21,065 results match your criteria Abortion Complications


Abortion in women with Down syndrome.

J Intellect Disabil Res 2020 Jul 9. Epub 2020 Jul 9.

Department of Special Education, University of Fribourg, Fribourg, Switzerland.

Background: Nearly two-thirds of pregnancies in women with Down syndrome (DS) end in abortion. The aim of the present study was to determine if these high abortion rates might relate to specific characteristics of women with DS, their life situation and the course of pregnancy.

Methods: In a sample of 351 pregnancies in Switzerland (1998 to 2009), women with DS were compared with women with other forms of intellectual disability (ID) and women without ID, regarding the type of abortion, personal characteristics and pregnancy complications that might increase the probability of abortion. Read More

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http://dx.doi.org/10.1111/jir.12761DOI Listing

Count data regression modeling: an application to spontaneous abortion.

Reprod Health 2020 Jul 8;17(1):106. Epub 2020 Jul 8.

Department of Mathematics, Indian Institute of Technology (IIT) Bombay, Mumbai, India.

Background: In India, around 20,000 women die every year due to abortion-related complications. In count data modeling, there is sometimes a prevalence of zero counts. This article is concerned with the estimation of various count regression models to predict the average number of spontaneous abortions among women in Punjab and few northern states in India. Read More

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http://dx.doi.org/10.1186/s12978-020-00955-2DOI Listing

Homelessness, housing instability, and abortion outcomes at an urban US abortion clinic.

Am J Obstet Gynecol 2020 Jul 5. Epub 2020 Jul 5.

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

Background: Adverse reproductive health outcomes are well-documented among people experiencing homelessness and housing instability. Little is known about abortion outcomes among this population.

Objective: To investigate the relationship between housing status and abortion outcomes, and whether gestational age mediates this relationship. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.07.002DOI Listing

Maternal and neonatal outcomes among pregnant women with different polycystic ovary syndrome phenotypes: A cross-sectional study.

Int J Reprod Biomed (Yazd) 2020 May 31;18(5):339-346. Epub 2020 May 31.

Shahid Sadougui Hospital, Shahid Sadougui University of Medical Sciences, and Health Services, Yazd, Iran.

Background: Pregnancy is a process associated with various metabolic and hormonal changes, and polycystic ovary syndrome (PCOS) can affect this process.

Objective: This study aimed to evaluate and compare the maternal and neonatal outcomes among pregnant women with different polycystic ovary syndrome phenotypes.

Materials And Methods: In this cross-sectional study, 200 pregnant women with PCOS according to the 2003 ESHRE/ASRM criteria were categorized into four phenotype groups (A-D). Read More

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http://dx.doi.org/10.18502/ijrm.v13i5.7154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306059PMC

Proportion of Acute Transfusion Reaction and Associated Factors Among Adult Transfused Patients at Felege Hiwot Compressive Referral Hospital, Bahir Dar, Northwest Ethiopia: A Cross-Sectional Study.

J Blood Med 2020 30;11:227-236. Epub 2020 Jun 30.

Department of Hematology & Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Introduction: Acute transfusion reactions are adverse events occurring within 24 hrs of transfusion and cause simple-to-severe complications. They may vary with the blood component transfused and recipient factors. In Ethiopia, there is a limited evidence about the incidence and associated factors of transfusion reactions. Read More

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http://dx.doi.org/10.2147/JBM.S250653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335267PMC

Detection of chromosomal abnormalities in spontaneous miscarriage by low‑coverage next‑generation sequencing.

Mol Med Rep 2020 Aug 3;22(2):1269-1276. Epub 2020 Jun 3.

Institute of Antibody Engineering, School of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China.

Chromosomal abnormalities (CAs) can cause spontaneous miscarriage and increase the incidence of subsequent pregnancy loss and other complications. Presently, CAs are detected mainly by array comparative genomic hybridization (CGH) and single nucleotide polymorphism microarrays. The present study developed a low‑coverage next‑generation sequencing method to detect CAs in spontaneous miscarriage and assess its clinical performance. Read More

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http://dx.doi.org/10.3892/mmr.2020.11208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339674PMC

What does informal access to misoprostol in Colombia look like? A mystery client methodology in Bogotá and the Coffee Axis.

