8,586 results match your criteria Pregnancy Postpartum Hemorrhage


Maternal hemoglobin concentrations across pregnancy and maternal and child health: a systematic review and meta-analysis.

Ann N Y Acad Sci 2019 Apr 17. Epub 2019 Apr 17.

Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany.

Maternal anemia is a well-recognized global health problem; however, there remain questions on specific hemoglobin (Hb) thresholds that predict health risk or protection for mother and child. We conducted a systematic review and meta-analysis to examine the associations of maternal Hb concentrations with a range of maternal and infant health outcomes, accounting for the timing of measurement (preconception, and first, second, and third trimesters), etiology of anemia, and cutoff category. The systematic review included 272 studies and the meta-analysis included 95 studies. Read More

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http://dx.doi.org/10.1111/nyas.14093DOI Listing
April 2019
1 Read

Obstetric outcomes in women with rheumatoid arthritis: Results from Nationwide Inpatient Sample Database 2003-2011.

Semin Arthritis Rheum 2019 Mar 23. Epub 2019 Mar 23.

University of Mississippi, 2500 North State Street, Jackson, MS 39232, United States.

Objective: Fertility is reduced in patients with Rheumatoid Arthritis due to unknown cause. Few studies have addressed pregnancy outcomes in RA. This study was undertaken to determine the frequency of complications occurring during pregnancy for women with RA and compare with the general obstetric population by using the largest inpatient care database. Read More

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http://dx.doi.org/10.1016/j.semarthrit.2019.03.011DOI Listing
March 2019
1 Read

Maternal Mortality in Rural Varanasi: Delays, Causes, and Contributing Factors.

Indian J Community Med 2019 Jan-Mar;44(1):26-30

Department of Community Medicine, IMS, BHU, Varanasi, Uttar Pradesh, India.

Background: Pregnancy and motherhood are natural processes and considered to be full of positive experiences. However, for various reasons many women end up dying during pregnancy, childbirth, and the postpartum period. Improving maternal health and reducing maternal mortality have been prioritized in several international declarations and national policies. Read More

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http://dx.doi.org/10.4103/ijcm.IJCM_170_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437805PMC
April 2019
3 Reads

Quality Improvement Opportunities Identified Through Case Review of Pregnancy-Related Deaths From Obstetric Hemorrhage.

J Obstet Gynecol Neonatal Nurs 2019 Apr 11. Epub 2019 Apr 11.

Objective: To analyze quality improvement opportunities (QIOs) identified through review of cases of maternal death from obstetric hemorrhage by the California Pregnancy-Associated Mortality Review Committee.

Design: Qualitative descriptive using thematic analysis.

Sample: A total of 159 QIOs identified from 33 cases of pregnancy-related deaths from obstetric hemorrhage in California from 2002 to 2007. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08842175193004
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http://dx.doi.org/10.1016/j.jogn.2019.03.002DOI Listing
April 2019
2 Reads

Translating Maternal Mortality Review Into Quality Improvement Opportunities in Response to Pregnancy-Related Deaths in California.

J Obstet Gynecol Neonatal Nurs 2019 Apr 11. Epub 2019 Apr 11.

Objective: To describe quality improvement opportunities (QIOs) associated with the five leading causes of pregnancy-related death in California and the methods by which the QIOs were collected by the California Pregnancy-Associated Mortality Review committee.

Design: Qualitative, descriptive design using thematic analysis.

Sample: A total of 907 QIOs identified from 203 cases of pregnancy-related deaths from cardiovascular disease, preeclampsia/eclampsia, hemorrhage, venous thromboembolism, and sepsis that occurred in California from 2002 to 2007. Read More

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http://dx.doi.org/10.1016/j.jogn.2019.03.003DOI Listing
April 2019
1 Read

Postpartum Cardiovascular Outcomes Among Women With Heart Disease from A Nationwide Study.

Am J Cardiol 2019 Mar 19. Epub 2019 Mar 19.

Department of Medicine, Division of Cardiovascular Medicine, State University of New York, Stony Brook University Medical Center, Stony Brook, New York. Electronic address:

There is limited data on postpartum maternal postpartum major adverse cardiovascular and cerebrovascular events (MACCE) among women with heart disease (HD) in the US. Therefore, we aimed to determine the prevalence and predictors of MACCE in the US. The Nationwide Readmissions Databases (2010 to 2014) were screened for patients with and without HD undergoing delivery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029149193030
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http://dx.doi.org/10.1016/j.amjcard.2019.03.012DOI Listing
March 2019
3 Reads

The risk of adverse obstetric outcomes and the abnormal growth of offspring in women with a history of thyroid cancer.

