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Arch Gynecol Obstet 2019 Feb 15. Epub 2019 Feb 15.

Division of Obstetrics and Prenatal Medicine, Department of Medicine and Surgery (DIMEC) Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Purpose: To estimate the impact of increasing pre-pregnancy Body Mass Index (BMI) on the risk of adverse maternal and perinatal outcomes, in patients who delivered in an Italian tertiary care Obstetric department.

Methods: Data, related to women who delivered at Sant'Anna Hospital, Turin, between 2011 and 2015, were collected retrospectively from the hospital database. According to BMI, women were considered as normal weight, overweight, and class 1, 2 and 3 obese (WHO criteria). Read More

Matern Child Nutr 2019 Feb 14:e12797. Epub 2019 Feb 14.

OB/GYN Department, University of Cincinnati, Cincinnati, OH, USA.

This study compared predictors of breastfeeding non-initiation between infants who were and were not admitted to the NICU so that interventions can target high-risk mothers whose infants desperately need breastmilk. This was a population-based retrospective cohort study of singleton Ohio live births using birth certificates, 2006-2015. In babies who were and were not admitted to the NICU, a multivariable logistic regression model assessed the association between breastfeeding non-initiation and predictors relating to the mother, neonate, and labor and delivery events while adjusting for covariables. Read More

PLoS One 2019 13;14(2):e0212001. Epub 2019 Feb 13.

Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University, Umeå, Sweden.

Background: There is limited knowledge on the women's experiences of pregnancy-related complications in Rwanda. This study aimed to investigate women's experiences and perceptions of specific complications during pregnancy and delivery and the consequences of these complications on postpartum health and family situation.

Methods: Data were collected through individual in-depth interviews (N = 15). Read More

Aust N Z J Obstet Gynaecol 2019 Feb 12. Epub 2019 Feb 12.

Neonatal Paediatrics, Auckland District Health Board, Auckland, New Zealand.

Background: In 25% of affected babies, neonatal encephalopathy results from acute peripartum events, but rigorous review of these cases for quality improvement is seldom reported. New Zealand has maintained a national database of all babies diagnosed with Sarnat moderate and severe neonatal encephalopathy since 2010 under the Perinatal and Maternal Mortality Review Committee.

Aims: To determine the rate of contributory factors, potentially avoidable mortality or morbidity, and to identify key areas for improvements to maternity and neonatal care among cases of neonatal encephalopathy following an acute peripartum event. Read More

J Matern Fetal Neonatal Med 2019 Feb 10:1-11. Epub 2019 Feb 10.

a International Peace Maternity & Child Health Hospital , School of Medicine , Shanghai Jiao Tong University , Shanghai , China.

Objective: We aimed to evaluate the relationship between mode of first delivery with subsequent placenta previa, placenta accreta/increta and significant postpartum hemorrhage (PPH).

Method: This retrospective cohort study included women with two consecutive singleton deliveries between 2007-2017 at our institution if the women were nulliparous and delivered at term at the time of first delivery. The first pregnancy delivery mode was classified as (1) vaginal delivery, (2) antepartum caesarean delivery (CD) without labor, or (3) intrapartum CD after onset of labor. Read More

J Dairy Sci 2019 Feb 6. Epub 2019 Feb 6.

Animal Welfare Science Centre, Melbourne Veterinary School, University of Melbourne, Melbourne, Australia 3010.

Animal welfare assessments were conducted on 50 Australian pasture-based dairy farms of varying herd sizes: 16 small (<300 cows), 15 medium-sized (300-500 cows), 11 large (501-750 cows), and 10 very large (751+ cows). A protocol based on elements of Welfare Quality adapted for Australian conditions was developed to assess the broad categories of good feeding, housing, health, and appropriate behavior. Farm records, body condition scores, integument injuries, fecal plaques, avoidance distance of humans, and fecal pat scoring for acidosis assessment were undertaken. Read More

Acta Obstet Gynecol Scand 2019 Feb 8. Epub 2019 Feb 8.