BMJ Sex Reprod Health 2020 Jul 5. Epub 2020 Jul 5.

Research Area, Fundación Oriéntame, Bogotá, Colombia.

Introduction: In 2006, abortion was decriminalised in Colombia under certain circumstances. Yet, women avail themselves of ways to terminate pregnancy outside of the formal health system. This study explored how drug sellers engage with women who attempt to purchase misoprostol from them. Read More

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http://dx.doi.org/10.1136/bmjsrh-2019-200572DOI Listing

Obstetric hemorrhage in resource-limited locations: A quality improvement project after adoption of abdominopelvic compression devices.

Int J Gynaecol Obstet 2020 Jul 2. Epub 2020 Jul 2.

Department of Surgery, Porgera District Hospital, Enga Province, Papua New Guinea.

Objective: To evaluate obstetric hemorrhage outcomes and present data specific to adoption of pneumatic circumferential abdominopelvic compression devices.

Methods: Two resource-limited locations added low-cost pneumatic compression devices to their standard protocols for obstetric hemorrhage between 2010 and 2019. Providers in rural Nepal and Papua New Guinea used devices that incorporated a bicycle tube or soccer ball ("Ball and Binder") to provide abdominopelvic pressure after all available routine treatments had failed. Read More

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http://dx.doi.org/10.1002/ijgo.13291DOI Listing

Childbirth, Puerperium and Abortion Care Protocol during the COVID-19 Pandemic.

Rev Bras Ginecol Obstet 2020 Jun 30;42(6):349-355. Epub 2020 Jun 30.

Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

The new coronavirus (severe acute respiratory syndrome-related coronavirus 2, SARS-CoV-2) is a virus that causes a potentially serious respiratory disease that has spread in several countries, reaching humans in all age groups, including pregnant women. The purpose of this protocol is to provide technical and scientific support to Brazilian obstetricians regarding childbirth, postpartum and abortion care during the pandemic. Read More

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http://dx.doi.org/10.1055/s-0040-1713587DOI Listing

"My Hands Are Tied": Abortion Restrictions and Providers' Experiences in Religious and Nonreligious Health Care Systems.

Perspect Sex Reprod Health 2020 Jun 29. Epub 2020 Jun 29.

Department of Family Medicine, University of Chicago.

Context: Abortion is generally prohibited in Catholic hospitals, but less is known about abortion restrictions in other religiously affiliated health care facilities. As religiously affiliated health systems expand in the United States, it is important to understand how religious restrictions affect the practices of providers who treat pregnant patients.

Methods: From September 2016 to May 2018, in-depth interviews were conducted with 31 key informants (clinical providers, ethicists, chaplains and health system administrators) with experience working in secular, Protestant or Catholic health care systems in Illinois. Read More

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http://dx.doi.org/10.1363/psrh.12148DOI Listing

Reproductive health of Roma women in Slovakia.

Cent Eur J Public Health 2020 Jun;28(2):143-148

Regional Authority of Public Health, Banska Bystrica, Slovakia.

Objective: In most indicators of the way of life, the Roma community is generally different from the majority population and dominant culture. The objective of the study was to describe factors affecting the health of the Roma living in Slovakia, with an emphasis on the sexual and reproductive health of Roma women, and report on the results of analysis of high-risk pregnancies of Roma women in the district of Rimavská Sobota, Slovakia.

Methods: A retrospective study of medical documentation was used. Read More

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http://dx.doi.org/10.21101/cejph.a5817DOI Listing

Expectant management and live birth outcomes for male balanced-translocation carriers: Two case reports and a literature review.

Medicine (Baltimore) 2020 Jun;99(26):e20894

Rationale: Couples with male balanced-translocation carriers may experience recurrent pregnancy loss (RPL). Although the expectant management of RPL has developed over many years, genetic counseling for RPL couples with male balanced-translocation carriers remains challenging. Here, we describe the expectant management of 2 male carriers of balanced translocations. Read More

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http://dx.doi.org/10.1097/MD.0000000000020894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328998PMC

Pregnancy Outcomes of Wives of Chemical and Non-Chemical Weapons Exposed Veterans in Ahvaz, Iran: A Retrospective Cohort Study.

Prehosp Disaster Med 2020 Jun 25:1-5. Epub 2020 Jun 25.

Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Background: Sulphur mustard (HD) is a lipophilic caustic alkylating vesicant (blister agent) that has mutagenic and carcinogenic effects. Among the studied perturbations are long-term genitourinary (GU) and fertility effects. Approximately 50,000 Iranian soldiers and civilians were exposed to HD during the Iraq-Iran war (1980-1989). Read More

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http://dx.doi.org/10.1017/S1049023X2000076XDOI Listing

Emergency hormonal contraception in adolescence.

Rev Assoc Med Bras (1992) 2020 Apr;66(4):472-478

Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT), Fundação Oswaldo Cruz (FIOCRUZ) - Rio de Janeiro, RJ, Brasil.

Objective: To analyze the degree of knowledge of Brazilian adolescents regarding emergency contraception (EC) such as correct administration, frequency of use, efficacy, mechanism of action, adverse effects, and complications.

Methods: Cross-sectional study. Adolescents aged 11-19 years answered a questionnaire containing questions about sexuality, knowledge, and use of EC. Read More

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http://dx.doi.org/10.1590/1806-9282.66.4.472DOI Listing

Induced Second Trimester Abortion and Associated Factors at Debre Markos Referral Hospital: Cross-Sectional Study.

Womens Health (Lond) 2020 Jan-Dec;16:1745506520929546

The Australian Centre for Public and Population Health Research (ACPPHR), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.

Background: Although most induced abortions in Ethiopia are performed in the first trimester, many women will still require second trimester abortions. While access to abortion in Ethiopia is limited, few data are being available concerning the demand for and associated outcomes of second trimester abortions. This knowledge is important for planning the health service response to abortion. Read More

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http://dx.doi.org/10.1177/1745506520929546DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315676PMC

Induced abortion: a cross-sectional study on knowledge of and attitudes toward the new abortion law in Maputo and Quelimane cities, Mozambique.

BMC Womens Health 2020 Jun 19;20(1):129. Epub 2020 Jun 19.

International Centre for Reproductive Health (ICRH), Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

Background: Maternal mortality, of which 6.7% is attributable to abortion complications, remains high in Mozambique. The objective of this paper is to assess the level of induced abortion at the community, as well as to assess awareness of and attitudes towards the new abortion law among women of reproductive age in suburban areas of Maputo and Quelimane cities. Read More

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http://dx.doi.org/10.1186/s12905-020-00988-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304116PMC

Environmental persistence of equid herpesvirus type-1.

Equine Vet J 2020 Jun 17. Epub 2020 Jun 17.

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.

Background: Equid herpesvirus type 1 (EHV-1) is ubiquitous in equine populations causing respiratory disease, and complications including late-term abortion and neurological disease. Eradication of EHV-1 from housing environments that typically contain unsealed wood and porous bedding materials can be challenging. However, consideration should be given to take advantage of the viral envelope's susceptibility to environmental conditions. Read More

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http://dx.doi.org/10.1111/evj.13313DOI Listing

Role of gut microbiota in the development of insulin resistance and the mechanism underlying polycystic ovary syndrome: a review.

J Ovarian Res 2020 Jun 17;13(1):73. Epub 2020 Jun 17.

Department of Assisted Reproduction, Xiangya Hospital affiliated Central South University, Changsha, 410008, People's Republic of China.

Polycystic ovary syndrome (PCOS) is a complex endocrine and metabolic disorder. Typically, it is characterized by hirsutism, hyperandrogenism, ovulatory dysfunction, menstrual disorders and infertility. To date, its pathogenesis remains unclear. Read More

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http://dx.doi.org/10.1186/s13048-020-00670-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301991PMC

A qualitative exploration of women's experiences discovering pregnancies in the emergency department.

Contracept X 2020 23;2:100024. Epub 2020 Apr 23.

Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, University of California, San Francisco, Department of Obstetrics, Gynecology & Reproductive Sciences.

Objectives: The few studies examining pregnancy testing in emergency departments (EDs) address pregnancy-related physical risks. Here, we examine experiences of people who discover pregnancies in EDs.

Methods: Between 2015 and 2017, as part of a larger study, we conducted interviews with 29 women in Southern Louisiana ( = 13) and Baltimore, MD ( = 16), who reported discussing their pregnancy during an ED visit. Read More

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http://dx.doi.org/10.1016/j.conx.2020.100024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286152PMC

Comparing telemedicine to in-clinic medication abortions induced with mifepristone and misoprostol.

