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Arch Acad Emerg Med 2020 15;8(1):e49. Epub 2020 Apr 15.

Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: The emergence and fast spread of 2019 novel coronavirus (2019-nCoV) threatens the world as a new public health crisis. This study aimed to clarify the impact of novel coronavirus disease (COVID-19) on pregnant patients and maternal and neonatal outcomes.

Methods: A comprehensive literature search was conducted in databases including PubMed, Scopus, Embase, ProQuest, and Science Direct. Read More

J Contin Educ Health Prof 2020 May 12. Epub 2020 May 12.

Dr. Hopwood: Associate Professor, School of International Studies and Education, University of Technology Sydney, Sydney, Australia, and Department of Curriculum Studies, Stellenbosch Universiteit, Stellenbosch, South Africa. Ms. Blomberg: Professor, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden, and Department of Obstetrics and Gynecology, Linköping University, Linköping, Sweden. Ms. Dahlberg: Senior Lecturer, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden. Ms. Abrandt Dahlgren: Professor in Medical Education, Department of Medicine and Health, Linko[Combining Diaeresis]ping University, Linko[Combining Diaeresis]ping, Sweden.

Introduction: Shoulder dystocia is a complex birth emergency where patient outcomes remain a concern. This article investigates the detailed processes of simulation-based continuing education in a hospital where evidence over 10 years demonstrates improvements in practitioner knowledge, enacted practices, and maternal and child outcomes.

Methods: Data were collected by video recording teams participating in a shoulder dystocia simulation and debrief. Read More

Aust Vet J 2020 May 12. Epub 2020 May 12.

Department of Jobs, Precincts and Regions, 475 Mickleham Road, Attwood, Victoria, 3049, Australia.

Objective: To describe the causes of death or culling in cattle in Victoria, Australia, through surveillance at knackeries.

Methods: Data were collected from 2797 adult cattle consigned to four Victorian knackeries over a 10-year period (2009-2018, inclusive). Cattle were sampled either at the point of collection or at a knackery. Read More

J Matern Fetal Neonatal Med 2020 May 12:1-6. Epub 2020 May 12.

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, affiliated with the Hebrew University School of Medicine, Jerusalem, Israel.

Shoulder dystocia (SD) is a risk factor for neonatal clavicular fracture (CF). Previous SD is a known risk factor for subsequent SD. It is unknown whether an isolated neonatal CF (one that is not associated with SD) increases the risk of future SD. Read More

Fertil Res Pract 2020 4;6. Epub 2020 May 4.

Department of Obstetrics, Gynecology and Women's Health, MU Institute for Women's Health Research, University of Missouri School of Medicine, 500 North Keene Street, Columbia, MO 65201 USA.

Eccentrically located intracavitary pregnancies, which include pregnancies traditionally termed as cornual and/or angular, have long presented complex diagnostic and management challenges given their inherent relationship to interstitial ectopic pregnancies. This review uses the existing literature to discriminate among interstitial, cornual, and angular pregnancies. Current arguments propose the outright abandonment of the terms cornual and angular may be justified in favor of the singular term, eccentric pregnancy. Read More

Mol Cytogenet 2020 6;13:15. Epub 2020 May 6.

2Institute of Reproduction and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, Hunan 410078 People's Republic of China.

Background: Apparently balanced chromosome rearrangements (ABCRs) in non-affected individuals are well-known to possess high reproductive risks such as infertility, abnormal offspring, and pregnancy loss. However, caution should be exercised in genetic counseling and reproductive intervention because cryptic unbalanced defects and genome structural variations beyond the resolution of routine cytogenetics may not be detected.

Case Presentation: Here, we studied two familial cases of ABCRs were recruited in this study. Read More

Anim Reprod 2019 Nov 18;16(4):846-852. Epub 2019 Nov 18.

Shiraz University School of Veterinary Medicine Department of Clinical Science Shiraz Iran Shiraz University, School of Veterinary Medicine, Department of Clinical Science, Shiraz, Iran.

