429 results match your criteria Postterm Pregnancy


The Impact of First Trimester TSH Level on Fetal Growth and Post-Term Pregnancy.

Fetal Pediatr Pathol 2021 Jun 9:1-8. Epub 2021 Jun 9.

Department of Obstetrics and Gynecology, University of Health Sciences, Etlik Zübeyde Hanım, Education and Research Hospital, Ankara, Turkey.

Objective: First trimester thyroid-stimulating hormone (TSH) level is an important determiner of neonatal outcome. In this study we investigated the relationship between first-trimester TSH level and fetal birthweight. First-trimester serum TSH, age, gravidity, parity, body mass index (BMI), gestational age, and birth weight were analyzed. Read More

View Article and Full-Text PDF

Serum Melatonin as a Biomarker for Assessment of Late-term and Postterm Pregnancies in Women without Spontaneous Onset of Labor.

Z Geburtshilfe Neonatol 2021 May 31. Epub 2021 May 31.

Obstetrics and Gynecology, Samsun Education and Research Hospital, Samsun, Turkey.

We conducted a prospective study to assess serum melatonin as a biomarker to predict the development of late-term and postterm pregnancies and spontaneous beginning of labor in women with term pregnancies. Population of this prospective study included pregnant women with late-term and postterm pregnancies and term pregnancies as controls. In these study groups, serum melatonin concentrations were measured in women with or without labor and their perinatal data were collected. Read More

View Article and Full-Text PDF

Stillbirth in term and late term gestations in Stockholm during a 20-year period, incidence and causes.

PLoS One 2021 25;16(5):e0251965. Epub 2021 May 25.

Department of Women´s and Children´s Health, Karolinska Institutet, Stockholm, Sweden.

Introduction: The incidence of stillbirth has decreased marginally or remained stable during the past decades in high income countries. A recent report has shown Stockholm to have a lower incidence of stillbirth at term than other parts of Sweden. The risk of antepartum stillbirth increases in late term and postterm pregnancies which is one of the factors contributing to the current discussion regarding the optimal time of induction of labor due to postterm pregnancy. Read More

View Article and Full-Text PDF

Integrated trajectories of the maternal metabolome, proteome, and immunome predict labor onset.

Sci Transl Med 2021 May;13(592)

Department of Surgery, Stanford University School of Medicine, Palo Alto, CA 94305, USA.

Estimating the time of delivery is of high clinical importance because pre- and postterm deviations are associated with complications for the mother and her offspring. However, current estimations are inaccurate. As pregnancy progresses toward labor, major transitions occur in fetomaternal immune, metabolic, and endocrine systems that culminate in birth. Read More

View Article and Full-Text PDF

Efficacy and safety of oral misoprostol versus transvaginal balloon catheter for labor induction: An observational study within the SWEdish Postterm Induction Study (SWEPIS).

Acta Obstet Gynecol Scand 2021 Mar 25. Epub 2021 Mar 25.

Center of Perinatal Medicine and Health, Department of Obstetrics and Gynecology, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.

Introduction: Induction of labor is increasing. A common indication for induction of labor is late term and postterm pregnancy at 41 weeks or more. We aimed to evaluate if there are any differences regarding efficacy, safety, and women's childbirth experience between oral misoprostol and transvaginal balloon catheter for cervical ripening in women with a low-risk singleton pregnancy and induction of labor at 41 to 42 weeks of gestation. Read More

View Article and Full-Text PDF

Prognostic factors associated with small for gestational age babies in a tertiary care hospital of Western Nepal: A cross-sectional study.

Health Sci Rep 2021 Mar 15;4(1):e250. Epub 2021 Feb 15.

Division of Respirology, Department of Medicine McMaster University Hamilton Ontario Canada.

Background: Small for gestational age (SGA) is common among newborns in low-income countries like Nepal and has higher immediate mortality and morbidities.

Objectives: To study the prevalence and prognostic factors of SGA babies in Western Nepal.

Methods: A cross-sectional study (November 2016-October 2017) was conducted in a tertiary care hospital in Western Nepal. Read More

View Article and Full-Text PDF

Prolongated pregnancy: unusual case.

Authors:
M Šmerdová J Eim

Ceska Gynekol 2020 ;85(3):193-196

Objective: To present a patient with prolongated postterm pregnancy.