Thyroid 2019 Apr 8. Epub 2019 Apr 8.

Northwestern University, Obstetrics and Gynecology , 303 E. Superior Street , Chicago, Illinois, United States , 60611 ;

Background: It is unclear whether a history of thyroid cancer is associated with an increased risk of adverse pregnancy outcomes in subsequent pregnancies. This study aimed to evaluate the risk of adverse obstetric outcomes and the abnormal growth of offspring in women with a history of thyroid cancer.

Methods: In this retrospective observational study, we used nationwide data between 2006 and 2014 to compare pregnancy outcomes between women with a history of thyroid cancer and those with no such history. Read More

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http://dx.doi.org/10.1089/thy.2018.0283DOI Listing
April 2019
2 Reads

Successful resuscitation of a patient with pernicious placenta previa and placenta accreta who had massive life-threatening bleeding during cesarean section: A case report.

Medicine (Baltimore) 2019 Apr;98(14):e15025

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education.

Rationale: Pernicious placenta accrete (PPP) is an obstetrical complication associated with severe life-threatening hemorrhage, which is one of the leading causes of maternal mortality worldwide. Caesarean hysterectomy is the effective method to control intraoperative bleeding for this unscheduled high-risk patient. But a challenge for clinicians in this case is to determine the optimal timing of hysterectomy, because it will directly determine maternal outcome. Read More

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http://dx.doi.org/10.1097/MD.0000000000015025DOI Listing
April 2019
2 Reads

Pregnancy with Loeys Dietz: Care informed by case series.

Authors:
Torri Metz

BJOG 2019 Apr 4. Epub 2019 Apr 4.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Utah Health, Salt Lake City, UT.

Loeys Dietz syndrome (LDS) is a rare autosomal-dominant connective tissue disorder characterized by vascular abnormalities including thoracic aortic aneuryms, cleft palate, hypertelorism and arterial tortuosity. Women with LDS are at risk for pregnancy complications including aortic dissection, preterm birth, postpartum hemorrhage and possibly uterine rupture. This article is protected by copyright. Read More

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http://dx.doi.org/10.1111/1471-0528.15697DOI Listing
April 2019
2 Reads

The efficacy of the Dietary Approaches to Stop Hypertension diet with respect to improving pregnancy outcomes in women with hypertensive disorders.

J Hum Nutr Diet 2019 Apr 3. Epub 2019 Apr 3.

Department of Clinical Nutrition, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China.

Background: The DASH (Dietary Approaches to Stop Hypertension) diet serves as a dietary pattern for the prevention and control of hypertension. The present study aimed to investigate whether the DASH diet can improve the outcomes of pregnancy with gestational hypertension (GH) and chronic hypertension.

Methods: The current randomised controlled clinical trial was performed in 85 pregnant women diagnosed with GH and chronic hypertension between July 2015 and December 2017. Read More

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http://dx.doi.org/10.1111/jhn.12654DOI Listing
April 2019
1 Read

Postdelivery Emergencies.

Emerg Med Clin North Am 2019 May;37(2):287-300

UCLA Ronald Reagan-Olive View Emergency Medicine Residency, UCLA Medical Center, 924 Westwood Boulevard, Suite 300, Los Angeles, CA 90095, USA.

This article covers a high-risk time in a woman's life, the period just after delivery of her baby. There are large variations in complication rates across various groups in the United States. Many women seek care in the emergency department for routine and more serious postpartum pathologies. Read More

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http://dx.doi.org/10.1016/j.emc.2019.01.014DOI Listing
May 2019
2 Reads

Late Pregnancy and Postpartum Emergencies.

Emerg Med Clin North Am 2019 May;37(2):277-286

UCLA Ronald Reagan-Olive View Emergency Medicine Residency, Ronald Reagan Medical Center, 924 Westwood Boulevard, Suite 300, Los Angeles, CA 90095, USA.