In this study, 252,798 lactations on 108,077 cows in 433 herds were used to determine the association between gestation length (GL) and lactation performance, lactation curve, calf birth weight and dystocia in Holstein dairy cows in Iran. The GL averaged 278.1 ± 5. Read More

Vet World 2020 Mar 17;13(3):502-507. Epub 2020 Mar 17.

Department of Animal Health, Faculty of Natural and Agricultural Sciences, Mafikeng Campus, North-West University, Private Bag X 2046 Mmabatho 2735, South Africa.

Background And Aim: Hormones play a significant role in supporting reproductive processes. Predisposition to metabolic disorders may result from biological alterations in the neurohormonal system, thus leading to impaired immune function and poor reproductive performance. The aim of this study was to determine the reproductive hormonal profile in cows with reproductive conditions in semi-arid areas of the North West Province, South Africa, to establish possible correlations between different conditions and the hormonal profile. Read More

BMC Pregnancy Childbirth 2020 May 4;20(1):264. Epub 2020 May 4.

Department of Obstetrics and Gynecology and Reproductive Medicine, University Hospital of Poitiers, Poitiers, France.

Background: Guidelines and description about the achievement of the McRoberts manoeuvre are discordant, particularly concerning the need for abduction before the beginning of the manoeuvre. We sought to compare the biomechanical efficiency of the McRoberts' manoeuvre, with and without thigh abduction.

Methods: In a postural comparative study, twenty-three gravidas > 32 weeks of gestational age and not in labour were assessed during three repetitions of two McRoberts' manoeuvre that differed in terms of starting position. Read More

J Anim Sci 2020 May 4. Epub 2020 May 4.

Animal & Grassland Research and Innovation Centre, Teagasc, Moorepark, Fermoy, Co. Cork, Ireland.

Reducing the incidence of both the degree of assistance required at calving, as well as the extent of perinatal mortality has both economic and societal benefits. The existence of heritable genetic variability in both traits signifies the presence of underlying genomic variability. The objective of the present study was to locate regions of the genome, and by extension putative genes and mutations, that are likely to be underpinning the genetic variability in direct calving dystocia (DCD), maternal calving dystocia (MCD) and perinatal mortality (PM). Read More

World Dev 2020 Aug 30;132:104953. Epub 2020 Apr 30.

SURGP&D - Company for Research and Development in Medicine/Surgery, Brazil.

As countries turn wealthier, some health indicators, such as child mortality, seem to have well-defined trends. However, others, including cardiovascular conditions, do not follow clear linear patterns of change with economic development. Abnormal blood pressure is a serious health risk factor with consequences for population growth and longevity as well as public and private expenditure in health care and labor productivity. Read More

Best Pract Res Clin Obstet Gynaecol 2020 Apr 7. Epub 2020 Apr 7.

Effective Care Research Unit, University of the Witwatersrand/Fort Hare, Eastern Cape Department of Health, East London, South Africa.

The second stage of labor, from full cervical dilatation to complete birth of the baby or babies, constitutes the time of greatest risk for the baby. Birth attendants at all levels require training in the skills necessary to overcome difficulties that may arise unexpectedly during the second stage, particularly poor progress, shoulder dystocia, and breech birth. The mother should receive emotional support and encouragement to bear down instinctively when she feels the urge to do so, in the position she feels enables her to push most effectively, but not the supine position. Read More

R I Med J (2013) 2020 May 1;103(4):42-45. Epub 2020 May 1.

Warren Alpert Medical School of Brown University, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Providence, RI.

Background: Simulation in medical education is a well-accepted educational modality that allows for practice of high risk, low frequency events. The Obstetric Emergencies for Emergency Medicine course was developed to prepare trainees for challenging scenarios.

Methods: Six clinical scenarios were chosen: spontaneous vaginal delivery, neonatal resuscitation, pre- eclampsia, neonatal resuscitation with cardiopulmonary resuscitation (CPR), shoulder dystocia and postpartum hemorrhage. Read More

Clin Endocrinol (Oxf) 2020 Apr 29. Epub 2020 Apr 29.