Department of Clinical Science, University of Bergen, Norway.

Introduction: In most pregnancies after a cesarean section, a trial of labor is an option. The objective of the study was to explore trial of labor and its failure in pregnancies with medical risk conditions, in a population with a high trial of labor rate.

Material And Methods: In a cohort study (n=57 109), using data from the Medical Birth Registry of Norway 1989-2014, women with a second delivery after a first pregnancy cesarean section were included. Read More

J Trace Elem Med Biol 2019 Mar 14;52:136-142. Epub 2018 Dec 14.

Institute of Human Nutrition and Dietetics, Poznan University of Life Sciences, ul. Wojska Polskiego 31, 60-624 Poznań, Poland. Electronic address:

The aim of the study was to determine the correlations between body mass index (BMI) values before pregnancy and the concentrations of selected elements (Mg, Co, Cu, Zn, Sr, Cd, Ba, Pb, U, Ca, Cr, Al, Mn, V, Fe) in blood serum and amniotic fluid (AF) in pregnant women. Elemental analysis of serum and amniotic fluid in 225 Polish women (Caucasian/white) showed a relationship between the concentration of minerals in the above-mentioned samples and the pre-pregnancy BMI. Analysis of blood serum was performed by using ICP-MS and it demonstrated that iron concentration was significantly lower in overweight and obese women. Read More

J Clin Ultrasound 2019 Feb 6. Epub 2019 Feb 6.

Department of Anesthesiology and Intensive Care Medicine, Jagiellonian University Medical College, Cracow, Poland.

Purpose: Lung ultrasound (LUS) examination is used to evaluate patients with acute respiratory failure. The physiological LUS pattern during labor in healthy parturients has not been well described. The aim of this study was to evaluate the LUS pattern in a cohort of healthy women during uncomplicated labor. Read More

Acta Obstet Gynecol Scand 2019 Feb 5. Epub 2019 Feb 5.

Unit of Maternal-Fetal Medicine, Department of Obstetrics, Miguel Servet University Hospital, Zaragoza, Spain.

Introduction: The aim of this study was to compare the efficacy and safety of low-dose protocol of vaginal misoprostol and vaginal dinoprostone insert for induction of labor in women with post-term pregnancies.

Material And Methods: We designed a prospective, randomized, open-labeled, blinded for the end-point evaluators trial including women of at least 41 weeks of gestational age with uncomplicated singleton pregnancies and Bishop score lower than 6. They were randomized into dinoprostone or misoprostol groups in a 1:1 ratio. Read More

Vet Rec 2019 Feb 4. Epub 2019 Feb 4.

The Royal Veterinary College, Hatfield, UK.

Canine dystocia is a relatively common veterinary presentation. First opinion emergency care clinical data from 50 Vets Now clinics across the UK were used to explore dystocia management and outcomes in bitches. Caesarean section (CS) was performed on 341/701 (48. Read More

Am J Obstet Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Department of Obstetrics & Gynecology, Oregon Health & Science University.

Background: A growing body of evidence supports improved or not worsened birth outcomes with non-medically indicated induction of labor at 39 weeks compared to expectant management. This evidence includes two recent randomized control trials. However, concern has been raised as to whether these studies are applicable to a broader US pregnant population. Read More

BMC Pregnancy Childbirth 2019 Jan 30;19(1):52. Epub 2019 Jan 30.

Unit of Anesthesiology, Resuscitation and Pain Treatment, Clinic University Hospital, Valladolid, Spain.

Background: In regard to obstetrical analgesia management there are different results related to the use of epidural analgesia versus mechanical adverse outcomes at delivery.

Methods: Cohort study of 23,183 consecutive, term, singleton vaginal deliveries, including spontaneous and induced labours, at a single institution from January 2004 to June 2016 to determine the association between epidural analgesia and different mechanical complications affecting maternal health such as severe perineal tears (SPT), abnormal foetal head position at delivery, instrumental delivery and caesarean section (CS). Multivariate logistic regression models were constructed to evaluate the risk factors of these mechanical complications with respect to possible cofounders. Read More

J Matern Fetal Neonatal Med 2019 Jan 29:1-5. Epub 2019 Jan 29.

a Department of Obstetrics and Gynaecology , Our Lady of Lourdes Hospital , Drogheda , Ireland.

