364 results match your criteria Normal and Abnormal Puerperium


Associations between the general condition of culled dairy cows and selling price at Ontario auction markets.

J Dairy Sci 2018 Nov 7;101(11):10580-10588. Epub 2018 Sep 7.

Department of Population Medicine, University of Guelph, Guelph, ON, N1G 2W1, Canada; Campbell Centre for the Study of Animal Welfare, University of Guelph, Guelph, ON, N1G 2W1, Canada. Electronic address:

Dairy cows are culled from the herd for a variety of reasons, the most common being fertility problems, low milk production, or udder problems. Disease and injury can contribute to the decision to cull either directly, or indirectly, by causing fertility or production problems, leading to culling. Disease or injury may also affect the cow's ability to handle the stress of transportation and may increase the risk for reduced welfare. Read More

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http://dx.doi.org/10.3168/jds.2018-14519DOI Listing
November 2018
1 Read

Transfusion Medicine in a Multidisciplinary Approach to Morbidly Adherent Placenta: Preparing for and Preventing the Worst.

Transfus Med Rev 2018 10 27;32(4):244-248. Epub 2018 Jun 27.

Department of Pathology and Cell Biology, Columbia University Medical Center and New York-Presbyterian Hospital, New York, NY. Electronic address:

The increasing incidence of placenta accreta has paralleled the rise in its greatest risk factor: cesarean delivery. In placenta accreta, the abnormal invasion of the chorionic villi into the myometrium prevents separation of the placenta at delivery, and the myometrium is unable to contract to prevent hemorrhage. Spontaneous uterine rupture and hemoperitoneum may also occur in the setting of placenta percreta. Read More

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http://dx.doi.org/10.1016/j.tmrv.2018.05.007DOI Listing
October 2018
9 Reads
2.923 Impact Factor

Abdominal computed tomography (CT) scan in the evaluation of refractory puerperal fever: impact on management.

J Matern Fetal Neonatal Med 2018 Sep 6:1-6. Epub 2018 Sep 6.

a Department of Obstetrics, Gynecology and Reproductive sciences , Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel-Aviv University , Tel Aviv , Israel.

Introduction: Computed tomography (CT) imaging should be employed judiciously, given its cost, use of intravenous contrast, and ionizing radiation. The aim of this study was to determine the clinical benefit of a CT scan in the evaluation of refractory puerperal fever and to identify the appropriate candidates for its use.

Methods: This was a retrospective cohort study conducted in a single tertiary care center between January 2007 to April 2017. Read More

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http://dx.doi.org/10.1080/14767058.2018.1497603DOI Listing
September 2018
18 Reads

Changes Over Time in Hepatic Markers Predict Changes in Insulin Sensitivity, β-Cell Function, and Glycemia.

J Clin Endocrinol Metab 2018 07;103(7):2651-2659

Leadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Ontario, Canada.

Context: Serum concentrations of liver enzymes and the hepatokine fetuin-A have been linked to the risk of type 2 diabetes, but their longitudinal impact on insulin resistance and β-cell dysfunction is unclear.

Objective: To evaluate the impact of changes over 2 years in fetuin-A and the liver enzymes alanine aminotransferase (ALT), aspartate aminotransferase (AST), and γ-glutamyltransferase (GGT) on changes in insulin sensitivity, β-cell function, and glycemia in women with varying degrees of previous gestational dysglycemia, reflecting a range of future diabetic risk.

Design/setting/participants: In total, 336 women underwent glucose challenge test (GCT) and oral glucose tolerance test (OGTT) in pregnancy, followed by repeat OGTT and measurement of ALT/AST/GGT/fetuin-A at both 1 year and 3 years postpartum. Read More

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http://dx.doi.org/10.1210/jc.2018-00306DOI Listing
July 2018
6 Reads

Previous Gestational Diabetes Increases Atherogenic Dyslipidemia in Subsequent Pregnancy and Postpartum.

Lipids 2018 04 6;53(4):387-392. Epub 2018 May 6.

Department of Medicine, Universitat Autònoma de Barcelona, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.

In a cohort of women with previous gestational diabetes mellitus (GDM), we aimed to ascertain whether women with abnormal glucose tolerance 1-year postdelivery had a more atherogenic lipid profile during and after pregnancy than those with normal glucose tolerance. A prospective cohort study with longitudinal design between January 2004 and March 2016 was conducted. Three hundred and six (56. Read More

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http://dx.doi.org/10.1002/lipd.12040DOI Listing
April 2018
4 Reads

Natural History of Squamous Intraepithelial Lesions in Pregnancy and Mode of Delivery.

Anticancer Res 2018 04;38(4):2439-2442

Department of Obstetrics and Gynecology, General Hospital Vienna, Medical University Vienna, Vienna, Austria

Background: Numerous studies have addressed the impact of mode of delivery on the natural history of squamous intraepithelial lesions (SIL) in pregnant women. However, the literature is still contradictory.

Patients And Methods: In the course of a retrospective analysis, data of 63 pregnant women with abnormal cervical smears who were referred to our Outpatient Department for pre-invasive lesions of the cervix were analyzed. Read More

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http://ar.iiarjournals.org/content/38/4/2439.abstract
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http://dx.doi.org/10.21873/anticanres.12496DOI Listing
April 2018
11 Reads

SULFATION PATHWAYS: The steroid sulfate axis and its relationship to maternal behaviour and mental health.

