3,953 results match your criteria BMC Pregnancy and Childbirth [Journal]


Metformin and insulin treatment of gestational diabetes: effects on inflammatory markers and IGF-binding protein-1 - secondary analysis of a randomized controlled trial.

BMC Pregnancy Childbirth 2020 Jul 11;20(1):401. Epub 2020 Jul 11.

Department of Medicine, University of Turku, 20014, Turku, Finland.

Background: Gestational diabetes mellitus (GDM) is characterized by disturbed glucose metabolism and activation of low-grade inflammation. We studied whether metformin treatment has favorable or unfavorable effects on inflammatory markers and insulin-like growth factor-binding protein 1 (IGFBP-1) in GDM patients compared with insulin, and whether these markers associate with major maternal or fetal clinical outcomes.

Methods: This is a secondary analysis of a previous randomized controlled trial comparing metformin (n = 110) and insulin (n = 107) treatment of GDM. Read More

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http://dx.doi.org/10.1186/s12884-020-03077-6DOI Listing

Professional support during the postpartum period: primiparous mothers' views on professional services and their expectations, and barriers to utilizing professional help.

BMC Pregnancy Childbirth 2020 Jul 11;20(1):402. Epub 2020 Jul 11.

School of Nursing, Health Science Centre, Xi'an Jiaotong University, Xi'an, People's Republic of China.

Background: Primiparous mothers who lack of experience and knowledge of child caring, are usually overwhelmed by multifarious stressors and challenges. Although professional support is needed for primiparas, there is a gap between the necessary high-quality services and the currently provided poor services. This study aimed to explore Chinese primiparous mothers' views on professional services, identify barriers to utilizing professional support, and further understand mothers' expectations of and preferences for the delivery of professional services. Read More

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http://dx.doi.org/10.1186/s12884-020-03087-4DOI Listing

Preeclampsia in pregnancy affecting the stemness and differentiation potency of haematopoietic stem cell of the umbilical cord blood.

BMC Pregnancy Childbirth 2020 Jul 10;20(1):399. Epub 2020 Jul 10.

Cell Therapy Centre (CTC), UKMMC, 12th Floor, Clinical Block, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia.

Background: Umbilical cord blood (UCB) has been proposed as the potential source of haematopoietic stem cells (HSC) for allogeneic transplantation. However, few studies have shown that a common disease in pregnancy such as preeclampsia would affect the quality of UCB-HSC. Total nucleated cell count (TNC) is an important parameter that can be used to predict engraftment including UCB banking. Read More

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http://dx.doi.org/10.1186/s12884-020-03084-7DOI Listing

A qualitative study of healthcare professionals' experiences of providing maternity care for Muslim women in the UK.

BMC Pregnancy Childbirth 2020 Jul 10;20(1):400. Epub 2020 Jul 10.

Maternal and Child Health Research Centre, Institute for Health Research, University of Bedfordshire, Luton, UK.

Background: A growing Muslim population in the UK suggests the need for healthcare professionals (HCPs) to gain a better understanding of how the Islamic faith influences health related perceptions and healthcare seeking behaviour. Although some researchers have explored the experiences of Muslim women as recipients of healthcare, little attention has been paid to the challenges HCPs face as service providers on a day-to-day basis whilst caring for Muslim women. The aim of this study was to investigate HPCs lived experiences of providing maternity care for Muslim women. Read More

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http://dx.doi.org/10.1186/s12884-020-03096-3DOI Listing

Prevalence of and factors associated with unplanned pregnancy among women in Koshu, Japan: cross-sectional evidence from Project Koshu, 2011-2016.

BMC Pregnancy Childbirth 2020 Jul 9;20(1):397. Epub 2020 Jul 9.

Department of Health Sciences, School of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.

Background: Unplanned pregnancy is a public health issue with adverse consequences for maternal and neonatal health. In Japan, the prevalence of unplanned pregnancy was 46.2% in 2002. Read More

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http://dx.doi.org/10.1186/s12884-020-03088-3DOI Listing

Influence of pacifier use on the association between duration of breastfeeding and anterior open bite in primary dentition.

BMC Pregnancy Childbirth 2020 Jul 8;20(1):396. Epub 2020 Jul 8.

Postgraduate Program in Child and Adolescent Health, Faculty of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400, Porto Alegre, RS, CEP 90035-003, Brazil.

Background: The literature is controversial with regard to the association between longer breastfeeding duration and lower prevalence of anterior open bite. Pacifier use may be involved in this controversy. Thus, the objective of the study was to assess the influence of pacifier use and its duration on the association between longer breastfeeding duration and lower prevalence of anterior open bite in children with primary dentition. Read More

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http://dx.doi.org/10.1186/s12884-020-03054-zDOI Listing

A systematic review and time-response meta-analysis of the optimal timing of elective caesarean sections for best maternal and neonatal health outcomes.