Objective: Shoulder dystocia is an obstetric emergency, occurring in 0.2-3% of vaginal deliveries. Research has mainly focused on the neonatal morbidity arising from shoulder dystocia, such as brachial plexus injury and hypoxic-ischemic encephalopathy. Read More

Vet Pathol 2019 Jan 27:300985818823776. Epub 2019 Jan 27.

6 Paragon Research and Analysis Ltd., Winnipeg, Manitoba, Canada.

Thirty-seven adult female moose ( Alces alces) from 2 distinct but adjacent populations in Elk Island National Park (EINP), Alberta, Canada (19 in north EINP and 18 in south EINP), were fitted with mortality-sensing VHF radio-collars, and radio signals were acquired daily to ascertain mortality status. At capture, serum, whole blood, and feces were collected; pregnancy was determined; teeth were aged by visual inspection; and a portion of liver was assessed by ultrasound examination. Postmortem examination was conducted on 20 suitable carcasses. Read More

Prev Med 2019 Mar 24;120:119-125. Epub 2019 Jan 24.

Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Seattle, WA 98101, USA.

STOP CRC is a cluster-randomized pragmatic study of a colorectal cancer (CRC) screening program within eight federally-qualified health centers (FQHCs) in Oregon and California promoting fecal immunochemical testing (FIT) with appropriate colonoscopy follow-up. Results are presented of a cost-effectiveness analysis of STOP CRC. Organization staff completed activity-based costing spreadsheets, assigning labor hours by intervention activity and job-specific wage rates. Read More

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address:

Purpose: Shoulder dystocia is the strongest known risk factor for brachial plexus birth palsy (BPBP). Fractures of the clavicle are known to occur in the setting of shoulder dystocia. It remains unknown whether a clavicle fracture that occurs during a birth delivery with shoulder dystocia increases the risk of BPBP or, alternatively, is protective. Read More

Am J Obstet Gynecol 2019 Jan 22. Epub 2019 Jan 22.

Mater Health and Mater Research, University of Queensland, Queensland, Australia.

Gestational diabetes mellitus is the most frequent medical complication of pregnancy, affecting 5-6% of women in the USA using the currently predominant Carpenter Coustan criteria, which still represent the preferred approach of the American College of Obstetricians and Gynecologists. Alternative criteria proposed by the International Association of Diabetes in Pregnancy Study Groups (IADPSG) would likely increase gestational diabetes (GDM) prevalence to 15 - 20%, due both to a one step testing policy and the requirement for only one elevated glucose value for diagnosis. Increasing GDM prevalence relates to older maternal age and the increasing prevalence of overweight and obesity. Read More

PLoS One 2019 23;14(1):e0211130. Epub 2019 Jan 23.

Department of Translational Medicine, Lund University, Skåne County Council, Malmö, Sweden.

Background: Flow cytometric platelet activation has emerged as an alternative diagnostic test for inherited platelet disorders. It is, however, labor intensive and few studies have directly compared the performance of flow cytometric platelet activation (PACT) to light transmission aggregometry (LTA). The aims of this study were 1/ to develop a simplified flow cytometric platelet activation assay using microtiter plates and 2/ to correlate the outcome to gold standard method LTA, and to clinical bleeding assessment tool scores (BAT score). Read More

J Matern Fetal Neonatal Med 2019 Jan 22:1-6. Epub 2019 Jan 22.

d Department of Gynecology and Obstetrics , Johns Hopkins University Hospital , Baltimore , MD , USA.

