139,857 results match your criteria Pregnancy Delivery


Inadequate prenatal care utilization among women with and without methadone-treated opioid use disorders in Taiwan.

Int J Drug Policy 2019 Feb 13;67:1-8. Epub 2019 Feb 13.

Children and Family Research Center, National Taiwan University, Taipei, Taiwan.

Aims: The present study aims to investigate the utilization pattern of prenatal care and correlates for women with opioid use disorders (OUD) in Taiwan.

Method: Using the data linkage between the Methadone Maintenance Treatment (MMT) register with national health insurance, national birth notification system, and birth registration system, we identified 1712 pregnancies with 20 or more gestational weeks from women enrolled in the MMT (heroin-exposed: receiving no methadone treatment during pregnancy, n = 1053 by 882 women; methadone-treated: receiving methadone for at least one day during pregnancy, n = 659 by 574 women) and their 1:10 matched pregnancies from 17,060 women without substance use disorder in the period of 2004-2013. The generalized linear mixed models with negative binomial and logit distributions were performed to evaluate the relationship between individual sociodemographic, health, and addiction treatment characteristics with the number of prenatal visits and receiving prenatal care in the first trimester (i. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09553959193003
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http://dx.doi.org/10.1016/j.drugpo.2019.01.024DOI Listing
February 2019
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Pregnancy outcomes after maternal Zika virus infection in a non-endemic region: prospective cohort study.

Clin Microbiol Infect 2019 Feb 13. Epub 2019 Feb 13.

Maternal Fetal Medicine Unit. Department of Obstetrics. Hospital Universitari Vall d'Hebron. Ps. Vall d'Hebron 119-129, 08035 Barcelona. Universitat Autònoma de Barcelona.

Objectives: to describe pregnancy outcomes after Zika virus (ZIKV) infection in a non-endemic region.

Methods: according to the Spanish protocol issued after the ZIKV outbreak in Brazil in 2015, all pregnant women who had travelled to high-burden countries were screened for ZIKV. Serological and molecular tests were used to identify ZIKV-infected pregnant women. Read More

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http://dx.doi.org/10.1016/j.cmi.2019.02.008DOI Listing
February 2019

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

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

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

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

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

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

A Pregnancy Cohort to Study Multidimensional Correlates of Preterm Birth in India: Study Design, Implementation, and Baseline Characteristics of the Participants.

Am J Epidemiol 2019 Feb 16. Epub 2019 Feb 16.

Regional Centre for Biotechnology, National Capital Region Biotech Cluster, Faridabad, Delhi NCR, India.

Globally, preterm birth is a major public health problem. In India, 3.6 million of the 27 million infants born annually are preterm. Read More

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http://dx.doi.org/10.1093/aje/kwy284DOI Listing
February 2019

Epidemiology of influenza in pregnant women hospitalized with respiratory illness in Moscow, 2012/2013-2015/2016: a hospital-based active surveillance study.

BMC Pregnancy Childbirth 2019 Feb 15;19(1):72. Epub 2019 Feb 15.

Ministry of Health of the Russian Federation, FSBI "N.F. Gamaleya NRCEM", 16, Gamaleya str, Moscow, Russia Moscow, 123098, Russian Federation.

Background: To better understand the impact of seasonal influenza in pregnant women we analyzed data collected during four seasons at a hospital for acute respiratory infection that specializes in treating pregnant women.

Methods: This was a single-center active surveillance study of women 15-44 years of age hospitalized for acute respiratory diseases between 2012/2013 and 2015/2016 in Moscow, Russian Federation. Women had to have been hospitalized within 7 days of the onset of symptoms. Read More

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http://dx.doi.org/10.1186/s12884-019-2192-zDOI Listing
February 2019

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

Pediatr Neurol 2019 Jan 15. Epub 2019 Jan 15.

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

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

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

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

Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy women undergoing elective caesarean delivery: a prospective observational study in Australia.