Contracept X 2020 11;2:100023. Epub 2020 Apr 11.

University of London, London, England.

Objective: The objective was to compare the practical aspects of providing medication abortions through telemedicine and in-person clinic visits so that clinics can use this information when planning to add this service.

Study Design: We conducted a comparative retrospective chart review comparing telemedicine medication abortions to a control group matched for date seen. We extracted and compared demographics, use of dating ultrasound, outcomes and unscheduled visits or communications with staff and physicians. Read More

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http://dx.doi.org/10.1016/j.conx.2020.100023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286176PMC

The Effect of Brief Supportive Psychotherapy on Prevention of Psychiatric Morbidity in Women with Miscarriage: A Randomized Controlled Trial about the First 24-hours of Hospitalization.

Oman Med J 2020 May 15;35(3):e130. Epub 2020 Jun 15.

Department of Obstetrics and Gynecology, Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Objectives: Miscarriage is a common pregnancy complication causing substantial psychiatric complications. This study was designed to investigate whether the administration of brief supportive psychotherapy (BSP) is effective on the management of women with miscarriage when conducted in the first 24 hours of hospitalization in order to prevent symptoms of anxiety, depression, and grief at four-months post-miscarriage.

Methods: We conducted a randomized clinical trial on 79 women with miscarriage hospitalized in Ayatollah Rohani teaching hospital. Read More

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http://dx.doi.org/10.5001/omj.2020.48DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294535PMC

Targeting the Fetal Body and/or Mother-Child Connection: Vital Conflicts and Abortion.

Linacre Q 2020 May 18;87(2):147-160. Epub 2019 Nov 18.

Bios Centre, London, United Kingdom.

Is the "act itself" of separating a pregnant woman and her previable child neither good nor bad morally, considered in the abstract? Recently, Maureen Condic and Donna Harrison have argued that such separation is justified to protect the mother's life and that it does not constitute an abortion as the aim is not to kill the child. In our article on maternal-fetal conflicts, we agree there need be no such aim to kill (supplementing aims such as to remove). However, we argue that to understand "abortion" as performed only where the death of the child is intended is to define the term too narrowly. Read More

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http://dx.doi.org/10.1177/0024363919887613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273626PMC

Current situation and outcomes of pregnancy in women with Turner syndrome in Japan.

J Obstet Gynaecol Res 2020 Jun 16. Epub 2020 Jun 16.

Department of Gynecology, Yokohama City University Medical Center, Yokohama, Japan.

Aim: Reports on pregnancy and delivery in women with Turner syndrome (TS) in Japan are limited to case reports, and the current situation remains unclear. Therefore, this study aimed to clarify the current situation of pregnancy and delivery in women with TS in Japan.

Methods: Our study comprised primary and secondary surveys and we included perinatal centers approved by the Ministry of Health, Labor and Welfare. Read More

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http://dx.doi.org/10.1111/jog.14352DOI Listing

Mandatory pre-abortion counseling is a barrier to accessing safe abortion services.

Pan Afr Med J 2020 19;35:80. Epub 2020 Mar 19.

Centre for Population Studies and Health Promotion, Yaounde, Cameroon.

Empirical research showcases that pre-abortion counseling scarcely reverses the woman's decision either to terminate a pregnancy or not. Growing evidence regarding the high levels of decisional certainty among women seeking abortions renders a careful rethink of the place of mandatory pre-abortion counseling packages. Mandatory counseling packages, when inscribed in the laws, at times contain false information that can deter women from going in for safe abortions. Read More

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http://dx.doi.org/10.11604/pamj.2020.35.80.22043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250210PMC

Pre-pregnancy, obstetric and delivery status in women with neuromyelitis optica spectrum disorder.

Mult Scler Relat Disord 2020 Jun 2;44:102252. Epub 2020 Jun 2.

Department of Neurology, Slagelse Hospital, Institute of Regional Health Research, Denmark; Department of Neurobiology, Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark. Electronic address:

Background: Neuromyelitis optica spectrum disorder (NMOSD) is a potentially disabling disease which affects predominantly women of reproductive age.

