57,593 results match your criteria Cesarean Delivery


Impact of intertwin interval on short-term neonatal outcomes of the second twin in dichorionic pregnancies with vaginal delivery.

Int J Gynaecol Obstet 2019 Feb 16. Epub 2019 Feb 16.

Department of Obstetrics, Hospital Universitario Materno-Infantil Miguel Servet, Zaragoza, Spain.

Objective: To examine the effect of intertwin interval on umbilical cord pH and Apgar scores of the second twin after vaginal delivery.

Methods: A retrospective study of twin deliveries at a university hospital in Spain between August 2012 and September 2017. Inclusion criteria were vaginal delivery of both twins at 32 gestational weeks or more. Read More

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http://dx.doi.org/10.1002/ijgo.12790DOI Listing
February 2019

The efficacy of misoprostol vaginal insert compared with oral misoprostol in the induction of labor of nulliparous women: a randomized national multicenter trial.

Acta Obstet Gynecol Scand 2019 Feb 16. Epub 2019 Feb 16.

Tampere University hospital, Department of Obstetrics and Gynecology, Tampere, Finland.

Introduction: Our objective was to compare the efficacy of a 200-μg misoprostol vaginal insert (MVI) vs oral misoprostol regarding the cesarean section rate and the time interval to vaginal delivery in nulliparous women with unfavorable cervix.

Material And Methods: In this prospective multicenter trial 283 nulliparous women at term with Bishop score < 6 were randomized to induction of labor with either an MVI (n=140) or oral misoprostol (n= 143). Oral misoprostol was administered 50 μg four-hourly up to three times during the first day and 100 μg four-hourly up to three times during the second day, if necessary. Read More

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http://dx.doi.org/10.1111/aogs.13580DOI Listing
February 2019

Risk of adverse pregnancy outcomes by pre-pregnancy Body Mass Index among Italian population: a retrospective population-based cohort study on 27,807 deliveries.

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

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

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

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

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http://dx.doi.org/10.1007/s00404-019-05093-0DOI Listing
February 2019

Vacuum Extraction in Preterm Deliveries and Long-Term Neurological Outcome of the Offspring.

Pediatr Neurol 2019 Jan 15. Epub 2019 Jan 15.

Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel.

Background: Concern exists regarding a possible harmful impact of vacuum extraction on the preterm newborn. We aimed to evaluate the long-term pediatric neurodevelopmental outcomes of the preterm offspring after vacuum extraction.

Methods: A population-based cohort analysis was performed comparing the risk for long-term neurological morbidity (up to age 18 years) in preterm (less than 37 completed weeks of gestation) children born via following three delivery modes: vacuum extraction, spontaneous delivery, and cesarean delivery performed during the second stage of labor. Read More

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http://dx.doi.org/10.1016/j.pediatrneurol.2018.12.010DOI Listing
January 2019

Clear Cell Carcinoma of the Abdominal Wall as a Rare Complication of General Obstetric and Gynecologic Surgeries: 15 Years of Experience at a Large Academic Institution.

Int J Environ Res Public Health 2019 Feb 14;16(4). Epub 2019 Feb 14.

Department of Obstetrics and Gynecology; National Taiwan University Hospital, Taipei 100, Taiwan.

The objective of this article was to report the clinicopathological characteristics, treatment modalities, and outcomes of patients with clear cell carcinoma (CCC) of the abdominal wall. Medical records of six patients diagnosed with CCC of the abdominal wall between May 2003 and May 2018 at the National Taiwan University Hospital were reviewed. All patients had prior obstetric or gynecologic surgeries. Read More

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http://dx.doi.org/10.3390/ijerph16040552DOI Listing
February 2019

Induction of Labor at 39 Weeks of Gestation vs. Expectant Management for Low-Risk Nulliparous Women: A Cost-Effectiveness Analysis.

Am J Obstet Gynecol 2019 Feb 12. Epub 2019 Feb 12.

Oregon Health & Science University, Department of Obstetrics and Gynecology. Portland, OR.

Background: A large, recent multicenter trial found that induction of labor at 39 weeks for low-risk nulliparous women was not associated with an increased risk of cesarean delivery or adverse neonatal outcomes.

Objective: We sought to examine the cost-effectiveness and outcomes associated with induction of labor at 39 weeks versus expectant management for low-risk nulliparous women in the United States.

