1,508 results match your criteria Shoulder Dystocia


Brachial Plexus Birth Injury: Epidemiology and Birth Weight Impact on Risk Factors.

J Pediatr Orthop 2020 Jul;40(6):e460-e465

Department of Orthopedics, Musculoskeletal Research Center, Children's Hospital Colorado.

Background: Brachial plexus birth injury (BPBI) is a condition in which the brachial plexus is thought to be damaged during the birth process. Studies have cited a varying incidence rate ranging from 0.5 to 4. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001447DOI Listing

Three Principles Informing Simulation-Based Continuing Education to Promote Effective Interprofessional Collaboration: Reorganizing, Reframing, and Recontextualizing.

J Contin Educ Health Prof 2020 ;40(2):81-88

Dr. Hopwood: Associate Professor, School of International Studies and Education, University of Technology Sydney, Sydney, Australia, and Department of Curriculum Studies, Stellenbosch Universiteit, Stellenbosch, South Africa. Ms. Blomberg: Professor, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden, and Department of Obstetrics and Gynecology, Linköping University, Linköping, Sweden. Ms. Dahlberg: Senior Lecturer, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden. Ms. Abrandt Dahlgren: Professor in Medical Education, Department of Medicine and Health, Linko[Combining Diaeresis]ping University, Linko[Combining Diaeresis]ping, Sweden.

Introduction: Shoulder dystocia is a complex birth emergency where patient outcomes remain a concern. This article investigates the detailed processes of simulation-based continuing education in a hospital where evidence over 10 years demonstrates improvements in practitioner knowledge, enacted practices, and maternal and child outcomes.

Methods: Data were collected by video recording teams participating in a shoulder dystocia simulation and debrief. Read More

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http://dx.doi.org/10.1097/CEH.0000000000000292DOI Listing
January 2020

Isolated neonatal clavicular fracture is a risk factor for future shoulder dystocia.

J Matern Fetal Neonatal Med 2020 May 12:1-6. Epub 2020 May 12.

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, affiliated with the Hebrew University School of Medicine, Jerusalem, Israel.

Shoulder dystocia (SD) is a risk factor for neonatal clavicular fracture (CF). Previous SD is a known risk factor for subsequent SD. It is unknown whether an isolated neonatal CF (one that is not associated with SD) increases the risk of future SD. Read More

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http://dx.doi.org/10.1080/14767058.2020.1763296DOI Listing

Does the McRoberts' manoeuvre need to start with thigh abduction? An innovative biomechanical study.

BMC Pregnancy Childbirth 2020 May 4;20(1):264. Epub 2020 May 4.

Department of Obstetrics and Gynecology and Reproductive Medicine, University Hospital of Poitiers, Poitiers, France.

Background: Guidelines and description about the achievement of the McRoberts manoeuvre are discordant, particularly concerning the need for abduction before the beginning of the manoeuvre. We sought to compare the biomechanical efficiency of the McRoberts' manoeuvre, with and without thigh abduction.

Methods: In a postural comparative study, twenty-three gravidas > 32 weeks of gestational age and not in labour were assessed during three repetitions of two McRoberts' manoeuvre that differed in terms of starting position. Read More

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http://dx.doi.org/10.1186/s12884-020-02952-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197156PMC

The second stage of labor.

Best Pract Res Clin Obstet Gynaecol 2020 Apr 7. Epub 2020 Apr 7.

Effective Care Research Unit, University of the Witwatersrand/Fort Hare, Eastern Cape Department of Health, East London, South Africa.

The second stage of labor, from full cervical dilatation to complete birth of the baby or babies, constitutes the time of greatest risk for the baby. Birth attendants at all levels require training in the skills necessary to overcome difficulties that may arise unexpectedly during the second stage, particularly poor progress, shoulder dystocia, and breech birth. The mother should receive emotional support and encouragement to bear down instinctively when she feels the urge to do so, in the position she feels enables her to push most effectively, but not the supine position. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2020.03.012DOI Listing

Interdepartmental Collaboration for Simulation-based Education: Obstetric Emergencies for Emergency Medicine.

R I Med J (2013) 2020 May 1;103(4):42-45. Epub 2020 May 1.