The period just after delivery is a high-risk period for women with associated morbidity and even mortality. There are large variations in complication rates across various groups in the United States. This article covers complications commonly encountered in the emergency department in late pregnancy and the early postpartum period. Read More

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http://dx.doi.org/10.1016/j.emc.2019.01.013DOI Listing
May 2019
1 Read

Updated Australian consensus statement on management of inherited bleeding disorders in pregnancy.

Med J Aust 2019 Apr 29;210(7):326-332. Epub 2019 Mar 29.

Haemophilia Treatment Centre, Westmead Hospital, Sydney, NSW.

Introduction: There have been significant advances in the understanding of the management of inherited bleeding disorders in pregnancy since the last Australian Haemophilia Centre Directors' Organisation (AHCDO) consensus statement was published in 2009. This updated consensus statement provides practical information for clinicians managing pregnant women who have, or carry a gene for, inherited bleeding disorders, and their potentially affected infants. It represents the consensus opinion of all AHCDO members; where evidence was lacking, recommendations have been based on clinical experience and consensus opinion. Read More

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http://dx.doi.org/10.5694/mja2.50123DOI Listing
April 2019
3 Reads

Neonatal and maternal outcome after frozen embryo transfer: increased risks in programmed cycles.

Am J Obstet Gynecol 2019 Mar 22. Epub 2019 Mar 22.

Department of Obstetrics and Gynecology, Institute of Clinical Science, Sahlgrenska Academy, Gothenburg University, Reproductive Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.

Background: Frozen embryo transfer is associated with better perinatal outcome regarding preterm birth and low birth weight yet higher risk of large for gestational age and macrosomia compared to fresh transfer. Further, higher rates of hypertensive disorders in pregnancy are noted after frozen embryo transfer. Whether these differences are due to the protocol used in frozen cycles remains unknown. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.03.010DOI Listing
March 2019
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Analysis of 62 placental abruption cases: Risk factors and clinical outcomes.

Taiwan J Obstet Gynecol 2019 Mar;58(2):223-226

Department of Obstetrics and Gynecology, The Second Hospital of Jilin University, Changchun 130041, China. Electronic address:

Objective: This study aimed to explore the clinical characteristics and outcomes of placental abruption.

Materials And Methods: A total of 62 placental abruption cases were collected from the Second Hospital of Jilin University between January 2007 and December 2012. A retrospective study was conducted to explore the risk factors for placental abruption, clinical characteristics, and maternal and fetal outcomes. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.01.010DOI Listing
March 2019
1 Read
1.261 Impact Factor

Congenital Factor X deficiency in women: A systematic review of the literature.

Haemophilia 2019 Mar;25(2):195-204

Katharine Dormandy Haemophilia Centre, Department of Obstetrics & Gynaecology, Royal Free Hospital, London, UK.

Factor X deficiency (FXD) is a rare autosomal recessive bleeding disorder with a variable phenotypic severity. In women, heavy menstrual bleeding (HMB), recurrent ovulation bleeding with haemoperitoneum and bleeding complications in pregnancy such as retroplacental haematoma and postpartum haemorrhage have been reported. The aim of this review was to examine gynaecological problems and obstetric complications in women with congenital FXD. Read More

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http://dx.doi.org/10.1111/hae.13729DOI Listing
March 2019
4 Reads

Maternal near-miss and death among women with postpartum haemorrhage: a secondary analysis of the Nigeria Near-miss and Maternal Death Survey.

BJOG 2019 Mar 21. Epub 2019 Mar 21.

UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.

Objective: To investigate the burden and health service events surrounding severe maternal outcomes (SMO) related to life-threatening postpartum haemorrhage (PPH) in Nigerian public tertiary hospitals.

Design: Secondary analysis of a nationwide cross-sectional study.

Setting: Forty-two tertiary hospitals. Read More

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http://dx.doi.org/10.1111/1471-0528.15624DOI Listing
March 2019
1 Read
3.448 Impact Factor

Peripartum and postpartum outcomes in uncomplicated term pregnancy following ART: a retrospective cohort study from two Italian obstetric units.

Hum Reprod Open 2018 24;2018(3):hoy012. Epub 2018 Jul 24.

Department of Health Sciences, University of Florence, Careggi University Hospital, Largo Brambilla, Florence, Italy.

Study Question: Do singleton uncomplicated term pregnancies conceived by assisted reproductive technology (ART) have adverse peripartum and postpartum outcomes?

