26,857 results match your criteria Pregnancy Trauma


Awareness Regarding Causes of Infertility Among Out-patients at a Tertiary Care Hospital in Karachi, Pakistan.

Cureus 2020 Apr 16;12(4):e7685. Epub 2020 Apr 16.

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Introduction:  Infertility is the inability of a couple to achieve pregnancy within 12 months of sexual intercourse without the use of contraceptives. The Pakistani population, belonging to a low-middle income country, has a high prevalence of infertility due to a low knowledge and awareness regarding its causes, and lack of healthcare-seeking behavior for this medical issue. The prevalence of infertility in Pakistan is reported as 22%, with primary infertility accounting for 4% of the total cases. Read More

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http://dx.doi.org/10.7759/cureus.7685DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233490PMC

The effects of hands on and hands off/poised techniques on maternal outcomes: A systematic review and meta-analysis.

Midwifery 2020 May 1;87:102712. Epub 2020 May 1.

The Xibei Hospital for Women and Children, Xian 710061, China.

Background: Negative maternal outcomes such as perineal trauma and related perineal pain may cause both long-and short- term morbidities. Hands on and hands off/poised technique are two kinds of techniques to protect perineum during the second-stage of labor. Hands on technique has been the routine midwifery practice for a long time; nevertheless, the effects of hands on technique on protecting perineum has been doubted. Read More

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http://dx.doi.org/10.1016/j.midw.2020.102712DOI Listing

The Impact of Seat Belt Use in Pregnancy on Injuries and Outcomes After Motor Vehicle Collisions.

J Surg Res 2020 May 15;254:96-101. Epub 2020 May 15.

Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California.

Background: Seat belt use during motor vehicle collisions (MVCs) has been shown to alter adults' intra-abdominal injury patterns, although the effect of seat belt use in pregnant women is unclear. The objective of this study was to determine the impact of seat belt use in pregnancy on injuries and outcomes after MVCs.

Methods: Patients injured by MVCs were identified from the National Trauma Data Bank (2007-2014). Read More

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http://dx.doi.org/10.1016/j.jss.2020.04.012DOI Listing

Maternal stress in relation to sex-specific expression of placental genes involved in nutrient transport, oxygen tension, immune response, and the glucocorticoid barrier.

Placenta 2020 May 11;96:19-26. Epub 2020 May 11.

Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Pediatrics, Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Institute for Exposomic Research, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Introduction: Murine models provide evidence that maternal stress during pregnancy can influence placenta morphology and function, including altered expression of genes involved in the maintenance and progression of pregnancy and fetal development. Corresponding research evaluating the impact of maternal stress on placental gene expression in humans is limited. We examined maternal stress in relation to placental expression of 17 candidate genes in a community-based sample. Read More

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http://dx.doi.org/10.1016/j.placenta.2020.05.004DOI Listing

Impact of physical activity and traumatic exposure on occurrence of gestational hypertension: a survey of pregnant women in an armed-conflict region in Nigeria.

Hypertens Pregnancy 2020 May 18:1-7. Epub 2020 May 18.

Physiotherapy Department, University of Maiduguri, Maiduguri, Nigeria.

: To compare physical activity level and traumatic exposure between normotensive and hypertensive pregnant women in an armed conflict region of Nigeria.: 130 normotensives and hypertensive pregnant women comprising of 65 participants per group participated in the study. Harvard Trauma Questionnaire and Pregnancy Physical Activity Questionnaire were used to assess traumatic events and physical activity respectively. Read More

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http://dx.doi.org/10.1080/10641955.2020.1765173DOI Listing

Predictors of Veterans Affairs Health Service Utilization by Women Veterans during Pregnancy.

Womens Health Issues 2020 May 13. Epub 2020 May 13.

VA Central Western Massachusetts Healthcare System, Leeds, Massachusetts; Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts.

Background: Researchers have examined predictors of Veterans Affairs (VA) service use by women veterans in general, but less is known about predictors of VA service use by pregnant veterans. This study examined characteristics associated with planned and actual VA service use by pregnant veterans.