BMC Pregnancy Childbirth 2020 Jul 8;20(1):395. Epub 2020 Jul 8.

Institute for Research in Operative Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, 51109, Cologne, Germany.

Background: The rate of caesarean sections (CS) has increased in the last decades to about 30% of births in high income countries. Many CSs are electively planned without an urgent medical reason for mother or child. An early CS though may harm the newborn. Read More

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http://dx.doi.org/10.1186/s12884-020-03036-1DOI Listing

Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) infection during late pregnancy: a report of 18 patients from Wuhan, China.

BMC Pregnancy Childbirth 2020 Jul 8;20(1):394. Epub 2020 Jul 8.

Department Of Reproductive Medicine Center, Hubei Clinic Research Center for Assisted Reproductive Technology and Embryonic Development, Renmin Hospital Of Wuhan University, Wuhan, 430060, China.

Background: Compared with Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS), Corona Virus Disease 2019(COVID-19) spread more rapidly and widely. The population was generally susceptible. However, reports on pregnant women infected with SARS-CoV-2 were very limited. Read More

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http://dx.doi.org/10.1186/s12884-020-03026-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341473PMC

Serum antioxidant micronutrient levels in pre-eclamptic pregnant women in Enugu, south-East Nigeria: a comparative cross-sectional analytical study.

BMC Pregnancy Childbirth 2020 Jul 6;20(1):392. Epub 2020 Jul 6.

Departments of Obstetrics and Gynaecology, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku-Ozalla, Enugu, Nigeria.

Background: Pre-eclampsia is a common obstetric complication of pregnancy in Nigeria, and oxidative stress has been implicated in its aetiopathogenesis. Despite this fact, there is a paucity of information regarding the serum antioxidant micronutrient status of pre-eclamptic Nigerian women. The objective of the was to determine the mean serum levels of some antioxidant trace elements (copper, zinc, selenium, magnesium, manganese) in pre-eclamptic pregnant women and compare with that of healthy pregnant women in Enugu, South-Eastern, Nigeria. Read More

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http://dx.doi.org/10.1186/s12884-020-03081-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339396PMC

Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications.

BMC Pregnancy Childbirth 2020 Jul 6;20(1):390. Epub 2020 Jul 6.

Department of Epidemiology and Health Statistics, School of Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 9 Dongdan Santiao, Dongcheng District, Beijing, 100730, China.

Background: The potential effects of pre-pregnancy body mass (BMI) and gestational weight gain (GWG) on pregnancy outcomes remain unclear. Thus, we investigated socio-demographic characteristics that affect pre-pregnancy BMIs and GWG and the effects of pre-pregnancy BMI and GWG on Chinese maternal and infant complications.

Methods: 3172 women were enrolled in the Chinese Pregnant Women Cohort Study-Peking Union Medical College from July 25, 2017 to July 24, 2018, whose babies were delivered before December 31, 2018. Read More

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http://dx.doi.org/10.1186/s12884-020-03071-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336408PMC

Aspiration technique-based device is more reliable in cervical stiffness assessment than digital palpation.

BMC Pregnancy Childbirth 2020 Jul 6;20(1):391. Epub 2020 Jul 6.

Department of Obstetrics and Gynecology, University Hospital Basel, Basel, Switzerland.

Background: The purpose of this study was to compare the reliability and reproducibility of the traditional qualitative method of assessing uterine cervical stiffness with those of a quantitative method using a novel device based on the aspiration technique.

Methods: Five silicone models of the uterine cervix were created and used to simulate different cervical stiffnesses throughout gestation. The stiffness of the five cervix models was assessed both by digital palpation (firm, medium and soft) and with the Pregnolia System. Read More

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http://dx.doi.org/10.1186/s12884-020-03080-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339509PMC

Correction to: Unexpected drug residuals in human milk in Ankara, capital of Turkey.

BMC Pregnancy Childbirth 2020 07 6;20(1):393. Epub 2020 Jul 6.

Unit of Social Pediatrics, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

An amendment to this paper has been published and can be accessed via the original article. Read More

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http://dx.doi.org/10.1186/s12884-020-03063-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339404PMC

Improved clinical outcomes of preimplantation genetic testing for aneuploidy using MALBAC-NGS compared with MDA-SNP array.

BMC Pregnancy Childbirth 2020 Jul 3;20(1):388. Epub 2020 Jul 3.

Center for Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Eastern Jianshe Road, Erqi District, Zhengzhou City, Henan Province, People's Republic of China.