Int J Obstet Anesth 2019 Jan 16. Epub 2019 Jan 16.

Department of Anaesthesia and Perioperative Services, The Royal Brisbane and Women's Hospital, QLD, Australia; The University of Queensland, Brisbane, QLD, Australia.

Background: Formal reference ranges for rotational thromboelastometry (ROTEM®) in pregnancy have not been obtained in the recommended minimum sample size of 120. This prospective observational study aimed to establish baseline parameters in an Australian population of women undergoing elective caesarean delivery. The secondary aim was to compare these reference ranges with those from prior studies and the manufacturer. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.008DOI Listing
January 2019

Cholecystectomy During the Third Trimester of Pregnancy: Proceed or Delay?

J Am Coll Surg 2019 Jan 8. Epub 2019 Jan 8.

Department of Surgery, Massachusetts General Hospital, Boston, MA.

Background: Current guidelines suggest that cholecystectomy during the third trimester of pregnancy is safe for both the women and the fetus. However, no population-based study has examined this issue. The aim of this analysis was to compare the results of cholecystectomy during the third trimester of pregnancy with outcomes in women operated on in the early postpartum period in a large population. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2018.12.024DOI Listing
January 2019

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

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

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

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

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

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

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

A lower maternal cortisol to cortisone ratio precedes clinical diagnosis of preterm and term preeclampsia by many weeks.

J Clin Endocrinol Metab 2019 Feb 15. Epub 2019 Feb 15.

Department of Obstetrics and Gynaecology, NIHR Biomedical Research Centre, University of Cambridge, Cambridge, UK.

Context: Previous studies have shown reduced placental levels of 11-beta-hydroxysteroid dehydrogenase-type 2 (11βHSD2) in preeclampsia. However, it is not known if the maternal cortisol to cortisone ratio is predictive of placental complications of pregnancy.

Objective: To determine the relationship between the maternal serum cortisol to cortisone ratio at different stages of pregnancy and the risk of preeclampsia or fetal growth restriction (FGR). Read More

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http://dx.doi.org/10.1210/jc.2018-02312DOI Listing
February 2019

Household saving during pregnancy and facility delivery in Zambia: a cross-sectional study.

Health Policy Plan 2019 Feb 14. Epub 2019 Feb 14.

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, MA, USA.

Financial barriers cause many women in low- and middle-income countries to deliver outside of a health facility, contributing to maternal and neonatal mortality. Savings accrued during pregnancy can increase access to safe delivery services. We investigated the relationship between household saving during pregnancy and facility delivery. Read More

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http://dx.doi.org/10.1093/heapol/czz005DOI Listing
February 2019

Predictors of breastfeeding non-initiation in the NICU.

Matern Child Nutr 2019 Feb 14:e12797. Epub 2019 Feb 14.

OB/GYN Department, University of Cincinnati, Cincinnati, OH, USA.

This study compared predictors of breastfeeding non-initiation between infants who were and were not admitted to the NICU so that interventions can target high-risk mothers whose infants desperately need breastmilk. This was a population-based retrospective cohort study of singleton Ohio live births using birth certificates, 2006-2015. In babies who were and were not admitted to the NICU, a multivariable logistic regression model assessed the association between breastfeeding non-initiation and predictors relating to the mother, neonate, and labor and delivery events while adjusting for covariables. Read More

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http://dx.doi.org/10.1111/mcn.12797DOI Listing
February 2019

Placental location and pregnancy outcomes in nulliparous women: A population-based cohort study.

Acta Obstet Gynecol Scand 2019 Feb 15. Epub 2019 Feb 15.

Department of Medicine, Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.

Introduction: The impact of placenta previa on pregnancy, delivery and infant outcomes has been extensively studied. Less is however known about the possible association of placental location other than previa with pregnancy outcomes. The aim of this study was to investigate if placental location other than previa is associated with adverse pregnancy, delivery and infant outcomes. Read More

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http://dx.doi.org/10.1111/aogs.13578DOI Listing
February 2019

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

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

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

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

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

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

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

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

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

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

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

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

The placenta: A site of end-organ damage after Fontan operation. A case series.

