10,774 results match your criteria Postpartum Hemorrhage


Impact of maternal death reviews at a rural hospital in Zambia: a mixed methods study.

Int J Equity Health 2020 Jul 9;19(1):119. Epub 2020 Jul 9.

Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Background: Maternal mortality in sub-Saharan Africa remains high despite programmatic efforts to improve maternal health. In 2007, the Zambian Ministry of Health mandated facility-based maternal death review (MDR) programs in line with World Health Organization recommendations. We assessed the impact of an [MDR program] at a district-level hospital in rural Zambia. Read More

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http://dx.doi.org/10.1186/s12939-020-01185-5DOI Listing

Maternal Outcomes of Ongoing Pregnancies Complicated by Fetal Life-Limiting Conditions.

Am J Perinatol 2020 Jul 9. Epub 2020 Jul 9.

Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin.

Objective:  This study aimed to examine maternal outcomes of ongoing pregnancies complicated by fetal life-limiting conditions.

Study Design:  This was a retrospective matched cohort study of women with a diagnosis of fetal life-limiting condition between 2010 and 2018 in a single academic center. Cases were matched to controls (women who had normal fetal anatomic survey) according to year of delivery, body mass index, and parity in a 1:4 ratio. Read More

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http://dx.doi.org/10.1055/s-0040-1713927DOI Listing

Vacuum extraction in twin deliveries-maternal and neonatal consequences: a retrospective cohort study.

Arch Gynecol Obstet 2020 Jul 8. Epub 2020 Jul 8.

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University Medical School of Jerusalem, 12 Bayit, Jerusalem, Israel.

Purpose: To establish the frequency of vacuum extraction among parturients with twin pregnancies, identify the risk factors and perinatal outcomes.

Methods: A retrospective cohort database study was conducted between 2005-2018. Twin fetuses with vertex presentation >34 weeks gestation who achieved vaginal delivery were included. Read More

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http://dx.doi.org/10.1007/s00404-020-05668-2DOI Listing

Maternity iron, anaemia and blood management in South Australia: a practice-based evidence for clinical practice improvement.

Vox Sang 2020 Jul 7. Epub 2020 Jul 7.

Lyell McEwin Hospital, Northern Adelaide Local Health Network, Elizabeth Vale, SA, Australia.

Background: Anaemia at delivery is a strong modifiable risk factor for transfusion in women with a postpartum haemorrhage (PPH). A Maternity Patient Blood Management (PBM) Practice Based Evidence Clinical Practice Improvement (CPI) was conducted to optimize antenatal haemoglobin and iron stores prior to delivery.

Methods: Australian maternity PBM CPI resources (featuring algorithms on diagnosing iron deficiency with both haemoglobin and ferritin screening, as well as information on oral iron therapy for maternity patients) were introduced at a major tertiary hospital from November 2016 to March 2017. Read More

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http://dx.doi.org/10.1111/vox.12969DOI Listing

The association of skin incision placement during cesarean delivery with wound complications in obese women: a systematic review and meta-analysis.

J Matern Fetal Neonatal Med 2020 Jul 7:1-13. Epub 2020 Jul 7.

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Objective: To determine the risk of wound complications by skin incision type in obese women undergoing cesarean delivery. Electronic databases (MEDLINE, Scopus, and Ovid) were searched from their inception through August 2018. We included all randomized controlled trials and cohort studies reporting the placement of skin incision during cesarean section in obese women, defined as those with BMI ≥30 kg/m. Read More

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http://dx.doi.org/10.1080/14767058.2020.1786050DOI Listing

[Effect of induction on maternal and neonatal outcomes of vaginal birth after cesarean].

Zhonghua Yi Xue Za Zhi 2020 Jul;100(25):1979-1982

Department of Perinatal Medicine, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China.

To investigate the effect of induction on maternal and neonatal outcomes of vaginal birth after cesarean section (VBAC). Retrospective cohort study. A total of 452 pregnant women who underwent trail of labor after cesarean section (TOLAC) from January 2015 to March 2019 of Beijing Obstetrics and Gynecology Hospital, Capital Medical University were enrolled. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20191213-02720DOI Listing

Interventional radiology for the obstetric patient.