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.

Objective: As only sparse data are available, we aimed to investigate whether needs for activated vitamin D and calcium supplements change in women with hypoparathyroidism during pregnancy and lactation and risk of pregnancy-related complications.

Design: Retrospective review of medical records.

Patients: Twelve Danish and Canadian patients with chronic hypoparathyroidism who completed 17 pregnancies. Read More

Int J Environ Res Public Health 2020 Apr 27;17(9). Epub 2020 Apr 27.

Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia.

Gestational diabetes (GDM) increases the risk of pregnancy complications. However, these risks are not the same for all affected women and may be mediated by inter-related factors including ethnicity, body mass index and gestational weight gain. This study was conducted to identify, compare, and critically appraise prognostic prediction models for pregnancy complications in women with gestational diabetes (GDM). Read More

Heliyon 2020 Apr 9;6(4):e03756. Epub 2020 Apr 9.

Department of Obstetrics, Cochin-Port-Royal Hospital, AP-HP, Paris Descartes University, DHU Risks in Pregnancy, 123 boulevard de Port-Royal, 75014, Paris, France.

Aims: to identify potentially modifiable risk factors associated with the persistency of macrosomia and/or shoulder dystocia in infants born to women treated for gestational diabetes mellitus (GDM).

Methods: this case-control retrospective study included 113 cases complicated by macrosomia (ponderal index ≥97 percentile) and/or shoulder dystocia, and 226 controls without these complications. Factors associated with macrosomia and/or shoulder dystocia and with failure of diabetes management were assessed by multivariable analyses. Read More

Rev Bras Ortop (Sao Paulo) 2020 Apr 9;55(2):139-146. Epub 2020 Jan 9.

Faculdade de Medicina, Universidade de Marília,, Marília, SP, Brasil.

Obstetric palsy is classically defined as the brachial plexus injury due to shoulder dystocia or to maneuvers performed on difficult childbirths. In the last 2 decades, several studies have shown that half of the cases of Obstetric palsy are not associated with shoulder dystocia and have raised other possible etiologies for Obstetric palsy. The purpose of the present study is to collect data from literature reviews, classic articles, sentries, and evidence-based medicine to better understand the events involved in the occurrence of Obstetric palsy. Read More

Zygote 2020 Apr 29:1-4. Epub 2020 Apr 29.

State University of Ceará, PO Box 60714-903, Fortaleza, Ceará, Brazil.

Two farms applying reproductive technology for the Nellore beef cattle were selected. Both farms had the same technology programme of oestrous synchronization and embryo transfer, but management was different, especially regarding twins pregnancies. In the present study, we followed the farms from the moment of oestrous synchronization, embryo transfer (two per cow), until delivery and first care of the calves. Read More

Am J Obstet Gynecol 2020 Apr 25. Epub 2020 Apr 25.

Integrated Research Center for Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University, School of Medicine, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Background: Ureaplasma parvum infection is a prevalent cause of intrauterine infection that is associated with preterm birth, preterm premature rupture of membranes, the fetal inflammatory response syndrome and adverse postnatal sequelae. Elucidation of diagnostic and treatment strategies for infection-associated preterm labor may improve perinatal and long-term outcomes for these cases.

Objective: This study assesses the effect of intra-amniotic Ureaplasma infection on fetal hemodynamic and cardiac function and the impact of maternal antibiotic treatment on these outcomes. Read More

J Obstet Gynaecol Res 2020 Apr 28. Epub 2020 Apr 28.

Obstetrics and Gynecology Department, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.

Aim: Extraction of the fetal body is typically performed immediately after delivery of the head in Western obstetric care. Reports justifying immediate extraction are few. Two-step delivery entails waiting for the next uterine contraction after delivery of the head. Read More

Medicina (Kaunas) 2020 Apr 23;56(4). Epub 2020 Apr 23.

Department of Gynecologic Oncology, Medical University Pleven, 5800 Pleven, Bulgaria.