Int J Cardiol 2019 Feb 5. Epub 2019 Feb 5.

Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL, United States of America.

Background: Placental insufficiency may be the cause of the high preterm birth rate in women after Fontan operation. In this study we reviewed the clinical course and pregnancy outcome of women with Fontan physiology with a focus on placental pathology.

Methods: We reviewed clinical charts and placental pathology from 7 women with Fontan physiology who had pregnancies at Mayo Clinic, Rochester, Minnesota. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.02.002DOI Listing
February 2019

"We are the ones who should make the decision" - knowledge and understanding of the rights-based approach to maternity care among women and healthcare providers.

BMC Pregnancy Childbirth 2019 Feb 15;19(1):42. Epub 2019 Feb 15.

Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.

Background: Experiences and perceptions of poor quality of care is a powerful determinant of utilisation of maternity services. With many reports of disrespect and abuse in healthcare facilities in low-resource settings, women's and healthcare providers' understanding and perception of disrespect and abuse are important in eliminating disrespect and abuse, but these are rarely explored together.

Methods: This was a qualitative study assessing the continuum of maternity care (antenatal, intrapartum and postnatal care) at the Maternity Unit of Bwaila Hospital in Lilongwe, Malawi. Read More

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http://dx.doi.org/10.1186/s12884-019-2189-7DOI Listing
February 2019

Prenatal vaccination of mothers and hepatitis B vaccination of their infants.

Prev Med 2019 Feb 11. Epub 2019 Feb 11.

Center for Interdisciplinary Research in Women's Health, Department of Obstetrics and Gynecology, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0587, USA. Electronic address:

Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination and influenza vaccination are recommended during pregnancy primarily to prevent influenza and pertussis in mothers and their infants. This study examines associations between prenatal Tdap vaccination and influenza vaccination of mothers and hepatitis B vaccination of their infants. A retrospective cohort study was conducted using data from electronic medical records from 15,468 deliveries to 14,925 mothers occurring April 2, 2014-December 3, 2016 at a university hospital in Texas. Read More

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http://dx.doi.org/10.1016/j.ypmed.2019.02.013DOI Listing
February 2019

Risk factors for surgical intervention of early medical abortion.

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

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

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

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

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https://linkinghub.elsevier.com/retrieve/pii/S00029378193035
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http://dx.doi.org/10.1016/j.ajog.2019.02.014DOI Listing
February 2019
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Behcet's disease and pregnancy: obstetrical and neonatal outcomes in a population-based cohort of 12 million births.

J Perinat Med 2019 Feb 15. Epub 2019 Feb 15.

Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.

Background Behcet's disease (BD) is a rare, multi-systemic inflammatory disorder for which only limited and contradictory data exists in the context of pregnancy. Our objective was to estimate the prevalence of BD in pregnancy and to evaluate maternal and fetal outcomes associated with pregnant women living with BD. Methods Using the 1999-2013 Healthcare Cost and Utilization Project-Nationwide Inpatient Sample from the United States, we performed a population-based retrospective cohort study consisting of pregnancies that occurred during this time period. Read More

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http://dx.doi.org/10.1515/jpm-2018-0161DOI Listing
February 2019

Dispensing patterns of selective serotonin reuptake inhibitors before, during and after pregnancy: a 16-year population-based cohort study from the Netherlands.

Arch Womens Ment Health 2019 Feb 14. Epub 2019 Feb 14.

The Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.

Management of mental illness in the perinatal period with antidepressants is controversial, since evidence emerged on potential harmful effects to the unborn child. However, over time, the dispensing of antidepressants in the perinatal period has increased. We examined perinatal dispensing patterns over time and the role of a recently issued guideline in this regard. Read More

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http://dx.doi.org/10.1007/s00737-019-0951-5DOI Listing
February 2019

Single versus multiple cervical dilation by osmotic dilator before induction of labor for second-trimester abortion.