Methods: This study includes data from 510 pregnant veterans enrolled in the Center for Maternal and Infant Outcomes Research in Translation Study. Read More

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http://dx.doi.org/10.1016/j.whi.2020.04.002DOI Listing

A Rare Case of Spontaneous Intrauterine Skull Fracture.

Acta Med Port 2020 May 4;33(5):344-346. Epub 2020 May 4.

Serviço de Ginecologia/Obstetrícia. Unidade Local de Saúde de Matosinhos. Hospital Pedro Hispano. Matosinhos. Portugal.

Skull fractures are rare in newborns and normally caused by maternal abdominal trauma or complicated deliveries. However, in rare cases, these fractures are found in neonates born after an uneventful pregnancy and delivery. We report a case of a primigravida who underwent cesarean delivery due to failure of descent and malpositioning of the fetal head. Read More

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http://dx.doi.org/10.20344/amp.11565DOI Listing

In vivo assessment of the elastic properties of women's pelvic floor during pregnancy using shear wave elastography: design and protocol of the ELASTOPELV study.

BMC Musculoskelet Disord 2020 May 15;21(1):305. Epub 2020 May 15.

Nantes Université, Movement - Interactions - Performance, MIP, EA 4334, F-44000, Nantes, France.

Background: Animal studies have reported an increase in pelvic floor muscle stiffness during pregnancy, which might be a protective process against perineal trauma at delivery. Our main objective is to describe the changes in the elastic properties of the pelvic floor muscles (levator ani, external anal sphincter) during human pregnancy using shear wave elastography (SWE) technology. Secondary objectives are as follows: i) to look for specific changes of the pelvic floor muscles compared to peripheral muscles; ii) to determine whether an association between the elastic properties of the levator ani and perineal clinical and B-mode ultrasound measures exists; and iii) to provide explorative data about an association between pelvic floor muscle characteristics and the risk of perineal tears. Read More

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http://dx.doi.org/10.1186/s12891-020-03333-yDOI Listing

Communication and Cultural Sensitivity for Families and Children With Life-Limiting Diseases: An Informed Decision-Making Ethical Case in Community-Based Palliative Care.

J Hosp Palliat Nurs 2020 May 13. Epub 2020 May 13.

Amie Koch, DNP, FNP-C, RN, ACHPN, is an assistant professor, Duke University School of Nursing, and a community hospice and palliative care nurse practitioner at Transitions LifeCare, Durham, North Carolina. Kimberlee Grier, BSN, RN, CHPPN, CHPN, is a hospice and palliative care nurse at Transitions LifeCare, and co-chair of Fostering Families, Durham, North Carolina.

The health care decisions of families of children who have life-limiting genetic diseases are impacted by multiple factors including religious and ethical values, education and knowledge, emotional trauma, availability of support, and accessibility of care. Palliative care nurses must practice the highest standards by delivering nonbiased, nonjudgmental support to patients and families; however, nurses may experience moral distress if their personal values conflict with a family's decisions and needs. This case focuses on a family receiving community-based palliative care for a child with a genetic life-limiting disease. Read More

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http://dx.doi.org/10.1097/NJH.0000000000000654DOI Listing

Traumatic childhood events of parents enrolled in the Avon Longitudinal Study of Parents and Children (ALSPAC).

Wellcome Open Res 2020 8;5:65. Epub 2020 Apr 8.

Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK.

: Early life experiences can have a significant impact on an individual's later behaviour, the way they view the world, their beliefs and their success at forming strong interpersonal relationships. These factors may subsequently influence the way that the individual may parent their children, which in turn may have an effect on their child's behaviour, mental health and world view. Research has linked early traumatic life experiences in the parent's childhood to disorganised attachment to their own child. Read More

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http://dx.doi.org/10.12688/wellcomeopenres.15804.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199499PMC

Early Pregnancy Screening for Women at High-Risk of GDM Results in Reduced Neonatal Morbidity and Similar Maternal Outcomes to Routine Screening.

J Pregnancy 2020 29;2020:9083264. Epub 2020 Jan 29.