Curr Opin Anaesthesiol 2020 Aug;33(4):566-570

Department of Anesthesiology, Leuven University Hospital, Leuven, Belgium.

Purpose Of Review: To discuss the recent results of the use of interventional radiology modalities treating postpartum hemorrhage (PPH).

Recent Findings: PPH still is a leading cause of maternal morbidity and mortality. An important risk factor for the development of PPH is the placenta accreta spectrum. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000884DOI Listing

Effects of short inter-pregnancy interval on maternal and perinatal outcomes: A cohort study of pregnant women in a low-income country.

Niger J Clin Pract 2020 Jul;23(7):928-933

Department of Obstetrics and Gynaecology, College of Medicine, University of Nigeria, Enugu Campus; Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.

Background: Short inter-pregnancy interval (IPI) is a potential risk factor for adverse pregnancy outcomes. Previous reports from sub-Sahara Africa documented increasing incidence of short IPI but evidence is lacking in its effect on pregnancy outcome.

Aim: The study aimed to determine the effect of short IPI on pregnancy outcome in Nigeria. Read More

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http://dx.doi.org/10.4103/njcp.njcp_423_19DOI Listing

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

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

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

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

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

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

Benefit of standardized risk assessment for postpartum hemorrhage.

Authors:
Stephen Contag

BJOG 2020 Jul 1. Epub 2020 Jul 1.

Department of Obstetrics, Gynecology and Women's Health, University of Minnesota Medical School, MMC 395, 420 Delaware Street, S.E, Minneapolis, Minnesota, 55455, United States.

Global estimates for 2017 indicated that there were 295,000 maternal deaths, 35 per cent lower than in 2000 with a decline in global maternal mortality ratio from 342 to 211 deaths per 100,000 live births (World Health Organization (WHO) 2019). Maternal hemorrhage is the leading direct cause of maternal death worldwide, representing 27% (20-36) of maternal deaths ( Say L, et al. Lancet 2014). Read More

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http://dx.doi.org/10.1111/1471-0528.16390DOI Listing

Mechanical and surgical interventions for treating primary postpartum haemorrhage.

Cochrane Database Syst Rev 2020 Jul 1;7:CD013663. Epub 2020 Jul 1.

Department of Women's and Children's Health, The University of Liverpool, Liverpool, UK.

Background: Primary postpartum haemorrhage (PPH) is commonly defined as bleeding from the genital tract of 500 mL or more within 24 hours of birth. It is one of the most common causes of maternal mortality worldwide and causes significant physical and psychological morbidity. An earlier Cochrane Review considering any treatments for the management of primary PPH, has been split into separate reviews. Read More

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http://dx.doi.org/10.1002/14651858.CD013663DOI Listing

Planning, construction and use of handmade simulators to enhance the teaching and learning in Obstetrics.

Rev Lat Am Enfermagem 2020 1;28:e3302. Epub 2020 Jul 1.

Universidade Estadual Paulista, Departamento de Enfermagem, Botucatu, SP, Brazil.

Method: to describe the development process and present the results of a pilot study on the use of low-cost handmade simulators for teaching and learning Obstetrics.presentation of 3 low-cost simulators designing, based on educational needs identified in real-world training contexts. The developing process is presented in detail and each simulator was tested and re-tested, being submitted to improvements until their final version. Read More

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http://dx.doi.org/10.1590/1518-8345.3684.3302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332246PMC

Successful Perioperative Management with Damage Control Surgery in a Patient with Massive Postpartum Hemorrhage of More Than 20,000 mL.

Case Rep Anesthesiol 2020 16;2020:8872925. Epub 2020 Jun 16.

Department of Anesthesiology, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1297, Japan.

Disseminated intravascular coagulation (DIC) in obstetrics is related to postpartum hemorrhage and has been a leading cause of maternal death. We here report a successful treatment, via damage control surgery (DCS), of a life-threatening massive hemorrhage of more than 20,000 mL due to DIC. A 30-year-old female was admitted to our hospital because of atonic bleeding. Read More

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http://dx.doi.org/10.1155/2020/8872925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315259PMC

Proportion of Immediate Postpartum Anaemia and Associated Factors among Postnatal Mothers in Northwest Ethiopia: A Cross-Sectional Study.