Warren Alpert Medical School of Brown University, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Providence, RI.

Background: Simulation in medical education is a well-accepted educational modality that allows for practice of high risk, low frequency events. The Obstetric Emergencies for Emergency Medicine course was developed to prepare trainees for challenging scenarios.

Methods: Six clinical scenarios were chosen: spontaneous vaginal delivery, neonatal resuscitation, pre- eclampsia, neonatal resuscitation with cardiopulmonary resuscitation (CPR), shoulder dystocia and postpartum hemorrhage. Read More

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The Unrealised Potential for Predicting Pregnancy Complications in Women with Gestational Diabetes: A Systematic Review and Critical Appraisal.

Int J Environ Res Public Health 2020 Apr 27;17(9). Epub 2020 Apr 27.

Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia.

Gestational diabetes (GDM) increases the risk of pregnancy complications. However, these risks are not the same for all affected women and may be mediated by inter-related factors including ethnicity, body mass index and gestational weight gain. This study was conducted to identify, compare, and critically appraise prognostic prediction models for pregnancy complications in women with gestational diabetes (GDM). Read More

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http://dx.doi.org/10.3390/ijerph17093048DOI Listing

Determinants of the persistency of macrosomia and shoulder dystocia despite treatment of gestational diabetes mellitus.

Heliyon 2020 Apr 9;6(4):e03756. Epub 2020 Apr 9.

Department of Obstetrics, Cochin-Port-Royal Hospital, AP-HP, Paris Descartes University, DHU Risks in Pregnancy, 123 boulevard de Port-Royal, 75014, Paris, France.

Aims: to identify potentially modifiable risk factors associated with the persistency of macrosomia and/or shoulder dystocia in infants born to women treated for gestational diabetes mellitus (GDM).

Methods: this case-control retrospective study included 113 cases complicated by macrosomia (ponderal index ≥97 percentile) and/or shoulder dystocia, and 226 controls without these complications. Factors associated with macrosomia and/or shoulder dystocia and with failure of diabetes management were assessed by multivariable analyses. Read More

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http://dx.doi.org/10.1016/j.heliyon.2020.e03756DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182725PMC

Obstetric Paralysis: Who is to blame? A systematic literature review.

Rev Bras Ortop (Sao Paulo) 2020 Apr 9;55(2):139-146. Epub 2020 Jan 9.

Faculdade de Medicina, Universidade de Marília,, Marília, SP, Brasil.

Obstetric palsy is classically defined as the brachial plexus injury due to shoulder dystocia or to maneuvers performed on difficult childbirths. In the last 2 decades, several studies have shown that half of the cases of Obstetric palsy are not associated with shoulder dystocia and have raised other possible etiologies for Obstetric palsy. The purpose of the present study is to collect data from literature reviews, classic articles, sentries, and evidence-based medicine to better understand the events involved in the occurrence of Obstetric palsy. Read More

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http://dx.doi.org/10.1055/s-0039-1698800DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186075PMC

Neonatal outcomes of two-step delivery in low-risk pregnancy: A prospective observational study.

J Obstet Gynaecol Res 2020 Apr 28. Epub 2020 Apr 28.

Obstetrics and Gynecology Department, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.

Aim: Extraction of the fetal body is typically performed immediately after delivery of the head in Western obstetric care. Reports justifying immediate extraction are few. Two-step delivery entails waiting for the next uterine contraction after delivery of the head. Read More

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http://dx.doi.org/10.1111/jog.14272DOI Listing

The Carit Maneuver: A Novel Approach for the Relief of Shoulder Dystocia-A Case Series.

AJP Rep 2020 Apr 15;10(2):e133-e138. Epub 2020 Apr 15.

Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey, Monterrey, Nuevo León.

 The main purpose of this article is to describe the technique and mechanism of action of a novel intervention for the relief of shoulder dystocia we are labeling Carit maneuver.  We report a cohort study of eight cases of shoulder dystocia not relieved by the combination of McRobert's maneuver and suprapubic pressure treated with the Carit maneuver. This intervention involves the use of the fetal head and neck as the grasping point of the fetus to exert a ventral rotation of the fetal trunk, reduce the bi-acromial diameter, and deliver the posterior shoulder by passive displacement. Read More

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http://dx.doi.org/10.1055/s-0040-1708498DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159978PMC

Ansell et al. reply to Blanchette. Shoulder dystocia.