Pregnancy Research Centre, Department of Maternal-Fetal Medicine, Royal Women's Hospital, Melbourne, VIC, Australia.

The Australasian Diabetes in Pregnancy Society recommends screening high-risk women for gestational diabetes mellitus (GDM) before 24 weeks gestation, under the assumption that an earlier diagnosis and opportunity to achieve normoglycemia will minimize adverse outcomes. However, little evidence exists for this recommendation. The study objective was to compare the pregnancy outcomes of high-risk women diagnosed with GDM before 24 weeks gestation and routinely diagnosed women after 24 weeks gestation. Read More

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http://dx.doi.org/10.1155/2020/9083264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204101PMC
January 2020

Management of subsequent pregnancies following fourth-degree obstetric anal sphincter injuries (OASIS).

Eur J Obstet Gynecol Reprod Biol 2020 May 4;250:80-85. Epub 2020 May 4.

Croydon University Hospital, 530 London Road, CR5 7YE, London, United Kingdom. Electronic address:

Objectives: The management of subsequent pregnancy in women who sustained OASIS remains an enigma. Nearly all studies include all grades of OASIS including fourth-degree tears. In addition, most protocols require endoanal ultrasound and anal manometric assessment to provide advice regarding mode of delivery. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.04.063DOI Listing

Ultrasound prediction of Zika virus-associated congenital injury using the profile of fetal growth.

PLoS One 2020 13;15(5):e0233023. Epub 2020 May 13.

Department of Obstetrics & Gynecology, University of Washington, Seattle, Washington, United States of America.

Zika virus (ZIKV) is a mosquito-transmitted flavivirus, recently linked to microcephaly and central nervous system anomalies following infection in pregnancy. Striking findings of disproportionate growth with a smaller than expected head relative to body length have been observed more commonly among fetuses with exposure to ZIKV in utero compared to pregnancies without ZIKV infection regardless of other signs of congenital infection including microcephaly. This study's objective was to determine the diagnostic accuracy of femur-sparing profile of intrauterine growth restriction for the identification of ZIKV-associated congenital injuries on postnatal testing. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233023PLOS

Caval Aortic Index: A Novel Tool for Fluid Assessment in Obstetric Emergencies.

J Emerg Trauma Shock 2020 Jan-Mar;13(1):50-53. Epub 2020 Mar 19.

Department of Anesthesiology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.

Background: Uncorrected maternal hypotension occurring during obstetric emergencies may result in maternal and fetal morbidity. Fluid status of the pregnant mother is a major variable which affects the maternal hemodynamics during patient management, and there is no objective assessment tool for the same. A relatively new sonographic parameter, the inferior vena cava aorta (IVC/Ao) diameter index or caval aortic index, showed promise in this regard, and its application was studied in obstetric patients. Read More

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http://dx.doi.org/10.4103/JETS.JETS_136_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204966PMC

Pregnancy-related acute kidney injury and urological comorbidities in morbidly adherent placenta: A potential challenge to AKI-0by25.

Saudi J Kidney Dis Transpl 2020 Mar-Apr;31(2):368-379

Department of Nephrology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Pregnancy-related acute kidney injury (PRAKI) and urological complications can significantly increase the maternal morbidity and mortality, and morbidly adherent placenta (MAP) has been found to increase the risk of both. This is a four-year prospective study, conducted on patients with MAP. Baseline parameters (demographic/antenatal/perinatal), operative details (obstetric/urological/hemostatic), peri-operative complications (AKI/urological), and maternal/fetal outcomes were studied till six weeks after delivery. Read More

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http://dx.doi.org/10.4103/1319-2442.284011DOI Listing

Beyond Developmental Supports for a Child Refugee.

J Dev Behav Pediatr 2020 May 7. Epub 2020 May 7.

Division of Developmental and Behavioral Health, Children's Mercy Kansas City, Kansas City, MO.

Case: Zahid is a 10-year-old boy who moved to the United States 18 months ago with his parents and 3 younger siblings. He and his family are refugees from Syria. Zahid was born in Syria after an uncomplicated pregnancy and delivery. Read More

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http://dx.doi.org/10.1097/DBP.0000000000000814DOI Listing

Do we have an effective treatment for threatened miscarriage?