J Obstet Gynaecol Res 2019 Feb 13. Epub 2019 Feb 13.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.

Aim: In this study, we aimed to investigate whether there was a significant prognostic difference between single and multiple cervical dilations when inducing second-trimester abortion.

Methods: We conducted a retrospective review of 238 pregnant women who underwent termination of pregnancy at 12-21 weeks of gestation at Osaka University Hospital in Osaka, Japan, between January 2010 and May 2018. Termination of pregnancy was performed by vaginal administration of 1 mg gemeprost every 3 h for up to five doses per day after uterine cervical dilation using lamicel. Read More

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http://dx.doi.org/10.1111/jog.13930DOI Listing
February 2019

Management of vulvar lymphedema of filarial origin in a pregnant woman and its outcome: A case report.

J Obstet Gynaecol Res 2019 Feb 13. Epub 2019 Feb 13.

Department of Obstetrics and Gynaecology, Jawaharlal Nehru Institute of Post Graduate Education and Research, Pondicherry, India.

Lymphedema of filarial origin affecting the vulva is extremely rare. It is a dilemma if seen in a pregnant woman as there are no guidelines regarding excision and the mode of delivery. With the World Health Organization-driven global program to eradicate filaria, it is unfortunate to see such cases. Read More

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http://dx.doi.org/10.1111/jog.13933DOI Listing
February 2019

Prevention of spontaneous preterm birth.

Arch Gynecol Obstet 2019 Feb 14. Epub 2019 Feb 14.

Clara Angela Foundation Center for Research and Development, Alfred Herrhausen Str. 44, 58455, Witten, Germany.

Background: It is estimated that globally, approximately 13 million preterm infants are born annually and a much higher number of pregnancies are characterized by threatening preterm birth.

Findings: A proportional inverse correlation between gestational age at delivery and neonatal mortality has been observed which is more prevalent in countries without high standard neonatal care. The socioeconomic burden of preterm birth is enormous, as preterm neonates are particularly prone to severe morbidity that may expand up to adulthood. Read More

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http://dx.doi.org/10.1007/s00404-019-05095-yDOI Listing
February 2019

EQUIPTT: The Evaluation of the QUiPP app for Triage and Transfer protocol for a cluster randomised trial to evaluate the impact of the QUiPP app on inappropriate management for threatened preterm labour.

BMC Pregnancy Childbirth 2019 Feb 13;19(1):68. Epub 2019 Feb 13.

Division of Women's Health, Faculty of Life Sciences & Medicine, King's College London, 10th Floor, North Wing, St Thomas's Hospital Campus, London, SE1 7EH, UK.

Background: Accurate diagnosis of preterm labour is needed to ensure correct management of those most at risk of preterm birth and to prevent the maternal and fetal risks incurred by unnecessary interventions given to the large majority of women, who do not deliver within a week of presentation. Intervention "just-in-case" results in many avoidable admissions, women being transferred out of their local hospital unnecessarily and most women receiving unwarranted drugs, such as steroids and tocolytics. It also precludes appropriate transfers for others as neonatal cots are blocked pre-emptively, resulting in more dangerous ex-utero transfers. Read More

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http://dx.doi.org/10.1186/s12884-019-2210-1DOI Listing
February 2019

Determinants of early initiation of breastfeeding in Ethiopia: a population-based study using the 2016 demographic and health survey data.

BMC Pregnancy Childbirth 2019 Feb 13;19(1):69. Epub 2019 Feb 13.

School of Science and Health, Western Sydney University, Campbelltown, NSW, Australia.

Background: Timely breastfeeding initiation is a simple but important measure that has protective effects on infants and mothers. This study aims to determine the predictors of early breastfeeding initiation among mothers residing in Ethiopia.