Summary Answer: Term pregnancies following ART, even if uncomplicated until birth, have a higher risk of retained placenta and postpartum hemorrhage (PPH).

What Is Known Already: There is consistent evidence that pregnancies following ART have higher incidence of complications during pregnancy. However, few studies specifically investigated birth outcomes in ART term pregnancies. Read More

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http://dx.doi.org/10.1093/hropen/hoy012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276695PMC
July 2018
1 Read

Placenta Increta Presenting as Retained Placenta: A Report of 3 Cases.

Fetal Pediatr Pathol 2019 Mar 19:1-11. Epub 2019 Mar 19.

b Pathology & Laboratory Medicine , Rutgers-New Jersey Medical School , Newark , NJ , USA.

Objectives: Morbid adherence is a risk factor for retained placenta (RP). We encountered three cases of placenta increta presenting clinically as delayed postpartum hemorrhage.

Methods: This was a retrospective study of three cases of placenta increta presenting as RP. Read More

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http://dx.doi.org/10.1080/15513815.2019.1582121DOI Listing
March 2019
2 Reads

Risk factors of obstetric admissions to the intensive care unit: An 8-year retrospective study.

Medicine (Baltimore) 2019 Mar;98(11):e14835

The Third Affiliated Hospital of Guangzhou Medical University, The Medical Center for Critical Pregnant Women in Guangzhou, Guangzhou, China.

The aim of this study was to identify risk factors among obstetric patients admitted to the intensive care unit (ICU).The study was conducted in Third Affiliated Hospital of Guangzhou Medical University during January 1, 2009 and December 31, 2016. A total of 44,817 pregnant women ≥20 weeks of gestational age were scanned. Read More

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http://dx.doi.org/10.1097/MD.0000000000014835DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426550PMC
March 2019
1 Read

Surgical treatment of postpartum haemorrhage: national survey of French residents of obstetrics and gynecology.

BMC Pregnancy Childbirth 2019 Mar 13;19(1):91. Epub 2019 Mar 13.

Department of Obstetrics and Gynecology, Bordeaux University Hospital, Bordeaux, France.

Background: Postpartum haemorrhage (PPH) is a major cause of maternal morbidity and one of the leading causes of maternal mortality worldwide. Many medical treatments and interventions are available nowadays, but surgical treatment is sometimes required when less invasive methods are unsuccessful. This study aimed to assess the theoretical and practical knowledge of French residents of Obstetrics and Gynecology concerning the surgical treatment of postpartum haemorrhage. Read More

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http://dx.doi.org/10.1186/s12884-019-2237-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415489PMC
March 2019
1 Read

Placental volume and other first-trimester outcomes: are there differences between fresh embryo transfer, frozen-thawed embryo transfer and natural conception?

Reprod Biomed Online 2019 Apr 23;38(4):538-548. Epub 2018 Dec 23.

Dijon University Hospital, Reproductive Biology Department, Dijon F-21000, France.

Research Question: Does mode of conception influence placental volume and other first-trimester outcomes?

Design: This retrospective single-centre case-control study led in Dijon University Hospital included 252 singleton pregnancies (84 IVF with either fresh embryo transfer or frozen-thawed embryo transfer [FET] and 168 natural conceptions). First-trimester placental volume, uterine artery pulsatility index and maternal serum PAPP-A and beta-HCG were measured. Statistical analyses were adjusted for gestational age, the newborn's gender, maternal age, parity, body mass index and smoking status. Read More

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http://dx.doi.org/10.1016/j.rbmo.2018.12.023DOI Listing
April 2019
3 Reads

Perinatal complications in female survivors of cancer: a systematic review and meta-analysis.

Eur J Cancer 2019 Apr 5;111:126-137. Epub 2019 Mar 5.

MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK. Electronic address:

Background: Observational studies have suggested that perinatal outcomes are worse in offspring of cancer survivors. We conducted a systematic review and meta-analysis to examine the risks of perinatal complications in female cancer survivors diagnosed before the age of 40 years.

Methods: All published articles on pregnancy, perinatal or congenital risks in female cancer survivors were screened for eligibility. Read More

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http://dx.doi.org/10.1016/j.ejca.2019.01.104DOI Listing
April 2019
3 Reads

Twin pregnancy and risk of postpartum hemorrhage.