BJOG 2020 May 7. Epub 2020 May 7.

Indiana University School of Medicine Department of OB/GYN, Indianapolis, IN, 46202, USA.

Early pregnancy losses are extremely common with almost 50% of women experiencing a loss in their lifetime.(Farren J, et al. Am J Obstet Gynecol. Read More

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http://dx.doi.org/10.1111/1471-0528.16304DOI Listing

A prospective randomized controlled trial comparing two different treatments of intrauterine adhesions.

Reprod Biomed Online 2020 Feb 29. Epub 2020 Feb 29.

Department of Gynecology, First Affiliated Hospital of Wenzhou Medical University, Zhejiang Wenzhou 325000, PR China. Electronic address:

Research Question: Intrauterine adhesions (IUA) are primarily caused by trauma to the endometrium, and hysteroscopy is presently the main treatment for IUA. However, high rates of post-operative adhesion re-formation remain a problem. In this study, the combination of an intrauterine device (IUD) with a Foley catheter and the balloon uterine stent were investigated to evaluate their efficacy in preventing adhesion re-formation and the subsequent reproductive outcomes in patients with moderate to severe adhesions. Read More

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http://dx.doi.org/10.1016/j.rbmo.2020.02.013DOI Listing
February 2020

Case 1: Neonatal Trauma Following Motor Vehicle Collision in Pregnancy.

Neoreviews 2020 May;21(5):e342-e344

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN.

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http://dx.doi.org/10.1542/neo.21-5-e342DOI Listing

Primiparous women's experiences of normal vaginal delivery in Iran: a qualitative study.

BMC Pregnancy Childbirth 2020 Apr 29;20(1):259. Epub 2020 Apr 29.

Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.

Background: Childbirth is considered as the most challenging psychological event in a woman's life. It has a major effect on women's lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women's perception about normal vaginal delivery (NVD) experience. Read More

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http://dx.doi.org/10.1186/s12884-020-02954-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191821PMC

Birthing outside the system: the motivation behind the choice to freebirth or have a homebirth with risk factors in Australia.

BMC Pregnancy Childbirth 2020 Apr 28;20(1):254. Epub 2020 Apr 28.

School of Nursing and Midwifery, Western Sydney University, Locked bag 1797, Penrith, NSW, 2751, Australia.

Background: Childbirth in Australia occurs predominantly in a biomedical context, with 97% of births occurring in hospital. A small percentage of women choose to birth outside the system - that is, to have a midwife attended homebirth with risk factors, or a freebirth, where the birth at home is intentionally unattended by any health professional.

Method: This study used a Grounded Theory methodology. Read More

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http://dx.doi.org/10.1186/s12884-020-02944-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189701PMC

A review of the alternative pathway of complement and its relation to HELLP syndrome: is it time to consider HELLP syndrome a disease of the alternative pathway.

J Matern Fetal Neonatal Med 2020 Apr 26:1-9. Epub 2020 Apr 26.

Division of Hematology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Complement is a part of the innate immune system with a critical role in host defense. Although essential for survival, when dysregulated or excessively triggered complement activation can cause tissue damage and drive inflammatory and immune disorders. The alternative pathway of complement (APC) is especially important for survival against infection and can be triggered by a variety of settings: infection, trauma, surgery, or pregnancy. Read More

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http://dx.doi.org/10.1080/14767058.2020.1755650DOI Listing

The hidden risk of ionizing radiation in the operating room: a survey among 258 orthopaedic surgeons in Brazil.

Patient Saf Surg 2020 22;14:16. Epub 2020 Apr 22.

4Departamento de Ortopedia e Traumatologia, Universidade Estadual de Campinas (Unicamp), Campinas, SP Brazil.

Background: This study aims to assess orthopaedic surgeon knowledge in Brazil about ionizing radiation and its health implications on surgical teams and patients.

