439 results match your criteria Postterm Pregnancy

Maternal plasma levels of vitamin D in postterm pregnancy.

J Obstet Gynaecol 2022 Jun 2:1-5. Epub 2022 Jun 2.

Clinic of Obstetrics and Gynecology, University of Health Sciences, Etlik Zübeyde Hanım Women's Health Training and Research Hospital, Ankara, Turkey.

This study was conducted to examine the levels of vitamin D in postterm pregnancy. The study consisted of two groups: Group 1: women with postterm pregnancy in whom labour has not started ( = 40). Group 2: pregnant women with spontaneous labour between 37 and 41 weeks of gestation ( = 40). Read More

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Live births of immigrant mothers in Brazil: A population-based study.

J Migr Health 2022 20;5:100108. Epub 2022 Apr 20.

Department of Epidemiology, School of Public Health, University of São Paulo - FSP / USP Brazil.

Introduction: Migration has become a major challenge for many countries, and women constitute half of the migrants in the world. Few studies have been conducted on migrant mothers in Brazil. We aim to identify differences in the pregnancies, childbirths, and live birth (LB) indicators of immigrant women, compared with those of Brazilian women living in the municipality of São Paulo (MSP), Brazil. Read More

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Association between postterm pregnancy and adverse growth outcomes in preschool-aged children.

Am J Clin Nutr 2022 May 11. Epub 2022 May 11.

Key Laboratory of Growth Regulation and Translational Research of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, China.

Background: Postterm pregnancy has been associated with higher risk of perinatal mortality and morbidity, but its long-term health effects on offspring are poorly understood.

Objective: The aim of the study was to investigate the prospective associations between maternal postterm pregnancy and adverse growth outcomes in children.

Method: The Jiaxing Birth Cohort is part of a large population-based health surveillance system in China and recruited pregnant females resident in Jiaxing area between 1999 and 2013, and newborns were followed up with an average duration of 5. Read More

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Comparison of Perinatal Outcomes of Letrozole-Induced Ovulation and Hormone Replacement Therapy Protocols in Patients With Abnormal Ovulation Undergoing Frozen-Thawed Embryo Transfer: A Propensity Score Matching Analysis.

Front Endocrinol (Lausanne) 2022 16;13:837731. Epub 2022 Mar 16.

Reproduction Center, The Third Affiliated Hospital of ZhengZhou University, ZhengZhou, China.

Background: With the increasing use of frozen embryo transfer (FET), the best endometrial preparation protocol is continuously being discussed. The hormone replacement therapy (HRT) cycle and letrozole-induced ovulation (L-OI) cycle are available protocols for patients with abnormal ovulation. Previous comparisons of the two protocols have focused on pregnancy outcomes, with less attention to perinatal outcomes, and population heterogeneity was large; thus, convincing conclusions about which protocol is more appropriate could not be drawn. Read More

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Maternal Physical Activity at Term and Spontaneous Labor: A Case-Crossover Study.

J Phys Act Health 2022 02 8;19(2):99-107. Epub 2022 Jan 8.

Background: This study assessed associations between antenatal physical activity and the onset of spontaneous labor (SL).

Methods: Data were taken from 541 participants in the third pregnancy, infection, and nutrition study who had no contraindications to antenatal physical activity. An interviewer-administered questionnaire assessed labor triggers, gestational age at birth, and physical activity within the week (24 h to 7 d) and the 24-hour period (0-24 h) prior to SL. Read More

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February 2022

Utilization and Comparative Effectiveness of Uterine Artery Embolization versus Hysterectomy for Severe Postpartum Hemorrhage: A National Inpatient Sample Study.

J Vasc Interv Radiol 2022 04 13;33(4):427-435.e4. Epub 2021 Dec 13.

Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia. Electronic address: https://twitter.com/nimakokabiMD.

Purpose: To identify differences in mortality or length of hospital stay for mothers treated with uterine artery embolization (UAE) or hysterectomy for severe postpartum hemorrhage (PPH), as well as to analyze whether geographic or clinical determinants affected the type of therapy received.

Materials And Methods: This National Inpatient Sample study from 2005 to 2017 included all patients with live-birth deliveries. Severe PPH was defined as PPH that required transfusion, hysterectomy, or UAE. Read More

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The selective progesterone receptor modulator-promegestone-delays term parturition and prevents systemic inflammation-mediated preterm birth in mice.