Authors:
William Davies

J Mol Endocrinol 2018 Aug 13;61(2):T199-T210. Epub 2018 Feb 13.

School of PsychologyCardiff University, Cardiff, UK

Steroid hormones can exist in functionally dissociable sulfated and non-sulfated (free) forms and can exert profound effects on numerous aspects of mammalian physiology; the ratio of free-to-sulfated steroids is governed by the antagonistic actions of steroid sulfatase (STS) and sulfotransferase (SULT) enzymes. Here, I examine evidence from human and animal model studies, which suggests that STS and its major substrate (dehydroepiandrosterone sulfate, DHEAS) and product (DHEA) can influence brain function, behaviour and mental health, before summarising how the activity of this axis varies throughout mammalian pregnancy and the postpartum period. I then consider how the steroid sulfate axis might impact upon normal maternal behaviour and how its dysfunction might contribute towards risk of postpartum psychiatric illness. Read More

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http://dx.doi.org/10.1530/JME-17-0219DOI Listing
August 2018
1 Read

Establishing blood gas ranges in healthy bovine neonates differentiated by age, sex, and breed type.

J Dairy Sci 2018 Apr 2;101(4):3205-3212. Epub 2018 Feb 2.

Department of Biological and Pharmaceutical Sciences, Institute of Technology Tralee, Tralee, Co. Kerry, Ireland, V92 CX88. Electronic address:

Calf mortality and morbidity commonly occurs within the first month of life postpartum. Standard health ranges are invaluable aids in diagnostic veterinary medicine to confirm normal or the degree and nature of abnormal parameters in (sub)clinically ill animals. Extensive research has indicated significant differences between the physiologies of neonate and adult cattle, particularly for blood parameters such as pH, base excess, anion gap, and bicarbonate (HCO). Read More

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http://dx.doi.org/10.3168/jds.2017-13445DOI Listing
April 2018
7 Reads

Postpartum computed tomography angiography of the fetoplacental macrovasculature in normal pregnancies and in those complicated by fetal growth restriction.

Acta Obstet Gynecol Scand 2018 Mar;97(3):322-329

Department of Obstetrics and Gynecology, Aalborg University Hospital, Aalborg, Denmark.

Introduction: Current knowledge of the fetoplacental vasculature in fetal growth restriction (FGR) due to placental dysfunction focuses on the microvasculature rather than the macrovasculature. The aim of this study was to investigate the feasibility of computed tomography angiography to analyze the fetoplacental macrovasculature in normal and FGR pregnancies.

Material And Methods: We included 29 placentas (22-42 weeks of gestation) from normal birthweight pregnancies and eight placentas (26-37 weeks of gestation) from FGR pregnancies (birthweight < -15% and abnormal umbilical Doppler flow). Read More

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http://dx.doi.org/10.1111/aogs.13289DOI Listing
March 2018
9 Reads

Inability to suppress the stress-induced activation of the HPA axis during the peripartum period engenders deficits in postpartum behaviors in mice.

Psychoneuroendocrinology 2018 04 21;90:182-193. Epub 2017 Dec 21.

Tufts University School of Medicine, Department of Neuroscience, Boston, MA 02111, United States. Electronic address:

The stress-induced activation of the hypothalamic-pituitary-adrenal (HPA) axis is normally suppressed during pregnancy. Dysregulation of the HPA axis has been proposed to play a role in postpartum depression. However, direct investigation into the relationship between the HPA axis and postpartum depression has been hindered by the lack of useful animal models. Read More

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http://dx.doi.org/10.1016/j.psyneuen.2017.12.003DOI Listing
April 2018
2 Reads

Is unplanned out-of-hospital birth managed by paramedics 'infrequent', 'normal' and 'uncomplicated'?

BMC Pregnancy Childbirth 2017 12 22;17(1):436. Epub 2017 Dec 22.

University of the Sunshine Coast, ML40, Locked bag 4, Maroochydore DC, Qld, 4558, Australia.

Background: Unplanned out-of-hospital birth is often perceived as precipitate in nature, 'infrequent', 'normal' and 'uncomplicated'. However, international studies report unplanned out-of-hospital birth is associated with increased rates of maternal and neonatal morbidity and mortality. This research describes intrapartum, immediate postpartum and neonatal care provided by paramedics in Queensland, Australia. Read More

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http://dx.doi.org/10.1186/s12884-017-1617-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741876PMC
December 2017
5 Reads

Abnormal 1-hour post-load glycemia during pregnancy impairs post-partum metabolic status: a single-center experience.

J Endocrinol Invest 2018 May 24;41(5):567-573. Epub 2017 Oct 24.

Endocrinology Section, Department of Clinical and Experimental Medicine, Garibaldi-Nesima Hospital, University of Catania, via Palermo 636, 95122, Catania, Italy.

Purpose: Recent evidence indicates that people with normal glucose tolerance (NGT) but 1-h post-load plasma glucose (1-h OGTT) ≥ 155 mg/dl have an increased risk for developing Type 2 diabetes mellitus (T2DM), determining a new risk category with deeper metabolic impairment. The aim of this study was to identify, among women with gestational diabetes (GDM), which alterations at OGTT during pregnancy are more frequently associated with 1-h OGTT ≥ 155 mg/dl at post-partum examination.