Background: To assess whether preimplantation genetic testing for aneuploidy with next generation sequencing (NGS) outweighs single nucleotide polymorphism (SNP) array in improving clinical outcomes.

Methods: A retrospective analysis of the clinical outcomes of patients who underwent PGT-A treatment in a single center from January 2013 to December 2017.A total of 1418 couples who underwent PGT-A treatment were enrolled, of which 805 couples used NGS for PGT-A, while the remaining 613 couples used SNP array for PGT-A. Read More

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http://dx.doi.org/10.1186/s12884-020-03082-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333433PMC

Pregnancy outcome following fetal reduction from dichorionic twins to singleton gestation.

BMC Pregnancy Childbirth 2020 Jul 3;20(1):389. Epub 2020 Jul 3.

Helen Schneider's Hospital for Women, Rabin Medical Center, 39 Jabotinsky Street, 4941492, Petach-Tikva, Israel.

Background: There are still some controversies regarding the risks and benefits of fetal reduction from twins to singletons. We aimed to evaluate if fetal reduction from twins to singleton improves pregnancy outcome.

Methods: Retrospective analysis of all dichorionic-diamniotic twin pregnancies, who underwent fetal reduction. Read More

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http://dx.doi.org/10.1186/s12884-020-03076-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333296PMC

The application of prenatal ultrasound in the diagnosis of congenital duodenal obstruction.

BMC Pregnancy Childbirth 2020 Jul 3;20(1):387. Epub 2020 Jul 3.

The Maternal and Child Health Hospital of Changde city, Changde, 415000, China.

Background: The purpose of this research is to summarize the prenatal ultrasound characteristics of congenital duodenal obstruction (CDO), especially in the diagnosis of duodenal diaphragm and annular pancreas. At present, few researchers have summarized the specific ultrasound features of duodenal diaphragm and annular pancreas.

Methods: In this study, a retrospective analysis of 40 patients diagnosed with CDO between January 2016 and December 2019 was carried out. Read More

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http://dx.doi.org/10.1186/s12884-020-03078-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333320PMC

Pregnant women's clinical characteristics, intrapartum interventions, and duration of labour in urban China: a multi-center cross-sectional study.

BMC Pregnancy Childbirth 2020 Jul 2;20(1):386. Epub 2020 Jul 2.

Department of Maternal, Child and Adolescent Health, School of Public Heath, Fudan University, Shanghai, China.

Background: There is an increasing global trend towards the widespread over-medicalisation of labour and childbirth. The present study aimed to investigate pregnant women's clinical characteristics, intrapartum interventions, duration of labour and its associated factors; and to compare the differences of these variables between nulliparas and multiparas in China.

Methods: A multi-center cross-sectional study was carried out in three tertiary hospitals of Fudan University in Shanghai, China. Read More

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http://dx.doi.org/10.1186/s12884-020-03072-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330978PMC

Prevalence, associated factors and clinical features of congenital syphilis among newborns in Mbarara hospital, Uganda.

BMC Pregnancy Childbirth 2020 Jul 2;20(1):385. Epub 2020 Jul 2.

Mbarara University of Science and Technology, P O Box 1410, Mbarara, Uganda.

Background: While congenital syphilis is a significant public health problem that can cause severe disabilities, little is known about the situation in Uganda. We describe prevalence, associated factors and clinical presentation of congenital syphilis in Mbarara, Uganda.

Methods: A cross sectional study was carried out among mother- newborn dyads from the postnatal ward of Mbarara Regional Referral Hospital (MRRH). Read More

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http://dx.doi.org/10.1186/s12884-020-03047-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330944PMC

Applying the WHO ICD-PM classification system to stillbirths in a major referral Centre in Northeast Nigeria: a retrospective analysis from 2010-2018.

BMC Pregnancy Childbirth 2020 Jul 1;20(1):383. Epub 2020 Jul 1.

Department of Obstetrics and Gynaecology, Federal Teaching Hospital Gombe, Gombe, Nigeria.

Background: Lack of a unified and comparable classification system to unravel the underlying causes of stillbirth hampers the development and implementation of targeted interventions to reduce the unacceptably high stillbirth rates (SBR) in sub-Saharan Africa. Our aim was to track the SBR and the predominant maternal and fetal causes of stillbirths using the WHO ICD-PM Classification system.

Methods: This was a retrospective observational study in a major referral centre in northeast Nigeria between 2010 and 2018. Read More

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http://dx.doi.org/10.1186/s12884-020-03059-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329521PMC

Retrospective study 2005-2015 of all cases of fetal death occurred at ≥23 gestational weeks, in Friusli Venezia Giulia, Italy.

BMC Pregnancy Childbirth 2020 Jul 1;20(1):384. Epub 2020 Jul 1.

Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.

Background: Intrauterine fetal death (IUFD) is a tragic event and, despite efforts to reduce rates, its incidence remains difficult to reduce. The objective of the present study was to examine the etiological factors that contribute to the main causes and conditions associated with IUFD, over an 11-year period in a region of North-East Italy (Friuli Venezia Giulia) for which reliable data in available.

Methods: Retrospective analysis of all 278 IUFD cases occurred between 2005 and 2015 in pregnancies with gestational age ≥ 23 weeks. Read More

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http://dx.doi.org/10.1186/s12884-020-03074-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329413PMC

Women's experiences of planning a vaginal birth after caesarean in different models of maternity care in Australia.

BMC Pregnancy Childbirth 2020 Jun 30;20(1):381. Epub 2020 Jun 30.

School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.

Background: Vaginal birth after caesarean (VBAC) is a safe mode of birth for most women but internationally VBAC rates remain low. In Australia women planning a VBAC may experience different models of care including continuity of care (CoC). There are a limited number of studies exploring the impact and influence of CoC on women's experiences of planning a VBAC. Read More

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http://dx.doi.org/10.1186/s12884-020-03075-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325036PMC

Inpatient versus outpatient induction of labour: a systematic review and meta-analysis.

BMC Pregnancy Childbirth 2020 Jun 30;20(1):382. Epub 2020 Jun 30.

Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital and University of Toronto, 600 University Avenue, Toronto, Canada.

Background: As the number of indications for labour induction continue to increase, the focus has shifted to performing these procedures in an outpatient setting. This study aims to systematically review published data from randomized controlled trials that compare outpatient with inpatient labour induction, to ascertain the role of outpatient labour induction for low-risk pregnancies.

Methods: We conducted a systematic review wherein we searched MEDLINE, EMBASE, Biosis Previews®, and International Pharmaceutical Abstracts from inception to January 2020 to identify randomized controlled trials that reported on maternal, fetal and resource-related outcomes following outpatient versus inpatient labour induction. Read More

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http://dx.doi.org/10.1186/s12884-020-03060-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325658PMC

Assessment of the necessity of uterine artery embolization during suction and curettage for caesarean scar pregnancy: a prospective cohort study.

BMC Pregnancy Childbirth 2020 Jun 29;20(1):378. Epub 2020 Jun 29.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 1 ShuaiFu Road, Dongcheng District, Beijing, People's Republic of China.

Background: Uterine artery embolization (UAE) followed by suction and curettage is a common conservative treatment for caesarean scar pregnancy (CSP), but the advantages of suction and curettage alone are underestimated due to the lack of standards for selecting appropriate cases for which this approach would be applicable. We sought to identify indicators with which to assess the need for UAE during suction and curettage.

Methods: The prospective cohort consisted of 105 women diagnosed with CSP in Peking Union Medical College Hospital between January 2016 and September 2018 who were followed up until 60 days after surgery. Read More

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http://dx.doi.org/10.1186/s12884-020-03062-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325163PMC

Associations of malaria, HIV, and coinfection, with anemia in pregnancy in sub-Saharan Africa: a population-based cross-sectional study.

BMC Pregnancy Childbirth 2020 Jun 29;20(1):379. Epub 2020 Jun 29.

Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.

Background: Malaria and HIV are common infections in Africa and cause substantial morbidity and mortality in pregnant women. We aimed to assess the association of malaria with anemia in pregnant women and to explore the joint effects of malaria and HIV infection on anemia in pregnant women.

Methods: We used nationally representative, cross-sectional demographic and health surveys (DHS) that were conducted between 2012 and 2017 across 7 countries of sub-Saharan Africa (Burundi, the Democratic Republic of the Congo, Gambia, Ghana, Mali, Senegal and Togo). Read More

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http://dx.doi.org/10.1186/s12884-020-03064-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324981PMC

Absence of lymphatic vessels in term placenta.

BMC Pregnancy Childbirth 2020 Jun 29;20(1):380. Epub 2020 Jun 29.

Deparment of Anatomy and Cell Biology, University Medical School Goettingen, UMG, Kreuzbergring 36, 37075, Göttingen, Germany.

Background: There has been debate about the existence of lymphatic vessels in placenta. Lymphatic endothelial cell (LEC) markers such as LYVE-1 and podoplanin/D2-40 have been found, although PROX1 has not been detected. The most reliable marker for LECs is the double staining for CD31 and PROX1, which has not been performed yet. Read More

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http://dx.doi.org/10.1186/s12884-020-03073-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325062PMC

Diagnostic accuracy of maternal serum multiple marker screening for early detection of gestational diabetes mellitus in the absence of a gold standard test.