J Matern Fetal Neonatal Med 2019 Mar 5:1-6. Epub 2019 Mar 5.

a Division of Maternal-Fetal Medicine , North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell , Manhasset , NY , USA.

Objective: To identify maternal and peripartum characteristics in twin gestations that are associated with postpartum hemorrhage (PPH) in which one or more units of packed red blood cells (PRBCs) were either administered or recommended but declined (PPH + PRBC).

Methods: This retrospective cohort study evaluated all women with twin gestations who delivered at greater than 23 weeks of gestational age at a single, tertiary medical center from 2011 to 2016. Patients were included if they had documentation of estimated blood loss (EBL) at delivery and complete inpatient medical records available for review. Read More

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http://dx.doi.org/10.1080/14767058.2019.1583736DOI Listing
March 2019
4 Reads

Retrospective Analysis of Obstetric Intensive Care Unit Admissions Reveals Differences in Etiology for Admission Based on Mode of Conception.

Anesth Analg 2019 Feb 27. Epub 2019 Feb 27.

From the Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.

Background: The use of in vitro fertilization is increasing. The incidence of adverse outcomes is greater for women who undergo in vitro fertilization, potentially leading to intensive care unit admission. This study aimed to assess the etiology and course of intensive care unit admission in women who underwent in vitro fertilization compared to those who did not, with specific focus on intensive care unit admission due to postpartum hemorrhage. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004056DOI Listing
February 2019
3 Reads

Uterotonic drugs to prevent postpartum haemorrhage: a network meta-analysis.

Health Technol Assess 2019 Feb;23(9):1-356

Tommy's National Centre for Miscarriage Research, Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

Background: Postpartum haemorrhage (PPH) is the leading cause of maternal mortality worldwide. Prophylactic uterotonic drugs can reduce blood loss and are routinely recommended. There are several uterotonic drugs for preventing PPH, but it is still debatable which drug or combination of drugs is the most effective. Read More

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http://dx.doi.org/10.3310/hta23090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421507PMC
February 2019
3 Reads

A new surgical technique "cervical internal os plasty" in cesarean delivery for placenta previa accreta: A case-control study.

Medicine (Baltimore) 2019 Mar;98(9):e14488

Department of Obstetric and Gynecologic, West China Second University Hospital, Sichuan University, Sichuan, China.

Placenta previa accreta is an obstetrical complication that severely affects the heath of the fetus and the mother due to massive hemorrhage during pregnancy. This study reported a new suture technique called "cervical internal os plasty" to control obstetrical hemorrhage in cesarean delivery for patients with placenta previa accreta and retrospectively evaluated the safety and effectiveness of the new technique.From January 2012 to May 2018, we collected 56 patients with this new suture technique, which repaired the damaged weak area with bleeding from the placental attachment site in the lower uterine segment, and restored the damaged anatomic internal os of the cervix. Read More

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http://dx.doi.org/10.1097/MD.0000000000014488DOI Listing
March 2019
8 Reads

Presence of doctors and obstetrician/gynecologists for patients with maternal complications in hospitals in six provinces of Indonesia.

Int J Gynaecol Obstet 2019 Feb;144 Suppl 1:42-50

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

Objective: To describe doctors' and specialist physicians' availability to manage obstetric complications in hospitals in six provinces of Indonesia.

Methods: Data from a nonrandomized, quasi-experimental pre-post evaluation study were used to describe the distribution of providers by each cadre of worker and assess the availability of doctors and obstetrician/gynecologists (ob/gyns) for consultations for women experiencing postpartum hemorrhage or pre-eclampsia/eclampsia, disaggregated by hospital type, province, referral status, and by time of day of provider consultation.

Results: Among hospitals that should have comprehensive emergency obstetric and newborn care (CEmONC) services available 24 hours a day, 7 days a week, many did not have a doctor available to manage obstetric complications as they presented, despite there being an average of seven ob/gyns and four doctors registered for service across all facilities. Read More

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http://dx.doi.org/10.1002/ijgo.12734DOI Listing
February 2019
2 Reads

An Observational Study to Evaluate the Maternal and Foetal Outcomes in Pregnancies Complicated with Jaundice.

J Obstet Gynaecol India 2019 Feb 22;69(1):31-36. Epub 2018 Mar 22.

Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Sion, Mumbai, 400022 India.

Background: Incidence of jaundice in pregnancy, including underlying chronic liver diseases, is 3-5%. However, the maternal mortality rate in some conditions can be as high as 18% in acute fatty liver of pregnancy and 22% in hepatitis E in pregnancy.

Objectives: This is an observational study of the demographics, obstetrical profile, aetiology, maternal morbidity, mortality and neonatal outcomes in pregnancies complicated with jaundice. Read More

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http://dx.doi.org/10.1007/s13224-018-1105-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361180PMC
February 2019
3 Reads

Obstetric emergency simulation training course: experience of a private-public partnership in Brazil.

Reprod Health 2019 Feb 27;16(1):24. Epub 2019 Feb 27.

Hospital e Maternidade Santa Joana, Centro de Ensino, Pesquisa e Inovação, Rua Dr. Eduardo Amaro 225, São Paulo, SP, CEP 04104 080, Brazil.

Background: Lack of skills on how to diagnose and manage obstetric emergencies contribute to substandard institutional care and preventable maternal deaths in Brazil. Simulation-based obstetric emergency team training can reduce adverse maternal outcomes. However, this type of training is expensive and not widely available, especially in low resource settings. Read More

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http://dx.doi.org/10.1186/s12978-019-0689-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391815PMC
February 2019
1 Read

Maternal and fetal outcomes in pregnancies complicated by the inherited aortopathy Loeys-Dietz syndrome.

BJOG 2019 Feb 27. Epub 2019 Feb 27.

Academic Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, London, UK.

Objective: Pregnancies in women with Loeys-Dietz syndrome (LDS) are rare and are typically documented in case reports only. Early reports suggested high rates of maternal complications during pregnancy and the puerperium, including aortic dissection and uterine rupture, but information on fetal outcomes was very limited.

Design: A retrospective cohort study. Read More

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http://doi.wiley.com/10.1111/1471-0528.15670
Publisher Site
http://dx.doi.org/10.1111/1471-0528.15670DOI Listing
February 2019
5 Reads

Frequency of pregnancy-related complications causing acute kidney injury in pregnant patients at a tertiary care hospital.

Saudi J Kidney Dis Transpl 2019 Jan-Feb;30(1):194-201

Department of Nephrology, The Kidney Centre Postgraduate Training Institute, Karachi, Pakistan.

Acute kidney injury (AKI) in pregnancy is associated with significant maternal morbidity and mortality. Several studies from worldwide have shown different frequencies of the causes of pregnancy-related AKI (PRAKI). The present study aimed to provide local data on frequency of causes of PRAKI. Read More

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February 2019
2 Reads

Trends in Incidence and Outcomes of Pregnancy-Related Acute Myocardial Infarction (From a Nationwide Inpatient Sample Database).

Am J Cardiol 2019 Apr 25;123(8):1220-1227. Epub 2019 Jan 25.

Banner University Medical Center, Phoenix, Arizona.

Acute myocardial infarction (AMI) during pregnancy is rare but fatal complication. Recent incidence of pregnancy related AMI and trends in the related outcomes are unknown. The Nationwide Inpatient Sample database was utilized from years 2005 to 2014. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.01.030DOI Listing
April 2019
2 Reads

Changing trends of adverse pregnancy outcomes with maternal age in primipara with singleton birth: a join-point analysis of a multicenter historical cohort study in China in 2011-2012.

Acta Obstet Gynecol Scand 2019 Feb 24. Epub 2019 Feb 24.

Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.

Introduction: Adverse pregnancy outcomes are related to two opposite maternal factors, youth and aging. However, the change in trend of specific outcomes with childbearing age is unknown. The aim of this study was to investigate the changing trend of various maternal and neonatal outcomes with maternal age from 17 to 44 years. Read More

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http://dx.doi.org/10.1111/aogs.13595DOI Listing
February 2019
3 Reads

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. However, less is 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
1 Read

"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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373944PMC
February 2019
3 Reads

Active versus expectant management for women in the third stage of labour.

Cochrane Database Syst Rev 2019 02 13;2:CD007412. Epub 2019 Feb 13.

School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin, Ireland.