Study Design: A cost-effectiveness model using TreeAge software was designed to compare outcomes in women who were induced at 39 weeks versus expectantly managed. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.02.017DOI Listing
February 2019

Transient Tachypnea of Newborns Is Associated With Maternal Spinal Hypotension During Elective Cesarean Delivery: A Retrospective Cohort Study.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Department of Anesthesiology, Washington University, St Louis, Missouri.

Background: The risk for transient tachypnea of newborns, a common cause of respiratory distress in the neonatal period, is 2- to 6-fold higher during elective cesarean delivery compared to vaginal delivery. Here, we evaluated the association between transient tachypnea of newborns and the degree and duration of predelivery maternal hypotension during spinal anesthesia for elective cesarean delivery.

Methods: Demographic data, details of anesthetic management, blood pressure measurements, and vasopressor requirement preceding delivery were compared between transient tachypnea newborns (n = 30) and healthy neonates (n = 151) with normal respiratory function born via elective cesarean delivery between July 2015 and February 2016. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004064DOI Listing
February 2019

Pregnancy Outcomes in Women with Strictly Controlled Type 1 Diabetes Mellitus.

Indian J Endocrinol Metab 2018 Nov-Dec;22(6):798-800

Department of Obstetrics and Gynecology, Trakya University, Edirne, Turkey.

Objective: To evaluate the pregnancy outcomes in mothers with controlled Type 1 diabetes mellitus (T1DM).

Materials And Methods: Thirty seven pregnant patients with controlled T1DM were included in the study.

Results: Twenty (54%) out of 37 patients had preterm delivery (<37 weeks of gestation). Read More

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http://dx.doi.org/10.4103/ijem.IJEM_139_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330866PMC
February 2019

Does birth mode modify associations of maternal pre-pregnancy BMI and gestational weight gain with the infant gut microbiome?

Int J Obes (Lond) 2019 Feb 14. Epub 2019 Feb 14.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Background: Mother-to-newborn transmission of obesity-associated microbiota may be modified by birth mode (vaginal vs. Cesarean delivery). Prospective data to test this hypothesis are still sparse. Read More

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http://dx.doi.org/10.1038/s41366-018-0273-0DOI Listing
February 2019

Comparison of incisional and epidural analgesia in the treatment of postoperative pain after cesarean section.

Ceska Gynekol 2018 ;83(3):182-187

Objective: Comparison of incisional and epidural analgesia in the treatment of postoperative pain after cesarean sectio.

Design: Prospective cohort study in the period from 2015 to 2016.

Setting: Department of Obstetric and Gynecology, Masaryk University, University Hospital Brno. Read More

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January 2018

Risk factors for surgical intervention of early medical abortion.

Am J Obstet Gynecol 2019 Feb 11. Epub 2019 Feb 11.

Department of Gynaecology, Rigshospitalet, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Background: By being non-invasive, medical termination of pregnancy has increased worldwide access to abortion and improved safety of unsafe abortion. However, secondary surgical intervention is the most frequent complication to medical abortion.

Objective: We aimed to identify and quantify risk factors for surgical intervention in women undergoing medically induced termination of pregnancy before nine completed weeks of gestation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378193035
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http://dx.doi.org/10.1016/j.ajog.2019.02.014DOI Listing
February 2019
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Does comparing cesarean delivery rates influence women's choice of obstetric hospital?

Am J Manag Care 2019 02 1;25(2):e33-e38. Epub 2019 Feb 1.

Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115. Email:

Objectives: Despite public reporting of wide variation in hospital cesarean delivery rates, few women access this information when deciding where to deliver. We hypothesized that making cesarean delivery rate data more easily accessible and understandable would increase the likelihood of women selecting a hospital with a low cesarean delivery rate.

Study Design: We conducted a randomized controlled trial of 18,293 users of the Ovia Health mobile apps in 2016-2017. Read More

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February 2019

Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries.

J Ultrason 2018 ;18(75):310-315

Trakya University, Faculty of Medicine, Department of Perinatology , Edirne , Turkey.

: To prospectively determine the sonographic findings of the postpartum uterus 24 hours after vaginal delivery and cesarean section. : Women who had uneventful vaginal delivery or cesarean section from July 2015 to May 2018 in a tertiary care hospital were prospectively included. Uterine lengths, endometrium, amout of free fluid, the distance between the uterine fundus-promontorium and uterine fundus-L5 were evaluated 24 hours after delivery. Read More

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http://dx.doi.org/10.15557/JoU.2018.0045DOI Listing
January 2018

Maternal outcome after complete uterine rupture.