BMC Pregnancy Childbirth 2020 Jun 26;20(1):375. Epub 2020 Jun 26.

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

Background: Gestational diabetes mellitus (GDM) is associated with adverse diabetic complications for both mother and child during pregnancy. The common Gold Standard (GS) for diagnosis of GDM is 75 g oral glucose tolerance test (OGTT) during 24-28 gestational weeks which seems a little late for any proper intervention. This study aimed to employ the Bayesian latent class models (LCMs) for estimating the early diagnostic power of combination of serum multiple marker in detecting GDM during 14-17 weeks of gestation. Read More

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http://dx.doi.org/10.1186/s12884-020-03068-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318500PMC

A protocol for developing, disseminating, and implementing a core outcome set (COS) for childbirth pelvic floor trauma research.

BMC Pregnancy Childbirth 2020 Jun 26;20(1):376. Epub 2020 Jun 26.

CHORUS, an International Collaboration for Harmonising Outcomes, Research and Standards in Urogynaecology and Women's Health, London, UK.

Background: More than 85% of women sustain different degrees of trauma during vaginal birth. Randomized controlled trials on childbirth pelvic floor trauma have reported a wide range of outcomes and used different outcome measures. This variation restricts effective data synthesis, impairing the ability of research to inform clinical practice. Read More

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http://dx.doi.org/10.1186/s12884-020-03070-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318474PMC

A mixed-methods investigation of women's experiences seeking pregnancy-related online nutrition information.

BMC Pregnancy Childbirth 2020 Jun 26;20(1):377. Epub 2020 Jun 26.

Department of Family Relations and Applied Nutrition, University of Guelph, 50 Stone Rd., Guelph, ON, N1G 2W1, Canada.

Background: The objective of this study was to describe women's processes for finding pregnancy-related nutrition information, their experiences seeking this information online and their ideas for improving internet sources of this information.

Methods: In total, 97 pregnant women completed an online quantitative questionnaire and 10 primiparous pregnant women completed semi-structured telephone interviews. Questionnaires and interviews asked participants to describe sources of pregnancy-related nutrition information; time of seeking; processes of searching online; experiences searching online; ideas for improving information found online. Read More

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http://dx.doi.org/10.1186/s12884-020-03065-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320538PMC

Repeated triplets complicated by monochorionic diamniotic twins following assisted reproduction: a case report and literature review.

BMC Pregnancy Childbirth 2020 Jun 23;20(1):373. Epub 2020 Jun 23.

Reproductive Medicine Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.

Background: Monochorionic twinning involves numerous maternal and fetal complications, triplets complicated by a monochorionic pair are at further increased risk. Here, we report a case of repeated triplets complicated by monochorionic diamniotic twins with successful pregnancy outcomes in a woman using autologous oocytes.

Case Presentation: A 30-year-old female undergoing embryo transfer with fresh and frozen embryo cycles with autologous oocytes. Read More

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http://dx.doi.org/10.1186/s12884-020-03055-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313207PMC

Real-world in-hospital outcomes and potential predictors of heart failure in primigravid women with heart disease in Southwestern China.

BMC Pregnancy Childbirth 2020 Jun 23;20(1):372. Epub 2020 Jun 23.

Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Background: Little is known about the status of maternal, obstetric, and neonatal complications and the potential predictors of developing heart failure (HF) in mothers with underlying heart disease (HD) in Southwestern China.

Methods: The eligible records from the YiduCloud database from December 1, 2010 to December 31, 2019 were screened. The maternal clinical characteristics and the in-hospital outcomes were collected and compared in primigravid women with and without HD. Read More

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http://dx.doi.org/10.1186/s12884-020-03058-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310540PMC

Making therapies culturally relevant: translation, cultural adaptation and field-testing of the Thinking Healthy Programme for perinatal depression in China.

BMC Pregnancy Childbirth 2020 Jun 22;20(1):368. Epub 2020 Jun 22.

Xi'an Jiaotong University, Xian, PR, China.

Background: The prevalence of perinatal depression in China ranges from 15 to 20% and the vast majority of prenatally depressed women do not receive the intervention they require. Recent research evidence shows that evidence based, culturally-adapted psychosocial interventions are effective in reducing mental health problems. The World Health Organization (WHO) has endorsed the Thinking Healthy Programme (THP), which is an evidence based psychosocial intervention that can be delivered by non-mental health specialists. Read More

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http://dx.doi.org/10.1186/s12884-020-03044-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309997PMC

Iodine adequacy in reproductive age and pregnant women living in the Western region of Saudi Arabia.

BMC Pregnancy Childbirth 2020 Jun 22;20(1):370. Epub 2020 Jun 22.

Laboratory Medicine Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Al Abdeyah, Holy Makkah, PO Box 7607, Makkah, Saudi Arabia.