Background: Active management of the third stage of labour involves giving a prophylactic uterotonic, early cord clamping and controlled cord traction to deliver the placenta. With expectant management, signs of placental separation are awaited and the placenta is delivered spontaneously. Active management was introduced to try to reduce haemorrhage, a major contributor to maternal mortality in low-income countries. Read More

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http://dx.doi.org/10.1002/14651858.CD007412.pub5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372362PMC
February 2019
2 Reads

Monitoring quality of obstetric care from hospital discharge databases: A Delphi survey to propose a new set of indicators based on maternal health outcomes.

PLoS One 2019 12;14(2):e0211955. Epub 2019 Feb 12.

Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé) Center for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in pregnancy, Paris Descartes University, Paris, France.

Objectives: Most indicators proposed for assessing quality of care in obstetrics are process indicators and do not directly measure health effects, and cannot always be identified from routinely available databases. Our objective was to propose a set of indicators to assess the quality of hospital obstetric care from maternal morbidity outcomes identifiable in permanent hospital discharge databases.

Methods: Various maternal morbidity outcomes potentially reflecting quality of obstetric care were first selected from a systematic literature review. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211955PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372226PMC
February 2019
14 Reads

The risk of abnormal placentation and hemorrhage in subsequent pregnancy following primary elective cesarean delivery.

J Matern Fetal Neonatal Med 2019 Feb 27:1-6. Epub 2019 Feb 27.

a International Peace Maternity and Child Health Hospital, School of Medicine , Shanghai Jiao Tong University , Shanghai , China.

Objective: We aimed to evaluate the relationship between mode of first delivery with subsequent placenta previa, placenta accreta/increta, and significant postpartum hemorrhage (PPH).

Method: This retrospective cohort study included women with two consecutive singleton deliveries between 2007 and 2017 at our institution if the women were nulliparous and delivered at term at the time of first delivery. The first pregnancy delivery mode was classified as (1) vaginal delivery, (2) antepartum cesarean delivery (CD) without labor, or (3) intrapartum CD after the onset of labor. Read More

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http://dx.doi.org/10.1080/14767058.2019.1581167DOI Listing
February 2019
2 Reads

The increasing role of a retained placenta in postpartum blood loss: a cohort study.

Arch Gynecol Obstet 2019 Mar 7;299(3):733-740. Epub 2019 Feb 7.

Department of Obstetrics, Juliane Marie Centre, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.

Purpose: To describe the association between quantity of blood loss, duration of the third stage of labour, retained placenta and other risk factors, and to describe the role of a retained placenta depending on the cutoff used to define postpartum haemorrhage.

Methods: Cohort study of all vaginal deliveries at two Danish maternity units between 1 January 2009 and 31 December 2013 (n = 43,357), univariate and multivariate linear regression statistical analyses.

Results: A retained placenta was shown to be a strong predictor of quantity of blood loss and duration of the third stage of labour a weak predictor of quantity of blood loss. Read More

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http://dx.doi.org/10.1007/s00404-019-05066-3DOI Listing
March 2019
1 Read

Maternal and newborn outcomes with elective induction of labor at term.

Am J Obstet Gynecol 2019 Mar 17;220(3):273.e1-273.e11. Epub 2019 Feb 17.

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

Background: A growing body of evidence supports improved or not worsened birth outcomes with nonmedically indicated induction of labor at 39 weeks gestation compared with expectant management. This evidence includes 2 recent randomized control trials. However, concern has been raised as to whether these studies are applicable to a broader US pregnant population. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.01.223DOI Listing
March 2019
3 Reads

Influence of the WOMAN trial on national wide standard operating procedures for treatment of postpartum hemorrhage.

J Gynecol Obstet Hum Reprod 2019 Apr 24;48(4):269-273. Epub 2019 Jan 24.

University Hospital Frankfurt, Department of Anesthesiology, Intensive Care Medicine, and Pain Therapy, Theodor-Stern Kai 7, 60590 Frankfurt am Main, Germany; Asklepios Hospital Wandsbek, Department of Anesthesiology, Intensive Care Medicine, and Pain Therapy, Alphonsstraße 14, 22043 Hamburg, Germany.