Aust N Z J Obstet Gynaecol 2020 04;60(2):E2-E3

Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

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http://dx.doi.org/10.1111/ajo.13137DOI Listing

Shoulder dystocia; NAPLAN scores.

Authors:
Glenn Blanchette

Aust N Z J Obstet Gynaecol 2020 04;60(2):E1

Obstetrics and Gynaecology, Nepean Hospital, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ajo.13151DOI Listing

Incidence of large for gestational age and predictive values of third-trimester ultrasound among pregnant women with false-positive glucose challenge test.

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

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

This cohort study aimed to determine the association between false-positive 50-g GCT and incidence of LGA and to evaluate predictive roles of third-trimester ultrasonographic examination. A total of 200 women with false-positive 50-g GCT and 188 women without GDM risks were enrolled. Third-trimester ultrasonographic examinations were offered. Read More

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http://dx.doi.org/10.1080/01443615.2020.1732890DOI Listing

Brachial Plexus Birth Injury in the Preterm Infant: Suspecting the Unsuspected.

J Pediatr Orthop 2020 Apr 7. Epub 2020 Apr 7.

Department of Orthopedic Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA.

Background: Prematurity is usually considered as a protective factor for brachial plexus birth injury (BPBI). However, BPBI can occur in the preterm infant, and can cause significant dysfunction and morbidity. There is scant literature regarding this subgroup of patients with BPBI. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001562DOI Listing

Early Gestational Diabetes Mellitus Screening With Glycated Hemoglobin: A Systematic Review.

J Obstet Gynaecol Can 2020 Apr 5. Epub 2020 Apr 5.

Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, ON. Electronic address:

Objective: This review sought to examine the association of HbA levels <6.5% in early pregnancy with the subsequent development of gestational diabetes mellitus (GDM) and adverse pregnancy outcomes.

Methods: A search of Medline and EMBASE was conducted for the period of January 1, 2000 to July 9, 2019 and the terms: "gestational diabetes or pregnancy diabetes mellitus" and "glycosylated hemoglobin or glycated hemoglobin A" and "pregnancy trimester, first, or first-trimester pregnancy," "screening or prenatal screening," "prenatal diagnosis or early diagnosis or prediction," "retrospective studies or prospective studies. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.12.015DOI Listing

Maternal Obesity and Pregnancy Outcome: in Perspective of New Asian Indian Guidelines.

J Obstet Gynaecol India 2020 Apr 13;70(2):138-144. Epub 2020 Jan 13.

4Consultant, Department of OBGYN, Sri Gokulam Hospital, Salem, Tamilnadu India.

Background: Prevalence of obesity among women of reproductive age is increasing worldwide. As the prevalence increases among the women of reproductive age group, so it does among pregnant females. This study was conducted with the aim to assess obesity-related adverse maternal, neonatal and perinatal outcomes using new Asian Indian guidelines. Read More

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http://dx.doi.org/10.1007/s13224-019-01301-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109213PMC

Training in obstetric and neonatal emergencies in Mexico: effect on knowledge and self-efficacy by gender, age, shift, and profession.

BMC Med Educ 2020 Mar 31;20(1):97. Epub 2020 Mar 31.

Association of Schools and Programs of Public Health (ASPPH), 1900 M St NW Suite 710, Washington, DC, 20036, USA.

Background: Continuing education is essential for healthcare workers. Education interventions can help to maintain and improve competency and confidence in the technical skills necessary to address adverse events. However, characteristics of the health provider such as age (related to more critical and reflexive attitude); sex (relationship with gender socialization), profession and work conditions might have an influence on the effect of continuing education efforts. Read More

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http://dx.doi.org/10.1186/s12909-020-02005-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7110675PMC

Diabetes, Fetal Demise, and Shoulder Dystocia: The Importance of Glucose Screening to Prevent Catastrophic Obstetric Outcomes.

Case Rep Obstet Gynecol 2020 10;2020:8142109. Epub 2020 Mar 10.

Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, USA.