Design: Case study.

Setting: Department of Obstetrics and Gynecology, Vyškov Hospital. Read More

View Article and Full-Text PDF
February 2021

Endometrium preparation and perinatal outcomes in women undergoing single-blastocyst transfer in frozen cycles.

Fertil Steril 2021 Jun 22;115(6):1487-1494. Epub 2021 Jan 22.

Center for Reproductive Medicine, Third Hospital, Peking University, Beijing, People's Republic of China. Electronic address:

Objective: To investigate the association of endometrium preparation with perinatal outcomes.

Design: Retrospective cohort study.

Setting: University-affiliated fertility center. Read More

View Article and Full-Text PDF

Associations of maternal dietary inflammatory potential and quality with offspring birth outcomes: An individual participant data pooled analysis of 7 European cohorts in the ALPHABET consortium.

PLoS Med 2021 01 21;18(1):e1003491. Epub 2021 Jan 21.

HRB Centre for Health and Diet Research, School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Republic of Ireland.

Background: Adverse birth outcomes are major causes of morbidity and mortality during childhood and associate with a higher risk of noncommunicable diseases in adult life. Maternal periconception and antenatal nutrition, mostly focusing on single nutrients or foods, has been shown to influence infant birth outcomes. However, evidence on whole diet that considers complex nutrient and food interaction is rare and conflicting. Read More

View Article and Full-Text PDF
January 2021

Impact of the Transition from ICD-9-CM to ICD-10-CM on the Identification of Pregnancy Episodes in US Health Insurance Claims Data.

Clin Epidemiol 2020 15;12:1129-1138. Epub 2020 Oct 15.

Department of Pharmaceutical Outcomes and Policy, College of Pharmacy and Center for Drug Evaluation and Safety (CoDES), University of Florida, Gainesville, FL, USA.

Background: Before October 2015, pregnancy cohorts assembled from US health insurance claims have relied on medical encounters with International Classification of Diseases-ninth revision-clinical modification (ICD-9-CM) codes. We aimed to extend existing pregnancy identification algorithms into the ICD-10-CM era and evaluate performance.

Methods: We used national private insurance claims data (2005-2018) to develop and test a pregnancy identification algorithm. Read More

View Article and Full-Text PDF
October 2020

Preterm Birth Is Associated With Depression From Childhood to Early Adulthood.

J Am Acad Child Adolesc Psychiatry 2020 Oct 14. Epub 2020 Oct 14.

University of Turku, Turku, Finland; Turku University Hospital, Turku, Finland.

Objective: There have been inconsistent findings on the associations among prematurity, poor fetal growth, and depression. We examined the associations among gestational age, poor fetal growth, and depression in individuals aged 5 to 25 years.

Method: We identified 37,682 case subjects based on International Classification of Diseases-9 code 2961 and International Classification of Diseases-10 codes F32. Read More

View Article and Full-Text PDF
October 2020

Normotensive preterm delivery and maternal cardiovascular risk factor trajectories across the life course: The HUNT Study, Norway.

Acta Obstet Gynecol Scand 2021 03 6;100(3):425-435. Epub 2020 Nov 6.

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Introduction: Preterm delivery (<37 weeks) predicts later cardiovascular disease risk in mothers, even among normotensive deliveries. However, development of subclinical cardiovascular risk before and after preterm delivery is not well understood. We sought to investigate differences in life course cardiovascular risk factor trajectories based on preterm delivery history. Read More

View Article and Full-Text PDF

Association of Gestational Age at Birth With Brain Morphometry.

JAMA Pediatr 2020 Dec;174(12):1149-1158

Department of Child and Adolescent Psychiatry, University Medical Center Rotterdam, Erasmus Medical Center, Rotterdam, the Netherlands.

Importance: Preterm and postterm births are associated with adverse neuropsychiatric outcomes. However, it remains unclear whether variation of gestational age within the 37- to 42-week range of term deliveries is associated with neurodevelopment.

Objective: To investigate the association of gestational age at birth (GAB) with structural brain morphometry in children aged 10 years. Read More

View Article and Full-Text PDF
December 2020

Customized Probability of Vaginal Delivery With Induction of Labor and Expectant Management in Nulliparous Women at 39 Weeks of Gestation.