Acta Obstet Gynecol Scand 2019 Feb 14. Epub 2019 Feb 14.

Norwegian National Advisory Unit on Women's Health, Rikshospitalet Oslo University Hospital, Oslo, Norway.

Introduction: Complete uterine rupture, a rare peripartum complication, is often associated with a catastrophic outcome for both mother and child. However, few studies have investigated large data sets to evaluate maternal outcomes after complete ruptures, particularly in unscarred uteri. This paucity of studies is partly due to the rarity of both the event and the serious outcomes, such as peripartum hysterectomy and maternal death. Read More

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http://dx.doi.org/10.1111/aogs.13579DOI Listing
February 2019

The effects of uterine size with or without abdominal obesity on spinal block level and vasopressor requirement in elective cesarean section: a prospective observational study

Turk J Med Sci 2019 Feb 11;49(1):50-57. Epub 2019 Feb 11.

Background/aim: Hypotension is a serious complication caused by spinal anesthesia that places both the mother and fetus at increased risk. We aimed to investigate the effects of uterine size with or without abdominal obesity on sensory block level of pregnant women receiving spinal anesthesia.

Materials And Methods: This study included 125 term parturients who underwent cesarean section. Read More

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http://dx.doi.org/10.3906/sag-1804-167DOI Listing
February 2019

Rising rates of cesarean delivery in Ecuador: Socioeconomic and institutional determinants over two decades.

Birth 2019 Feb 13. Epub 2019 Feb 13.

Department of Anthropology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Background: Ecuador's cesarean delivery rate far exceeds that recommended by the Pan American Health Organization (PAHO) and the World Health Organization (WHO). Using data from three iterations of Ecuador's nationally representative, population-based survey Encuesta Nacional de Salud y Nutrición (ENSANUT/ENDEMAIN), spanning 23 years, this study examines women's mode of delivery outcomes by sociodemographic characteristics and hospital type (private, public, social security) in light of Ecuador's major health care reform over the past two decades.

Methods: Using data from the 1994, 2004, and 2012 iterations of the data set, we analyzed trends in cesarean delivery based on province, year, and institution of care. Read More

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http://dx.doi.org/10.1111/birt.12421DOI Listing
February 2019

Using fetal scalp stimulation with Doppler ultrasonography to enhance intermittent auscultation in low-resource settings: a diagnostic trial from Tanzania.

BMC Pregnancy Childbirth 2019 Feb 13;19(1):71. Epub 2019 Feb 13.

Hubert-Yeargan Center for Global Health, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC, USA.

Background: Hypoxia during labor contributes to 2.2 million intrapartum and early neonatal deaths each year. An additional 0. Read More

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http://dx.doi.org/10.1186/s12884-019-2212-zDOI Listing
February 2019

Factors Associated with Excessive Gestational Weight Gain Among Brazilian Mothers.

Breastfeed Med 2019 Feb 13. Epub 2019 Feb 13.

Nutrition Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Background: Gestational Weight Gain (GWG) is an important predictor of maternal and child health.

Materials And Methods: Cross-sectional study was carried out in a public maternity unit of a hospital in a Brazilian metropolis that aimed to evaluate the factors associated with excessive GWG. Data were collected on food consumption, anthropometry, and on socioeconomic, demographic, and health status. Read More

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http://dx.doi.org/10.1089/bfm.2018.0234DOI Listing
February 2019

Prenatally diagnosed foramen ovale restriction in fetuses with hypoplastic left heart syndrome may be a predictor of longer hospitalization, but not of a need for an urgent rashkind procedure.

Ginekol Pol 2019 ;90(1):31-38

Department of Prenatal Cardiology in Polish Mother's Memorial Hospital Research Institute, Lodz, Poland.

Objectives: This prospective study aimed to assess the effectiveness of foramen ovale examination in classifying prenatal hypoplastic left heart syndrome (HLHS) in accordance with the new classification groupings for congenital heart defects.

Material And Methods: The analysis included 145 fetuses with HLHS, diagnosed and monitored between 2008 and 2015 in Prenatal Cardiology Department at Polish Mother's Memorial Hospital Research Institute in Lodz. The main criteria for classifying our study population into three sub-groups was was the presence of a foramen ovale restriction, which we diagnosed by evaluating the diameter and blood flow through the foramen ovale. Read More

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http://dx.doi.org/10.5603/GP.2019.0005DOI Listing
January 2019
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Prevention of Cesarean Delivery Surgical Site Infections.