Background: Preeclampsia affects over 4% of pregnancies in the United States. Management of preeclampsia is dependent on the severity of the condition and can range from expectant management to early delivery and inpatient observation. After publication of the hypertension in Pregnancy Task Force guidelines in 2013, little is known about their implementation and acceptance by practicing obstetricians and maternal-fetal medicine (MFM) specialists. Read More

AJP Rep 2019 Jan 4;9(1):1-5. Epub 2019 Jan 4.

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

 Our objective was to compare persistence of neonatal brachial plexus palsy (NBPP) at 1 and 2 years in children of nulliparous versus parous women.  We conducted a retrospective cohort study of children diagnosed with NBPP followed at the University of Michigan, Interdisciplinary Brachial Plexus Program (UM-BPP). Self-reported demographics, delivery history, including birth weight (BW) < versus ≥ 9 lbs, and presence of shoulder dystocia (SD) were recorded. Read More

Am J Perinatol 2019 Jan 15. Epub 2019 Jan 15.

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

Objective:  To measure the association of fast food density (FFD) and supermarket density (SD) with adverse neonatal outcomes in pregnancies with gestational diabetes mellitus (GDM).

Study Design:  This was a retrospective cohort study of women with GDM who delivered at a tertiary care center in a large metropolitan area (1/2010-2/2016). ZIP codes were used to link women with surrounding food environment. Read More

Diabetes Metab Syndr 2019 Jan - Feb;13(1):84-88. Epub 2018 Aug 28.

Qatar Metabolic Institute, Hamad Medical Corporation, Doha, Qatar.

Aims: To study pregnancy outcomes in patients with type 1 diabetes mellitus (T1DM) and the factors associated with poor outcomes.

Methods: A retrospective study of 110 patients with T2DM who attended our diabetes in pregnancy clinic at the Women's Wellness and Research centre, Doha, between March 2015 and December 2016 and 1419 normoglycaemic controls.

Results: There was no difference in age, weight, and BMI between the two groups. Read More

Int J Eat Disord 2019 Feb 12;52(2):211-215. Epub 2019 Jan 12.

Department of Psychosomatic Medicine, Kohnodai Hospital, National Center for Global Health Medicine, Ichikawa City, Chiba, Japan.

Objective: There has been no report on portal hypertension related to anorexia nervosa (AN).

Method: We describe three cases of portal hypertension manifesting with collateral circulation represented by gastroesophageal varices in prolonged AN with laxative abuse and self-vomiting. These women, in their 20s to 50s, were diagnosed as having AN binging and purging type (AN-BP) that included self-induced vomiting and abuse of irritating laxatives (more than 100 tablets daily). Read More

Nature 2019 01;565(7739):297-298

J Neurol Sci 2019 Feb 4;397:150-154. Epub 2018 Dec 4.

Department of Neurology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.

Introduction: Research on neuromuscular disorders in sub-Saharan Africa is scarce. We aimed to delineate referral characteristics and the neuromuscular disorders observed among electrodiagnostic (EDX) consultations in a tertiary care setting in Zambia.

Methods: EDX records were reviewed for all specialist-performed studies after the establishment of the laboratory. Read More

Nature 2019 01 10;565(7739):372-376. Epub 2018 Dec 10.

Department of Biology, Stanford University, Stanford, CA, USA.

For more than 50 years, the methylation of mammalian actin at histidine 73 has been known to occur. Despite the pervasiveness of His73 methylation, which we find is conserved in several model animals and plants, its function remains unclear and the enzyme that generates this modification is unknown. Here we identify SET domain protein 3 (SETD3) as the physiological actin His73 methyltransferase. Read More

Am J Obstet Gynecol 2019 Feb 25;220(2):191.e1-191.e7. Epub 2018 Oct 25.

Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. Electronic address:

Background: A low rate of primary cesarean delivery is expected to reduce some of the major complications that are associated with a repeat cesarean delivery, such as uterine rupture, adhesive placental disorders, hysterectomy, and even maternal death. Since 2014, and in alignment with the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine, we changed our approach to labor dystocia, defined as abnormal progression of labor, by allowing a longer duration of the second stage of labor.