Obstet Gynecol 2020 10;136(4):698-705

Departments of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, Utah, Northwestern University, Chicago, Illinois, University of Alabama at Birmingham, Birmingham, Alabama, Stanford University, Stanford, California, Columbia University, New York, New York, Brown University, Providence, Rhode Island, University of Texas Medical Branch, Galveston, Texas, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, University of Texas Health Science Center at Houston-Children's Memorial Hermann Hospital, Houston, Texas, The Ohio State University, Columbus, Ohio, MetroHealth Medical Center-Case Western Reserve University, Cleveland, Ohio, University of Texas Southwestern Medical Center, Dallas, Texas, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, University of Pennsylvania, Philadelphia, Pennsylvania, Duke University, Durham, North Carolina, University of Pittsburgh, Pittsburgh, Pennsylvania, and Washington University in St. Louis, St. Louis, Missouri; the George Washington University Biostatistics Center, Washington, DC; and the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.

Objective: To develop models to predict vaginal delivery in low-risk, nulliparous women contemplating elective induction of labor or expectant management at 39 weeks of gestation.

Methods: We conducted a secondary analysis of a randomized controlled trial of planned elective induction of labor at 39 weeks of gestation compared with expectant management for low-risk nulliparous women. Two groups were included for this analysis: 1) women who were randomized to the induction of labor group and underwent elective induction at 39 0/7-39 4/7 weeks of gestation and 2) women who were randomized to the expectant management group who experienced spontaneous labor or medically indicated delivery (including postterm). Read More

View Article and Full-Text PDF
October 2020

Cord Malaria Infection, Complement Activation, Oxidative Stress, Gestational Age, and Birth Weight, Characterized by High Prevalence in Bamenda, Cameroon.

J Trop Med 2020 11;2020:7209542. Epub 2020 Aug 11.

Laboratory of Biological Sciences, Faculty of Science, The University of Bamenda, Bamenda, Cameroon.

Background: It is unknown whether the presence of malaria parasites in umbilical cord blood denotes activation of complement and oxidative stress to affect the duration of pregnancy and birth weight.

Methods: In a cross-sectional study conducted from January to April 2019 in Bamenda, Cameroon, cord blood samples were collected from 300 women at delivery. Parasitaemia was determined microscopically. Read More

View Article and Full-Text PDF

Maternal early pregnancy body mass index and pregnancy outcomes among nulliparous women registered in tertiary care hospital and urban slum hospital of a metropolitan city.

J Educ Health Promot 2020 30;9:159. Epub 2020 Jun 30.

Department of Community Medicine, BJ Medical College, Pune, Maharashtra, India.

Background: Underweight is still prevalent in developing countries like India. Prepregnancy body mass index (BMI) is used as the standard against which the measurements are made in pregnancy.

Aim: To study the association between early pregnancy BMI and feto-maternal outcome among nulliparous women. Read More

View Article and Full-Text PDF

Agreement between antenatal gestational age by ultrasound and clinical records at birth: A prospective cohort in the Brazilian Amazon.

PLoS One 2020 14;15(7):e0236055. Epub 2020 Jul 14.

Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.

This study aimed to assess agreement between antenatal estimates of gestational age by ultrasound and clinical records at birth in the Brazilian Amazon. Ultrasound examinations were scheduled during the second trimester for 578 pregnant women prospectively screened at primary health care units, following a standardized protocol for image quality control. A multistage algorithm was used to assess the best estimate of gestational age during the antenatal period, considering reliability of last menstrual period (LMP) and acceptable differences in relation to ultrasound estimates derived from fetal biparietal diameter and femur length. Read More

View Article and Full-Text PDF
September 2020

Polymorphism of the Oxytocin Receptor (OXTR) Gene Affects the Circulating Oxytocin Receptor Levels in Late-Term Pregnancy in a Turkish Population.

Gynecol Obstet Invest 2020 12;85(4):343-351. Epub 2020 Jun 12.

Department of Obstetrics and Gynecology, Sakarya University, Faculty of Medicine, Sakarya, Turkey.

Introduction: Postterm and late-term pregnancies still remain a serious health problem, and underlying exact mechanisms are not fully elucidated. These mechanisms are influenced by many factors.