Obstet Gynecol Surv 2019 Feb;74(2):99-110

Professor and Director, Division of Specialists in Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC.

Importance: Surgical site infection (SSI) is a common complication of cesarean delivery. Seen in up to 12% of cesarean deliveries, it is a major cause of prolonged hospital stay and a burden to the healthcare system. Interventions and techniques must be identified to decrease the risk of cesarean delivery SSIs. Read More

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http://dx.doi.org/10.1097/OGX.0000000000000645DOI Listing
February 2019

[Pathophysiology, diagnosis and management of occiput posterior presentation during labor.]

Gynecol Obstet Fertil Senol 2019 Feb 9. Epub 2019 Feb 9.

Service de gynécologie obstétrique, Hôpital Nord, Gynépôle, Assistance Publique des Hôpitaux de Marseille, Chemin des Bourelly, 13015 Marseille; EA 3279, Public Health, Chronic Diseases and Quality of Life, Research Unit, Aix-Marseille University, 13284, Marseille, France.

Persistant occiput posterior (OP) positions are the commonest malpresentations of the fetal head during labor and their diagnosis remains challenging. They are associated to prolonged second stage of labor, prolonged expulsive efforts, labor augmentation, cesarean sections and instrumental deliveries. On the maternal side, severe perineal tears, post-partum hemorrhage or chorioamnionitis are more frequent. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.02.002DOI Listing
February 2019
1 Read

Diffuse massive adenomyosis and infertility. Is it possible to treat this condition?

Horm Mol Biol Clin Investig 2019 Feb 6. Epub 2019 Feb 6.

Department of Perinatology, Obstetrics and Gynecology, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia.

Background Severe forms of adenomyosis are a serious gynecological problem. In most cases, conservative treatment of this pathology is unsuccessful. Adenomyomectomy by Osada's approach seems to be the most promising solution. Read More

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http://dx.doi.org/10.1515/hmbci-2018-0026DOI Listing
February 2019
1 Read

Low-dose spinal anesthesia for cesarean section to prevent spinal-induced hypotension.

Curr Opin Anaesthesiol 2019 Feb 8. Epub 2019 Feb 8.

Department of Anesthesiology, UZLeuven.

Purpose Of Review: Low-dose combined spinal epidural (CSE) anesthesia is a common technique to anesthetize women for cesarean section. It is used to reduce the incidence of hypotension while providing excellent anesthetic conditions.

Recent Findings: Low spinal doses produce effective anesthesia but of limited duration. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000712DOI Listing
February 2019

Oral L-Carnitine used to treat narcoleptic type 1 patient during pregnancy - A case report.

Sleep Sci 2018 Jul-Aug;11(4):215-216

UNIFESP, Neurologia e Neurocirurgia - São Paulo - São Paulo - Brazil.

Narcolepsy type 1 is a sleep disorder characterized by excessive daytime sleepiness (EDS), sleep fragmentation, hypnagogic hallucinations, sleep paralysis, and cataplexy. Stimulant medications such as modafinil and amphetamines are the first-line medications for treating sleepiness. However, the management of narcolepsy during special circumstances of life such as pregnancy is complex. Read More

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http://dx.doi.org/10.5935/1984-0063.20180035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361304PMC
February 2019
1 Read

[Induction of labor in women with previous caesarean delivery with balloon catheter: Is it worth it?]

Gynecol Obstet Fertil Senol 2019 Feb 8. Epub 2019 Feb 8.

Pôle femme et enfant, groupe hospitalier universitaire Paris Seine Saint-Denis, site Jean-Verdier, avenue du 14 Juillet, 93140 Bondy, France; UFR SMBH, université Paris 13, Sorbonne Paris cité, 93000 Bobigny, France.

Objectif: Balloon catheters for labor induction at term after previous cesarean section is an alternative option to iterative cesarean section. The aim of this study was to analyze the maternal and neonatal outcomes of the trial of labor after cesarean (TOLAC) in women with unfavorable cervix and balloon catheter induction, 2 years after introduction of this process.

Methods: Unicentric observational study of women with term cephalic singleton, unfavorable cervix (simplified Bishop score<5) after TOLAC using double-balloon catheter. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.01.008DOI Listing
February 2019
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Expression, Regulation, and Function of the Calmodulin Accessory Protein PCP4/PEP-19 in Myometrium.

Reprod Sci 2019 Feb 11:1933719119828072. Epub 2019 Feb 11.