Methods: Among 297 women affected by GDM, we retrospectively evaluated 244 resulted NGT after delivery. Read More

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http://dx.doi.org/10.1007/s40618-017-0774-zDOI Listing

Outcome of Pregnancy Related Acute Kidney Injury Observed in a Tertiary Care Hospital.

Mymensingh Med J 2017 07;26(3):463-470

Dr AK Saleh Uddin Ahammed, Assistant Professor, Department of Nephrology, MMC, Mymensingh, Bangladesh.

This prospective case control study was carried out in Mymensingh Medical College Hospital (MMCH) from April 2011 to March 2012. The main objective of the study was to determine the short term maternal outcome of pregnancy related Acute Kidney Injury and to identify aetiological factors and to observe clinical features of pregnancy related Acute Kidney Injury. Total 60 pregnant women with AKI were included in the study as sample and equal (60) number of pregnant women with normal renal function was taken as control. Read More

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July 2017
5 Reads

Pregnancy outcomes in patients with uterine fibroids treated with ultrasound-guided high-intensity focused ultrasound.

BJOG 2017 Aug;124 Suppl 3:30-35

Department of Obstetrics and Gynaecology of Chongqing Haifu Hospital, Chongqing, China.

Objective: To investigate the effect of high-intensity focused ultrasound (HIFU) ablation for uterine fibroids on pregnancy.

Design: A retrospective observational study.

Setting: Department of Gynaecology in a single centre in China. Read More

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http://dx.doi.org/10.1111/1471-0528.14742DOI Listing
August 2017
12 Reads

Relationships among early postpartum luteal activity, parity, and insemination outcomes based on in-line milk progesterone profiles in Canadian Holstein cows.

Theriogenology 2017 Sep 27;100:32-41. Epub 2017 May 27.

Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada; Livestock Research & Extension Branch, Alberta Agriculture and Forestry, Edmonton, AB T6H 5T6, Canada. Electronic address:

The objectives of this retrospective study were to use in-line milk progesterone (mP4) data to investigate relationships of (1) commencement of luteal activity (CLA), and (2) luteal phase (LP) length and frequency preceding first postpartum AI, with parity and AI outcomes in Canadian Holstein cows. Starting 21 ± 1 days postpartum (DPP), levels of mP4 were assessed every 2.2 ± 2. Read More

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http://dx.doi.org/10.1016/j.theriogenology.2017.05.021DOI Listing
September 2017
3 Reads

Reference values for maternal total and differential leukocyte counts in different trimesters of pregnancy and the initial postpartum period in western Turkey.

J Obstet Gynaecol 2017 Jul 7;37(5):571-575. Epub 2017 Feb 7.

b Department of Gynecology and Obstetrics , Manisa Maternity and Child Hospital , Manisa , Turkey.

The aim of this study was to investigate alterations in the leukocyte and differential leukocyte counts in different trimesters of pregnancy and the initial postpartum period. The study population consisted of 40,325 pregnant women. A full blood count and automated differential leukocyte count were performed and all the haemogram results in the different trimesters of pregnancy were recorded. Read More

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http://dx.doi.org/10.1080/01443615.2016.1268575DOI Listing
July 2017
11 Reads
0.604 Impact Factor

Benefits of Cervical Cancer Screening by Liquid-Based Cytology as Part of Routine Antenatal Assessment.

Asian Pac J Cancer Prev 2016 ;17(9):4457-4461

Department of Obstetrics and Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand E-mail :

Purpose: To determine the prevalence of abnormal cervical cytology, as diagnosed using a liquid-based cytology technique, in pregnant women attending the Antenatal Care (ANC) clinic at Siriraj Hospital.

Materials And Methods: This cross-sectional study included 655 first-visit pregnant women who attended ANC clinic at Siriraj Hospital during June to November 2015 study period. After receiving routine antenatal care, cervical cytology screening was performed with the Siriraj liquid-based cytology technique. Read More

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February 2017
6 Reads

Performance of the Obstetric Early Warning Score in critically ill patients for the prediction of maternal death.

Am J Obstet Gynecol 2017 Jan 15;216(1):58.e1-58.e8. Epub 2016 Oct 15.

Grupo de Investigación en Cuidados intensivos y Obstetricia (GRICIO), Departments of Obstetrics and Gynecology, Universidad de Cartagena, Barrio Alcibia, sector María Auxiliadora, Cartagena, Colombia; Internal Medicine, Universidad de Cartagena, Barrio Alcibia, sector María Auxiliadora, Cartagena, Colombia; Unidad de Cuidados Intensivos Gestión Salud, Barrio Alcibia, sector María Auxiliadora, Cartagena, Colombia.

Background: Every day, about 830 women die worldwide from preventable causes related to pregnancy and childbirth. Obstetric early warning scores have been proposed as a potential tool to reduce maternal morbidity and mortality, based on the identification of predetermined abnormal values in the vital signs or laboratory parameters, to generate a rapid and effective medical response. Several early warning scores have been developed for obstetrical patients, but the majority are the result of a clinical consensus rather than statistical analyses of clinical outcome measures (ie, maternal deaths). Read More

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http://dx.doi.org/10.1016/j.ajog.2016.09.103DOI Listing
January 2017
22 Reads
1 Citation
4.704 Impact Factor

Parturition effects on reproductive health in the gilt and sow.

