use of the fetal head and neck as the grasping point of the fetus to exert a ventral rotation of the fetal trunk, reduce the bi-acromial diameter, and deliver the posterior shoulder by passive displacement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1708498DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159978PMC

Peritoneovaginal Fistula and Appendicitis-Related Pelvic Abscess in Pregnancy.

AJP Rep 2020 Apr 15;10(2):e129-e132. Epub 2020 Apr 15.

Department of Obstetrics and Gynecology, NYU Langone Health, New York, New York.

Appendicitis in pregnancy is the most common nonobstetric surgical emergency. Pregnancy causes changes in anatomy, which could lead to uncertainty regarding the diagnosis of appendicitis. This case report describes a case of appendicitis presenting with peritoneovaginal fistula in a pregnant woman in the second trimester, with interesting finding of isolated appendiceal endometriosis on pathology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1708849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159981PMC

Hepatitis C Virus Infection in Children and Pregnant Women: An Updated Review of the Literature on Screening and Treatments.

AJP Rep 2020 Jan 31;10(1):e121-e127. Epub 2020 Mar 31.

Hepatology Unit, A.O.U. Policlinico-Vittorio Emanuele, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

 The aim of the paper is to review the current information relating to the diagnosis and treatment of hepatitis C virus (HCV) infection in pregnant women and children, particularly those infected by mother-to-child transmission.  A review of published literature was performed to identify relevant articles published between January 2015 and March 2019 on: HCV infection in pregnant woman, mother-to child-transmission of HCV and HCV infection in pediatrics. The results of the evaluation of the different studies were summarized in two sections describing separately the screening and effective treatments in pregnant women and children. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1709185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108952PMC
January 2020

Smith-Lemli-Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report.

AJP Rep 2020 Jan 31;10(1):e118-e120. Epub 2020 Mar 31.

Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.

Based on the known carrier frequency of Smith-Lemli-Opitz's syndrome (SLOS), the prevalence of this disease should be significantly higher than what is observed in the population. This may be due to a higher rate of pregnancy loss in affected embryos. Here, we present the case of a couple who underwent expanded carrier screening (ECS) after experiencing three first trimester pregnancy losses. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1705131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108949PMC
January 2020

Unique Clinical and Histological Features of Placental Mesenchymal Dysplasia Complicated by Severe Preeclampsia in the Midtrimester.

AJP Rep 2020 Jan 28;10(1):e113-e117. Epub 2020 Mar 28.

Department of Obstetrics and Gynecology, Nippon Medical School Hospital, Tokyo Japan.

Detailed clinical and pathological features of placental mesenchymal dysplasia (PMD) complicated by preeclampsia (PE) are unknown. A 39-year-old nulliparous woman was referred at 19 weeks gestation. Ultrasound examination identified a fetus with severe growth restriction (-2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1709186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102899PMC
January 2020

Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review.

AJP Rep 2020 Jan 19;10(1):e106-e112. Epub 2020 Mar 19.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.

 Bakri intrauterine balloon (BIUB) placement is an effective treatment for postpartum hemorrhage (PPH). This study aims to evaluate the risk of infection during BIUB placement.  Data for all deliveries (  = 2,144) at our institution between January 2014 and March 2018 were retrospectively reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1708487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082208PMC
January 2020

How Reliable Is a Statewide Prescription Monitoring Program for Identifying Post-Cesarean Opioid Use?

AJP Rep 2020 Jan 19;10(1):e101-e105. Epub 2020 Mar 19.

Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

 This study was aimed to estimate the percentage of women taking opioids post-cesarean who could be detected in a state prescription monitoring program (PMP) and characteristics of those not able to be detected.  This observational cohort study included all women with an Illinois address who delivered via cesarean section and used opioids within 24 hours prior to discharge at a tertiary care hospital between August 21, 2017 and March 1, 2018. The Illinois PMP was queried for presence of an opioid prescription filled within the first 3 months postpartum. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1708492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082207PMC
January 2020

Electronic Fetal Monitoring Credentialing Examination: The First 4000.

AJP Rep 2020 Jan 16;10(1):e93-e100. Epub 2020 Mar 16.