Uterus didelphys is a rare form of congenital anomaly of the Müllerian ducts. The clinical significance of this anomaly of the female reproductive tract is associated with various reproductive issues: increased risk of preterm birth before 37 weeks' gestation, abnormal fetal presentation, delivery by caesarean section, intrauterine fetal growth restriction, low birth weight less than 2500 g, and perinatal mortality. We present three cases of uterus didelphys and full-term pregnancy, which resulted in favorable birth outcomes of live-born, full-term infants. Read More

Int J Mol Sci 2020 Apr 20;21(8). Epub 2020 Apr 20.

Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.

As the worldwide application of nanomaterials in commercial products increases every year, various nanoparticles from industry might present possible risks to aquatic systems and human health. Presently, there are many unknowns about the toxic effects of nanomaterials, especially because the unique physicochemical properties of nanomaterials affect functional and toxic reactions. In our research, we sought to identify the targets and mechanisms for the deleterious effects of two different sizes (~10 and ~50 nm) of amine-modified silver nanoparticles (AgNPs) in a zebrafish embryo model. Read More

Nutrients 2020 Apr 19;12(4). Epub 2020 Apr 19.

Department of Obstetrics & Gynecology, Emek Medical Center, Afula 1834111, Israel.

Lactobacilli administration has been suggested for the treatment and prevention of bacterial vaginosis, which increases the risk for preterm birth. We aimed to evaluate the vaginal colonization of lactobacilli orally administered to pregnant women at risk for preterm birth. We performed a randomized and controlled crossover study between January 2016 and May 2017. Read More

Curr Opin Anaesthesiol 2020 Jun;33(3):299-304

Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with The Hebrew University, Jerusalem, Israel.

Purpose Of Review: The prevalence of cesarean delivery is increasing worldwide despite the advance of Trial of Labor After Cesarean section. In many countries, a history of previous cesarean section is an almost absolute indication for a repeat cesarean section. The purpose of this review was to examine if the perioperative anesthetic management of patients with repeat cesarean section is different from the anesthetic management of patients with primary cesarean section. Read More

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

J Dairy Sci 2020 Jun 16;103(6):5575-5590. Epub 2020 Apr 16.

Department of Veterinary Clinical Science, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47907; Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign 61802. Electronic address:

An accurate, practical, and low-cost method for predicting parturition is urgently needed in the dairy industry. The objective of this study was to evaluate changes in plasma progesterone concentration ([prog]) and glucose concentration in whole blood ([gluc]) and plasma ([gluc]) as predictors of parturition within 6, 12, and 24 h in primiparous and multiparous Holstein cows. Blood samples were obtained daily at approximately 0900 h from 34 primiparous and 72 multiparous Holstein cows in late gestation and the time of calving recorded to the nearest hour. Read More

Aust N Z J Obstet Gynaecol 2020 04;60(2):E2-E3

Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

Aust N Z J Obstet Gynaecol 2020 04;60(2):E1

Obstetrics and Gynaecology, Nepean Hospital, Sydney, New South Wales, Australia.

J Obstet Gynaecol 2020 Apr 14:1-5. Epub 2020 Apr 14.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

This cohort study aimed to determine the association between false-positive 50-g GCT and incidence of LGA and to evaluate predictive roles of third-trimester ultrasonographic examination. A total of 200 women with false-positive 50-g GCT and 188 women without GDM risks were enrolled. Third-trimester ultrasonographic examinations were offered. Read More

Clin Exp Immunol 2020 Apr 11. Epub 2020 Apr 11.

Perinatology Research Branch, Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, US Department of Health and Human Services, Detroit, MI, USA.

Women who conceive at 35 years of age or older, commonly known as advanced maternal age, have a higher risk of facing parturition complications and their children have an increased risk of developing diseases later in life. However, the immunological mechanisms underlying these pathological processes have yet to be established. To fill this gap in knowledge, using a murine model and immunophenotyping, we determined the effect of advanced maternal age on the main cellular branch of adaptive immunity, T cells, at the maternal-fetal interface and in the offspring. Read More

J Pediatr Orthop 2020 Apr 7. Epub 2020 Apr 7.