Methods: A 15-question survey on theoretical and practical concepts of ionizing radiation was administered during the 23rd Brazilian Orthopaedic Trauma Association annual meeting. The survey addressed issues within orthopedic surgery, such as radiation safety concepts, protection, exposure, as well as the participant gender. Read More

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http://dx.doi.org/10.1186/s13037-020-00238-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175580PMC

Bimanual examination for clot evacuation: a retrospective cohort study of women with postpartum haemorrhage after vaginal delivery.

BMC Pregnancy Childbirth 2020 Apr 25;20(1):245. Epub 2020 Apr 25.

School of Women's and Children's Health, University of New South Wales, Randwick, NSW, Australia.

Background: Bimanual clot evacuation (BCE) is a simple clinical manoeuvre that may reduce need for surgical intervention in the management of severe postpartum haemorrhage (PPH). We sought to determine whether performing BCE in cases of severe PPH after vaginal birth reduces the need for surgical intervention.

Methods: A retrospective chart review of women who delivered vaginally with a severe PPH between January 1, 2011 and December 31, 2014 in a single tertiary women's hospital in Sydney, Australia was conducted. Read More

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http://dx.doi.org/10.1186/s12884-020-02916-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183670PMC

Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems - a retrospective cohort study.

J Perinat Med 2020 Apr 24. Epub 2020 Apr 24.

Division of Obstetrics, University Hospital of Zurich, Frauenklinikstrasse 10, 8091 Zurich, Switzerland.

Objectives Birth tears are a common complication of vaginal childbirth. We aimed to evaluate the outcomes of birth tears first by comparing the mode of vaginal birth (VB) and then comparing different vacuum cups in instrumental VBs in order to better advise childbearing women and obstetrical professionals. Methods In a retrospective cohort study, we analyzed nulliparous and multiparous women with a singleton pregnancy in vertex presentation at ≥37 + 0 gestational weeks who gave birth vaginally at our tertiary care center between 06/2012 and 12/2016. Read More

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http://dx.doi.org/10.1515/jpm-2019-0477DOI Listing

Obstetric Management of Patients with Spinal Cord Injuries: ACOG Committee Opinion, Number 808.

Authors:

Obstet Gynecol 2020 May;135(5):e230-e236

Approximately 17,730 new spinal cord injuries (SCIs) occur per year in the United States. Effective rehabilitation and modern reproductive technology may increase the number of these patients considering pregnancy. Obstetrician-gynecologists and other obstetric care professionals who care for such patients should be familiar with problems related to SCIs that may occur throughout pregnancy and during the postpartum period. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003842DOI Listing

Obstetric Management of Patients with Spinal Cord Injuries: ACOG Committee Opinion Summary, Number 808.

Authors:

Obstet Gynecol 2020 May;135(5):1247-1249

Approximately 17,730 new spinal cord injuries (SCIs) occur per year in the United States. Effective rehabilitation and modern reproductive technology may increase the number of these patients considering pregnancy. Obstetrician-gynecologists and other obstetric care professionals who care for such patients should be familiar with problems related to SCIs that may occur throughout pregnancy and during the postpartum period. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003843DOI Listing

Datasets describing the introduction of the high-sensitive troponin in the emergency department.

Data Brief 2020 Jun 8;30:105481. Epub 2020 Apr 8.

Horten Centre for Patient Oriented Research and Knowledge Transfer, University of Zurich, Pestalozzistrasse 24, Zurich CH-8032, Switzerland.

Chest pain is a common clinical condition in the emergency department. A high sensitive (hs) troponin test assay may help to identify patients with acute coronary syndrome earlier compared to conventional tests but also entails the risk of a high proportion of positive test results in patients without cardiac disease. We assessed the impact of the introduction of the hs-troponin test in clinical practice in an emergency department. Read More

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http://dx.doi.org/10.1016/j.dib.2020.105481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160515PMC

Be quiet and man up: a qualitative questionnaire study into fathers who witnessed their Partner's birth trauma.

BMC Pregnancy Childbirth 2020 Apr 22;20(1):236. Epub 2020 Apr 22.

Bournemouth University, Bournemouth, England.