Perinatal Quality Foundation, Department of Obstetrics and Gynecology, Miller Children's and Women's Hospital, University of California, Irvine, California.

 Recognized variability in fetal heart rate interpretation led the Perinatal Quality Foundation (PQF) to develop a credentialing exam. We report an evaluation of the 1st 4000 plus PQF Fetal Monitoring Credentialing (FMC) exams.  The PQF FMC exam is an online assessment for obstetric providers and nurses. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1705141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075713PMC
January 2020

Abortion for Fetal Genetic Abnormalities: Type of Abnormality and Gestational Age at Diagnosis.

AJP Rep 2020 Jan 16;10(1):e87-e92. Epub 2020 Mar 16.

Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, New York.

 Advances in genetic screening can identify patients at high risk for common genetic conditions early in pregnancy and can facilitate early diagnosis and early abortion. Less common abnormalities might only be diagnosed with invasive testing is performed after structural abnormalities are identified.  Our objective was to compare gestational age (GA) at diagnosis and abortion for genetic abnormalities identified based on screening with abnormalities that were not discovered after screening. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1705173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075712PMC
January 2020

Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count.

AJP Rep 2020 Jan 9;10(1):e78-e86. Epub 2020 Mar 9.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

 The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi.  We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015.  Of the 14,792 births captured, 19. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1708491DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7062552PMC
January 2020

Metabolomic Pathways Predicting Labor Dystocia by Maternal Body Mass Index.

AJP Rep 2020 Jan 4;10(1):e68-e77. Epub 2020 Mar 4.

Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Emory University, Atlanta, Georgia.

 The purpose of this study was to evaluate the metabolic pathways activated in the serum of African-American women during late pregnancy that predicted term labor dystocia.  Matched case-control study (  = 97; 48 cases of term labor dystocia and 49 normal labor progression controls) with selection based on body mass index (BMI) at hospital admission and maternal age. Late pregnancy serum samples were analyzed using ultra-high-resolution metabolomics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1702928DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056397PMC
January 2020

Clinical Utility of Weekly Laboratory Testing in the Outpatient Management of Preeclampsia and Gestational Hypertension.

AJP Rep 2020 Jan 4;10(1):e62-e67. Epub 2020 Mar 4.

Department of Obstetrics and Gynecology, LSU Health Shreveport, Shreveport, Louisiana.

 To investigate the utility of obtaining weekly laboratory testing in patients managed as an outpatient for gestational hypertension and preeclampsia without severe features.  A multisite retrospective cohort study was performed evaluating preterm women diagnosed with gestational hypertension/preeclampsia managed in an outpatient setting between gestational ages of 23 and 36 . Patients were divided into two groups: weekly laboratory evaluation (laboratories group) and a no laboratories group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1702935DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056391PMC
January 2020

Perinatal Oral Health: A Novel Collaborative Initiative to Improve Access, Attitudes, Comfort Level, and Knowledge of Pregnant Women and Dental Providers.

AJP Rep 2020 Jan 4;10(1):e54-e61. Epub 2020 Mar 4.

A. T. Still University Arizona School of Dentistry & Oral Health, Mesa, Arizona.

 The objectives of this program were to increase access to dental care among pregnant women and to improve dental students' exposure, comfort level, and knowledge of the potential impact of poor oral health on pregnancy outcomes.  Through collaborative efforts of a School of Dentistry and a School of Medicine, the Oral Health Pregnancy Day Initiative (OHPDI) was developed. Dental students were educated on the impact poor oral health may have on pregnancy outcomes and the importance of access to care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1702927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056404PMC
January 2020

Safety and Feasibility of Intravenous Paracetamol for Patent Ductus Arteriosus in Indomethacin-/Ibuprofen-Resistant or -Contraindicated Preterm Infants: A Case Series.

AJP Rep 2020 Jan 4;10(1):e49-e53. Epub 2020 Mar 4.

Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.

 Although indomethacin and ibuprofen are the standard treatments for hemodynamically significant patent ductus arteriosus (hsPDA), they are associated with renal impairment and gastrointestinal complications. Paracetamol for hsPDA closure does not provoke a peripheral vasoconstrictive effect and seems to have effects similar to those of indomethacin and ibuprofen. We have previously reported the safety of low-dose (7. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1702945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056395PMC
January 2020

Persistence and Extent of Neonatal Brachial Plexus Palsy: Association with Number of Maneuvers and Duration of Shoulder Dystocia.