Methods: This study employed the 2016 Ethiopian Demographic and Health Survey data. Read More

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http://dx.doi.org/10.1186/s12884-019-2211-0DOI Listing
February 2019

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

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

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

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

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

Small for gestational age infants and the association with placental and umbilical cord morphometry: a digital imaging study.

J Matern Fetal Neonatal Med 2019 Feb 13:1-171. Epub 2019 Feb 13.

a Obstetrics and Gynecology Department , Graduate Entry Medical School , University of Limerick , Limerick , Ireland.

Introduction: Individual placental and umbilical cord morphometry have been previously identified to have an association with fetal growth. This study aims to identify which of the morphometric measurements in combination are associated with pregnancies with small for gestational age (SGA) infants using digital imaging of the delivered placenta.

Material And Methods: This study examined 1005 placentas from consecutively delivered singleton pregnancies in a tertiary center. Read More

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http://dx.doi.org/10.1080/14767058.2019.1582628DOI Listing
February 2019

Prediction of birth weight in twin pregnancies using fractional limb volumes by three-dimensional ultrasonography.

J Matern Fetal Neonatal Med 2019 Feb 13:1-131. Epub 2019 Feb 13.

a Department of Obstetrics , Paulista School of Medicine , Federal University of São Paulo (EPM-UNIFESP) , São Paulo , Brazil.

Objective: To predict birth weight using fetal fractional limb volumes by three-dimensional (3D) ultrasonography in twin pregnancies.

Method: This prospective observational cohort study evaluated 51 twin pregnancies, including 28 dichorionic and 23 monochorionic pregnancies. Ultrasound examinations were performed up to 5 days before delivery. Read More

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http://dx.doi.org/10.1080/14767058.2019.1582632DOI Listing
February 2019

DDT and Breast Cancer: Prospective Study of Induction Time and Susceptibility Windows.

J Natl Cancer Inst 2019 Feb 13. Epub 2019 Feb 13.

Background: In a previous Child Health and Development Studies report, p, p'-DDT was associated with a fivefold increased risk of premenopausal (before age 50 years) breast cancer for women first exposed before puberty. Here we extend our observation to breast cancer diagnosed during early postmenopause (ages 50-54 years) to determine whether age at diagnosis modifies the interaction of DDT with age at exposure.

Methods: We conducted a second prospective, nested case-control study in the Child Health and Development Studies (153 incident breast cancer cases diagnosed at ages 50-54 years and 432 controls matched to cases on birth year). Read More

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http://dx.doi.org/10.1093/jnci/djy198DOI Listing
February 2019

"Not taken seriously"-A qualitative interview study of postpartum Rwandan women who have experienced pregnancy-related complications.

PLoS One 2019 13;14(2):e0212001. Epub 2019 Feb 13.

Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University, Umeå, Sweden.

Background: There is limited knowledge on the women's experiences of pregnancy-related complications in Rwanda. This study aimed to investigate women's experiences and perceptions of specific complications during pregnancy and delivery and the consequences of these complications on postpartum health and family situation.

Methods: Data were collected through individual in-depth interviews (N = 15). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0212001PLOS
February 2019

Individual and community level factors associated with health facility delivery: A cross sectional multilevel analysis in Bangladesh.

PLoS One 2019 13;14(2):e0211113. Epub 2019 Feb 13.

International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.

Introduction: Improving maternal health remains one of the targets of sustainable development goals. A maternal death can occur at any time during pregnancy, but delivery is by far the most dangerous time for both the woman and her baby. Delivery at a health facility can avoid most maternal deaths occurring from preventable obstetric complications. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211113PLOS
February 2019

Factors Associated with Excessive Gestational Weight Gain Among Brazilian Mothers.

Breastfeed Med 2019 Feb 13. Epub 2019 Feb 13.

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

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

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

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

Desmopressin acetate (DDAVP) for preventing and treating acute bleeds during pregnancy in women with congenital bleeding disorders.

Cochrane Database Syst Rev 2019 Feb 13;2:CD009824. Epub 2019 Feb 13.