Objectives: To evaluate the pre-pregnancy condition and to investigate the prevalence of obstetrical and neonatal complaints in NMOSD.

Methods: An observational retrospective study of 37 NMOSD patients positive for aquaporin-4-immunoglobulin-IgG. Read More

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http://dx.doi.org/10.1016/j.msard.2020.102252DOI Listing

Special ambulatory gynecologic considerations in the era of coronavirus disease 2019 (COVID-19) and implications for future practice.

Am J Obstet Gynecol 2020 Jun 6. Epub 2020 Jun 6.

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD; Johns Hopkins HIV Women's Health Program, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD.

The coronavirus disease 2019 pandemic has altered medical practice in unprecedented ways. Although much of the emphasis in obstetrics and gynecology to date has been on the as yet uncertain effects of coronavirus disease 2019 in pregnancy and on changes to surgical management, the pandemic has broad implications for ambulatory gynecologic care. In this article, we review important ambulatory gynecologic topics such as safety and mental health, reproductive life planning, sexually transmitted infections, and routine screening for breast and cervical cancer. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.06.006DOI Listing

Cesarean Scar Ectopic Pregnancy: The Lurking Danger in Post Cesarean Failed Medical Abortion.

J Family Reprod Health 2019 Dec;13(4):223-227

Department of Obstetrics and Gynecology, AIIMS Patna, Patna, India.

Cesarean scar pregnancy (CSP) is a potentially life threatening ectopic pregnancy where a missed diagnosis is commoner than an accurate diagnosis. Incidence of Ectopic pregnancy is 1 - 2 % and cesarean scar ectopic occurs in about (0.05%) 1 in 2000 of all pregnancies. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264869PMC
December 2019

, and among women with genitourinary infection and pregnancy-related complications in Tehran: A cross-sectional study.

Int J STD AIDS 2020 Jul 10;31(8):773-780. Epub 2020 Jun 10.

Faculty of Medicine, Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia.

The present study investigates the prevalence of (CT), (NG), and (TV) among women with genitourinary infection and pregnancy-related complications in Tehran. It also evaluates the demographic information, symptoms, and sequelae. Endocervical samples were obtained over a period of eight months from 360 women including 180 symptomatic patients and 180 patients with pregnancy-related complications and infertility. Read More

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http://dx.doi.org/10.1177/0956462420922462DOI Listing

Diagnostic Potential of MicroRNAs as Biomarkers in the Detection of Preeclampsia.

Genet Test Mol Biomarkers 2020 Jun;24(6):321-327

Biomedical Center Martin JFM CU, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia.

Preeclampsia is a multisystemic disorder that occurs in 5-8% of pregnant women and remains a leading cause of both maternal and fetal morbidity and mortality. The disease is characterized by the abnormal vascular response to placentation, but the exact pathophysiology and pathogenesis of preeclampsia remain unknown. Risk factors for preeclampsia include increased maternal age, obesity, multiple gestations, and a history of preeclampsia. Read More

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http://dx.doi.org/10.1089/gtmb.2019.0264DOI Listing

Pregnancy outcomes in patients with pulmonary arterial hypertension: A retrospective study.

Medicine (Baltimore) 2020 Jun;99(23):e20285

Department of Cardiology.

The mortality of pregnant women with pulmonary arterial hypertension (PAH) remains high. The aim of this study was to evaluate and analyze perinatal and postpartum outcomes in patients with PAH.A total of 79 pregnant patients with PAH who underwent abortion or parturition were reviewed retrospectively. Read More

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http://dx.doi.org/10.1097/MD.0000000000020285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306336PMC

Age differentials in pregnancy-related deaths in selected African countries.

J Obstet Gynaecol 2020 Jun 4:1-6. Epub 2020 Jun 4.

Department of Psychology and Sociological Studies, Ebonyi State University Abakaliki, Ebonyi State, Nigeria.

Reducing maternal mortality is a big challenge facing low-income nations. Some of the causes of maternal mortality have been studied, however, much less is known about differentials in pregnancy-related deaths among women of different age groups. This study used nationally representative data from demographic and health surveys (DHS) in Namibia, Kenya and Sierra Leone. Read More

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http://dx.doi.org/10.1080/01443615.2020.1754367DOI Listing

Investigating the Relationship between Magnesium levels and Diabetes Mellitus in Pregnant Women.