AJP Rep 2020 Jan 4;10(1):e42-e48. Epub 2020 Mar 4.

Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.

 The main objective of this article is to determine if persistence of neonatal brachial plexus palsy (NBPP) following shoulder dystocia was associated with maneuvers used or duration of impacted shoulder.  Retrospective review of children with NBPP and documented shoulder dystocia. Student -tests and chi-squared tests were used to compare outcomes when shoulder dystocia resolved with > 3 versus ≤ 3 maneuvers or duration > versus ≤ 120 seconds. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1705140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056399PMC
January 2020

Is Early Amniotomy Associated with Higher Likelihood of Vaginal Birth after Cesarean?

AJP Rep 2020 Jan 4;10(1):e37-e41. Epub 2020 Mar 4.

Division of Maternal Fetal Medicine, Department of OBGYN, Duke University, Durham, North Carolina.

 The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact of early amniotomy on VBAC success. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1702924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056400PMC
January 2020

Early Onset Severe Hypertensive Disease in Pregnancy and Screening for Antiphospholipid Syndrome.

AJP Rep 2020 Jan 4;10(1):e32-e36. Epub 2020 Mar 4.

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California.

 Although preterm delivery (PTD) before 34 weeks for severe hypertensive disease is a diagnostic criterion for antiphospholipid syndrome (APS), there is no consensus regarding testing for antiphospholipid antibodies (aPL) in this setting. We aim to describe the frequency of and the characteristics associated with inpatient aPL testing in this population.  In this retrospective study of PTD before 34 weeks for severe hypertensive disease, charts were reviewed for aPL testing, gestational age at delivery, fetal complications, and severity of maternal disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1702926DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056392PMC
January 2020

Antenatal Screening for Group B Streptococcus in the Setting of Preterm Premature Rupture of Membranes: Empiric versus Culture-based Prophylaxis.

AJP Rep 2020 Jan 11;10(1):e26-e31. Epub 2020 Feb 11.

Northwestern University Feinberg School of Medicine, Chicago, Illinois.

 Imperfect culture sensitivity and increase of early onset neonatal sepsis (EONS) risk in preterm neonates raise concern that culture-based intrapartum antibiotic prophylaxis (IAP) may be insufficient after preterm premature rupture of membranes (PPROM). Our objective was to compare rates of EONS after empiric versus culture-based IAP in PPROM.  This retrospective cohort study included women with a singleton gestation and PPROM between 23 and 33 weeks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3401807DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012646PMC
January 2020

Time Has Come for Routine Penicillin Allergy Testing in Obstetrics.

AJP Rep 2020 Jan 4;10(1):e15-e19. Epub 2020 Feb 4.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

 This study evaluates penicillin allergy during pregnancy to estimate the proportion that could benefit from penicillin allergy testing.  Retrospective cohort study of women with penicillin allergy that delivered from January 1, 2018 to December 31, 2018.  Among 6,321 deliveries, 446 (7%) were identified with penicillin allergy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3401801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000251PMC
January 2020

Predicting Preeclampsia with Noninvasive Measures of Endothelial Dysfunction: A Pilot Study.

AJP Rep 2020 Jan 27;10(1):e20-e25. Epub 2020 Jan 27.

Department of Cardiology, Maimonides Medical Center, Heart & Vascular Institute, Brooklyn, New York.

 This study evaluates the assessment of endothelial function and its prediction for preeclampsia among women with high-risk factors.  A prospective cohort study of 107 pregnant women at 20 weeks or greater gestation with risk factors for developing preeclampsia. Endothelial dysfunction was assessed using peripheral arterial tonometry by generating a reactive hyperemia index (RHI) score. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3401806DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984953PMC
January 2020

Perinatal Management of Bart's Hemoglobinopathy: Paradoxical Effects of Intrauterine, Transplacental, and Partial Exchange Transfusions.

AJP Rep 2020 Jan 27;10(1):e11-e14. Epub 2020 Jan 27.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California.