Reprod Domest Anim 2016 Oct;51 Suppl 2:36-47

Department Production Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.

In this review, we address significant characteristics of parturition in the pig and their connection to post-partum reproductive health and fertility. We discuss the normal physiology and behaviour around parturition and the effect of the second phase (expulsion of foetuses) on the third phase of parturition (expulsion of foetal membranes). In addition, we intend to cover retained placenta, and the connection to post-partum uterine health and fertility in the contemporary prolific sow. Read More

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http://doi.wiley.com/10.1111/rda.12798
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http://dx.doi.org/10.1111/rda.12798DOI Listing
October 2016
2 Reads

Amniotic Fluid Embolism.

MCN Am J Matern Child Nurs 2017 Jan/Feb;42(1):29-35

Courtney Stanley Sundin is a Clinical Nurse Supervisor at Labor & Delivery, Baylor Scott & White All Saints Medical Center, Andrews Women's Hospital, Fort Worth, TX. The author can be reached via e-mail at Lauren Bradham Mazac is a Clinical Nurse Supervisor at Labor & Delivery, Baylor Scott & White All Saints Medical Center, Andrews Women's Hospital, Fort Worth, TX.

Amniotic fluid embolism (AFE) is a rare but serious and potentially deadly complication of pregnancy that is unpreventable and unpredictable. Most AFE events occur during labor; however, approximately one third happen during the immediate postpartum period. Presentation is abrupt and thought to be an abnormal response to fetal materials entering maternal circulation through the placental insertion site. Read More

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http://dx.doi.org/10.1097/NMC.0000000000000292DOI Listing
April 2018
22 Reads

"Seeing Is Believing": Dermatoscope Facilitated Breast Examination of the Breastfeeding Woman with Nipple Pain.

Breastfeed Med 2016 09 17;11:356-60. Epub 2016 Aug 17.

4 Department of Physiology and Cell Biology, Faculty of Health Sciences, Ben-Gurion University of the Negev , Beer-Sheva, Israel .

Background: It is well recognized that breastmilk provides optimal nutrition and immunological protection for infants. Many women, however, experience nipple pain while breastfeeding, leading to premature cessation of nursing. To overcome these difficulties, timely diagnosis is crucial to effectively treat the underlying pathology and permit resumption of breastfeeding. Read More

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http://dx.doi.org/10.1089/bfm.2016.0051DOI Listing
September 2016
14 Reads

Abnormal glucose tolerance post-gestational diabetes mellitus as defined by the International Association of Diabetes and Pregnancy Study Groups criteria.

Eur J Endocrinol 2016 Oct 15;175(4):287-97. Epub 2016 Jul 15.

Galway Diabetes Research CentreNational University of Ireland, Galway, Ireland.

Objective: An increase in gestational diabetes mellitus (GDM) prevalence has been demonstrated across many countries with adoption of the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) diagnostic criteria. Here, we determine the cumulative incidence of abnormal glucose tolerance among women with previous GDM, and identify clinical risk factors predicting this.

Design: Two hundred and seventy women with previous IADPSG-defined GDM were prospectively followed up for 5years (mean 2. Read More

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http://dx.doi.org/10.1530/EJE-15-1260DOI Listing
October 2016
22 Reads

Glucose Intolerance after a Recent History of Gestational Diabetes Based on the 2013 WHO Criteria.

PLoS One 2016 10;11(6):e0157272. Epub 2016 Jun 10.

Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Leuven, Belgium.

Aims: Uncertainty exists on the prevalence of glucose intolerance in women with a recent diagnosis of gestational diabetes (GDM) based on a two-step screening strategy and the 2013 World Health Organization (WHO) criteria. Our aim was to evaluate the uptake of postpartum screening, the prevalence and the risk factors for glucose intolerance in women with a recent history of GDM.

Methods: Retrospective analysis of the medical records of women with a recent history of GDM diagnosed in a universal two-step screening strategy with the 2013 WHO criteria. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0157272PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902304PMC
July 2017
7 Reads

Predictors of Abnormal Glucose Tolerance in the Early Postpartum Period in Patients with Gestational Diabetes.

Kurume Med J 2016 25;62(3-4):47-51. Epub 2016 May 25.

Department of Obstetrics and Gynecology, Kurume University School of Medicine.

This study was designed to investigate the clinical predictors of abnormal glucose tolerance 5-7 weeks after delivery. Subjects were 155 women diagnosed with gestational diabetes mellitus (GDM) between October 2005 and September 2013 whose pregnancy and delivery were managed at our center. Subjects were divided into a normal glucose tolerance group (NGT; n = 113), or abnormal glucose tolerance group (AGT; n = 42) with borderline or overt diabetes mellitus, based on 75-g oral glucose tolerance test (75 gOGTT) results 5-7 weeks after delivery. Read More

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http://dx.doi.org/10.2739/kurumemedj.MS65006DOI Listing
April 2017
13 Reads

Postpartum sacral stress fracture: a case report.

BMC Pregnancy Childbirth 2016 Apr 30;16:96. Epub 2016 Apr 30.

Department of Obstetrics and Gynecology, American University of Beirut Medical Center, PO Box: 11-0236, Riad El Solh, Beirut, 1107 2020, Beirut, Lebanon.