Background: Despite the serious maternal and foetal complications associated with iodine deficiency during pregnancy, surveys related to pregnant women in the Kingdom of Saudi Arabia (KSA) are lacking. This study, therefore, measured urine iodine concentrations (UIC) alongside the potential socioeconomic factors contributing towards iodine inadequacy in reproductive age and pregnant Saudi women from the Western province of KSA.

Methods: Spot urine samples were collected from 1222 pregnant and 400 age-matched non-pregnant/non-lactating reproductive age women. Read More

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http://dx.doi.org/10.1186/s12884-020-03057-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310473PMC

Unlocking community capabilities for addressing social norms/practices: behavioural change intervention study to improve birth preparedness and complication readiness among pregnant women in rural Nigeria.

BMC Pregnancy Childbirth 2020 Jun 22;20(1):369. Epub 2020 Jun 22.

African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki, Nigeria.

Background: Maternal mortality is attributed to combination of contextual factors that cause delay in seeking care, leading to poor utilization of skilled health services. Community participation is one of the acknowledged strategies to improve health services utilization amongst the poor and rural communities. The study aimed at assessing the potentials of improving birth preparedness and complication readiness (BP/CR) using community-driven behavioural change intervention among pregnant women in rural Nigeria. Read More

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http://dx.doi.org/10.1186/s12884-020-03061-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310128PMC
June 2020
2.190 Impact Factor

Stakeholder perspectives on antenatal depression and the potential for psychological intervention in rural Ethiopia: a qualitative study.

BMC Pregnancy Childbirth 2020 Jun 22;20(1):371. Epub 2020 Jun 22.

Addis Ababa University, College of Health Sciences, School of Medicine, Department of Psychiatry, WHO Collaborating Centre in Mental Health Research and Capacity-Building, Addis Ababa, Ethiopia.

Background: Psychological interventions for antenatal depression are an integral part of evidence-based care but need to be contextualised for respective sociocultural settings. In this study, we aimed to understand women and healthcare workers' (HCWs) perspectives of antenatal depression, their treatment preferences and potential acceptability and feasibility of psychological interventions in the rural Ethiopian context.

Methods: In-depth interviews were conducted with women who had previously scored above the locally validated cut-off (five or more) on the Patient Health Questionnaire during pregnancy (n = 8), primary healthcare workers (HCWs; nurses, midwives and health officers) (n = 8) and community-based health extension workers (n = 7). Read More

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http://dx.doi.org/10.1186/s12884-020-03069-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310345PMC

Supporting women who develop poor postnatal mental health: what support do fathers receive to support their partner and their own mental health?

BMC Pregnancy Childbirth 2020 Jun 22;20(1):359. Epub 2020 Jun 22.

Department of Psychology, Bournemouth University, Poole, BH12 5BB, UK.

Background: Research regarding support provided for poor maternal postnatal mental health (such as depression, anxiety disorders, and postpartum psychosis) is relatively common. Fathers appear to play an important role supporting partners but many feel alienated within maternity services. Research focusing on fathers is less common. Read More

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http://dx.doi.org/10.1186/s12884-020-03043-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310127PMC

Factors obstetricians, family physicians and midwives consider when counselling women about a trial of labour after caesarean and planned repeat caesarean: a qualitative descriptive study.

BMC Pregnancy Childbirth 2020 Jun 18;20(1):367. Epub 2020 Jun 18.

Sunnybrook Research Institute, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.

Background: Repeat caesarean sections (CSs) are major contributors to the high rate of CS in Canada and globally. Women's decisions to have a planned repeat CS (PRCS) or a trial of labour after CS (TOLAC) are influenced by their maternity care providers. This study explored factors maternity care providers consider when counselling pregnant women with a previous CS, eligible for a TOLAC, about delivery method. Read More

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http://dx.doi.org/10.1186/s12884-020-03052-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301440PMC

Detailed registration of care in midwifery practices in the Netherlands: an opportunity for research within a healthy pregnant population.

BMC Pregnancy Childbirth 2020 Jun 16;20(1):366. Epub 2020 Jun 16.

Research Centre for Midwifery Science, Zuyd University, Maastricht, the Netherlands.

Background: Research in maternity care is often conducted in mixed low and high-risk or solely high-risk populations. This limits generalizability to the low-risk population of pregnant women receiving care from Dutch midwives. To address this limitation, 24 midwifery practices in the Netherlands bring together routinely collected data from medical records of pregnant women and their offspring in the VeCaS database. Read More

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http://dx.doi.org/10.1186/s12884-020-03053-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296943PMC

Supporting perinatal anxiety in the digital age; a qualitative exploration of stressors and support strategies.