1 Department of Obstetrics and Gynecology, Division of Research, University of Kansas School of Medicine, Kansas City, KS, USA.

Objective:: Calmodulin (CaM) plays a key role in the orchestration of Ca signaling events, and its regulation is considered an important component of cellular homeostasis. The control of uterine smooth muscle function is largely dependent on the regulation of Ca and CaM signaling. The objective of this study was to investigate the expression, function, and regulation of CaM regulatory proteins in myometrium during pregnancy. Read More

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http://dx.doi.org/10.1177/1933719119828072DOI Listing
February 2019
3 Reads

T lymphocytes in the third trimester decidua in preeclampsia.

Hypertens Pregnancy 2019 Feb 11:1-6. Epub 2019 Feb 11.

c Department of Pathology, Faculty of Medicine , University of Nis , Nis , Serbia.

Objective: The aim of study was to conduct immunohistochemical quantification of CD3+ and CD8+ decidual lymphocytes in preeclampsia.

Methods: A study group included 30 cases of preeclampsia and a control group included 20 healthy pregnant women, all delivered by Cesarean section. Samples of placental bed were analyzed after immunohistochemical staining of CD45+, CD3+ and CD8+ cells. Read More

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http://dx.doi.org/10.1080/10641955.2019.1575393DOI Listing
February 2019
1 Read

An instrument which addresses the expectations of pregnant women over childbirth.

Am J Obstet Gynecol 2019 Feb 8. Epub 2019 Feb 8.

Postgraduate Program in Health Sciences. University of Southern Santa Catarina at Tubarão, Santa Catarina, Brazil.

Recently, an article published in this Journal concluded that practices which precede childbirth and postpartum can enhance the childbirth experience, as well as the pregnant mother's and family's satisfaction. This study encouraged us to contribute to the debate about the development of strategies to improve childbirth experience. An instrument that measures the expectation of the pregnant women may be a tool that reduces the number of unnecessary cesarean sections and that aid in the adequate delivery, after all each woman is different, bears different expectations, thereby each delivery is also different. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.02.005DOI Listing
February 2019

Contemporary Trends in Cesarean Delivery Utilization for Live Births Between 22 0/7 and 23 6/7 Weeks of Gestation.

Obstet Gynecol 2019 Feb 4. Epub 2019 Feb 4.

Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, the Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children's Hospital Medical Center, and the University of Cincinnati Department of Pediatrics, Cincinnati, Ohio.

Objective: In 2014, the Society for Maternal-Fetal Medicine, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists published an executive summary of a joint workshop to establish obstetric interventions to be considered for periviable births. We sought to evaluate changes in practice patterns since the publication of these guidelines.

Methods: We conducted a population-based cohort study of all singleton live births delivered between 22 0/7 and 23 6/7 weeks of gestation in the United States within two time epochs: pre-executive summary (Epoch 1: 2012-2013) and post-executive summary (Epoch 2: 2015-2016) guideline release. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003106DOI Listing
February 2019
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The impact of variations in obstetric practice on maternal birth trauma.

Int Urogynecol J 2019 Feb 11. Epub 2019 Feb 11.

Sydney Medical School Nepean, The University of Sydney, Sydney, Australia.

Introduction And Hypothesis: Forceps delivery and length of second stage are risk factors of maternal birth trauma, i.e., levator ani muscle (LAM) avulsion and anal sphincter trauma. Read More

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http://dx.doi.org/10.1007/s00192-019-03887-zDOI Listing
February 2019
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Misoprostol combined with cervical single or double balloon catheters versus misoprostol alone for labor induction of singleton pregnancies: a meta-analysis of randomized trials.

J Matern Fetal Neonatal Med 2019 Feb 10:1-16. Epub 2019 Feb 10.

a Facultad de Medicina , Hospital Universitario Lozano-Blesa, Universidad de Zaragoza , Zaragoza , Spain.

Objective: To compare the effect of misoprostol combined with a cervical single or double-balloon catheter versus misoprostol alone for labor induction of singleton pregnancies with an unfavorable cervix.

Methods: Systematic review and meta-analysis of randomized controlled trials (RCTs) regarding the comparison of two schemes for labor induction of singleton cephalic pregnancies with a Bishop score ≤7 and no contraindication for vaginal delivery. Six research databases were searched for articles published in all languages up to 10 May 2018 comparing misoprostol (oral or vaginal) in combination with a cervical placed single or double balloon catheter versus misoprostol treatment alone. Read More

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http://dx.doi.org/10.1080/14767058.2019.1574741DOI Listing
February 2019
2 Reads

Is vaginal misoprostol more effective than oral misoprostol for cervical ripening in obese women?