Anemia 2020 16;2020:8979740. Epub 2020 Jun 16.

School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Read More

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http://dx.doi.org/10.1155/2020/8979740DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315250PMC

Effect of Delayed Cord Clamping at 30 Seconds and 1 Minute on Neonatal Hematocrit in Term Cesarean Delivery: A Randomized Trial.

Int J Womens Health 2020 23;12:481-486. Epub 2020 Jun 23.

Department of Obstetrics and Gynecology, Udonthani Hospital, Udonthani, Thailand.

Objective: To compare the effect of delayed cord clamping at 30 seconds and 1 minute on the incidence of neonatal hematocrit, anemia, maternal and neonatal complications in term cesarean delivered neonates.

Methods: An opened labelled, randomized controlled trial was undertaken. The 160 healthy term cesarean-born neonates were randomly allocated to either 30 seconds or 1-minute groups of delayed cord clamping (DCC) (groups 1 and 2). Read More

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http://dx.doi.org/10.2147/IJWH.S248709DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320901PMC

The impact of foetal restrictions on mode of delivery in women with inherited bleeding disorders.

Eur J Haematol 2020 Jun 30. Epub 2020 Jun 30.

RCSI Department of Obstetrics and Gynaecology, Coombe Women and Infants University Hospital, Dublin 8, Dublin, Ireland.

Objectives: Management of pregnancy in women with congenital bleeding disorders (CBD) is challenging and requires understanding of risks conferred to both the mother and foetus. Some elements of labour management are considered to increase the risk of neonatal bleeding and are not recommended for neonates at risk of a significant bleeding disorder. The impact of these restrictions on obstetric outcomes in women with CBD is unknown. Read More

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http://dx.doi.org/10.1111/ejh.13481DOI Listing

Pseudo aneurysm of the uterine artery with arteriovenous fistula after cesarean section: A rare but sinister cause of delayed postpartum hemorrhage.

J Clin Ultrasound 2020 Jun 29. Epub 2020 Jun 29.

Department of Radiology, Campus Charité Mitte, Berlin, Germany.

Pseudoaneurysm of the uterine artery is a rare complication of cesarean section. Delayed diagnosis and management may result in rapid and catastrophic postpartum hemorrhage and may necessitate hysterectomy or can even be fatal. A 28-year-old woman (gravida I, para I) presented with delayed postpartum hemorrhage 10 days after emergency cesarean section. Read More

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http://dx.doi.org/10.1002/jcu.22890DOI Listing

Intravenous Oxytocin versus Intramuscular Oxytocin for the Management of Postpartum Hemorrhage: A Systematic Review and Meta-Analysis.

Curr Drug Res Rev 2020 Jun 27. Epub 2020 Jun 27.

Department of Gynecology & Obstetrics, Zagazig General Hospital, Zagazig, El-Sharkia. Egypt.

Background: Postpartum hemorrhage (PPH) is one of the primary causes of maternal mortality and morbidity during the third stage of labor. Oxytocin is the gold standard uterotonic agent for the prevention of PPH.

Objective: We aimed to compare the efficacy of oxytocin administered intramuscularly (IM) or intravenously (IV) for the preventive management of PPH. Read More

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http://dx.doi.org/10.2174/2589977512666200628013647DOI Listing

Early age at menarche and risk of postpartum hemorrhage: a retrospective study in Chinese women.

J Matern Fetal Neonatal Med 2020 Jun 29:1-7. Epub 2020 Jun 29.

Department of Obstetrics, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.

The objective of this study is to investigate whether early age at menarche is associated with increased risk of postpartum hemorrhage among Chinese women. Clinical data from 6,383 Chinese women who gave birth to live singleton infants at The First Affiliated Hospital of Chengdu Medical College between October 2016 and October 2019 were extracted from the electronic medical records system. Patients were categorized into four groups according to their age at menarche (≤12, 13, 14 and ≥15 years). Read More

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http://dx.doi.org/10.1080/14767058.2020.1784871DOI Listing

Measurement of hemorrhage-related severe maternal morbidity with billing versus electronic medical record data.