We describe a fetus at 24 weeks' gestation that showed ultrasound evidence of anemia, hydrops, and severe growth restriction. Both parents were known to be cis heterozygous carriers for SEA α-thalassemia deletion (αα/-). Cordocentesis confirmed fetal anemia and homozygous α-thalassemia (-/-) in the fetus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3401799DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984954PMC
January 2020

Is Video Laryngoscopy the Optimal Tool for Successful Intubation in a Neonatal Simulation Setting? A Single-Center Experience.

AJP Rep 2020 Jan 27;10(1):e5-e10. Epub 2020 Jan 27.

Johns Hopkins University School of Education, Baltimore, Maryland.

 Endotracheal intubation is a skill required for resuscitation. Due to various reasons, intubation opportunities are decreasing for health care providers.  To compare the success rate of video laryngoscopy (VL) and direct laryngoscopy (DL) for interprofessional neonatal intubation skills in a simulated setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3400970DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984956PMC
January 2020

A Case Study of Puerperal Group A Streptococcal Infection Complicated by Toxic Shock Syndrome.

AJP Rep 2020 Jan 27;10(1):e1-e4. Epub 2020 Jan 27.

Department of Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, Washington.

Puerperal infection with group A streptococcus (GAS), , is associated significant morbidity and mortality. When associated with toxic shock syndrome (TSS), mortality rates rise to approximately 50%. We present the case of a 32-year-old Para 2 reporting severe left distal lower extremity pain, fevers, and chills at 1 week following an uncomplicated vaginal delivery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697648DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984955PMC
January 2020

Erratum: Erratum: Adverse Pregnancy Outcomes in Women with Sickle Cell Trait.

AJP Rep 2019 10 14;9(4):e389. Epub 2020 Jan 14.

Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Oakland, California.

[This corrects the article DOI: 10.1055/s-0039-1695743.]. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1701199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6960017PMC
October 2019

External Cephalic Version in Cases of Imminent Delivery at Preterm Gestational Ages: A Prospective Series.

AJP Rep 2019 Oct 31;9(4):e384-e388. Epub 2019 Dec 31.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, The University of Arizona, Tucson, Arizona.

 When delivery of a breech fetus is required at a preterm gestational age, Cesarean delivery is often recommended. We performed a prospective patient series to assess the success rate and safety of performing external cephalic version (ECV) procedures on preterm fetuses as an alternative to Cesarean delivery.  We performed a prospective clinical series of patients who required delivery with a malpresenting fetus at a preterm gestational age. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3401800DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938458PMC
October 2019

Mechanical Properties of the Every Second Matters for Mothers-Uterine Balloon Tamponade (ESM-UBT) Device: In Vitro Tests.

AJP Rep 2019 Oct 5;9(4):e376-e383. Epub 2019 Dec 5.

Division of Global Health Innovation, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts.

 Postpartum hemorrhage (PPH) is the most common cause of maternal mortality and morbidity worldwide, most of which occurs in resource-poor settings. Placement of a uterine balloon may be life-saving in uncontrolled PPH. The Every Second Matters for Mothers-Uterine Balloon Tamponade (ESM-UBT) device is an ultra-low-cost uterine balloon designed for global access. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894953PMC
October 2019

Spontaneous Remission of Sick Sinus Syndrome in a Fetus with Pulmonary Stenosis Regurgitation.

AJP Rep 2019 Oct 19;9(4):e372-e375. Epub 2019 Nov 19.

Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.

 Here, we report a case of fetal sick sinus syndrome (SSS) caused by pulmonary stenosis regurgitation (PSR) that spontaneously resolved during pregnancy.  A 29-year-old woman was referred to our hospital at 21 weeks of gestation for persistent fetal bradycardia. Fetal echocardiography revealed PSR and ventricular septal defect (VSD). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695745DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864496PMC
October 2019

Pyelonephritis in Pregnancy: Relationship of Fever and Maternal Morbidity.

AJP Rep 2019 Oct 19;9(4):e366-e371. Epub 2019 Nov 19.

Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, Virginia.