Objective: The aim of this study was to investigate the relationship between plasma oxytocin and oxytocin receptor levels and oxytocin receptor polymorphisms in term and late-term pregnant women. Read More

View Article and Full-Text PDF
February 2021

Assessment of Motor Repertoire in 3- to 5-Month-Old Infants With Obstetric Brachial Plexus Lesion.

Pediatr Phys Ther 2020 04;32(2):114-119

Faculty of Physical Therapy and Rehabilitation (Drs Kahraman, Mutlu and Livanelioğlu), Hacettepe University, Sıhhıye, Ankara, Turkey.

Purpose: The aim of this study was to define the movement characteristics and postures of infants with obstetric brachial plexus lesion.

Methods: The study group included 20 infants with obstetric brachial plexus lesion and a control group of 20 infants with normal neurological outcome, aged 9 to 17 weeks postterm. Infants were evaluated by global and detailed general movements assessment. Read More

View Article and Full-Text PDF

Risk of adverse pregnancy outcomes of late- and postterm pregnancies in advanced maternal age: A national cohort study.

Acta Obstet Gynecol Scand 2020 08 5;99(8):1022-1030. Epub 2020 Apr 5.

Department of Obstetrics and Gynecology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

Introduction: There is an increase in women delivering ≥35 years of age. We analyzed the association between advanced maternal age and pregnancy outcomes in late- and postterm pregnancies.

Material And Methods: A national cohort study was performed on obstetrical low-risk women using data from the Netherlands Perinatal Registry from 1999 to 2010. Read More

View Article and Full-Text PDF

Induction of Labor: An Overview of Guidelines.

Obstet Gynecol Surv 2020 Jan;75(1):61-72

Assistant Professor, Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Importance: Induction of labor (IOL) is a common obstetric intervention that stimulates the onset of labor using artificial methods.

Objective: The aim of this study was to summarize and compare recommendations from 4 national or international medical societies on the IOL.

Evidence Acquisition: A descriptive review was conducted of major published guidelines on IOL: the American College of Obstetricians and Gynecologists' "Induction of Labor" and "Management of Late-Term and Postterm Pregnancies," the guidelines of the Society of Obstetricians and Gynaecologists of Canada (SOGC) on "Induction of Labour," those of the National Institute for Health and Care Excellence (NICE) on "Inducing Labour," and the World Health Organization's (WHO's) "Recommendations for Induction of Labour" and "WHO Recommendations: Induction of Labour at or Beyond Term. Read More

View Article and Full-Text PDF
January 2020

Variants in the fetal genome near pro-inflammatory cytokine genes on 2q13 associate with gestational duration.

Nat Commun 2019 09 2;10(1):3927. Epub 2019 Sep 2.

Center for Craniofacial and Dental Genetics, Department of Oral Biology School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

The duration of pregnancy is influenced by fetal and maternal genetic and non-genetic factors. Here we report a fetal genome-wide association meta-analysis of gestational duration, and early preterm, preterm, and postterm birth in 84,689 infants. One locus on chromosome 2q13 is associated with gestational duration; the association is replicated in 9,291 additional infants (combined P = 3. Read More

View Article and Full-Text PDF
September 2019

Ultrasound Evaluation of the Cervix to Predict Failed Labor Induction.

Rev Bras Ginecol Obstet 2019 Aug 26;41(8):476-484. Epub 2019 Aug 26.

Department of Obstetrics and Gynecology, Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Objective:  Labor induction does not always result in vaginal delivery, and can expose both the mother and the fetus to the risks inherent to the induction procedure or a possible cesarean section. Transvaginal sonography (TVS) of the cervix is a useful tool to predict prematurity; in the present study, this tool was used to evaluate postterm induction.

Methods:  We evaluated the ultrasound characteristics of the cervix (cervical length, cervical funneling, internal os dilation, the presence or absence of the cervical gland area [CGA], and the morphological changes of the cervix as a result of applying fundal pressure) before the onset of labor induction among women with postterm pregnancy to identify the possible predictors of failed labor induction. Read More

View Article and Full-Text PDF

General Movements and Outcome in Children with Birthweights ≤ 500 Grams at Age 5 to 6 Years.

Z Geburtshilfe Neonatol 2020 Apr 7;224(2):86-92. Epub 2019 Aug 7.