J Matern Fetal Neonatal Med 2019 Feb 10:1-8. Epub 2019 Feb 10.

a Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , Donald Barbara Zucker School of Medicine at Hofstra/Northwell , Manhasset , NY, USA.

Objective: To determine if vaginal misoprostol is more effective than oral misoprostol for cervical ripening in obese women.

Study Design: A retrospective cohort study of obese women undergoing induction of labor from Jan 2013 to Dec 2016 with singleton, viable pregnancies beyond 37 completed weeks of gestational age. Women with an initial Bishop score of 7 or less, with a cervical dilatation of less than 2 cm, who received either vaginal or oral misoprostol as a cervical ripening agent, were included. Read More

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http://dx.doi.org/10.1080/14767058.2019.1575684DOI Listing
February 2019
2 Reads

Perforated appendicitis in the setting of a massive ventral hernia, morbid obesity, and multiple severe comorbidities: challenges in acute management.

Trauma Surg Acute Care Open 2019 24;4(1):e000243. Epub 2019 Jan 24.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed. As a result, she had a massive incisional hernia (figure 1). Read More

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http://dx.doi.org/10.1136/tsaco-2018-000243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347851PMC
January 2019
1 Read

Adverse Maternal and Fetal Outcome in Patients with Eclampsia.

J Nepal Health Res Counc 2019 Jan 28;16(41):425-427. Epub 2019 Jan 28.

Department of Obstetrics and Gynecology, BPKIHS, Dharan, Sunsari, Nepal.

Background: Eclampsia is a multisystem disorder that may lead to deterioration of maternal condition, hypoxia and acidosis of fetus. Objective was to evaluate the risk factors associated with adverse maternal and fetal outcome in patients with eclampsia.

Methods: All patients with eclampsia were enrolled after informed consent from February 2013 to February 2014. Read More

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January 2019
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Impact of timing of delivery on maternal and neonatal outcomes for women with three previous cesarean deliveries; a secondary analysis of the cesarean section registry.

BJOG 2019 Feb 9. Epub 2019 Feb 9.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY.

Background: As more women are presenting with 3 previous cesarean deliveries (CD), providers may suggest early term delivery as a means to avoid the risk of spontaneous labor and associated maternal morbidity.

Objective: To determine whether early term delivery is associated with lower maternal and neonatal morbidity for women with three previous CD.

Study Design: Secondary analysis of a prospective registry of CD at 19 U. Read More

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http://dx.doi.org/10.1111/1471-0528.15652DOI Listing
February 2019
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A Comparative Study of Bolus Norepinephrine, Phenylephrine, and Ephedrine for the Treatment of Maternal Hypotension in Parturients with Preeclampsia During Cesarean Delivery Under Spinal Anesthesia.

Med Sci Monit 2019 Feb 9;25:1093-1101. Epub 2019 Feb 9.

Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China (mainland).

BACKGROUND This study aimed to compare the efficacy and safety of bolus norepinephrine, phenylephrine, and ephedrine in parturient with preeclampsia who had hypotension during cesarean delivery under spinal anesthesia. MATERIAL AND METHODS One hundred and sixty-six parturient women with preeclampsia who had a baseline systolic blood pressure (SBP) <80% during spinal anesthesia for cesarean section were divided into three treatment groups; bolus norepinephrine 4 μg (group N) (n=56), phenylephrine 50 μg (group P) (n=55), and ephedrine 4 mg (group E) (n=55). Primary outcomes included overall SBP and heart rate (HR) until delivery. Read More

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http://dx.doi.org/10.12659/MSM.914143DOI Listing
February 2019
1 Read

Trial of labor after cesarean section in risk pregnancies: a population-based cohort study.

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

Department of Clinical Science, University of Bergen, Norway.

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

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

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http://dx.doi.org/10.1111/aogs.13565DOI Listing
February 2019
1 Read

Women's perspectives on health facility and system levels factors influencing mode of delivery in Tehran: a qualitative study.

Reprod Health 2019 Feb 8;16(1):15. Epub 2019 Feb 8.

Maternal Health Department, Ministry of Health, Tehran, Iran.