 To evaluate the relationship between maternal fever at the time of hospital admission and subsequent maternal morbidity in pregnant patients with pyelonephritis.  In this retrospective cohort study, inpatient records were reviewed for all obstetric patients discharged from a single tertiary care hospital between June 1, 2011, and May 30, 2017, with the diagnosis of pyelonephritis. Patients were stratified into two groups, those with and without fever at the time of admission. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864490PMC
October 2019

Impact of Preclinical Labor and Delivery Shadowing on Student Perceptions of Obstetrics and Gynecology as a Specialty and Possible Career: A Prospective Cohort.

AJP Rep 2019 Oct 19;9(4):e361-e365. Epub 2019 Nov 19.

Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina.

 The purpose of this study was to determine the impact of preclinical shadowing on student interest and perceptions of obstetrics and gynecology (OBGYN).  We enrolled a prospective cohort of preclinical medical students who shadowed on labor and delivery (L&D). Students sent electronic surveys a week prior (presurvey), the week after (postsurvey), and three months after shadowing (far-survey). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864504PMC
October 2019

Postnatal Amelioration of Fetal Right Ventricular Hypoplasia Associated with Large Eustachian Valve: A Case Report.

AJP Rep 2019 Oct 19;9(4):e357-e360. Epub 2019 Nov 19.

Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.

In fetuses, the Eustachian valve directs oxygenated blood returning from the inferior vena cava into the left atrium via the foramen ovale. If too large, the Eustachian valve can restrict right ventricular inflow, as well as induce postnatal cyanosis via an interatrial right-to-left shunt. We report a fetal case of postnatal amelioration of the tricuspid valve and right ventricle hypoplasia, despite significant right ventricular hypoplasia associated with a large Eustachian valve. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3400317DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864494PMC
October 2019

Antenatal Magnesium Sulfate Exposure and Hemodynamically Significant Patent Ductus Arteriosus in Premature Infants.

AJP Rep 2019 Oct 14;9(4):e353-e356. Epub 2019 Nov 14.

Division of Pediatric Cardiology, University of Texas Medical Branch, Galveston, Texas.

 The use of antenatal magnesium sulfate (MgSO ) has been associated with neuroprotective effects. One of its' proposed mechanisms of action includes antagonism of calcium channels. Calcium influx is important for closure of ductus arteriosus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3400316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855924PMC
October 2019

Deciduoma, a Large Intrauterine Mass of Deciduosis.

AJP Rep 2019 Oct 14;9(4):e337-e340. Epub 2019 Nov 14.

Department of Obstetrics and Gynecology, Albany Medical Center, Albany, New York.

Deciduosis is the presence of ectopic decidual tissue outside the uterus, pelvic, or abdominal organs usually associated with pregnancy. It usually presents as smaller lesions but can be larger vascular lesions. Typically, these masses are detected incidentally during operative procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697647DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855926PMC
October 2019

Adverse Pregnancy Outcomes in Women with Sickle Cell Trait.

AJP Rep 2019 10 11;9(4):e346-e352. Epub 2019 Nov 11.

Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Oakland, California.

 To compare adverse pregnancy outcomes between women with sickle cell trait (SCT) and women with normal hemoglobin.  A retrospective cohort study of women who delivered within Kaiser Permanente Northern California between 2006 and 2013. Using hemoglobin electrophoretic profiles, we defined women with hemoglobin AS (HbAS) as having SCT and those with hemoglobin AA (HbAA) as having normal hemoglobin. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6847694PMC
October 2019

Role of Maternal Thyroid-Stimulating Immunoglobulin in Graves' Disease for Predicting Perinatal Thyroid Dysfunction.

AJP Rep 2019 Oct 11;9(4):e341-e345. Epub 2019 Nov 11.

Department of Obstetrics and Gynecology, Albany Medical Center, Albany, New York.

 To assess maternal thyroid-stimulating immunoglobulin (TSI) as a predictor of neonatal thyroid hyperthyroidism in pregnancies complicated by Graves' disease.  This is a 10-year retrospective study of patients with a history of Graves' disease and elevated TSI activity level defined as 1.3 times the normal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1694035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6847696PMC
October 2019

Trend of Cesarean Section Rates and Correlations with Adverse Maternal and Neonatal Outcomes: A Secondary Analysis of Thai Universal Coverage Scheme Data.