Department of Orthopedic Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA.

Background: Prematurity is usually considered as a protective factor for brachial plexus birth injury (BPBI). However, BPBI can occur in the preterm infant, and can cause significant dysfunction and morbidity. There is scant literature regarding this subgroup of patients with BPBI. Read More

J Obstet Gynaecol Can 2020 Apr 5. Epub 2020 Apr 5.

Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, ON. Electronic address:

Objective: This review sought to examine the association of HbA levels <6.5% in early pregnancy with the subsequent development of gestational diabetes mellitus (GDM) and adverse pregnancy outcomes.

Methods: A search of Medline and EMBASE was conducted for the period of January 1, 2000 to July 9, 2019 and the terms: "gestational diabetes or pregnancy diabetes mellitus" and "glycosylated hemoglobin or glycated hemoglobin A" and "pregnancy trimester, first, or first-trimester pregnancy," "screening or prenatal screening," "prenatal diagnosis or early diagnosis or prediction," "retrospective studies or prospective studies. Read More

Curr Protein Pept Sci 2019 Jul 17. Epub 2019 Jul 17.

Department of Obstetrics & Gynecology, Santa Maria Hospital, GVM Care & Research, Bari. Italy.

Cureus 2020 Feb 27;12(2):e7116. Epub 2020 Feb 27.

Obstetrics and Gynaecology, San Paolo Hospital, Savona, ITA.

Pelvic mobility is the cornerstone of an adequate birth canal for safe childbirth, and midwives invite pregnant women to assume loading positions to facilitate delivery. Biomechanics asserts that pelvic space changes in shifting positions from erect to the squat position. The current standard practice in obstetrics and osteopathy provides a qualitative observational assessment of the dimension of Michaelis sacral rhombus in shifting positions; a previous report presented a clinical method and instrument to estimate the pelvic range of motion through finger contact on bone landmarks. Read More

J Obstet Gynaecol India 2020 Apr 13;70(2):138-144. Epub 2020 Jan 13.

4Consultant, Department of OBGYN, Sri Gokulam Hospital, Salem, Tamilnadu India.

Background: Prevalence of obesity among women of reproductive age is increasing worldwide. As the prevalence increases among the women of reproductive age group, so it does among pregnant females. This study was conducted with the aim to assess obesity-related adverse maternal, neonatal and perinatal outcomes using new Asian Indian guidelines. Read More

Placenta 2020 Apr 5;93:101-112. Epub 2020 Mar 5.

Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY, USA. Electronic address:

Introduction: Hydrallantois is the excessive accumulation of fluid in the allantoic cavities during the last trimester of pregnancy, leading to abdominal wall hernias, cardiovascular shock, abortion, and dystocia. It has been postulated that hydrallantois is associated with structural and/or functional changes in the chorioallantoic membrane. In the present study, we hypothesized that angiogenesis is impaired in the hydrallantoic placenta. Read More

J Pediatr Endocrinol Metab 2020 Apr;33(4):539-546

Department of Endocrinology and Genetic Metabolism disease, Chongqing Key Laboratory of Pediatrics, Chongqing Key Laboratory of Child Health and Nutrition, Chongqing, P.R. China; and Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation base of Child development and Critical Disorders, Children's Hospital of Chongqing Medical University, No. 136 Zhongshan ER Road, Chongqing 400014, P.R. China, Fax: +86-23-63622874.

Background Down syndrome (DS) is a common chromosomal disease resulting in neurodegeneration. Cognitive competence has been assessed among adults with DS using various methods because DS patients have a tendency to develop Alzheimer's disease (AD) after middle age. However, research describing cognitive assessments in DS children is not as many as in DS adults, let alone with regard to performed analyses to determine factors that predict cognitive assessments. Read More

BMC Med Educ 2020 Mar 31;20(1):97. Epub 2020 Mar 31.