Background: Stress fractures are classified as insufficiency and fatigue fractures. Insufficiency fractures occur when normal stresses are placed on bone with decreased mineralization and elastic resistance; whereas fatigue fractures occur when abnormal forces are applied to normal bone.

Case Presentation: We report a case of postpartum bilateral sacral fracture in the absence of documented osteoporosis in a 30 year old Lebanese female, thus satisfying the classification of fatigue fractures. Read More

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http://dx.doi.org/10.1186/s12884-016-0873-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852431PMC
April 2016
4 Reads

Early Postpartum Glucose Testing in Women with Gestational Diabetes Mellitus.

Am J Perinatol 2016 08 27;33(10):966-71. Epub 2016 Apr 27.

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Objective Given that most women with gestational diabetes mellitus (GDM) never undergo the recommended 6 to 12 weeks postpartum glucose tolerance test (GTT), we assessed the feasibility of performing GTTs on postpartum day 2. Study Design Women with abnormal postpartum day 2 results were similar to women with normal postpartum day 2 results except that more women with abnormal results required medicine to treat their GDM (Table 1). [corrected]. Read More

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http://dx.doi.org/10.1055/s-0036-1583193DOI Listing
August 2016
8 Reads

[Placenta percreta--a severe obstetric complication despite correct diagnosis--a case report].

Ginekol Pol 2015 Dec;86(12):951-6

This paper presents a case of a pregnant woman with a history of two cesarean sections. The patient was admitted to the hospital because of vaginal bleeding. The ultrasound revealed a placenta covering the internal os. Read More

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December 2015
22 Reads

Maternal high-fat diet leads to persistent synaptic instability in mouse offspring via oxidative stress during lactation.

Neurochem Int 2016 07 10;97:99-108. Epub 2016 Mar 10.

Department of Degenerative Neurological Diseases, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8502, Japan. Electronic address:

Maternal obesity has negative effects on the neurodevelopment of the offspring. Pups from high-fat diet (HFD)-fed mice exhibit peroxidized lipid accumulations in the brain and behavioral impairments. However, the synaptic basis of maternal HFD-induced brain dysfunction in offspring remains unclear. Read More

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http://dx.doi.org/10.1016/j.neuint.2016.03.008DOI Listing
July 2016
13 Reads

Health related quality of life two to five years after gestational diabetes mellitus: cross-sectional comparative study in the ATLANTIC DIP cohort.

BMC Pregnancy Childbirth 2015 Oct 24;15:274. Epub 2015 Oct 24.

School of Medicine, Clinical Sciences Institute, National University of Ireland, Galway, Ireland.

Background: There is no consensus on the effect of gestational diabetes mellitus (GDM) on health-related quality of life (HRQOL) for the mother in the short or long term. In this study we examined HRQOL in a group of women who had GDM in the index pregnancy 2 to 5 years previously and compared it to a group of women with normal glucose tolerance (NGT) in the index pregnancy during the same time period.

Methods: The sample included 234 women who met International Association of Diabetes Study Groups (IADPSG) criteria for GDM in the index pregnancy and 108 who had NGT. Read More

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http://dx.doi.org/10.1186/s12884-015-0705-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4619994PMC
October 2015
20 Reads

Women with a history of gestational diabetes on long-term follow up have normal vascular function despite more dysglycemia, dyslipidemia and adiposity.

Diabetes Res Clin Pract 2015 Dec 9;110(3):309-14. Epub 2015 Oct 9.

Division of Endocrinology and Metabolism, Department of Medicine, 9th Floor, Clinical Sciences Building, University of Alberta, Edmonton, Alberta T6G 2G3, Canada.

Aims: Previous gestational diabetes (GDM) is a risk factor for type 2 diabetes and increased metabolic risk, but the link with vascular dysfunction is not clear. This study examined vascular function in women 4-10 years after a diagnosis of GDM who had a normal oral glucose tolerance test (OGTT) in the first postpartum year.

Methods: We studied 90 women with a history of GDM and 59 age-matched controls, examining differences in insulin resistance as measured by the Homeostatic Model Assessment (HOMA-IR) and glucose responses during an OGTT, adiposity, lipid profile and C-reactive protein (CRP). Read More

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http://dx.doi.org/10.1016/j.diabres.2015.10.004DOI Listing
December 2015
12 Reads
5 Citations
2.540 Impact Factor

Prevalence of cervicitis in dairy cows and its effect on reproduction.

Theriogenology 2016 Jan 25;85(2):247-53. Epub 2015 Sep 25.

Clinic for Cattle, University of Veterinary Medicine, Hannover, Germany.

The objective of this study was to determine whether cervicitis in dairy cows is an independent disease or occurs concomitantly with inflammation of the uterus, and to clarify possible effects of cervicitis on reproductive performance. Dairy cows (n = 416) from 33 dairy farms were examined by rectal palpation and vaginoscopy between 42 and 50 days postpartum. Inclusion criteria for this study were absence of abnormal vaginal discharge and abnormalities of the uterus (fluctuation) at rectal palpation. Read More

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http://dx.doi.org/10.1016/j.theriogenology.2015.09.029DOI Listing
January 2016
25 Reads

[Pulmonary embolism in pregnancy].