Department of Obstetrics and Gynecology, Melaka Manipal Medical College, Bukit Baru, Jalan Batu, Hampar, Melaka, Malaysia, 75150.

Background: Congenital bleeding disorders can cause obstetric haemorrhage during pregnancy, labour and following delivery. Desmopressin acetate (DDAVP) is found to be an effective drug which can reduce the risk of haemorrhage and can also stop bleeding in certain congenital bleeding disorders. Its use in pregnancy has been controversial. Read More

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http://dx.doi.org/10.1002/14651858.CD009824.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373982PMC
February 2019

The role of pre-, peri-, and postnatal risk factors in bipolar disorder and adult ADHD.

J Neural Transm (Vienna) 2019 Feb 13. Epub 2019 Feb 13.

Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University, Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.

Gene-environment-development interactions are suggested to play a crucial role in psychiatric disorders. However, it is not clear if there are specific risk gene interactions with particular pre-, peri-, and postnatal risk factors for distinct disorders, such as adult attention-deficit-/hyperactivity disorder (aADHD) and bipolar disorder (BD). In this pilot study, the first aim was to investigate retrospective self-reports of pre-, peri-, and postnatal complications and risk factors from 126 participants (aADHD, BD, and healthy controls) and their mothers. Read More

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http://dx.doi.org/10.1007/s00702-019-01983-4DOI Listing
February 2019

Women with threatened preterm labor followed by term delivery have an increased risk of spontaneous preterm birth in subsequent pregnancies: a population based cohort study.

BJOG 2019 Feb 13. Epub 2019 Feb 13.

Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Republic of Korea.

Objectives: To evaluate the association of history of threatened preterm labor (TPL) followed by term delivery with the risk of spontaneous preterm delivery (PTD) in subsequent pregnancy.

Design: Population based cohort study.

Setting: Data of the National Health Insurance Claims Database and a national health-screening program for infants and children in South Korea. Read More

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http://dx.doi.org/10.1111/1471-0528.15653DOI Listing
February 2019

Safety of laparoscopic appendicectomy during pregnancy: a systematic review and meta-analysis.

ANZ J Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Colorectal Surgery, Division of Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Background: Acute appendicitis is the most common non-obstetric surgical presentation during pregnancy. There were concerns that laparoscopic appendicectomy increases the risk of foetal loss compared to an open approach. Therefore, with recent advances in perioperative care, it is likely the risk has changed. Read More

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http://dx.doi.org/10.1111/ans.14963DOI Listing
February 2019

Effects of nutritional nursing intervention based on glycemic load for patient with gestational diabetes mellitus.

Ginekol Pol 2019 ;90(1):46-49

Department of Gynecology and Obstetrics, Yantai Hospital of Traditional Chinese Medicine, Yantai City, China.

Objectives: To determine the effects of nutritional nursing intervention based on glycemic load (GL) for patients with gestational diabetes mellitus.

Material And Methods: One hundred thirty-four patients diagnosed with gestational diabetes mellitus at our hospital were selected from March 2015 to March 2017 and randomly divided into the observation (n = 67) and control groups (n = 67). All of the patients in the observation and control groups received conventional nutritional nursing. Read More

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http://dx.doi.org/10.5603/GP.2019.0007DOI Listing
January 2019

Piloting a Telephone Based Health Coaching Program for Pregnant Women: A Mixed Methods Study.

Matern Child Health J 2019 Feb 12. Epub 2019 Feb 12.

Department of Obstetrics and Gynaecology, Royal North Shore Hospital, St Leonards, NSW, Australia.

Objectives Get Healthy in Pregnancy (GHiP) is a telephone based lifestyle coaching service for pregnant women, in New South Wales, Australia. GHiP had two service options; a telephone-based health coaching program consisting of up to 10 calls and information only (including one call). This study sought to compare the outcomes of the two GHiP options, to determine the characteristics of women likely to use the service and to explore the feedback from women and health professionals. Read More

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http://dx.doi.org/10.1007/s10995-019-02735-2DOI Listing
February 2019

Maternal Death: Audit in a Tertiary Hospital.