Objective: To examine the effect of prolonging the second stage of labor on the rate of cesarean delivery, and maternal and neonatal outcomes. Read More

Afr Health Sci 2018 Jun;18(2):235-243

Laboratory of Physiology/Pharmacology, Faculty of Sciences, University of Lomé-Togo.

Background: () leaves were used in Togolese folk to treat dystocia, expel placenta and manage post-partum hemorrhage during child birth.

Objectives: This study aimed to establish how the extract of leaves increase uterine smooth muscle contractions relevant to its traditional use to facilitate child birth.

Methods: Tests were performed on uterus muscle strips from Sprague-Dawley rats. Read More

J Zoo Wildl Med 2018 Dec;49(4):1007-1011

Computed tomography (CT)-guided percarapacial ovocentesis in an Eastern box turtle ( Terrapene carolina) was performed after medical management failed to resolve dystocia related to an irregular, oversized egg (38 × 30 × 35 mm). A 2.38-mm Steinmann pin was drilled through the carapace at the dorsal aspect of the seventh marginal scute, allowing introduction of an 18-ga needle through the carapace and oviduct into the egg using CT guidance. Read More

Nagoya J Med Sci 2018 Nov;80(4):583-589

Department of Orthopedic Surgery, Chubu Rosai Hospital, Japan Labor Health and Welfare Organization, Nagoya, Japan.

To evaluate the sagittal alignment and range of motion (ROM) of the cervical spine during cervical flexion and extension ,using multi-detector-row-computed tomography (MDCT) in asymptomatic subjects.Understanding the normal alignment and range of motion of the cervical spine is very important while evaluating patients with cervical spine instability and abnormal alignment. Several reports using plain radiographic data have assessed the alignment and ROM of the cervical spine during flexion and extension. Read More

Zhonghua Yi Xue Za Zhi 2018 Dec;98(47):3864-3867

Department of Obstetrics and Gynecology of the second hospital of Jilin University, Changchun 130041, China.

To study the relationship between the intracardiac echogenic foci and the abnormal chromosome and the changes of Cardiac function. A total of 2645 cases with the gestational age between 14 to 22 weeks were tested in the department of gynecology and obstetrics of the Second Hospital of Jilin University from Jan.2016 to Dec. Read More

Acta Vet Hung 2018 Dec;66(4):613-624

1 University of Veterinary Science, Department and Clinic for Production Animals , H-2225 Üllő, Dóra major , Hungary.

The authors monitored the postpartum period during the first seven weeks after calving at a Holstein-Friesian dairy farm in Hungary. Calvings occurred between 2013 and 2015 in three periods from June to November each year (n = 314). Data were collected from the farm record and ultrasonographic examinations were performed between 22 to 28 and 43 to 49 days in milk (DIM), respectively. Read More

Am J Obstet Gynecol 2018 Dec 18. Epub 2018 Dec 18.

Department of Neonatology, Princess Amalia Department of Pediatrics, Isala, Zwolle, The Netherlands.

Background: Antenatal detection of intrauterine growth restriction remains a major obstetrical challenge, with the majority not detected before birth. In these undetected infants, the diagnosis must be made after birth. Clinicians use birthweight charts to identify infants as small-for-gestational-age if their birthweights are below a pre-defined threshold for gestational age. Read More

Aust N Z J Obstet Gynaecol 2018 Dec 21. Epub 2018 Dec 21.

Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.

Background: Prolonged second stage of labour is known to be associated with higher caesarean section rates. However, the association between prolonged second stage of labour (PSSL) and adverse neonatal outcomes remains contradictory. The aim of this study was to assess the association between prolonged second stage of labour and obstetric and neonatal outcomes. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Feb 13;233:53-57. Epub 2018 Dec 13.

Qatar Metabolic Institute, Hamad Medical Corporation, Doha, Qatar.

Objectives: To study the pregnancy outcomes in women with type 2 diabetes mellitus (T2DM) and to relate these to maternal risk factors.