Int J Mol Cell Med 2019 ;8(3):223-231

Department of Endocrinology, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol. Iran.

Gestational diabetes mellitus (GDM) is defined as one of the three main types of diabetes mellitus (DM). It is established that GDM is associated with exceeding nutrient losses owing to glycosuria. Magnesium (Mg), as one of the essential micronutrients for fetus development, acts as the main cofactor in most enzymatic processes. Read More

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http://dx.doi.org/10.22088/IJMCM.BUMS.8.3.223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241840PMC
January 2019

The Issue of the Antiphospholipid Antibody Syndrome.

J Clin Med Res 2020 May 8;12(5):286-292. Epub 2020 May 8.

Hospital das Clinicas, Federal University of Pernambuco, Recife-PE, Brazil.

Antiphospholipid antibody syndrome (APS) is a state of hypercoagulability secondary to an autoimmune disorder. It is associated with thrombotic events in venous and arterial vessels, obstetric complications characterized by recurrent fetal losses, and increased perinatal morbidity. APS is classified as primary, when not associated with other pathologies; or secondary, when associated with an underlying autoimmune disease with, solid tumor, or hematological disorder. Read More

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http://dx.doi.org/10.14740/jocmr4154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239578PMC

2017-19 governmental decisions to allow home use of misoprostol for early medical abortion in the UK.

Authors:
Jordan A Parsons

Health Policy 2020 Jul 23;124(7):679-683. Epub 2020 May 23.

Centre for Ethics in Medicine, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, BS8 2BN, United Kingdom. Electronic address:

Home use of misoprostol for early medical abortion has long been an established practice in several countries. It is a safe, effective, and dignified means of obtaining a legal abortion, with a low risk of complications. In the UK, however, the practice has only recently been permitted. Read More

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http://dx.doi.org/10.1016/j.healthpol.2020.04.014DOI Listing

Opioid Use Among HIV-Positive Pregnant Women and the Risk for Maternal-Fetal Complications.

South Med J 2020 06;113(6):292-297

From Texas Southern University, Houston, Texas and the Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas.

Objective: To assess patient- and hospital-level characteristics associated with opioid use in human immunodeficiency virus (HIV)-positive pregnant women and fetal health outcomes.

Methods: Using the 2002-2014 Nationwide Inpatient Sample database, we analyzed discharge records to describe the rates of opioid use among HIV-positive pregnant women. Logistic regression was used to quantify the magnitude of the association between exposure status and maternal-fetal outcomes. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000001105DOI Listing
June 2020
1.116 Impact Factor

Abortion service provision in South Asia: A comparative study of four countries.

Contraception 2020 May 29. Epub 2020 May 29.

Guttmacher Institute, 125 Maiden Lane 7th Floor, New York, NY 10038, United States. Electronic address:

Objectives: Nationally representative evidence on abortion service provision is scarce in South Asia. To inform improvements in service provision, this paper assesses the availability of facility-based postabortion services in Nepal, India (six states), Bangladesh and Pakistan, and legal abortion services in India and Nepal and Bangladesh (where the official term used is menstrual regulation or MR).

Study Design: The paper presents comparable indicators on three aspects of abortion service provision from representative surveys of public and private sector facilities, conducted over 2012-2015. Read More

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http://dx.doi.org/10.1016/j.contraception.2020.05.015DOI Listing
May 2020
2.335 Impact Factor

Neonatal meningitis: a case report and literature review.

Transl Pediatr 2020 Apr;9(2):174-179

Department of Pediatrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.

() is common commensal in the female genitourinary tract. Despite has been associated with chorioamnionitis, abortion, prematurity and perinatal complications, the invasive central nervous system (CNS) infection is rare in neonates. Diagnosis of meningitis can be difficult for the atypical presentations and sterile cultures by conventional methods. Read More

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http://dx.doi.org/10.21037/tp.2020.02.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237967PMC

Profile of abortion seekers and their views on financial cost of induced abortions: implications for preventing unsafe abortions among young people in Accra, Ghana.

Authors:
F Y Gbagbo

Public Health 2020 Jun 28;183:112-117. Epub 2020 May 28.