Diabetes is associated with increased risk of stillbirth and shoulder dystocia. Compared with uncomplicated pregnancies, diabetic patients have a 4-6x risk of stillbirth and 2-3x risk of shoulder dystocia. A 34 yo G2P0010 presented with a 40+3 wga IUFD with nonstandard antenatal glucose screening. Read More

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http://dx.doi.org/10.1155/2020/8142109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086412PMC

Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study.

Rev Esc Enferm USP 2020 13;54:e03549. Epub 2020 Mar 13.

Departamento De Enfermagem, Universidade Federal Do Ceará, Fortaleza, CE, Brazil.

Objective: Identify the associations between perineal outcome in primiparas and interventions during labor and delivery, newborn weight and APGAR score.

Method: Document-based, correlational, retrospective, quantitative study conducted in a tertiary maternity hospital in the state of Ceará, between July 2017 and January 2018. The independent variables were labor induction, amniotomy, non-pharmaceutical methods for relieving pain, forceps, episiotomy, Kristeller maneuver, position in the expulsion stage, shoulder dystocia, and newborn weight and APGAR score, and the dependent variable was perineal outcome. Read More

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http://dx.doi.org/10.1590/s1980-220x2018043503549DOI Listing

Lowering Gestational Diabetes Risk by Prenatal Weight Gain Counseling.

J Am Board Fam Med 2020 Mar-Apr;33(2):189-197

From the Department of Family Medicine, University of Illinois, Chicago (EVF); Advocate Research Institute, Oaklawn, IL (KN); Advocate Christ Family Medicine Residency, Oak Lawn, IL (SMS).

Purpose: Excess weight gain during pregnancy is at epidemic proportions, and pregnancy complications are also on the rise. We sought to determine whether better weight gain counseling of expectant mothers will improve obstetric outcomes.

Methods: Our historic control study design included 2 years of preintervention data, then 6 months of physician and staff training in prenatal weight gain counseling in accordance with 2009 Institute of Medicine guidelines, and finally, 2 more years of data collection for postintervention outcomes. Read More

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http://dx.doi.org/10.3122/jabfm.2020.02.190203DOI Listing

Pregnancy outcomes in association with placental histopathology in pregnancies complicated by macrosomia in diabetic vs. non-diabetic women.

Eur J Obstet Gynecol Reprod Biol 2020 May 7;248:24-29. Epub 2020 Mar 7.

Departments of Obstetrics & Gynecology, The Edith Wolfson Medical Center, Holon, Israel(1).

Objective: We aimed to compare pregnancy outcomes in association with placental pathology in pregnancies complicated by macrosomia in diabetic vs. non-diabetic women.

Study Design: Pregnancies complicated by macrosomia (≥4000gr) were included. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.03.019DOI Listing

The Effectiveness of Simulation-Based Team Training in Obstetrics Emergencies for Improving Technical Skills: A Systematic Review.

Simul Healthc 2020 Apr;15(2):98-105

From the Department of Obstetrics and Gynecology Nursing (C.Y.), Hacettepe University, Faculty of Nursing, Ankara, Turkey; The University of Queensland (G.H.), Faculty of Health and Behavioural Sciences, School of Nursing, Midwifery and Social Work, Brisbane, Queensland, Australia; Department of Nursing (F.T.), Atilim University, Faculty of Health Sciences, Ankara, Turkey; University of the Sunshine Coast (F.B.), Sunshine Coast; and The University of Queensland (F.B.), Brisbane, Queensland, Australia.

Statement: This review explores the effectiveness of simulation-based team training in obstetric emergencies for improving technical skills. A literature search was conducted that included all articles to January 2018. A total of 21 articles were included from a potential 1327 articles. Read More

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http://dx.doi.org/10.1097/SIH.0000000000000416DOI Listing

Positivity thresholds of HbA1c assay as a screening test for diabetes mellitus in the first trimester in high-risk populations.

J Matern Fetal Neonatal Med 2020 Mar 9:1-5. Epub 2020 Mar 9.