J Matern Fetal Neonatal Med 2020 Jun 29:1-7. Epub 2020 Jun 29.

Division of Maternal-Fetal Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, NY, USA.

Measurement of obstetric hemorrhage-related morbidity is important for quality assurance purposes but presents logistical challenges in large populations. Billing codes are typically used to track severe maternal morbidity but may be of suboptimal validity. The objective of this study was to evaluate the validity of billing code diagnoses for hemorrhage-related morbidity compared to data obtained from the electronic medical record. Read More

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http://dx.doi.org/10.1080/14767058.2020.1783229DOI Listing

Pharmacologic Intervention for the Management of Retained Placenta:A Systematic Review and Meta-Analysis of Randomized Trials.

Am J Obstet Gynecol 2020 Jun 24. Epub 2020 Jun 24.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, NJ.

Background: Retained placenta affects 2-3.3% of all vaginal deliveries and is one of the leading causes of postpartum hemorrhage worldwide. Despite the prevalence of this condition, there is limited guidance on how to manage retained placenta. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.06.044DOI Listing

Ruptured Degenerating Fibroid Causing Preterm Labour and Systemic Inflammatory Response Syndrome.

J Obstet Gynaecol Can 2020 Jul;42(7):903-905

Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON; Sunnybrook Health Sciences Centre, Toronto, ON.

Background: Fibroids are present in at least 10% of pregnancies and are recognized to cause a variety of complications. A few case reports have described fibroids as an etiological factor in uterine rupture, sometimes with life-threatening hemorrhage.

Case: A 28-year-old G1, P0 woman at 20 weeks gestation developed systemic inflammatory response syndrome with acute renal failure and massive ascites secondary to a ruptured degenerated fibroid. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.09.007DOI Listing

Management of pregnancy in women with factor VII deficiency: A case series.

Haemophilia 2020 Jun 26. Epub 2020 Jun 26.

Division of Hematology-Oncology, Department of Medicine, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY, USA.

Introduction: Inherited factor VII deficiency is the most common autosomal recessive inherited bleeding disorder, with an estimated incidence of one per 500 000 cases in the general population. Bleeding manifestations correlate poorly with circulating FVII levels. During pregnancy, increases in FVII levels can occur in women with mild-moderate FVII deficiencies but not in those with severe deficiency. Read More

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http://dx.doi.org/10.1111/hae.14086DOI Listing

Machine Learning and Statistical Models to Predict Postpartum Hemorrhage.

Authors:
Roger C Young

Obstet Gynecol 2020 Jul;136(1):194-195

PreTeL, Inc., Chattanooga, Tennessee.

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http://dx.doi.org/10.1097/AOG.0000000000003980DOI Listing

Term prelabor rupture of membranes: Foley catheter versus dinoprostone as ripening agent.

J Gynecol Obstet Hum Reprod 2020 Jun 22:101834. Epub 2020 Jun 22.

Service de gynécologie-obstétrique, Hôpital André Grégoire, Montreuil, France.

Introduction: Term prelabor rupture of membranes (TPROM) occurs in approximately 8 % of pregnancies. This condition regularly requires medical intervention such as induction of labor. The actual data concerning cervical ripening in case of TPROM does not favor any of the available techniques. Read More

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http://dx.doi.org/10.1016/j.jogoh.2020.101834DOI Listing

Epidemiology of oxytocin administration in out-of-hospital births attended by paramedics.

Prehosp Emerg Care 2020 Jun 25:1-9. Epub 2020 Jun 25.

Queensland Ambulance Service, Queensland Government Department of Health, Brisbane, Queensland, Australia.