University of Education, Department of Health Administration, P. O. Box 25, Winneba, Ghana. Electronic address:

Objectives: Despite liberal abortion laws, unsafe abortions remain a public health challenge in Ghana. This study examines implications of financial cost of abortion in assessing safer services for young people in Ghana.

Study Design: This is a retrospective cross-sectional mixed-method study. Read More

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http://dx.doi.org/10.1016/j.puhe.2020.04.008DOI Listing

Pregnancy and its Outcomes in Patients After Uterine Fibroid Embolization: A Systematic Review and Meta-Analysis.

Cardiovasc Intervent Radiol 2020 May 26. Epub 2020 May 26.

Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Science, Tehran, Iran.

Uterine artery embolization (UAE) has been introduced for uterine fibroid treatment for two decades. Most of the patients are in reproductive age and many want future pregnancy. In this study, we will assess fertility, pregnancy and its outcomes in patients who have undergone UAE. Read More

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http://dx.doi.org/10.1007/s00270-020-02521-6DOI Listing
May 2020
1.965 Impact Factor

Prepregnancy Endocrine, Autoimmune Disorders and the Risks of Gestational Hypertension-Preeclampsia in Primiparas: A Nationwide Population-Based Study in Taiwan.

Int J Environ Res Public Health 2020 May 22;17(10). Epub 2020 May 22.

Department of Obstetrics and Gynecology, Taipei Tzu-Chi Hospital, Buddhist Tzu-Chi Medical Foundation, Taipei 231, Taiwan.

(1) Objective: To assess the risks of gestational hypertension/preeclampsia (GH-PE) in women with prepregnancy endocrine and autoimmune disorders such as polycystic ovarian syndrome (PCOS) and systemic lupus erythematosus (SLE). (2) Methods: In a nationwide population-based longitudinal study, data were retrieved from the 1998 to 2012 Taiwan National Health Insurance Research Database. ICD9-CM codes 256. Read More

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http://dx.doi.org/10.3390/ijerph17103657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277106PMC

The clinical management of factor XI deficiency in pregnant women.

Expert Rev Hematol 2020 Jun 12:1-11. Epub 2020 Jun 12.

Department of Pathology, Microbiology and Immunology, Vanderbilt University , Nashville, TN, USA.

Introduction: Factor XI (FXI) deficiency is associated with highly variable bleeding, including excessive gynecologic and obstetrical bleeding. Since approximately 20% of FXI-deficient women will experience pregnancy-related bleeding, careful planning and knowledge of appropriate hemostatic management is pivotal for their care.

Areas Covered: In this manuscript, authors present our current understanding of the role of FXI in hemostasis, the nature of the bleeding phenotype caused by its deficiency, and the impact of deficiency on obstetrical care. Read More

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http://dx.doi.org/10.1080/17474086.2020.1772745DOI Listing

Continuation of Unintended Pregnancy.

Linacre Q 2019 May 24;86(2-3):161-167. Epub 2019 Mar 24.

Department of Medicine, University of Mwene-Ditu, Mwene-Ditu, Democratic Republic of Congo.

Background: Forty-four percent of all pregnancies worldwide are unintended. Induced abortion has drawn a lot of attention from clinicians and policy makers, and the care for women requesting it has been covered in many publications. However, abortion challenges the values of many women, is associated with negative emotions, and has its own medical complications. Read More

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http://dx.doi.org/10.1177/0024363919838368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699057PMC

Fetal spina bifida in a pregnant woman following omega gastric bypass: Case report and literature review.

Int J Surg Case Rep 2020 11;70:137-139. Epub 2020 May 11.

Department of Digestive Surgery, Centre Hospitalier de Saint-Denis, 2 rue du Docteur Delafontaine, 93200 Saint-Denis, France. Electronic address:

Introduction: Bariatric surgery has been increasingly popular during the last years because of its proven efficacy on obesity and related complications. However, nutrient deficiency is common after surgery, in particular after Roux-en-Y gastric bypass (RYGB) or omega gastric bypass (OGB), due to iatrogenic malabsorption. All vitamins and minerals could be involved, including vitamin B9 which plays an important role in the prevention of neural tube defects during pregnancy. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229410PMC

Prevalence and Predictors of Postpartum Depression: Northwest Ethiopia.