BMC Pregnancy Childbirth 2020 Jun 17;20(1):363. Epub 2020 Jun 17.

School of Psychology and Counselling, Faculty of Arts and Social Sciences, Open University, Milton Keynes, MK7 6AA, UK.

Background: The period surrounding childbirth is one of profound change, which can often be experienced as stressful and overwhelming. Indeed, around 20% of women may experience significant levels of anxiety in the perinatal period. However, most women experiencing perinatal anxiety (PNA) go unrecognised and untreated. Read More

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http://dx.doi.org/10.1186/s12884-020-02990-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298791PMC

Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis.

BMC Pregnancy Childbirth 2020 Jun 15;20(1):364. Epub 2020 Jun 15.

Departement of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: There is wide variation in the utilization of institutional delivery service in Ethiopia. Various socioeconomic and cultural factors affect the decision where to give birth. Although there has been a growing interest in the assessment of institutional delivery service utilization and its predictors, nationally representative evidence is scarce. Read More

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http://dx.doi.org/10.1186/s12884-020-03032-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296650PMC
June 2020
2.190 Impact Factor

Congenital thrombotic thrombocytopenic purpura (TTP) with placental abruption despite maternal improvement: a case report.

BMC Pregnancy Childbirth 2020 Jun 15;20(1):365. Epub 2020 Jun 15.

Department of Obstetrics, Gynecology, and Reproductive Biology, Division of Maternal Fetal Medicine, The Massachusetts General Hospital, Boston, MA, USA.

Background: Thrombotic thrombocytopenic purpura (TTP) is a rare but serious complication in pregnancy that places the mother and fetus at high risk for morbidity and mortality. This case illustrates novel pregnancy complications associated with this rare medical condition.

Case Presentation: A 31-year-old G3P0020 at 28 weeks and 1 day was admitted with severe thrombocytopenia and was ultimately diagnosed with TTP. Read More

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http://dx.doi.org/10.1186/s12884-020-03051-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296940PMC

Monitoring intrapartum fetal heart rates by mothers in labour in two public hospitals: an initiative to improve maternal and neonatal healthcare in Liberia.

BMC Pregnancy Childbirth 2020 Jun 15;20(1):362. Epub 2020 Jun 15.

Ministry of Health and Social Welfare, Monrovia, Liberia.

Background: In low-resource settings with few health workers, Fetal Heart Rate (FHR) monitoring in labour can be inconsistent and unreliable. An initiative to improve fetal monitoring was implemented in two public hospitals in rural Liberia; the country with the second lowest number of midwives and nurses in the world (1.007 per 10,000 of the population). Read More

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http://dx.doi.org/10.1186/s12884-020-02921-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294611PMC

Metrics of perineal support (MOPS) study.

BMC Pregnancy Childbirth 2020 Jun 11;20(1):361. Epub 2020 Jun 11.

Department of Gynecology and Obstetrics, University Hospital, alej Svobody 76, 304 60, Pilsen, Czech Republic.

Background: Manual perineal protection (MPP) is an intrapartum intervention suggested to protect perineal integrity during childbirth. Proper execution of MPP is complex and evaluation of its true contribution is difficult in the clinical setting because of the large number of obstetric variables, some of which are hardly quantifiable. In this study we aimed to gather initial data on the forces executed by the accoucheur's thumb, index and middle fingers during MPP at the time of fetal head expulsion, quantify the duration of the intervention and investigate the timely interaction of the different components of MPP. Read More

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http://dx.doi.org/10.1186/s12884-020-03042-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291533PMC

Do male engagement and couples' communication influence maternal health care-seeking? Findings from a household survey in Mozambique.

BMC Pregnancy Childbirth 2020 Jun 11;20(1):360. Epub 2020 Jun 11.

Faculty of Medicine of Eduardo Mondlane University and National Ministry of Health, Eduardo Mondlane Ave, Maputo, Mozambique.

Background: This study explored effects of couples' communication and male participation in birth preparedness and complication readiness (BPCR) on delivery in a health facility ("institutional delivery"). A cross-sectional, baseline household survey was conducted in November 2016 prior to an integrated maternal and child health project in Nampula and Sofala Provinces in Mozambique.

Methods: The study used the Knowledge, Practices and Coverage survey tool, a condensed version of the Demographic and Health Survey and other tools. Read More

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http://dx.doi.org/10.1186/s12884-020-02984-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291756PMC
June 2020
2.190 Impact Factor

Factors affecting the utilization of antenatal care among married women of reproductive age in the rural Thatta, Pakistan: findings from a community-based case-control study.

BMC Pregnancy Childbirth 2020 Jun 10;20(1):355. Epub 2020 Jun 10.