Primary postpartum hemorrhage (PPH) is a life-threatening obstetric emergency that can be mitigated through the administration of a uterotonic to actively manage the third stage of labor. This study describes the prehospital administration of oxytocin by paramedics following attendance of out-of-hospital (OOH) births. A retrospective analysis was undertaken of all OOH births between the 1 January 2018 and 31 December 2018 attended by the Queensland Ambulance Service. Read More

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http://dx.doi.org/10.1080/10903127.2020.1786613DOI Listing

Delays in emergency obstetric referrals in Addis Ababa hospitals in Ethiopia: a facility-based, cross-sectional study.

BMJ Open 2020 Jun 23;10(6):e033771. Epub 2020 Jun 23.

Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.

Objective: To assess where the delays occur in the referral chain of most maternal health outcomes in Addis Ababa, Ethiopia, based on the three-delay model.

Design: The study was a facility-based, cross-sectional study.

Setting: Two public and tertiary hospitals in Addis Ababa. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-033771DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312330PMC

von Willebrand disease: Diagnosis and treatment, treatment of women, and genomic approach to diagnosis.

Haemophilia 2020 Jun 23. Epub 2020 Jun 23.

Research Institute, Bloodworks Northwest, Seattle, WA, USA.

von Willebrand disease (VWD) is the most common inherited bleeding disorder. VWD is caused by deficiencies in von Willebrand factor (VWF), a critical adhesive haemostatic protein. This review provides an overview of VWD diagnosis and treatment, special considerations in treating women with VWD, and current genomic approaches to VWD. Read More

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http://dx.doi.org/10.1111/hae.14050DOI Listing

Complex circumferential obstetric fistula-a urologist's worst nightmare.

Int Urogynecol J 2020 Jun 23. Epub 2020 Jun 23.

Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, Puttaparthi, Andhra Pradesh, 515134, India.

Introduction And Hypothesis: Circumferential vesicourethrovaginal fistula is a severe form of obstetric injury that is challenging to repair and carries a poor prognosis related to eventual continence. Here, we report the successful repair of a circumferential vesicovaginal fistula associated with near total loss of the urethra. The use the anterior bladder flap technique along with an autologous rectus sheath sling resulted in the creation of an effective continence unit. Read More

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http://dx.doi.org/10.1007/s00192-020-04398-yDOI Listing

Probiotic treatment for women with gestational diabetes to improve maternal and infant health and well-being.

Cochrane Database Syst Rev 2020 06 24;6:CD012970. Epub 2020 Jun 24.

Liggins Institute, The University of Auckland, Auckland, New Zealand.

Background: Gestational diabetes mellitus (GDM) is carbohydrate intolerance first recognised during pregnancy and associated with complications for mothers and babies. Probiotics are naturally occurring micro-organisms, which when ingested in adequate amounts, may confer health benefits. Evidence of the role of probiotics as treatment for GDM is limited. Read More

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http://dx.doi.org/10.1002/14651858.CD012970.pub2DOI Listing

Predicting risk of postpartum haemorrhage: a systematic review.

BJOG 2020 Jun 23. Epub 2020 Jun 23.

Aberdeen Centre for Women's Health Research, University of Aberdeen, Room 4, Second Floor, Aberdeen Maternity hospital, Cornhill Road, Aberdeen, AB252ZD.

Background: Postpartum haemorrhage (PPH) causes substantial morbidity and mortality worldwide. A reliable prognostic tool for PPH has potential to aid prevention efforts.

Objective: To systematically identify and appraise prognostic modelling studies for prediction of PPH. Read More

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http://dx.doi.org/10.1111/1471-0528.16379DOI Listing

Maternal and neonatal outcomes following a prolonged second stage of labor: A meta-analysis of observational studies.

Eur J Obstet Gynecol Reprod Biol 2020 Jun 10;252:62-69. Epub 2020 Jun 10.

1(st)department of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens, Greece.

Several articles investigated the impact of prolonged second stage of labor on maternal and neonatal outcomes; however, strict consensus is still lacking. The purpose of the present meta-analysis is to investigate risk factors that contribute to the pathophysiology of prolonged labor as well as effect sizes of maternal and neonatal morbidity. We searched Medline, Scopus, Clinicaltrials. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.06.018DOI Listing

Does the presence of epidural analgesia reduce the risk of neonatal sepsis in the setting of an intrapartum fever?