Paediatrics, Ludwig-Maximilians-Universität München, perinatal center Großhadern, München.

Background: The prognosis of long-term outcome in the delicate subgroup of preterm infants born with a birthweight ≤ 500 g is difficult. We wanted to determine whether general movements (GMs) correlate with outcome at 5 to 6 years of age in preterm children with birthweights ≤500 g.

Methods: GMs were assessed up to 20 weeks postterm age in a cohort of infants born consecutively in our unit between 1998 until 2003. Read More

View Article and Full-Text PDF

Pregnancy after bariatric surgery and adverse perinatal outcomes: A systematic review and meta-analysis.

PLoS Med 2019 08 6;16(8):e1002866. Epub 2019 Aug 6.

Institute of Health & Society, Newcastle University, Newcastle upon Tyne, United Kingdom.

Background: Women who undergo bariatric surgery prior to pregnancy are less likely to experience comorbidities associated with obesity such as gestational diabetes and hypertension. However, bariatric surgery, particularly malabsorptive procedures, can make patients susceptible to deficiencies in nutrients that are essential for healthy fetal development. The objective of this systematic review and meta-analysis is to investigate the association between pregnancy after bariatric surgery and adverse perinatal outcomes. Read More

View Article and Full-Text PDF

Prenatal phthalate exposure in relation to gestational age and preterm birth in a prospective cohort study.

Environ Res 2019 09 11;176:108530. Epub 2019 Jun 11.

Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China; Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, Anhui Province, China. Electronic address:

This study enrolled 3266 pregnant women, to explore the relationship of prenatal phthalate exposure with the risk of preterm birth and gestational age. All participants filled questionnaires and provided with up to three urine samples during three trimesters. Seven phthalate metabolites in urines were measured. Read More

View Article and Full-Text PDF
September 2019

Do premature and postterm birth increase the risk of epilepsy? An updated meta-analysis.

Epilepsy Behav 2019 08 12;97:83-91. Epub 2019 Jun 12.

Department of Neurology, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan 610041, China; Department of Clinical Research Management, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan 610041, China. Electronic address:

Background: Many studies have reported that premature birth is associated with a higher incidence of epilepsy, and postterm birth also increases the risk of epilepsy. The effects of different gestational ages (GAs) on epilepsy have become a research hotspot, but the findings of these studies remain controversial, and no systematic review has been performed until now.

Objective: The aim of this study was to evaluate the impact of different GAs on the incidence of epilepsy. Read More

View Article and Full-Text PDF

Demographic risk factors for adverse birth outcomes in Puerto Rico in the PROTECT cohort.

PLoS One 2019 13;14(6):e0217770. Epub 2019 Jun 13.

Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, United States of America.

Preterm birth is a major public health problem, especially in Puerto Rico where the rates are among the highest observed worldwide, reaching 18% in 2011. The Puerto Rico Testsite for Exploring Contamination Threats (PROTECT) study is an ongoing investigation of environmental factors that contribute to this condition. In the present analysis, we sought to examine common risk factors for preterm birth and other adverse birth outcomes which have not been characterized previously in this unique population. Read More

View Article and Full-Text PDF
February 2020

Management of late-term pregnancy in midwifery- and obstetrician-led care.

BMC Pregnancy Childbirth 2019 May 22;19(1):181. Epub 2019 May 22.

Department of Obstetrics and Gynaecology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.

Management of late-term pregnancy in midwifery- and obstetrician-led care.

Background: Since there is no consensus regarding the optimal management in late-term pregnancies (≥41.0 weeks), we explored the variety of management strategies in late-term pregnancy in the Netherlands to identify the magnitude of this variety and the attitude towards late-term pregnancy. Read More

View Article and Full-Text PDF

Risk Factors Related to Intrauterine Fetal Death.

J Nepal Health Res Counc 2019 Apr 28;17(1):46-50. Epub 2019 Apr 28.

Department of Obstetrics and Gynaecology, B.P. Koirala Institute of Health Science, Dharan, Nepal.

Background: Intrauterine fetal death is a traumatic event. Stillbirth rate is an important indicator to assess the quality of antenatal care. The objective of the study was to identify the risk factors related to intrauterine fetal death in patients admitted with intrauterine fetal death. Read More

View Article and Full-Text PDF