Przegl Lek 2015 ;72(4):223-6

Pulmonary embolism (PE) is very rarely observed during pregnancy and postpartum period. The frequency of PE in pregnant women is relatively difficult to assess because the existing data estimate all venous-thromboembolic (VTE) complications including deep venous thrombosis (DVT) and PE. The incidence of PE itself has been evaluated on 3 cases per 10000 deliveries. Read More

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November 2015
4 Reads

Unsolved Mysteries of the Human Mammary Gland: Defining and Redefining the Critical Questions from the Lactation Consultant's Perspective.

Authors:
Lisa Ann Marasco

J Mammary Gland Biol Neoplasia 2014 Dec 18;19(3-4):271-88. Epub 2015 Jun 18.

Expressly Yours Lactation Service, Santa Maria, CA, USA,

Despite advances in knowledge about human lactation, clinicians face many problems when advising mothers who are experiencing breastfeeding difficulties that do not respond to normal management strategies. Primary insufficient milk production is now being acknowledged, but incidence rates have not been well studied. Many women have known histories of infertility, polycystic ovary syndrome, obesity, hypertension, insulin resistance, thyroid dysfunction, hyperandrogenism or other hormonal imbalances, while others have no obvious risk factors. Read More

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http://dx.doi.org/10.1007/s10911-015-9330-7DOI Listing
December 2014
1 Read

Impact of stillbirth and abortion on the subsequent fertility and productivity of Holstein, Brown Swiss and their crosses in subtropics.

Trop Anim Health Prod 2015 Oct 13;47(7):1351-6. Epub 2015 Jun 13.

Department of Animal Wealth Development, Faculty of Veterinary Medicine, Zagazig University, El-Zeraa str. 114, 44511, Zagazig, Egypt.

Stillbirth and abortion are serious problems in cattle breeding, from both economic and animal welfare standpoints. The aim of this study was to estimate the incidence and implications of stillbirth and abortion on the subsequent reproductive and production performance of the pure Holstein (HO), Brown Swiss (BS), and their F1 crosses (BF) in Egypt. The total number of records was 9275. Read More

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http://dx.doi.org/10.1007/s11250-015-0870-zDOI Listing
October 2015
2 Reads

Development of thyroid dysfunction among women with excessive iodine intake--A 3-year follow-up.

J Trace Elem Med Biol 2015 30;31:61-6. Epub 2015 Mar 30.

Department of Health Nutrition and Management, Faculty of Health Sciences, Oslo and Akershus University College, Oslo, Norway.

Objectives: Thyroid dysfunction can be a result of excessive iodine intake, which may have adverse health consequences, particularly for women in fertile age. In 2010, we conducted a cross-sectional study among lactating women with excessive iodine intake in the Saharawi refugee camps in Algeria and found a high prevalence of thyroid dysfunction. Three years later, we conducted a follow-up study to monitor the iodine situation and explore whether thyroid dysfunction still was highly prevalent when the women no longer were post-partum. Read More

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http://dx.doi.org/10.1016/j.jtemb.2015.03.004DOI Listing
February 2016
4 Reads

Prevalence of human papillomavirus infection in pregnant versus non-pregnant women in Brazil.

Arch Gynecol Obstet 2015 Dec 20;292(6):1273-8. Epub 2015 May 20.

Department of Gynecology and Obstetrics of Federal University of Health Sciences (UFCSPA)/Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil.

Purpose: To investigate the prevalence of human papillomavirus (HPV) in cervical samples of pregnant and non-pregnant women in South-Brazil.

Methods: A prospective study of 91 pregnant and 92 non-pregnant women with no previous history of cervical dysplasia or cancer was carried out. Cervical samples for HPV testing and cytology were collected in each trimester of pregnancy and in the puerperium for pregnant women and at matched intervals for the non-pregnant women. Read More

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http://www.scielo.br/pdf/mioc/v109n6/0074-0276-mioc-0074-027
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http://link.springer.com/10.1007/s00404-015-3752-8
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http://dx.doi.org/10.1007/s00404-015-3752-8DOI Listing
December 2015
10 Reads

Prevalence of glucose intolerance at 6 weeks postpartum in Indian women with gestational diabetes mellitus.

Diabetes Metab Syndr 2015 Jul-Sep;9(3):143-6. Epub 2015 Apr 25.

Apollo Centre for Obesity, Diabetes and Endocrinology (ACODE), Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.

Aims: Women with a history of gestational diabetes mellitus (GDM) have an increased risk for future glucose intolerance, and should be followed up with subsequent screening for the development of diabetes or pre-diabetes at 6-12 weeks postpartum. We studied the prevalence of glucose intolerance at 6 weeks postpartum in Indian women with GDM diagnosed according to ADA criteria.

Materials And Methods: This longitudinal study, conducted at a tertiary care centre, included 75 Asian-Indian women aged ≥18 years, with a diagnosis of GDM (as per ADA criteria), who were referred to the Endocrine Department at Indraprastha Apollo Hospital, Delhi. Read More

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http://dx.doi.org/10.1016/j.dsx.2015.04.016DOI Listing
May 2016
14 Reads

Effects of chronic malnourishment and aging on the ultrastructure of pyramidal cells of the dorsal hippocampus.

Nutr Neurosci 2016 Oct 28;19(8):329-336. Epub 2015 Feb 28.

a Departamento de Neurobiología del Desarrollo y Neurofisiología , Instituto de Neurobiología Campus UNAM-Juriquilla , Boulevard Juriquilla 3001, Querétaro 76230 , Mexico.