J Matern Fetal Neonatal Med 2020 Jun 21:1-6. Epub 2020 Jun 21.

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

Epidural analgesia has been associated with more frequent intrapartum fever as well as neonatal antibiotic therapy. We examined whether intrapartum fever carries the same risk for neonatal sepsis with and without epidural. This is a retrospective cohort study of 34,371 deliveries at a single institution. Read More

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http://dx.doi.org/10.1080/14767058.2020.1779694DOI Listing

Effect of early cryoprecipitate transfusion versus standard care in women who develop severe postpartum haemorrhage (ACROBAT) in the UK: a protocol for a pilot cluster randomised trial.

BMJ Open 2020 Jun 21;10(6):e036416. Epub 2020 Jun 21.

Barts Research Centre for Women's Health (BARC), Institute of Population Health Sciences, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Introduction: The incidence of severe postpartum haemorrhage (PPH) that requires blood transfusion is on the increase. Fibrinogen levels have been shown to drop early and significantly during PPH, which is associated with worse outcomes. Early fibrinogen replacement could potentially improve outcomes. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-036416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311066PMC
June 2020
2.063 Impact Factor

Postpartum haemorrhage in women with mild factor XI deficiency.

Haemophilia 2020 Jun 17. Epub 2020 Jun 17.

Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Introduction: With the advent of direct-to-consumer genetic testing, mild factor XI deficiency is increasingly recognized. There are limited data regarding the risk of postpartum haemorrhage (PPH) among women with mild FXI deficiency following obstetrical delivery.

Aim: To assess the risk of PPH among women with mild FXI deficiency undergoing vaginal or caesarean delivery. Read More

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http://dx.doi.org/10.1111/hae.14081DOI Listing

Maternal mortality risk indicators: Case-control study at a referral hospital in Guinea.

Eur J Obstet Gynecol Reprod Biol 2020 Jun 3;251:254-257. Epub 2020 Jun 3.

Women-Mother-Child Department, Lausanne University Hospital, Lausanne and University of Lausanne, Switzerland. Electronic address:

Objective: This study aimed to describe intrapartum and postpartum exposures possibly associated with the risk of in-hospital maternal mortality in Guinea.

Study Design: Data were collected in the Western Sub-Saharan Africa setting at the university hospital in Conakry, Guinea, during 2016-2017. Case-control study design was applied. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.05.066DOI Listing

Influencing factors for placenta accreta in recent 5 years: a systematic review and meta-analysis.

J Matern Fetal Neonatal Med 2020 Jun 17:1-8. Epub 2020 Jun 17.

Clinical Nursing Teaching and Research Section and Department of Obstetrics, The Second Xiangya Hospital, Central South University, Changsha, China.

Assess influencing factors for placenta accreta in pregnant women documented in recent literature. A systematic review and meta-analysis were conducted based on English- and Chinese-language articles published from January 2014 to June 2019. Articles were retrieved from the following Chinese databases, CNKI, Wanfang Data, China Science and Technology Journal Database, CBM and English databases, PubMed, Web of Science, the Cochrane Library and Embase. Read More

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http://dx.doi.org/10.1080/14767058.2020.1779215DOI Listing

The role of interventional radiology in the management of abnormally invasive placenta: a systematic review of current evidences.

Quant Imaging Med Surg 2020 Jun;10(6):1370-1391

Department of Radiology, Hopital Cochin, Assistance Publique - Hopitaux de Paris, Paris, France.

Abnormally invasive placenta (AIP) is a potentially severe condition. To date, arterial embolization in women with postpartum hemorrhage due to AIP is the treatment option for which highest degrees of evidence are available. However, other techniques have been tested, including prophylactic catheter placement, balloon occlusion of the iliac arteries and abdominal aorta balloon occlusion. Read More

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http://dx.doi.org/10.21037/qims-20-548DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276355PMC

Uterine incision dehiscence 3 mo after cesarean section causing massive bleeding: A case report.

World J Clin Cases 2020 Jun;8(11):2392-2398

Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang 110001, Liaoning Province, China.