Background: Research focusing on paternal mental health is limited, especially regarding the impact of the experience of poor mental health in the perinatal period. For example, little is known about the experiences of fathers who witness their partner's traumatic birth and the subsequent impact on their mental health. Therefore, the aim of this study was to explore fathers' experiences of witnessing a traumatic birth, how these experiences impacted their wellbeing, and what support they received during and following the traumatic birth. Read More

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http://dx.doi.org/10.1186/s12884-020-02902-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179006PMC

Carpal Tunnel Syndrome: A Review of Literature.

Cureus 2020 Mar 19;12(3):e7333. Epub 2020 Mar 19.

Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.

Carpal tunnel syndrome (CTS) is a common medical condition that remains one of the most frequently reported forms of median nerve compression. CTS occurs when the median nerve is squeezed or compressed as it travels through the wrist. The syndrome is characterized by pain in the hand, numbness, and tingling in the distribution of the median nerve. Read More

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http://dx.doi.org/10.7759/cureus.7333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164699PMC

Efficacy of new scoring system for diagnosis of abdominal injury after blunt abdominal trauma in patients referred to emergency department.

Chin J Traumatol 2020 Mar 26. Epub 2020 Mar 26.

Emergency Department, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Purpose: The blunt abdominal trauma (BAT) is a common emergency and is significantly associated with morbidity and mortality. Our study was conducted to achieve the goal that a new scoring system could be used for the BAT patients.

Methods: The statistical population of this study was 1000 patients with BAT referred to emergency department of Imam Hossein Hospital, Tehran, Iran. Read More

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http://dx.doi.org/10.1016/j.cjtee.2020.03.003DOI Listing

Prevalence and determinants of perinatal depression among labour migrant and refugee women on the Thai-Myanmar border: a cohort study.

BMC Psychiatry 2020 Apr 15;20(1):168. Epub 2020 Apr 15.

Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 68/30 Bantung Road, Mae Sot, Tak, 63110, Thailand.

Background: Perinatal depression is a significant contributor to maternal morbidity and mortality globally. Migrant women, particularly those living in low- and middle-income settings, represent a particularly vulnerable group due to stressors experienced before, during and after migration. The vast majority of global migration flows occurring within and between low- and middle-income regions, yet existing evidence focuses predominantly on migrants in high-income destinations. Read More

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http://dx.doi.org/10.1186/s12888-020-02572-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161117PMC

Risk Factors for Neonatal/Maternal Morbidity and Mortality in African American Women with Placental Abruption.

Medicina (Kaunas) 2020 Apr 13;56(4). Epub 2020 Apr 13.

Department of Obstetrics and Gynecology, New York Health and Hospitals/Lincoln, Bronx, NY 10451, USA.

: Risk factors for neonatal/maternal morbidity and mortality in placental abruption have been incompletely studied in the current literature. Most of the research overlooked the African American population as mostly Caucasian populations are selected. We aimed to find which risk factor influence the neonatal and maternal outcome in cases of placental abruption occurring in African American pregnant women in an inner-city urban setting. Read More

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http://dx.doi.org/10.3390/medicina56040174DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230772PMC

The Impact of Posttraumatic Stress Disorder and Moral Injury on Women Veterans' Perinatal Outcomes Following Separation From Military Service.

J Trauma Stress 2020 Apr 15. Epub 2020 Apr 15.

National Center for PTSD, Women's Health Sciences Division at VA Boston Healthcare System.

Posttraumatic stress disorder (PTSD) has been found to lead to several adverse perinatal outcomes in the general population. Preliminary research has found that women veterans with PTSD have an increased prevalence of preterm birth, gestational diabetes, and preeclampsia. Less research has examined the role of moral injury (MI) in perinatal outcomes. Read More

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http://dx.doi.org/10.1002/jts.22509DOI Listing

Protease Inhibition Improves Healing of The Vaginal Wall after Obstetrical Injury: Results from a Preclinical Animal Model.

Sci Rep 2020 Apr 14;10(1):6358. Epub 2020 Apr 14.