Authors:
K Guha F Ashraf

Mymensingh Med J 2019 Jan;28(1):85-90

Dr Kaberi Guha, Junior Consultant, Obstetrics & Gynaecology, Shaheed Suhrawardy Medical College Hospital, Sher-E-Bangla Nagar, Dhaka, Bangladesh; E- mail:

Maternal death audit in a tertiary hospital was conducted to improve the quality of maternal health care. In this descriptive type cross sectional study, maternal deaths were reviewed and factors responsible for maternal death were identified and noted in Rajshahi Medical College Hospital from July 2008 to June 2009. During the study period total 63 maternal deaths recorded among 7560 deliveries. Read More

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January 2019

Antenatal care as a means to increase participation in the continuum of maternal and child healthcare: an analysis of the poorest regions of four Mesoamérican countries.

BMC Pregnancy Childbirth 2019 Feb 12;19(1):66. Epub 2019 Feb 12.

Institute for Health Metrics and Evaluation, 2301 5th Ave, Suite, Seattle, WA, 600, USA.

Background: Antenatal care (ANC) is a means to identify high-risk pregnancies and educate women so that they might experience a healthier delivery and outcome. There is a lack of evidence about whether receipt of ANC is an effective strategy for keeping women in the system so they partake in other maternal and child interventions, particularly for poor women. The present analysis examines whether ANC uptake is associated with other maternal and child health behaviors in poor mothers in Guatemala, Honduras, Nicaragua, and Mexico (Chiapas). Read More

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http://dx.doi.org/10.1186/s12884-019-2207-9DOI Listing
February 2019

Full versus half dose of antenatal betamethasone to prevent severe neonatal respiratory distress syndrome associated with preterm birth: study protocol for a randomised, multicenter, double blind, placebo-controlled, non-inferiority trial (BETADOSE).

BMC Pregnancy Childbirth 2019 Feb 12;19(1):67. Epub 2019 Feb 12.

Université Paris Diderot, Site Villemin, 10 avenue de Verdun, 75010, Paris, France.

Background: Although antenatal betamethasone is recommended worldwide for women at risk of preterm delivery, concerns persist regarding the long-term effects associated with this treatment. Indeed, adverse events, mainly dose-related, have been reported. The current recommended dose of antenatal betamethasone directly derives from sheep experiments performed in the late 60's and has not been challenged in 45 years. Read More

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http://dx.doi.org/10.1186/s12884-019-2206-xDOI Listing
February 2019

Altered cord blood mitochondrial DNA content and pregnancy lead exposure in the PROGRESS cohort.

Environ Int 2019 Feb 9;125:437-444. Epub 2019 Feb 9.

Department of Environmental Health Sciences, Columbia University, Mailman School of Public Health, New York, NY, USA. Electronic address:

Introduction: Lead (Pb) crosses the placenta and can cause oxidative stress, reduced fetal growth and neurological problems. The principal source of oxidative stress in human cells is mitochondria. Therefore, disruption of normal mitochondrial function during pregnancy may represent a primary mechanism behind the adverse effects of lead. Read More

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http://dx.doi.org/10.1016/j.envint.2019.01.077DOI Listing
February 2019
6 Reads

Immunomodulatory effects of progesterone and selective ligands of membrane progesterone receptors.

Steroids 2019 Feb 9. Epub 2019 Feb 9.

Faculty of Biology, Lomonosov Moscow State University, Moscow, 119991 Russia. Electronic address:

Progesterone (P4) and its analogues regulate various reproductive processes, such as ovulation, implantation, pregnancy maintenance and delivery. In these processes, an important role is played by the immune cells recruited to the female reproductive organs and tissues, where they are exposed to the action of P4. Progestins regulate cellular processes, acting through nuclear steroid receptors (nSRs), membrane P4 receptors (mPRs), and through the sensors. Read More

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http://dx.doi.org/10.1016/j.steroids.2019.02.009DOI Listing
February 2019

Assessing the role of women's autonomy and acceptability of intimate-partner violence in maternal health-care utilization in 63 low- and middle-income countries.