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

Both gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) are associated with increased risks of preeclampsia, macrosomia, shoulder dystocia, and irreversible brachial plexus injury (BPI). Compared to the conventional second trimester oral glucose tolerance test (OGTT), screening with the HbA1c assay in the first trimester with a diagnostic second trimester OGTT has been shown to diagnose more cases of T2DM and GDM earlier. Our study examined the effect of treatment based on varied positivity thresholds in high-risk pregnancies. Read More

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http://dx.doi.org/10.1080/14767058.2020.1716213DOI Listing

Persistence and Extent of Neonatal Brachial Plexus Palsy: Association with Number of Maneuvers and Duration of Shoulder Dystocia.

AJP Rep 2020 Jan 4;10(1):e42-e48. Epub 2020 Mar 4.

Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.

 The main objective of this article is to determine if persistence of neonatal brachial plexus palsy (NBPP) following shoulder dystocia was associated with maneuvers used or duration of impacted shoulder.  Retrospective review of children with NBPP and documented shoulder dystocia. Student -tests and chi-squared tests were used to compare outcomes when shoulder dystocia resolved with > 3 versus ≤ 3 maneuvers or duration > versus ≤ 120 seconds. Read More

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http://dx.doi.org/10.1055/s-0040-1705140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056399PMC
January 2020

Which way is better to deliver the very heavy baby: mode of delivery, maternal and neonatal outcome.

Arch Gynecol Obstet 2020 Apr 3;301(4):941-948. Epub 2020 Mar 3.

Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, POB 12000, 91120, Jerusalem, Israel.

Purpose: Currently there are no existing data regarding the maternal and neonatal outcomes for nulliparous women delivering neonates with birthweight above 4500 g. We aim to evaluate birth outcome among these subset of parturients.

Methods: A retrospective study of nulliparous delivering a singleton fetus weighing  ≥ 4500 g in two tertiary medical centers between 2007 and 2018. Read More

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http://dx.doi.org/10.1007/s00404-020-05474-wDOI Listing

Maneuvering Through a Birth Complicated by Shoulder Dystocia.

J Midwifery Womens Health 2020 Mar 2. Epub 2020 Mar 2.

Midwifery & Women's Health Programs, Jefferson (Philadelphia University + Thomas Jefferson University), Philadelphia, Pennsylvania.

Shoulder dystocia is an unpredictable intrapartum emergency with potentially devastating consequences. In this article, the etiology, pathophysiology, and clinical management of shoulder dystocia are reviewed; institutional readiness and potential legal implications are discussed. Also considered are posttraumatic stress disorder and secondary traumatic stress, adverse psychological consequences that may be experienced by women, midwives, and other intrapartum care providers, including staff. Read More

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http://dx.doi.org/10.1111/jmwh.13087DOI Listing

Umbilical Cord Practices of Members of the American College of Nurse-Midwives.

J Midwifery Womens Health 2020 Mar 2. Epub 2020 Mar 2.

School of Nursing, George Washington University, Washington, District of Columbia.

Introduction: Mercer et al surveyed members of the American College of Nurse-Midwives (ACNM) about their umbilical cord clamping practices in 2000. Over the last 20 years, a significant body of research supporting delayed cord clamping (DCC) has been published. The purpose of this study was to learn how midwives today manage the umbilical cord at birth. Read More

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http://dx.doi.org/10.1111/jmwh.13071DOI Listing

Is Embryo Cryopreservation Causing Macrosomia-and What Else?

Front Endocrinol (Lausanne) 2020 28;11:19. Epub 2020 Jan 28.

The Center for Human Reproduction, New York, NY, United States.

The number of embryos transferred during an IVF cycle is directly related to the high incidence of multiple births, which is the culprit of perinatal morbidity. Therefore, single fresh embryo transfer (ET) strategy, or freeze-all, followed by a single frozen-thawed embryo transfer (FET) cycle, may dramatically reduce the rate of multiple births, without compromising the cumulative live birth rates (LBRs). A literature review was conducted for all available evidences assessing obstetrics and perinatal outcomes associated with FET compared to fresh ET and natural conception. Read More

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http://dx.doi.org/10.3389/fendo.2020.00019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997460PMC
January 2020

Epidemiology of Diabetes in Pregnancy Among First Nations and Non-First Nations Women in Saskatchewan, 1980‒2013. Part 2: Predictors and Early Complications; Results From the Diabetes in Pregnancy: Outcomes and Ramification from a Retrospective Longitudinal Intra- Intergenerational Study in Saskatchewan Project.