Am J Obstet Gynecol 2022 02 19;226(2):249.e1-249.e21. Epub 2021 Aug 19.

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada; Department of Physiology, University of Toronto, Toronto, Ontario, Canada; Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.

Background: Progesterone, acting via its nuclear receptors called progesterone receptors, promotes myometrial relaxation during pregnancy, and suspension of this activity triggers labor. We previously found that 20α-hydroxysteroid dehydrogenase causes a local withdrawal of progesterone in the term and preterm myometrium by converting the progesterone into an inactive form before it accesses the progesterone receptors.

Objective: We hypothesized that a selective progesterone receptor modulator called promegestone, which is not metabolized by 20α-hydroxysteroid dehydrogenase, would sustain progesterone receptor signaling and prevent/delay term labor and preterm labor in mice. Read More

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February 2022

Delayed stillbirth by hysterectomy following early-term uterine rupture with fetal demise in secundigravida.

Radiol Case Rep 2021 Aug 8;16(8):2081-2085. Epub 2021 Jun 8.

Department of Obstetrics in hospital of Xinjiang Uygur Autonomous Region.

Uterine rupture and postterm pregnancy pose a number of life-threatening complications to both mother and child, including severe intra-abdominal bleeding and peritonitis, birth injury, hypoxia, and fetal loss. This report presents a rare case of a 20-year-old female experiencing fetal demise at 60 weeks of pregnancy, with uterine rupture and bone tissue discharge from her vagina without severe intra-abdominal bleeding and peritonitis. The mild clinical course despite complete uterine rupture was due to the firm adhesion of the amniotic sac to the uterus caused by inflammation. Read More

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Prevalence and Factors Associated with Meconium-Stained Amniotic Fluid in a Tertiary Hospital, Northwest Ethiopia: A Cross-Sectional Study.

Obstet Gynecol Int 2021 26;2021:5520117. Epub 2021 May 26.

Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

. Fetal bowel could pass meconium, a green viscous fluid, before or during labour and most intrauterine passage of meconium is associated with several fetomaternal factors that lead to increased risk of perinatal morbidity and mortality. Given that there is a paucity of data, this study was conducted to assess the proportion and associated factors of meconium-stained amniotic fluid (MSAF) in women who came for labour and delivery service in a tertiary hospital. Read More

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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

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

Z Geburtshilfe Neonatol 2021 12 31;225(6):499-505. 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

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December 2021

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

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October 2021

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

Sci Transl Med 2021 05;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

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

Acta Obstet Gynecol Scand 2021 08 2;100(8):1463-1477. Epub 2021 May 2.

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

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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

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Prolongated pregnancy: unusual case.

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

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February 2021

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

Fertil Steril 2021 06 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

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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

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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

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October 2020

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

J Am Acad Child Adolesc Psychiatry 2021 09 14;60(9):1127-1136. Epub 2020 Oct 14.

University of Turku, Finland; Turku University Hospital, 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, Ninth Revision code 2961 and International Classification of Diseases, Tenth Revision codes F32. Read More

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September 2021

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

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Association of Gestational Age at Birth With Brain Morphometry.

JAMA Pediatr 2020 12;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

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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

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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

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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

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Acute atherosis and diffuse lipid infiltration of the placental bed: A review of historical lipid studies.

Placenta 2020 08 18;97:36-41. Epub 2020 Jun 18.

Department of Maternal and Child Health, Gynaecology and Urology, Sapienza, University of Rome, Rome, Italy.

Based on a variety of tissue samples, including Caesarean hysterectomy specimens with the placenta in situ, a detailed map of uteroplacental vascular lesions was established in over a century of research. One such lesion is acute atherosis of unremodelled basal and uteroplacental arteries, defined by the presence of fibrinoid necrosis, subendothelial macrophage foam cells, and perivascular lymphocytic infiltration. Two studies conducted over 50 years ago used Oil Red O staining of frozen tissue sections to visualise lipid infiltration of placental bed vessels and document the presence of lipid-laden foam cells in acute atherosis. Read More

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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

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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

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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

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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

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