Int J Epidemiol 2019 Feb 7. Epub 2019 Feb 7.

Frederick S. Pardee School of Global Studies, Boston University, Boston, MA, USA.

Background: Our study investigates the associations between women's autonomy and attitudes toward the acceptability of intimate-partner violence against women (IPVAW) and maternal health-care utilization outcomes.

Methods: We combine data from 113 Demographic and Health Surveys conducted between 2003 and 2016, which give us a pooled sample of 765 169 mothers and 777 352 births from 63 countries. We generate composite scores of women's autonomy (six-point scale with reference: no contribution) and acceptability of IPVAW (five-point scale with reference: no acceptance) and assess the associations between these measures and women's use of antenatal care services and facility delivery in pooled and unique country samples. Read More

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http://dx.doi.org/10.1093/ije/dyy299DOI Listing
February 2019

The health of children conceived by ART: 'the chicken or the egg?'

Hum Reprod Update 2019 Feb 12. Epub 2019 Feb 12.

Fertility Clinic, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, Copenhagen, Denmark.

Worldwide, more than 7 million children have now been born after ART: these delivery rates are steadily rising and now comprise 2-6% of births in the European countries. To achieve higher pregnancy rates, the transfer of two or more embryos was previously the gold standard in ART. However, recently the practise has moved towards a single embryo transfer policy to avoid multiple births. Read More

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http://dx.doi.org/10.1093/humupd/dmz001DOI Listing
February 2019
2 Reads

Magnesium sulfate use for fetal neuroprotection.

Curr Opin Obstet Gynecol 2019 Feb 8. Epub 2019 Feb 8.

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

Purpose Of Review: The aim of this review is to describe the proposed mechanisms of action of magnesium sulfate for fetal neuroprotection, different dosing regimens of the drug that have shown benefit, and to review recent pharmacokinetic studies of the drug to better inform clinicians regarding expected benefits and remaining research questions.

Recent Findings: Retrospective secondary analysis of the beneficial effects of antenatal magnesium sulfate trial database and prospective pharmacokinetic/pharmacodynamic modeling indicate magnesium sulfate administration for duration longer than 18 h, given within 12 h of delivery, and maintaining a maternal serum level of 4.1 mg/dl may maximize the neuroprotective benefits of the drug. Read More

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http://dx.doi.org/10.1097/GCO.0000000000000529DOI Listing
February 2019

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

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

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

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

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http://dx.doi.org/10.5935/1984-0063.20180035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361304PMC
February 2019
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Twin pregnancy outcomes after metabolic and bariatric surgery.

Surg Obes Relat Dis 2019 Jan 25. Epub 2019 Jan 25.

Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Background: The effect of bariatric surgery (BS) on twin pregnancy outcomes is unclear.

Objectives: We examined associations of BS with maternal and perinatal outcomes among women with twin gestation.

Setting: A university hospital. Read More

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http://dx.doi.org/10.1016/j.soard.2019.01.014DOI Listing
January 2019

Facility delivery and postnatal care services use among mothers who attended four or more antenatal care visits in Ethiopia: further analysis of the 2016 demographic and health survey.

BMC Pregnancy Childbirth 2019 Feb 11;19(1):64. Epub 2019 Feb 11.

Department of Social Work, Faculty of Social Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Background: Antenatal care provides the best opportunity to promote maternal and child health services use. But many Ethiopian mothers deliver at home and fail to attend postnatal care. Therefore, this study was done to identify factors associated with health facility delivery among mothers who attended four or more antenatal care visits. Read More

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http://dx.doi.org/10.1186/s12884-019-2216-8DOI Listing
February 2019