Department of Community Health Sciences, Aga Khan University Hospital, Karachi, Pakistan.

Background: There are differences in antenatal care (ANC) utilization between urban and rural areas of Pakistan. Although multiple factors have been studied affecting the utilization of general health care services, the effect of road network distance particularly on the utilization of ANC has not been assessed. Therefore, this study aimed to determine the association between road network distance from a health care facility and utilization of the ANC among women of reproductive age in Thatta Pakistan. Read More

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http://dx.doi.org/10.1186/s12884-020-03009-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288520PMC
June 2020
2.190 Impact Factor

Drowning our sorrows: clinical and ethical considerations of termination in alcohol-affected pregnancy.

BMC Pregnancy Childbirth 2020 06 10;20(1):356. Epub 2020 Jun 10.

Redcliffe Hospital, Anzac Avenue, Redcliffe, Queensland, 4020, Australia.

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http://dx.doi.org/10.1186/s12884-020-03012-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288674PMC

Jordanian women's experiences and constructions of labour and birth in different settings, over time and across generations: a qualitative study.

BMC Pregnancy Childbirth 2020 Jun 10;20(1):357. Epub 2020 Jun 10.

School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith South, NSW, 2751, Australia.

Background: Overwhelmingly, women in Middle Eastern countries experience birth as dehumanising and disrespectful. Women's stories can be a very powerful way of informing health services about the impact of the care they receive and can promote practice change. The aim of this study is to examine Jordanian women's experiences and constructions of labour and birth in different settings (home, public and private hospitals in Jordan, and Australian public hospitals), over time and across generations. Read More

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http://dx.doi.org/10.1186/s12884-020-03034-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288400PMC

Bilateral anophthalmia and intrahepatic biliary atresia, two unusual components of Fraser syndrome: a case report.

BMC Pregnancy Childbirth 2020 Jun 10;20(1):358. Epub 2020 Jun 10.

Department of Embryology, Faculty of Medicine, University of Aleppo, Aleppo, Syria.

Background: Fraser syndrome or "cryptophthalmos syndrome" is a rare autosomal recessive disease. It is characterized by a group of congenital malformations such as: crytophthalmos, syndactyly, abnormal genitalia, and malformations of the nose, ears, and larynx. Although cryptophthalmos is considered as a main feature of Fraser syndrome, its absence does not exclude the diagnosis. Read More

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http://dx.doi.org/10.1186/s12884-020-03048-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288532PMC

Women's experiences of decision-making and informed choice about pregnancy and birth care: a systematic review and meta-synthesis of qualitative research.

BMC Pregnancy Childbirth 2020 Jun 10;20(1):343. Epub 2020 Jun 10.

Centre for Maternal and Child Health Research, School of Health Sciences, City, University of London, 1 Myddelton Street, London, EC1R 1UW, UK.

Background: The purpose of this systematic review (PROSPERO Ref: CRD42017053264) was to describe and interpret the qualitative research on parent's decision-making and informed choice about their pregnancy and birth care. Given the growing evidence on the benefits of different models of maternity care and the prominence of informed choice in health policy, the review aimed to shed light on the research to date and what the findings indicate.

Methods: a systematic search and screening of qualitative research concerning parents' decision-making and informed choice experiences about pregnancy and birth care was conducted using PRISMA guidelines. Read More

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http://dx.doi.org/10.1186/s12884-020-03023-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285707PMC

Enhancing patient mobility following cesarean-delivery - the efficacy of an improved postpartum protocol assessed with pedometers.

BMC Pregnancy Childbirth 2020 Jun 9;20(1):353. Epub 2020 Jun 9.

Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: The incidence of thromboembolic complications is highest in the immediate postpartum period, especially following caesarean delivery (CD). Ambulation following CD is important in their prevention. We examined the effect of an educational protocol on patients' mobility following CD, with the use of digital step counters (pedometers). Read More

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http://dx.doi.org/10.1186/s12884-020-03046-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285598PMC

Development and analytical validation of real-time PCR for the detection of Streptococcus agalactiae in pregnant women.

BMC Pregnancy Childbirth 2020 Jun 9;20(1):352. Epub 2020 Jun 9.

Sección de Biotecnología, Instituto de Salud Pública de Chile, Santiago, Chile.

Background: Group B Streptococcus (GBS) is the leading cause of invasive neonatal infection. In this study, we aimed to evaluate the analytical validation of qualitative real-time polymerase chain reaction (qPCR) as a means to detect GBS.

Methods: Genomic DNA (gDNA) was purified from 12 ATCC bacterial strains, two belonging to GBS and the remainder acting as negative controls. Read More

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http://dx.doi.org/10.1186/s12884-020-03038-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285471PMC