Objectives: Malnourishment (M) produces permanent alterations during the development of the CNS and might modify the aging process. In pyramidal neurons (PN) of the hippocampus, which are associated with learning and memory performance, few studies have focused on changes at the subcellular level under chronic malnutrition (ChM) in young (Y, 2 months old) and aged (A, 22 months old) rats. The present work evaluated the extent to which ChM disrupts organelles in PN of the dorsal hippocampus CA1 as compared to controls (C). Read More

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http://dx.doi.org/10.1179/1476830515Y.0000000009DOI Listing
October 2016
12 Reads

Application of glycated hemoglobin in the perinatal period.

Int J Clin Exp Med 2014 15;7(12):4653-9. Epub 2014 Dec 15.

Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University Chengdu, China.

Glycated hemoglobin (HbA1c) is a special fragment formed by the binding of glucose to the C chain or D chain of hemoglobin A and as a result of non-enzymatic catalysis of mature hemoglobin and glucose, which is an indicator used to evaluate the blood glucose control in diabetes mellitus (DM) patients. Recent researches indicated that HbA1c could be applied in gestational diabetes mellitus (GDM) and pregnancy combined DM, and increasing of HbA1c was close associated with adverse outcomes of women with pregnancy combined DM and GDM. HbA1c was reported to have a significant importance in monitoring congenital malformation, abortion, perinatal mortality, preeclampsia, postpartum abnormal glucose metabolism, vascular complications and so on, which could be a test item during the second trimester. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307409PMC
February 2015
3 Reads

Postpartum microalbuminuria after gestational diabetes: the impact of current glucose tolerance status.

J Clin Endocrinol Metab 2015 Mar 5;100(3):1130-6. Epub 2015 Jan 5.

Leadership Sinai Centre for Diabetes (S.K., B.S., A.J.H., B.Z., R.R.), Division of Obstetrics and Gynecology (M.S.), and Lunenfeld-Tanenbaum Research Institute (B.Z., R.R.), Mount Sinai Hospital, Toronto, Ontario M5T 3L9, Canada; Division of Endocrinology (A.J.H., P.W.C., B.Z., R.R.) and Department of Nutritional Sciences (A.J.H.), University of Toronto, Toronto, Ontario M5S, Canada; and Keenan Research Centre for Biomedical Science of St. Michael's Hospital (P.W.C.), Toronto, Ontario M5B 1W8, Canada.

Context: It has been reported that women with a history of gestational diabetes mellitus (GDM) have an increased risk of microalbuminuria compared with that of their peers. Because previous GDM predicts an increased risk of prediabetes, which itself is associated with microalbuminuria, we hypothesized that current glucose intolerance may confound any association between GDM and microalbuminuria.

Objective: The purpose of this study was to evaluate the relative impact of gestational and current dysglycemia on postpartum microalbuminuria in a cohort of women reflecting the full spectrum of gestational glucose tolerance from normal to mildly abnormal to GDM. Read More

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http://dx.doi.org/10.1210/jc.2014-3814DOI Listing
March 2015
10 Reads

Evaluation of digital infra-red thermal imaging as an adjunctive screening method for breast carcinoma: a pilot study.

Int J Surg 2014 Dec 7;12(12):1439-43. Epub 2014 Nov 7.

LASER & Biomedical Applications, RRCAT, Indore, India.

Background: Early screening plays a pivotal role in management of breast cancer. Given the socio-economic situation in India, there is a strong felt need for a screening tool which reaches the masses rather than waiting for the masses to reach tertiary centers to be screened. Digital infra-red thermal imaging (DITI) or breast thermography as a screening test offers this possibility and needs to be carefully assessed in Indian scenario. Read More

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http://dx.doi.org/10.1016/j.ijsu.2014.10.010DOI Listing
December 2014
4 Reads

Erythropoietin and glucose homeostasis in women at varying degrees of future diabetic risk.

J Diabetes Complications 2015 Jan-Feb;29(1):26-31. Epub 2014 Sep 16.

Department of Medicine, University of Toronto, Toronto, Canada; Leadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada; Division of Endocrinology, University of Toronto, Toronto, Canada; Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada. Electronic address:

Aims/background: Recently, there has been considerable interest in the potential anti-diabetic effects of erythropoietin in animal models. It is not known, however, whether endogenous erythropoietin is associated with glucose regulation in humans.

Methods: We evaluated the longitudinal relationship between endogenous erythropoietin at 3-months postpartum and glucose homeostasis at 12-months postpartum in a cohort of 229 women with varying degrees of glucose intolerance in their recent pregnancy, a model of the early natural history of pre-diabetes/diabetes. Read More

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http://dx.doi.org/10.1016/j.jdiacomp.2014.09.005DOI Listing
April 2016
4 Reads

Effects of maternal obesity on antenatal, perinatal and neonatal outcomes.

J Matern Fetal Neonatal Med 2015 11;28(17):2080-3. Epub 2014 Nov 11.

b Department of Obstetrics and Gynecology , Ümraniye Education and Research Hospital , İstanbul , Turkey , and.

Objective: Obesity is critically important to maternal and fetal health during the perinatal period. We have detected an increasing prevalence of maternal obesity in recent years and investigated its complications during pregnancy.