Department of Obstetrics and Gynecology, Cecil H and Ida Green Center for Reproductive Biological Sciences, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Vaginal delivery with obstetrical trauma is a risk factor for pelvic organ prolapse later in life. Loss of fibulin-5 (FBLN5), an elastogenesis-promoting cellular matrix protein, results in prolapse in mice. Here, we evaluated effects of pregnancy, parturition, and obstetrical injury on FBLN5 content, elastic fibers, biomechanics, and histomorphology of the vaginal wall in rats. Read More

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http://dx.doi.org/10.1038/s41598-020-63031-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156712PMC

A cut-off value of epicardial fat thickness for the prediction of large for gestational age foetuses.

J Obstet Gynaecol 2020 Apr 14:1-5. Epub 2020 Apr 14.

Department of Obstetrics and Gynecology, Kayseri City Hospital, Kayseri, Turkey.

Estimation of foetal weight in the prenatal period is important in many respects. For this purpose, during different periods of pregnancy; mostly in the last trimester; many methods or formulas have been described, almost of them using ultrasound. Foetal epicardial adipose tissue has previously been described as a metabolic organ in studies. Read More

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http://dx.doi.org/10.1080/01443615.2020.1732895DOI Listing

Being a mother after a cancer diagnosis during pregnancy: Maternal psychosocial functioning and child cognitive development and behavior.

Psychooncology 2020 Apr 13. Epub 2020 Apr 13.

Department of Obstetrics and Gynecology, Cooper University Hospital, Camden, New Jersey, USA.

Objective: Up to 51.5% of women diagnosed with cancer during pregnancy experience trauma (eg, intrusive thoughts, avoidance) and 20% report anxiety. Maternal anxiety can negatively affect child behavior among the noncancer population. Read More

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http://dx.doi.org/10.1002/pon.5390DOI Listing

A life-course theory exploration of opioid-related maternal mortality in the United States.

Addiction 2020 Apr 12. Epub 2020 Apr 12.

School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.

Background And Aims: Between 2007 and 2016, pregnancy-associated mortality resulting from overdose more than doubled in the United States. This study explored the circumstances surrounding maternal opioid-related morbidity and mortality, using the life-course theory as a sensitizing framework to examine how each participant's life-course contributed to her substance use, relapse, recovery or overdose.

Design: A mixed-methods study using semi-structured, in-depth face-to-face interviews and focus groups were conducted. Read More

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http://dx.doi.org/10.1111/add.15054DOI Listing

Uterine Artery Pseudoaneurysm in a Pregnant Patient with Retrocervical Endometriosis.

J Minim Invasive Gynecol 2020 Apr 5. Epub 2020 Apr 5.

Departments of Obstetrics and Gynecology (Drs. Zilberman, Eisenberg, Yoeli, Soriano, Sivan, and Mashiach).

A pseudoaneurysm of the uterine artery or its branches is usually a result of vascular trauma during invasive procedures such as a cesarean section, vaginal delivery, myomectomy, hysterotomy, or dilatation and curettage. A uterine artery pseudoaneurysm rupture is a rare, yet life-threatening event. Deep infiltrating endometriosis usually involves a decrease in symptoms and imaging findings throughout pregnancy, with the notable exception of the phenomenon of decidualization. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.03.010DOI Listing

Intended Human Exposure to Non-ionizing Radiation for Cosmetic Purposes.

Authors:

Health Phys 2020 05;118(5):562-579

Cosmetic devices using non-ionizing radiation (NIR) are increasingly available for people who wish to modify their appearance for aesthetic purposes. There are a wide range of NIR modalities used for cosmetic procedures, including devices that use optical radiation (laser, intense pulsed light, and light-emitting diode), electromagnetic fields, and ultrasound. Common procedures involving the application of NIR include epilation, skin rejuvenation, body sculpting and contouring, treatment of vascular and skin lesions, tattoo removal, and scar reduction. Read More

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http://dx.doi.org/10.1097/HP.0000000000001169DOI Listing

Shift work and long work hours and their association with chronic health conditions: A systematic review of systematic reviews with meta-analyses.

PLoS One 2020 2;15(4):e0231037. Epub 2020 Apr 2.

Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America.

Background: Previous reviews have demonstrated that shift work and long work hours are associated with increased risk for chronic conditions. However, these reviews did not comprehensively assessed the body of evidence, and some were not conducted in a systematic manner. A better understanding of the health consequences of shift work and long work hours will aid in creating policy and practice recommendations. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0231037PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117719PMC

Caregivers' and parents' explanatory models of intellectual disability in Khayelitsha, Cape Town, South Africa.

J Appl Res Intellect Disabil 2020 Mar 30. Epub 2020 Mar 30.

Department of Psychology, Stellenbosch University, Stellenbosch, South Africa.

Background: Post-apartheid, understanding and management of intellectual disability remain poor in South Africa, complicated by various contextual and cultural explanations used to describe and conceptualize this condition.

Method: We conducted 20 semi-structured interviews with primary caregivers and parents of children with intellectual disability residing in Khayelitsha, a low-income setting in Cape Town, South Africa. We used Kleinman's Explanatory Models (EMs) of illness to explore terms used to describe and conceptualize this condition. Read More

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http://dx.doi.org/10.1111/jar.12725DOI Listing

Management of Intracranial Hemorrhage and Skull Fracture After Blunt Intrauterine Trauma.

World Neurosurg 2020 Mar 23;138:352-354. Epub 2020 Mar 23.

Department of Neurosurgery, Jacobs School of Medicine at the University at Buffalo, Buffalo, New York, USA; Department of Neurosurgery, John R. Oishei Children's Hospital, Buffalo, New York, USA. Electronic address:

Background: Fetal trauma during pregnancy can have a significant impact on the developing brain. Fetal trauma can lead to several intracranial pathologies including hypoxic-ischemic injury, skull fractures, and intracranial hemorrhages. Blunt trauma to a fetus resulting in the need for neurosurgical intervention is a rare occurrence and seldom described in the literature. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.03.089DOI Listing

Barrier agents for adhesion prevention after gynaecological surgery.

Cochrane Database Syst Rev 2020 03 22;3:CD000475. Epub 2020 Mar 22.

Tameside & Glossop Acute Services NHS Trust, Department of Obstetrics and Gynaecology, Fountain Street, Ashton-Under-Lyne, Lancashire, UK, OL6 9RW.

Background: Pelvic adhesions can form secondary to inflammation, endometriosis, or surgical trauma. Strategies to reduce pelvic adhesion formation include placing barrier agents such as oxidised regenerated cellulose, polytetrafluoroethylene, and fibrin or collagen sheets between pelvic structures.

Objectives: To evaluate the effects of barrier agents used during pelvic surgery on rates of pain, live birth, and postoperative adhesions in women of reproductive age. Read More

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http://dx.doi.org/10.1002/14651858.CD000475.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085418PMC

Trauma in Pregnancy.

Clin Obstet Gynecol 2020 Jun;63(2):447-454

Department of Gynecology and Obstetrics, ICESI University.

One of the most common causes of obstetric morbidity and mortality is trauma in pregnancy. Several maternal physiological changes during pregnancy have a significant impact on the mechanism, presentation, and management of trauma in this population. It is crucial for health providers dealing with trauma to know and understand these differences between pregnant and nonpregnant patients. Read More

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http://dx.doi.org/10.1097/GRF.0000000000000531DOI Listing

Contraception need and available services among incarcerated women in the United States: a systematic review.

Contracept Reprod Med 2020 17;5. Epub 2020 Mar 17.

2Division of General Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 3027 Old Clinic Building, CB#7570, Chapel Hill, NC 27599-7570 USA.

Context: Seventy-five percent of incarcerated women are of reproductive age, most of whom are at-risk for unintended pregnancy. Women who are incarcerated come disproportionately from socioeconomically disadvantaged backgrounds and often lack access to desired reproductive health care. While the carceral system provides a unique opportunity to fill this gap, a better understanding of the contraceptive needs, desires, and plans of incarcerated women is needed to optimize health care provision within the carceral system. Read More

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http://dx.doi.org/10.1186/s40834-020-00105-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077150PMC