AJP Rep 2019 Oct 30;9(4):e328-e336. Epub 2019 Oct 30.

Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

 The main purpose of this article is to estimate the trend and projection of cesarean section rates (CSRs) and explore correlations between CSRs with adverse maternal and perinatal outcomes, namely maternal mortality ratios (MMRs), rates of postpartum hemorrhage (PPH), neonatal mortality rates (NMRs), and birth asphyxia per 1,000 live births across all regions of Thailand.  A secondary analysis of the hospital-based database of pregnant women and newborns under the Thai Universal Coverage Scheme between January 2009 and December 2017 was conducted.  Overall annual CSR significantly increased from 23. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821536PMC
October 2019
1 Read

Factors Associated with Attempted External Cephalic Version for Fetal Malpresentation at Term.

AJP Rep 2019 Oct 15;9(4):e323-e327. Epub 2019 Oct 15.

Department of Obstetrics & Gynecology, Warren Alpert Medical School of Brown University, Women & Infants Hospital of Rhode Island, Providence, Rhode Island.

 To assess differences in patient characteristics between women who did and did not undergo attempted external cephalic version (ECV) for fetal malpresentation at term.  This was a retrospective cohort study of women with a singleton gestation and noncephalic presentation at > 37.0 weeks between October 2014 and October 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794123PMC
October 2019
1 Read

Universal versus Risk-Based Management of Unknown Group B Streptococcus Status at Term.

AJP Rep 2019 Jul 30;9(3):e315-e322. Epub 2019 Sep 30.

School of Medicine, University of Nevada, Las Vegas, Las Vegas, Nevada.

 This article estimates and compares public health costs of universal versus risk-based intrapartum antibiotic prophylaxis (IAP) administration for women with unknown Group B streptococcus (GBS) status at term.  The annual number of women in the U.S. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695744DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768794PMC
July 2019
1 Read

The Accuracy of Group Beta Rectovaginal Cultures at 35 to 37 Weeks of Gestation in Predicting Colonization Intrapartum.

AJP Rep 2019 Jul 23;9(3):e302-e309. Epub 2019 Sep 23.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Mount Sinai West, Icahn School of Medicine at Mount Sinai, New York, New York.

 This study aims to investigate accuracy of group beta (GBS) rectovaginal cultures at 35 to 37 weeks in predicting intrapartum colonization.  Institutional review board (IRB) approved prospective cohort study of 302 women from October 2015 to May 2017. Patients had the following tests for GBS: first trimester urine culture, rectovaginal culture at 35 to 37 weeks, and intrapartum rectovaginal culture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756915PMC
July 2019
2 Reads

Two Extremely Low Birth Weight Infants Who Survived Functional Pulmonary Atresia with Normal Intracardiac Anatomy.

AJP Rep 2019 Jul 19;9(3):e310-e314. Epub 2019 Sep 19.

Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Saitama, Japan.

For the first time, we report about two extremely low birth weight infants who were born at 25 and 22 weeks' gestation and who survived functional pulmonary atresia (fPA) with normal intracardiac anatomy. A slow, reflected, and bimodal blood flow pattern in the pulmonary artery (both cases) and the presence of pulmonary regurgitation (1 case) were useful for diagnosing fPA. Timely use of lipo-prostaglandin E1 to maintain adequate pulmonary flow and reduce pulmonary arterial resistance and sodium bicarbonate to improve acidosis were effective treatments to attain forward flow. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697960DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753005PMC
July 2019
1 Read

Fetomaternal Bleeding and Neonatal Hematocrit following Cesarean Delivery: Routine versus Transplacental Transection.

AJP Rep 2019 Jul 19;9(3):e298-e301. Epub 2019 Sep 19.

Department of Obstetrics & Gynecology, Maternal-Fetal Medicine, University of Tennessee Medical Center, Knoxville, Tennessee.

 To evaluate fetomaternal bleeding following routine cesarean delivery compared with cesarean delivery involving transplacental transection.  A prospective cohort study evaluating cesarean delivery in which the placenta was transected (cases) versus controls (placenta not transected) from January 2016 to April 2018. A maternal Kleihauer-Betke's (KB) test and newborn hematocrit were performed shortly after delivery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753006PMC
July 2019
1 Read

Postpartum Patient Navigation and Postpartum Weight Retention.