Background: Iran has one of the highest national caesarean section rates worldwide. Few studies explored in-depth the health-facility and health-system level factors that affect women's choices on mode of delivery in Iran. The aim of this study was to explore the health-facility and health-system level factors affecting women's preferences on mode of delivery in Tehran. Read More

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http://dx.doi.org/10.1186/s12978-019-0680-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368775PMC
February 2019
1 Read
1.616 Impact Factor

Epidemiology of mental disorders during pregnancy and link to birth outcome: a large-scale retrospective observational database study including 38,000 pregnancies.

Arch Gynecol Obstet 2019 Feb 8. Epub 2019 Feb 8.

Department of Obstetrics and Gynecology, University of Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany.

Purpose: To investigate the real-life epidemiology of mental disorders during pregnancy and their impact on birth outcome in an unselected low-risk population in Germany.

Methods: Claims data of the Techniker Krankenkasse (TK) were analyzed as part of a retrospective observational study over a one-year period from 01/2008 to 12/2008 including 38,174 pregnant women. ICD-10 codes were clustered into four diagnostic groups: depression, anxiety disorders, somatoform/dissociative disorders and acute stress reactions. Read More

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http://dx.doi.org/10.1007/s00404-019-05075-2DOI Listing
February 2019
1 Read

Outcome of small for gestational age-fetuses in breech presentation at term according to mode of delivery: a nationwide, population-based record linkage study.

Arch Gynecol Obstet 2019 Feb 8. Epub 2019 Feb 8.

Department of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, HUS, Haartmaninkatu 2, 00029, Helsinki, Finland.

Purpose: To evaluate whether a trial of planned vaginal labor is associated with adverse perinatal outcome in singleton, small for gestational agefetuses in breech presentation at term.

Methods: This is a Finnish nationwide, population-based record linkage study. The studied population included all small for gestational age breech labors from January 1, 2004 to December 31, 2014. Read More

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http://dx.doi.org/10.1007/s00404-019-05091-2DOI Listing
February 2019
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Preeclamptic serous retinal detachment without hypertension: A case report.

Case Rep Womens Health 2019 Jan 23;21:e00098. Epub 2019 Jan 23.

Department of Obstetrics & Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23704, United States.

Preeclampsia is a disease of pregnancy classically defined by the development of new-onset hypertension and proteinuria. Serous retinal detachment is a rare complication of severe preeclampsia that is associated with a high incidence of morbidity and mortality. We present the case of a 24-year-old primigravida who was diagnosed with preeclamptic serous retinal detachment at 30 weeks of gestation that occurred in the absence of hypertension. Read More

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http://dx.doi.org/10.1016/j.crwh.2019.e00098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358546PMC
January 2019
1 Read

Successful rescue of antepartum eclampsia in a Chinese patient: Case report.

Medicine (Baltimore) 2019 Feb;98(6):e14301

Central Laboratory of Medicine, Maternity and Child Health Hospital of Zhenjiang, Zhenjiang, Jiangsu, P.R. China.

Rationale: Eclampsia is a life-threatening complication of pregnancy. Eclampsia is a leading cause of maternal and neonatal morbidity and mortality with most injury being associated with the seizures that mark the onset of the disease. It is vital that medical worker managing eclampsia have an understanding of the disease process. Read More

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http://dx.doi.org/10.1097/MD.0000000000014301DOI Listing
February 2019
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Cardiotocography alone vs. cardiotocography with ST segment analysis for intrapartum fetal monitoring in women with late-term pregnancy. A randomized controlled trial.

Eur J Obstet Gynecol Reprod Biol 2019 Jan 30;234:213-217. Epub 2019 Jan 30.

Department of Obstetrics and Gynecology, Virgen de las Nieves University Hospital of Granada, Avda. Fuerzas Armadas s/n, 18014 Granada, Spain.

Objectives: Randomized studies have obtained conflicting results regarding the usefulness of fetal electrocardiographic (ECG) ST-segment analysis, possibly because these studies included non-homogeneous populations. We designed a study to determine whether this monitoring technique is potentially useful for populations at risk for fetal heart rate alterations during labor, i.e. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03012115193005
Publisher Site
http://dx.doi.org/10.1016/j.ejogrb.2019.01.023DOI Listing
January 2019
5 Reads

Neighborhood Income and Cesarean Section Rates at a Tertiary Care Center in Canada.

J Womens Health (Larchmt) 2019 Feb 7. Epub 2019 Feb 7.

1 Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Background: With rising rates of cesarean sections (CSs) in Canada and worldwide, nonclinical factors for CS warrant consideration.

Objective: To determine the association between a primigravid woman's neighborhood income and rates of CSs.