Psychiatry J 2020 21;2020:9565678. Epub 2020 Jan 21.

MSc in Clinical Midwifery, University of Gondar Comprehensive Specialized Hospital, P.O. Box 196, Ethiopia.

Background: Postpartum depression is an umbrella, which encompasses several mood disorders that follow childbirth within 6 weeks. Screening for postpartum depression would improve the ability to recognize these disorders and enhance care that ensures improved clinical outcomes. Early identification of postpartum depression is important in order to plan for implementation strategies that allow for timely treatment and support of women with postpartum depression. Read More

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http://dx.doi.org/10.1155/2020/9565678DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204318PMC
January 2020

The Role of the Flagellar Protein FlgJ in the Virulence of .

Front Cell Infect Microbiol 2020 28;10:178. Epub 2020 Apr 28.

Laboratory of Molecular Immunology, Department of Microbiology, Faculty of Biological Sciences, Universidad de Concepción, Concepción, Chile.

is a facultative intracellular pathogen that causes a zoonosis called brucellosis. This disease leads to abortion and infertility in cattle, and diverse complications in humans. is a successful intracellular bacterium that has developed the ability to evade the host's immune system and it replicates in professional and non-professional phagocytic cells, persisting in the different tissues, and organs of its hosts. Read More

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http://dx.doi.org/10.3389/fcimb.2020.00178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198779PMC

Proliferates in Decidualized and Non-Decidualized Human Endometrial Cells Inducing a Proinflammatory Response.

Pathogens 2020 May 12;9(5). Epub 2020 May 12.

Facultad de Farmacia y Bioquímica, Cátedra de Inmunología, Universidad de Buenos Aires, Buenos Aires 1113, Argentina.

spp. have been associated with abortion in humans and animals. Although the mechanisms involved are not well established, it is known that placental infection is accompanied by inflammatory phenomena. Read More

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http://dx.doi.org/10.3390/pathogens9050369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281465PMC

Mifepristone-misoprostol versus misoprostol-alone regimen for medication abortion at ≥24 weeks' gestation.

Contraception 2020 May 12. Epub 2020 May 12.

Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, 1330 Broadway Suite 1100, Oakland, CA 94612, USA.

Objective: To compare time from misoprostol initiation to fetal expulsion for mifepristone-misoprostol versus misoprostol-alone regimens of medication abortion performed at ≥24 weeks' gestation.

Study Design: We conducted a retrospective study of medication abortion performed at ≥24 weeks' gestation between May 2016 and January 2018 at one site, comparing outcomes of patients receiving mifepristone-misoprostol versus misoprostol alone during two periods. All patients received feticidal injection and laminaria; the mifepristone-misoprostol group also received mifepristone 200 mg orally around the time of initial laminaria. Read More

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http://dx.doi.org/10.1016/j.contraception.2020.05.001DOI Listing

Behcet's disease and pregnancy: a review of the literature.

Minerva Ginecol 2020 May 13. Epub 2020 May 13.

Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.

Introduction: Behcet's disease (BD) is a rare inflammatory, multisystemic, autoimmune disorder with unknown origin. BD is included in vasculitic disorders with a more frequent onset characterized by oral and genital ulcers associated with eye inflammation. However, the clinical manifestations of BD are varied and the most fearful complication is the thrombotic involvement. Read More

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http://dx.doi.org/10.23736/S0026-4784.20.04564-5DOI Listing

Management of Acute Severe Ulcerative Colitis in a Pregnant Woman With COVID-19 Infection: A Case Report and Review of the Literature.

Inflamm Bowel Dis 2020 06;26(7):971-973

Division of Gastroenterology and Hepatology, NYU Langone Health, New York, NY.

First detected in Wuhan, China, the novel 2019 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an enveloped RNA beta-coronavirus responsible for an unprecedented, worldwide pandemic caused by COVID-19. Optimal management of immunosuppression in inflammatory bowel disease (IBD) patients with COVID-19 infection currently is based on expert opinion, given the novelty of the infection and the corresponding lack of high-level evidence in patients with immune-mediated conditions. There are limited data regarding IBD patients with COVID-19 and no data regarding early pregnancy in the era of COVID-19. Read More

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http://dx.doi.org/10.1093/ibd/izaa109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239163PMC