Association of Schools and Programs of Public Health (ASPPH), 1900 M St NW Suite 710, Washington, DC, 20036, USA.

Background: Continuing education is essential for healthcare workers. Education interventions can help to maintain and improve competency and confidence in the technical skills necessary to address adverse events. However, characteristics of the health provider such as age (related to more critical and reflexive attitude); sex (relationship with gender socialization), profession and work conditions might have an influence on the effect of continuing education efforts. Read More

Case Rep Obstet Gynecol 2020 10;2020:8142109. Epub 2020 Mar 10.

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

Diabetes is associated with increased risk of stillbirth and shoulder dystocia. Compared with uncomplicated pregnancies, diabetic patients have a 4-6x risk of stillbirth and 2-3x risk of shoulder dystocia. A 34 yo G2P0010 presented with a 40+3 wga IUFD with nonstandard antenatal glucose screening. Read More

Gynecol Obstet Fertil Senol 2020 Mar 27. Epub 2020 Mar 27.

Service de Gynécologie et d'Obstétrique. Centre Hospitalier Princesse Grace, Monaco. Electronic address:

Objective: To assess the effect of a modified definition of dystocia and of a different timing of interventions during spontaneous labor on the rate of oxytocin use and on its consequences on labor outcome.

Methods: We compared oxytocin use and labor outcome before and after the introduction of a new protocol for the management of spontaneous labor. By protocol, oxytocin use and/or artificial rupture of the membranes was restricted to cases without progress in cervical dilatation for ≥ 1h and/or no progress of fetal descent for ≥ 1h at full dilatation. Read More

Theriogenology 2020 Jun 18;149:1-5. Epub 2020 Mar 18.

Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Via Sondrio, 2/a, Udine, Italy.

Because of the need to improve the knowledge about canine perinatology, and given the major role of fetal fluids in sustaining the course of pregnancy and fetal development, an in-depth analysis to better understand the role of some hormones in these compartments is essential. Among all, leptin is recognized to play a key role not only on the energetic homeostasis, but also at multiple levels, influencing the control of reproduction, food assumption and metabolism. Even if in humans and other species it is reported the presence of leptin receptors during fetal development, very little is known about the canine species, in which the role of leptin still needs to be fully understood. Read More

Am J Perinatol 2020 Mar 27. Epub 2020 Mar 27.

Department of Laboratory Medicine, Taizhou Women's and Children's Hospital, Zhejiang Province, China.

Objective:  In this study, our objective was to explore the relevant influencing factors of neonatal hypoxic-ischemic encephalopathy (HIE) in Southern China and provide scientific basis for improving the quality of life for neonates.

Study Design:  A retrospective analysis of 306 cases with HIE neonates who were admitted during April 2015 to October 2017 was conducted. A total of 306 non-HIE patients admitted to the same hospital during the same period were also included as controls. Read More

J Adv Vet Anim Res 2020 Mar 4;7(1):56-61. Epub 2019 Dec 4.

Department of Anatomy and Embryology, Faculty of Veterinary Medicine, Cairo University, Giza 12211, Egypt.

Objective: Current study aimed for documenting a rare case in buffalo calves in Egypt about embryogenesis anomalies followed by dystocia.

Material And Methods: The stillborn calf was preserved using Elnady technique. The twin was radio-graphed in ventrodorsal position and several digital images were taken due to large size of the twin and were stitched together using Adobe Photoshop. Read More

Int J Clin Exp Pathol 2020 1;13(2):302-306. Epub 2020 Feb 1.

Department of Laboratory Medicine, Fuzhou Municipal First Hospital Affiliated to Fujian Medical University Fuzhou 350009, Fujian Province, The People's Republic of China.