Materials And Methods: A retrospective cohort study was conducted at an Ontario tertiary care center from January 2003 to December 2013. Read More

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http://dx.doi.org/10.1089/jwh.2018.6971DOI Listing
February 2019
1 Read

Pregnancy outcomes in women with spinal cord injuries: a population-based study.

PM R 2019 Feb 6. Epub 2019 Feb 6.

Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

Background: Pregnant women with congenital or acquired spinal cord injury face challenges due to compromised neurological function and mobility; factors that may also affect fetal/infant health. Few studies have examined pregnancy course and longer-term outcomes in this population.

Objective: To assess pregnancy outcomes among women with spinal cord injury, paralysis, or spina bifida using population-based data. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/pmrj.12122
Publisher Site
http://dx.doi.org/10.1002/pmrj.12122DOI Listing
February 2019
2 Reads

High Branched-Chain Amino Acid Concentrations Are Found in Preterm Baboons Receiving Intravenous Amino Acid Solutions and Mimic Alterations Found in Preterm Infants.

JPEN J Parenter Enteral Nutr 2019 Feb 7. Epub 2019 Feb 7.

Texas Pregnancy and Life-course Health Research Center, Department of Animal Science, University of Wyoming, Laramie, Wyoming, USA.

Background: Parenteral amino acid (AA) nutrition administration after premature birth is necessary to ensure adequate growth and neurodevelopment. However, optimizing safety and efficacy remains a major challenge. This study investigated the effects of intravenous AA administration on plasma AA profiles in premature baboons and infants. Read More

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http://dx.doi.org/10.1002/jpen.1507DOI Listing
February 2019

Assessing the risk factors before pregnancy of preterm births in Iran: a population-based case-control study.

BMC Pregnancy Childbirth 2019 Feb 6;19(1):57. Epub 2019 Feb 6.

Student Research Committee, Epidemiology Department, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Preterm birth is a major cause of prenatal and postnatal mortality particularly in developing countries. This study investigated the maternal risk factors associated with the risk of preterm birth.

Methods: A population-based case-control study was conducted in several provinces of Iran on 2463 mothers referred to health care centers. Read More

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https://bmcpregnancychildbirth.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12884-019-2183-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364407PMC
February 2019
2 Reads

Demographic changes and effects on the mode of delivery: a retrospective analysis of a large birth registry containing 27,729 singleton deliveries in a level I center.

Arch Gynecol Obstet 2019 Feb 6. Epub 2019 Feb 6.

Department of Women's Health, University Hospital of Tuebingen, Tuebingen, Germany.

Purpose: To characterize and understand the demographics (age and body mass index, BMI) of a cohort of women who delivered at a single institution over an 11-year period. The purpose of this analysis is to look for effects over time of demographic characteristics on mode of delivery.

Methods: Retrospective analysis of singleton deliveries between 2004-2014, n = 27,729; level 1 perinatal center, university hospital setting. Read More

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http://dx.doi.org/10.1007/s00404-019-05073-4DOI Listing
February 2019
2 Reads

Fetal mortality and the challenges for women's health care in Brazil.

Rev Saude Publica 2019 Jan 31;53:12. Epub 2019 Jan 31.

Universidade Federal de Goiás. Instituto de Patologia Tropical e Saúde Pública. Departamento de Saúde Coletiva. Goiânia, GO, Brasil.

Objective: To establish a historical series of fetal mortality in Brazil and regions between 1996 and 2015, identifying its behavior and trend.

Methods: A descriptive study on cases of fetal deaths in Brazil and in each region reported from 1996 to 2015, registered in DATASUS and classified by ICD-10. Maternal age and schooling, duration of gestation and type of delivery were considered. Read More

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http://dx.doi.org/10.11606/S1518-8787.2019053000714DOI Listing
January 2019
1 Read

Streptococcus mutans detection in saliva and colostrum samples.

Einstein (Sao Paulo) 2019 Jan 31;17(1):eAO4515. Epub 2019 Jan 31.

Universidade de Uberaba, Uberaba, MG, Brazil.

Objective: To detect Streptococcus mutans in colostrum and saliva of neonates and compare with its detection in saliva of mothers.

Methods: Forty-three healthy women, full-term gestations with no complications, submitted to elective Cesarean section, and their newborns were included in the study. Samples were investigated by polymerase chain reaction to detect S. Read More

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http://dx.doi.org/10.31744/einstein_journal/2019AO4515DOI Listing
January 2019
2 Reads