Methods: We conducted a retrospective study of 419 women with T2DM (index group)- who attended our diabetes in pregnancy clinic at the Hamad Women's Hospital, Doha, between March 2015 and December 2016 -and 1419 normoglycaemic women (control group).

Results: Compared with the controls, T2DM women were older (mean age 34. Read More

Arch Gynecol Obstet 2018 Dec 18. Epub 2018 Dec 18.

Department of Obstetrics and Gynecology, Rambam Health Care Campus, Bnai-Zion Medical Center, Haifa, Israel Affiliated to the Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Purpose: To assess whether there is an association between predicted fetal macrosomia and adverse outcomes in macrosomic newborns (> 4000 g), based on a sonographic evaluation up to 2 weeks prior to delivery.

Methods: A retrospective cohort study of 3098 mothers of macrosomic babies who were delivered at our institution (2000-2015). We compared the management and outcomes of women with predicted fetal macrosomia with that of women with unknown fetal macrosomia. Read More

Semin Pediatr Neurol 2018 12 20;28:3-16. Epub 2018 Jun 20.

Department of Physiology, The Fetal Physiology and Neuroscience Group, The University of Auckland, Auckland, New Zealand; Department of Paediatrics, Starship Children's Hospital, Auckland, New Zealand. Electronic address:

Electronic fetal heart rate (FHR) monitoring is widely used to assess fetal well-being throughout pregnancy and labor. Both antenatal and intrapartum FHR monitoring are associated with a high negative predictive value and a very poor positive predictive value. This in part reflects the physiological resilience of the healthy fetus and the remarkable effectiveness of fetal adaptations to even severe challenges. Read More

Clin Epidemiol 2018 26;10:1765-1772. Epub 2018 Nov 26.

Section of Epidemiology, Department of Public Health, University of Copenhagen, Copenhagen, Denmark,

Purpose: Synthetic oxytocin for labor augmentation during birth has been linked to negative neurodevelopment effects in children. We examined whether maternal labor augmentation was associated with lower cognitive ability in young adulthoods.

Patients And Methods: We identified 330,107 individuals (96. Read More

Ann Saudi Med 2018 Nov-Dec;38(6):445-449

Frieda Elsje Dreyer, Department of Obstetrics and Gynaecology,, Sunderland Royal Hospital,, Sunderland SR4 7TP, United Kingdom, T: +44 0191 565 6256, ORCID: http://orcid.org/0000-0002.0997-9919.

Placental steroid sulphatase deficiency (SSD) is an X-linked inborn error of metabolism. Congenital X-linked ichthyosis (XLI) is a genetic disorder of keratinisation caused by steroid sulphatase (STS) deficiency, which results in a scaling skin condition in male infants shortly after birth. It may be associated with failed induction of labor and prolonged labor leading to cesarean delivery due to 'cervical dystocia'. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Feb 3;233:1-5. Epub 2018 Dec 3.

Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Finland.

Objective: Erythropoietin - a hormone regulating erythropoiesis - is a biomarker of chronic fetal hypoxia. High erythropoietin levels in fetal plasma and amniotic fluid are associated with increased risk of adverse neonatal outcome. Since the risk of perinatal morbidity and mortality is increased in pregnancies beyond 41 gestational weeks, we evaluated erythropoietin levels in amniotic fluid and umbilical cord serum in apparently low-risk term (≥ 37 gestational weeks) and prolonged pregnancies (≥ 41 gestational weeks) with labor induction. Read More

Front Vet Sci 2018 21;5:292. Epub 2018 Nov 21.

Department of Production Animal Health, University of Calgary Faculty of Veterinary Medicine, Calgary, AB, Canada.