Methods: A total of 931 pregnant females were investigated between March 2012 and March 2013. Read More

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http://dx.doi.org/10.3109/14767058.2014.978279DOI Listing
August 2016
22 Reads

Diabetes mellitus and abnormal glucose tolerance development after gestational diabetes: A three-year, prospective, randomized, clinical-based, Mediterranean lifestyle interventional study with parallel groups.

Clin Nutr 2015 Aug 16;34(4):579-85. Epub 2014 Sep 16.

Endocrinology and Nutrition Department, Hospital Clinico San Carlos-IdISSC, Facultad de Medicina Universidad Complutense, Madrid, Spain.

Background & Aims: Women with prior gestational diabetes mellitus (GDM) have a high risk of developing type 2 diabetes mellitus (DM2) in later life. The study aim was to evaluate the efficacy of a lifestyle intervention for the prevention of glucose disorders (impaired fasting glucose, impaired glucose tolerance or DM2) in women with prior GDM.

Methods: A total of 260 women with prior GDM who presented with normal fasting plasma glucose at six to twelve weeks postpartum were randomized into two groups: a Mediterranean lifestyle intervention group (n = 130) who underwent an educational program on nutrition and a monitored physical activity program and a control group (n = 130) with a conventional follow-up. Read More

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http://dx.doi.org/10.1016/j.clnu.2014.09.005DOI Listing
August 2015
23 Reads

Each degree of glucose intolerance in pregnancy predicts distinct trajectories of β-cell function, insulin sensitivity, and glycemia in the first 3 years postpartum.

Diabetes Care 2014 Dec 17;37(12):3262-9. Epub 2014 Sep 17.

Leadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Ontario, Canada Division of Endocrinology, University of Toronto, Toronto, Ontario, Canada Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada

Objective: Glucose intolerance in pregnancy predicts an increased risk of future type 2 diabetes mellitus (T2DM) that is proportional to the severity of antepartum dysglycemia (i.e., highest in women with gestational diabetes mellitus [GDM], followed by those with milder dysglycemia). Read More

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http://care.diabetesjournals.org/content/early/2014/09/12/dc
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http://care.diabetesjournals.org/lookup/doi/10.2337/dc14-152
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http://dx.doi.org/10.2337/dc14-1529DOI Listing
December 2014
40 Reads

Variables influencing the integrity of lower uterine segment in post-cesarean pregnancy.

Arch Gynecol Obstet 2015 Apr 11;291(4):755-62. Epub 2014 Sep 11.

Department of Obstetrics-Gynecology, Kasturba Medical College and Hospitals (A Constituent of Manipal University), Mangalore, 575001, India.

Background: There is significant increase in proportion of cases with previous cesarean delivery requiring obstetric care. The available literature fails to provide uniform opinion on each woman's characteristics to identify risk of uterine rupture while planning trial of labor after cesarean.

Objective: To study the association of abnormal lower uterine segment with some of the present and previous obstetric variables including patient characteristics and surgical techniques at previous cesarean operation. Read More

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http://dx.doi.org/10.1007/s00404-014-3455-6DOI Listing
April 2015
31 Reads
1 Citation
1.280 Impact Factor

Peripartum cardiomyopathy: definition, incidence, etiopathogenesis, diagnosis, and management.

Cardiol Rev 2015 Mar-Apr;23(2):69-78

From the Division of Cardiology, Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY.

Peripartum cardiomyopathy (PPCM) is a serious pregnancy-associated disorder of unknown etiology. The precise cellular and molecular mechanisms underlying PPCM are unclear. A heightened awareness among health care providers can result in early diagnosis of heart failure in late pregnancy and the early postpartum period. Read More

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http://dx.doi.org/10.1097/CRD.0000000000000038DOI Listing
October 2015
11 Reads
2 Citations
2.410 Impact Factor

Melatonin secretion is impaired in women with preeclampsia and an abnormal circadian blood pressure rhythm.

Ren Fail 2014 Aug 16;36(7):1001-7. Epub 2014 Jun 16.

Faculty of Medicine, Department of Nephrology, School of Medicine, University of Thessaly , Larissa , Greece .

Non-dipping circadian blood pressure (BP) is a common finding in preeclampsia, accompanied by adverse outcomes. Melatonin plays pivotal role in biological circadian rhythms. This study investigated the relationship between melatonin secretion and circadian BP rhythm in preeclampsia. Read More

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http://dx.doi.org/10.3109/0886022X.2014.926216DOI Listing
August 2014
25 Reads

Husbandry factors and the resumption of luteal activity in open and zero-grazed dairy cows in urban and peri-urban kampala, Uganda.

Reprod Domest Anim 2014 Aug 16;49(4):673-678. Epub 2014 Jun 16.

College of Veterinary Medicine, Animal Resources and Biosecurity, Makerere University, Kampala, Uganda.

The study investigated the influence of selected husbandry factors on interval to resumption of post-partum cyclicity among dairy cows in urban and peri-urban Kampala. A prospective study of 85 day post-partum period of 59 dairy cows in open (n = 38) and zero grazing (n = 21) systems was conducted on 24 farms. Cows of parity 1-6 were recruited starting 15-30 days post-partum. Read More

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http://dx.doi.org/10.1111/rda.12346DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286828PMC
August 2014
5 Reads