AJP Rep 2019 Jul 10;9(3):e292-e297. Epub 2019 Sep 10.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology of Northwestern University, Chicago, Illinois.

 This study aimed to evaluate postpartum weight retention (PPWR) among women who participated in a postpartum patient navigation (PN) program.  English-speaking pregnant or postpartum women receiving publicly-funded prenatal care at a hospital-based clinic were invited to receive PN services through 12 weeks postpartum. Women were eligible for this analysis if height and weight values were available. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1694700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736666PMC

Lasting Effects of Intrauterine Exposure to Preeclampsia on Offspring and the Underlying Mechanism.

Authors:
Hui Qing Lu Rong Hu

AJP Rep 2019 Jul 10;9(3):e275-e291. Epub 2019 Sep 10.

Department of Obstetrics, Hospital of Obstetrics and Gynecology, Fudan University, Shanghai, China.

Preeclampsia is a common pregnancy complication which can have adverse impact on both mother and baby. In addition to the short term effects, a large body of epidemiological evidence has found preeclampsia can exert long-lasting effects on mother and offspring. Studies suggest that offspring exposed to preeclampsia are at a higher risk of developing cardiovascular, metabolic, and neurological diseases, as well as other diseases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736667PMC
July 2019
1 Read

Population-Based Estimation of Dental Caries and Periodontal Disease Rates of Gravid and Recently Postpartum Women in Lilongwe, Malawi.

AJP Rep 2019 Jul 20;9(3):e268-e274. Epub 2019 Aug 20.

Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas.

 The objective of this study was to determine the rate of dental caries and periodontal disease among gravid and recently postpartum women at five delivery centers within and surrounding Lilongwe, Malawi.  We partnered with obstetric specialists, community health workers, and dentists to perform dental history interviews and dental examinations during the study period from December 2012 to May 2014. Dental examinations were performed according to World Health Organization standards to assess periodontal and oral health status. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702028PMC
July 2019
2 Reads

A Study of the Diagnostic Accuracy of an Existing Multivariable Test to Predict Shoulder Dystocia.

AJP Rep 2019 Jul 20;9(3):e262-e267. Epub 2019 Aug 20.

Department of Obstetrics and Gynecology, UNC School of Medicine, Wilmington Campus, Wilmington, North Carolina.

 To evaluate the diagnostic accuracy of a multivariable prediction model, the Shoulder Screen (Perigen, Inc.), and compare it with the American College of Obstetricians and Gynecologists (ACOG) guidelines to prevent harm from shoulder dystocia.  The model was applied to two groups of 199 patients each who delivered during a 4-year period. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693162
Publisher Site
http://dx.doi.org/10.1055/s-0039-1693162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702026PMC
July 2019
3 Reads

Rupture of a Type B Aortic Dissection in a Postpartum Patient with Marfan Syndrome.

AJP Rep 2019 Jul 20;9(3):e256-e261. Epub 2019 Aug 20.

Department of Obstetrics and Gynecology, Irvine Medical Center, University of California, Orange, California.

 Pregnant women with Marfan syndrome (MFS) are known to be at increased risk of aortic dissection; however, cases of aortic rupture are extremely rare. There is lack of consensus on the exact site and size of aortic diameter measurement that increases this risk, and whether this applies to both Type A and Type B dissections.  A 23-year-old G2P1001 with known Marfan syndrome who underwent an uncomplicated antepartum and intrapartum course. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1692712DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702027PMC
July 2019
1 Read

Perinatal Pyogenic Liver Abscess: A Rare Entity and First Reported Case of .

AJP Rep 2019 Jul 20;9(3):e251-e255. Epub 2019 Aug 20.

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Madigan Army Medical Center, Tacoma, Washington.

 Pyogenic liver abscess (PLA) is a rare clinical entity, occurring in ∼2.3 per 100,000 patients. Perinatal PLA syndromes are exceedingly rare with just seven previously described cases in the literature and no prior Klebsiella-associated reports. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1692713DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702024PMC
July 2019
2 Reads