Background: The traditional definition of late postpartum hemorrhage is a massive uterine hemorrhage from 24 h after delivery to the puerperal period. Here, we report a case of late postpartum hemorrhage that occurred 3 mo after cesarean section and endangered the patient's life. The cause of the case we are reporting was poor incision healing. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i11.2392DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281066PMC

Reversible cerebral vasoconstriction syndrome concomitant with cerebral venous sinus thrombosis following ovarian tumor resection: A report of two cases.

Surg Neurol Int 2020 30;11:128. Epub 2020 May 30.

Department of Neurosurgery, Kanazawa Medical Center, Shimoishibikimachi, Kanazawa, Ishikawa, Japan.

Background: Reversible cerebral vasoconstriction syndrome (RCVS) presents with characteristic clinical, brain imaging, and angiographic findings. The most common clinical feature of RCVS is a severe acute headache, which is often referred to as a thunderclap headache due to the nature of its presentation. It may occur spontaneously or may be provoked by various precipitating factors. Read More

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http://dx.doi.org/10.25259/SNI_578_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294317PMC

A Comparison of Dexmedetomidine and Midazolam for the Prevention of Postoperative Nausea and Vomiting Caused by Hemabate in Cesarean Delivery: A Randomized Controlled Trial.

Drug Des Devel Ther 2020 28;14:2127-2133. Epub 2020 May 28.

Department of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang,People's Republic of China.

Objective: To compare the efficacy of dexmedetomidine and midazolam in the prevention of postoperative nausea and vomiting (PONV) caused by hemabate in postpartum hemorrhage during cesarean delivery.

Methods: One hundred and five parturients with American Society of Anesthesiology (ASA) physical status I and II, aged 20-40 years, undergoing elective cesarean delivery under epidural anesthesia were randomly allocated into dexmedetomidine group (group D, n=35), midazolam group (group M, n=35) and control group (group C, n=35). Patients received an intrauterine injection of 250 μg hemabate and continuous intravenous infusion of 5 units oxytocin immediately following the delivery of the infant. Read More

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http://dx.doi.org/10.2147/DDDT.S251525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266306PMC

Spontaneous vaginal birth following induction with intravenous oxytocin: Three oxytocic regimes to minimise blood loss post birth.

Women Birth 2020 Jun 13. Epub 2020 Jun 13.

School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia 6102, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Perth, Western Australia, 6008, Australia. Electronic address:

Background: No evidence was identified in relation to the downward titration/cessation of intravenous oxytocin post spontaneous vaginal birth, in the absence of postpartum haemorrhage (PPH); suggesting clinicians' management is based on personal preference in the absence of evidence.

Aim: To determine the proportion of induced women with a spontaneous vaginal birth and PPH, when intravenous oxytocin was utilised intrapartum and ceased 15, 30 or 60minutes post birth.

Methods: This three armed pilot randomised controlled trial, was undertaken on the Birth Suite of an Australian tertiary obstetric hospital. Read More

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http://dx.doi.org/10.1016/j.wombi.2020.05.006DOI Listing

[Effect of transcutaneous electrical acupoint stimulation on labor analgesia].

Zhongguo Zhen Jiu 2020 Jun;40(6):615-8

Department of Obstetrics, People's Hospital of Rizhao, Rizhao 276800, Shandong Province.

Objective: To observe the effect of transcutaneous electrical acupoint stimulation (TEAS) on labor pain.

Methods: A total of 151 primiparas who were vaginal delivery were randomized into a TEAS group (76 cases) and a peridural group (75 cases). In the peridural group, peridural blockage was applied to analgesia. Read More

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http://dx.doi.org/10.13703/j.0255-2930.20190824-0001DOI Listing

Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta-analysis.

J Clin Nurs 2020 Jun 12. Epub 2020 Jun 12.

Urumqi Friendship Hospital, Urumqi, China.

Aims And Objectives: To assess the effects of flexible sacrum positions on mode of delivery, duration of the second stage of labour, perineal trauma, postpartum haemorrhage, maternal pain, abnormal foetal heart rate patterns and Apgar scores based on published literature.