Background: Kabuki syndrome is a rare multiple congenital anomaly syndrome characterized by distinct facial features, intellectual disability, cardiovascular and musculoskeletal abnormalities, persistence of fetal fingertip pads, and postnatal growth deficiency. Currently, the diagnosis mainly depends on clinical manifestations and genetic testing. To date, there is no report on the identification Kabuki syndrome in fetuses using chromosomal microarray analysis (CMA). Read More

Midwifery 2020 Jun 26;85:102683. Epub 2020 Feb 26.

Midwifery Research and Education Unit, Hannover Medical School, Germany. Electronic address:

Objectives: The primary objective of this study was to examine the association between the first assessed cervical dilatation in a labourward and the use of oxytocin augmentation during labour. Further analysis was performed by examining the actual stage of labour at the point oxytocin was first administered to those women.

Design: Retrospective cohort study with the data collected from the medical records of the hospital. Read More

Eur J Obstet Gynecol Reprod Biol 2020 May 10;248:81-88. Epub 2020 Mar 10.

Department of Medicine and Surgery, Obstetrics and Gynaecology Unit, University of Parma, Parma, Italy. Electronic address:

Introduction: Fetal overgrowth is an acknowledged risk factor for abnormal labor course and maternal and perinatal complications. The objective of this study was to evaluate whether the use of antenatal ultrasound-based customized fetal growth charts in fetuses at risk for large-for-gestational age (LGA) allows a better identification of cases undergoing caesarean section due to intrapartum dystocia.

Material And Methods: An observational study involving four Italian tertiary centers was carried out. Read More

Cureus 2020 Feb 10;12(2):e6938. Epub 2020 Feb 10.

Obstetrics and Gynecology, King Abdulaziz University, Jeddah, SAU.

Background Thyroid disorder is common among pregnant women. Hashimoto thyroiditis is the most common etiology of hypothyroidism among pregnant women. Many studies showed that hypothyroidism during pregnancy has been associated with negative outcomes for the mother and for child as well including miscarriage, intrauterine growth retardation, preterm delivery and cognitive impairment in the offspring. Read More

Int J Environ Res Public Health 2020 03 16;17(6). Epub 2020 Mar 16.

Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

High-quality intrapartum care, including intermittent monitoring of fetal heart rates (FHR) to detect and manage abnormalities, is recommended by WHO and the Government of Tanzania (GoT) and creates potential to save newborn lives in Tanzania. Handheld Doppler devices have been investigated in several low-resource countries as an alternative to Pinard stethoscope and are more sensitive to detecting accelerations and decelerations of the fetal heart as compared to Pinard. This study assessed perspectives of high-level Tanzanian policymakers on facilitators and barriers to scaling up use of the hand-held Doppler for assessing FHR during labor and delivery. Read More

Rev Esc Enferm USP 2020 13;54:e03549. Epub 2020 Mar 13.

Departamento De Enfermagem, Universidade Federal Do Ceará, Fortaleza, CE, Brazil.

Objective: Identify the associations between perineal outcome in primiparas and interventions during labor and delivery, newborn weight and APGAR score.

Method: Document-based, correlational, retrospective, quantitative study conducted in a tertiary maternity hospital in the state of Ceará, between July 2017 and January 2018. The independent variables were labor induction, amniotomy, non-pharmaceutical methods for relieving pain, forceps, episiotomy, Kristeller maneuver, position in the expulsion stage, shoulder dystocia, and newborn weight and APGAR score, and the dependent variable was perineal outcome. Read More

J Am Board Fam Med 2020 Mar-Apr;33(2):189-197

From the Department of Family Medicine, University of Illinois, Chicago (EVF); Advocate Research Institute, Oaklawn, IL (KN); Advocate Christ Family Medicine Residency, Oak Lawn, IL (SMS).

Purpose: Excess weight gain during pregnancy is at epidemic proportions, and pregnancy complications are also on the rise. We sought to determine whether better weight gain counseling of expectant mothers will improve obstetric outcomes.

Methods: Our historic control study design included 2 years of preintervention data, then 6 months of physician and staff training in prenatal weight gain counseling in accordance with 2009 Institute of Medicine guidelines, and finally, 2 more years of data collection for postintervention outcomes. Read More