Calves that have undergone a dystocia are often hypoxic and acidemic, which can result in reduced vigor and subsequent mortality. Methods of field resuscitation of apneic newborn calves are often ineffective and therefore underutilized. This proof-of-concept study aimed to determine the efficacy of the laryngeal mask airway (LMA) as well as the current industry standard method of ventilation, the McCulloch Calf Aspirator/ Resuscitator (MMR) for positive pressure ventilation of neonatal calves. Read More

Int J Womens Health 2018 9;10:723-732. Epub 2018 Nov 9.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg, Canada,

Shoulder dystocia can lead to death or brain damage for the baby. Traction on the head can damage the brachial plexus. The diagnosis should be made when the mother cannot push the shoulders out with her own efforts with the next contraction after delivery of the head. Read More

Front Pediatr 2018 16;6:327. Epub 2018 Nov 16.

Department of Pediatrics, School of Medicine, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.

Rapid, precise diagnosis of Epstein-Barr virus-associated T lymphocyte or natural killer cell lymphoproliferative diseases is clinically important to prevent disease progression and avoid fatal outcomes for patients. In addition to detecting increased copy numbers of Epstein-Barr virus, identification of the lymphocyte subpopulation targeted by the virus infection is crucial to reaching the final diagnosis. However, these procedures are laborious and require large amounts of sample. Read More

Diabetes Metab 2018 Nov 28. Epub 2018 Nov 28.

Paris 13 university, Sorbonne Paris Cité, AP-HP, Jean-Verdier hospital, department of obstetrics and gynecology, Bondy, France.

Aims: In addition to screening for hyperglycaemia during pregnancy after 24 weeks of gestation (WG), the current guidelines also suggest screening in early pregnancy and referring women with early gestational diabetes mellitus (eGDM) or overt diabetes (OD) for immediate care. Our aim was to evaluate this strategy.

Methods: This study evaluated, at our hospital (2012-2016), whether the incidence of a predefined composite outcome (preeclampsia, large-for-gestational-age infant, shoulder dystocia) and secondary outcomes was different when women were screened only after 22WG ('late screening only') or before 22WG and treated for eGDM or OD if present, with repeat screening after 22WG if absent ('early ± late screening'). Read More

Acta Obstet Gynecol Scand 2018 Dec 4. Epub 2018 Dec 4.

Clinical and Population Perinatal Health Research, Northern Sydney Local Health District, Kolling Institute, Sydney, NSW, Australia.

Introduction: There is debate about optimal management of pregnancies with a large-for-gestational age baby. A recent randomized controlled trial reported that early term induction of labor reduced cesarean section rates and infant morbidity. However, long term childhood outcomes have not been assessed. Read More

Theriogenology 2019 Feb 23;125:310-316. Epub 2018 Nov 23.

Società Veterinaria "Il Melograno" Srl, Sesto Calende, Varese, Italy. Electronic address:

A different incidence of neonatal complications has been reported in several species according to the duration of the various labour stages and the type of delivery. Trauma associated with dystocia may result in the release of neonatal catecholamines and cortisol that negatively affect neonatal metabolism, thus survival. Aim of the present study was to assess how the first-week neonatal outcome is affected by a different management of parturition. Read More

Mymensingh Med J 2018 Oct;27(4):723-729

Dr Mrinal Kanti Das, Assistant Registrar, Department of Paediatrics, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh.

Complication of perinatal asphyxia is a major cause of neonatal mortality & morbidity in developing countries. This comparative cross sectional study was conducted in Mymensingh Medical College Hospital, Mymensingh, Bangladesh from May 2012 to September 2012 to determine electrolytes & renal function status in perinatal asphyxia & their impact on outcome. Thirty term normal birth weight babies with perinatal asphyxia in neonatal ward were included as a case group and thirty term normal birth weight neonates of same gestational age, without perinatal asphyxia in the department of Gynae & Obs were enrolled as a control group. Read More

Lipids Health Dis 2018 Nov 24;17(1):266. Epub 2018 Nov 24.

Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.

Background: Abnormal lipid levels have been suggested as a mechanism leading to atherosclerosis of the lumbar vessels, resulting in low back pain (LBP). This study examined whether abnormal lipid levels were associated with LBP among middle-aged adults in Japan.

Methods: The present study included adults between 40 and 64 years old who underwent an annual health checkup. Read More