Background: Maternal positions served as a nonmedical intervention may facilitate optimal maternal and neonatal outcomes during labour. Flexible sacrum positions are conducive to expanding pelvic outlet. Read More

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http://dx.doi.org/10.1111/jocn.15376DOI Listing

Non-alcoholic fatty liver disease in pregnancy is associated with adverse maternal and perinatal outcomes.

J Hepatol 2020 Apr 15. Epub 2020 Apr 15.

University of California, San Francisco, Department of Obstetrics and Gynecology; University of Southern California, Division of GI/Hepatology. Electronic address:

Aims & Background: Non-alcoholic fatty liver disease (NAFLD) is rising in young adults, with potential implications for reproductive-aged women. Whether NAFLD during pregnancy confers more serious risks for maternal or perinatal health is unclear.

Methods: Using weighted discharge data from the United States National Inpatient Sample, we evaluated temporal trends of NAFLD in pregnancies after 20 weeks gestation, and compared outcomes to pregnancies with other chronic liver diseases (CLD) or no CLD. Read More

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http://dx.doi.org/10.1016/j.jhep.2020.03.049DOI Listing
April 2020
11.336 Impact Factor

A national update on rates of postpartum haemorrhage and related interventions.

Blood Transfus 2020 May 15. Epub 2020 May 15.

Department of Obstetrics and Gynaecology, Duke University, Durham, NC, United States of America.

Background: Postpartum haemorrhage (PPH) is still a leading cause of maternal morbidity in the US. We aimed to reassess national trends in severe and non-severe PPH using recent data.

Material And Methods: We performed a cross-sectional study using the 2001-2012 Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project. Read More

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http://dx.doi.org/10.2450/2020.0319-19DOI Listing

Emergency-release blood transfusions after postpartum hemorrhage at the Intermountain Healthcare hospitals.

Transfusion 2020 Jun 11. Epub 2020 Jun 11.

Division of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, Utah, USA.

Background: Most low-risk obstetric patients do not have crossmatched blood available to treat unexpected postpartum hemorrhage. An emergency-release blood transfusion (ERBT) program is critical for hospitals with obstetrical services. We performed a retrospective analysis of obstetrical ERBTs administered in our multihospital system. Read More

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http://dx.doi.org/10.1111/trf.15903DOI Listing

The International Network of Obstetric Survey System.

Ceska Gynekol 2020 ;85(2):139-143

Objective: To informed about international surveillance network severe maternal morbidity and mortality - INOSS.

Design: Literature review.

Settings: 1st Department of Gynaecology and Obstetrics Faculty of Medicine, Comenius University and University Hospital, Bratislava, Slovak Republic. Read More

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Peritoneal adhesions during cesarean delivery are an independent risk factor for peri-partum hemorrhagic complications.

Eur J Obstet Gynecol Reprod Biol 2020 May 29;251:188-193. Epub 2020 May 29.

Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. Electronic address:

Objective: To investigate whether the presence of peritoneal adhesions at the second cesarean delivery (CD) are associated with peri-partum hemorrhagic complications.

Study Design: A retrospective cohort study was undertaken, comparing hemorrhagic complications in the second CD, between women with and without adhesions. All women with two CDs who delivered a singleton in their second CD between the years 1988-2016 at a large regional medical center in Israel were included. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.05.044DOI Listing

A comparison of the pregnancy outcomes between ultrasound-guided high-intensity focused ultrasound ablation and laparoscopic myomectomy for uterine fibroids: a comparative study.

Int J Hyperthermia 2020 ;37(1):617-623

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, PR China.

To compare the pregnancy outcomes between ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation and laparoscopic myomectomy (LM). This study included 676 women with symptomatic uterine fibroids who wished to become pregnant underwent USgHIFU or LM at three hospitals in China from 1 May 2009 to 31 May 2018. The related information of pregnancy and delivery were followed up and analyzed using the chi-square test and two-sided Student t-test. Read More

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http://dx.doi.org/10.1080/02656736.2020.1774081DOI Listing
January 2020