Background: Postpartum hemorrhage is the leading cause of maternal death. Recently, the WOMAN trial showed that early administration of tranexamic acid leads to a reduced mortality due to bleeding. The aim was to study whether the results of the WOMAN trial have influenced the institutional standard operating procedures in treating postpartum hemorrhage. Read More

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http://dx.doi.org/10.1016/j.jogoh.2019.01.010DOI Listing
April 2019
9 Reads

Uterine Artery Pseudoaneurysm: A Life-Threatening Cause of Vaginal Bleeding in the Emergency Department.

J Emerg Med 2019 Mar 23;56(3):327-331. Epub 2019 Jan 23.

Department of Emergency Medicine, Medical University of South Carolina, Charleston, South Carolina.

Background: Vaginal bleeding is a common presenting complaint in the emergency department (ED); life-threatening hemorrhage is rare. Uterine artery pseudoaneurysm (UAP) is an uncommon but potentially life-threatening cause of vaginal bleeding that is most likely to present primarily to EDs, given its delayed postpartum or postoperative presentation.

Case Report: A 25-year-old female gravida two, para one, who was 19 days post dilation and evacuation for an elective termination of a pregnancy at 20 weeks, presented to the ED with profuse vaginal bleeding. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.016DOI Listing
March 2019
4 Reads

Intramuscular injection, intravenous infusion, and intravenous bolus of oxytocin in the third stage of labor for prevention of postpartum hemorrhage: a three-arm randomized control trial.

BMC Pregnancy Childbirth 2019 Jan 18;19(1):38. Epub 2019 Jan 18.

Gynuity Health Projects, 220 East 42nd St, Suite 710, New York, NY, 10010, USA.

Background: Oxytocin for postpartum hemorrhage (PPH) prophylaxis is commonly administered by either intramuscular (IM) injection or intravenous (IV) infusion with both routes recommended equally and little discussion of potential differences between the two. This trial assesses the effectiveness and safety of 10 IU oxytocin administered as IM injection versus IV infusion and IV bolus during the third stage of labor for PPH prophylaxis.

Methods: In two tertiary level Egyptian maternity hospitals, women delivering vaginally without exposure to pre-delivery uterotonics were randomized to one of three prophylactic oxytocin administration groups after delivery of the baby. Read More

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http://dx.doi.org/10.1186/s12884-019-2181-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339323PMC
January 2019
6 Reads

Pregnancy-related acquired hemophilia A initially manifesting as pleural hemorrhage: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14119

Department of Hematology, First Affiliated Hospital of Zhejiang, Chinese Medical University, Hangzhou, China.

Rationale: Acquired hemophilia A is a rare hemorrhagic disease in which the body produces specific antibodies that attack factor VIII, resulting in bleeding that is mainly mucocutaneous and associated with soft tissue and the gastrointestinal system. Approximately 50% of this disease derives from basic diseases, such as autoimmune diseases, cancer, and pregnancy.

Patient Concerns: We report a 35-year-old postpartum female with acquired hemophilia A who initially presented with pleural hemorrhage. Read More

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http://dx.doi.org/10.1097/MD.0000000000014119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370013PMC
January 2019
8 Reads

Changing trends in the Turkish maternal deaths, with a focus on direct and indirect causes.

Eur J Obstet Gynecol Reprod Biol 2019 Mar 6;234:21-25. Epub 2019 Jan 6.

Turkish Public Health Agency, Preliminary Investigation Committee for Maternal Deaths, Government of Health, Ankara, Turkey.

Objective: Our aim is to evaluate trends in the direct and indirect causes' distribution using data from National Maternal Mortality Surveillance (2012-2015).

Study Design: A population-based retrospective review was performed on all pregnancy-associated maternal deaths in Turkey from 2012 to 2015. Causes of death were grouped into direct and indirect maternal deaths and compared in the context of distribution. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.12.031DOI Listing
March 2019
2 Reads
1.627 Impact Factor

Outcomes of hypogastric artery ligation and transcatheter uterine artery embolization in women with postpartum hemorrhage.

Taiwan J Obstet Gynecol 2019 Jan;58(1):72-76

Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

Objective: This study aimed to report our experience of emergent bilateral hypogastric (internal iliac) artery ligation (HAL) in the management of intractable postpartum hemorrhage (PPH) in a tertiary care center.

Materials And Methods: Patients with severe postpartum hemorrhage that could not be controlled with conservative management were retrospectively reviewed from January 2013 to December 2017. Data were retrieved from patients' hospital records. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.11.014DOI Listing
January 2019
3 Reads