Can J Diabetes 2019 Nov 20. Epub 2019 Nov 20.

Department of Community Health and Epidemiology, University of Saskatchewan, University of Saskatchewan, Saskatoon, Saskatchewan, Canada; Department of Computer Science, University of Saskatchewan, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Objectives: Because of disparities in incidence of diabetes in pregnancy (DIP) among First Nations (FN) and non-First Nations (non-FN) women in Saskatchewan, we compared predictors and early maternal/child complication rates of gestational diabetes (GDM) and pre-GDM between the 2 populations from 1980 to 2013.

Methods: Using Ministry of Health administrative databases, we examined overall GDM and pre-GDM predictors among a cohort of FN and non-FN women using logistic regression models. We compared early birth complications by ethnicity and DIP status using chi-square analysis. Read More

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http://dx.doi.org/10.1016/j.jcjd.2019.11.001DOI Listing
November 2019

How Can Maternal Lifestyle Interventions Modify the Effects of Gestational Diabetes in the Neonate and the Offspring? A Systematic Review of Meta-Analyses.

Nutrients 2020 Jan 29;12(2). Epub 2020 Jan 29.

Department of Diabetology, Institute of Cardiometabolism and Nutrition (ICAN), APHP, University Hospital Pitié-Salpêtrière, F-75013 Paris, France.

Gestational diabetes (GDM) has deleterious effects on the offspring. Maternal obesity and excessive gestational weight gain (GWG), often associated with diabetes, also contribute to these adverse outcomes.

Objectives: To assess the benefit for the offspring of maternal lifestyle interventions, including diets and physical activity, to prevent or to improve GDM and to limit excessive GWG. Read More

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http://dx.doi.org/10.3390/nu12020353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071184PMC
January 2020

Vacuum extraction delivery at first vaginal birth following cesarean: maternal and neonatal outcome.

Arch Gynecol Obstet 2020 02 27;301(2):483-489. Epub 2020 Jan 27.

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University School of Medicine, 12 Bayit Street, 91031, Jerusalem, Israel.

Objective: To evaluate the maternal and neonatal morbidity outcome associated with vacuum assisted (VA) vaginal delivery at first vaginal birth following a previous cesarean delivery (CD).

Study Design: This is a retrospective computerized study conducted at a single tertiary center, between 2005 and 2018. The study compared the morbidity outcome of VA vaginal delivery between two groups of parturients at their first vaginal birth; primigravid and those in second delivery with a prior cesarean. Read More

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http://dx.doi.org/10.1007/s00404-020-05443-3DOI Listing
February 2020

The test accuracy of antenatal ultrasound definitions of fetal macrosomia to predict birth injury: A systematic review.

Eur J Obstet Gynecol Reprod Biol 2020 Mar 16;246:79-85. Epub 2020 Jan 16.

Division of Child Health, Obstetrics and Gynaecology, School of Medicine, University of Nottingham, United Kingdom.

Objectives: To determine which ultrasound measurement for predicted fetal macrosomia most accurately predicts adverse delivery and neonatal outcomes.

Study Design: Four biomedical databases searched for studies published after 1966. Randomised trials or observational studies of women with singleton pregnancies, resulting in a term birth who have undergone an index test of interest measured and recorded as predicted fetal macrosomia ≥28 weeks. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.01.019DOI Listing

Some comments on "fetal growth velocity in diabetics and the risk for shoulder dystocia: a case-control study".

J Matern Fetal Neonatal Med 2020 Jan 12. Epub 2020 Jan 12.

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

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http://dx.doi.org/10.1080/14767058.2020.1711726DOI Listing
January 2020

Hybrid simulation for obstetrics training: A systematic review.

Eur J Obstet Gynecol Reprod Biol 2020 Mar 24;246:23-28. Epub 2019 Dec 24.

LTSI-INSERM, Université de Rennes 1, UMR 1099, 35000, Rennes, France.

Hybrid simulation is defined as the use of a patient actor combined with a task trainer within the same session. We sought to investigate the level of evidence about the clinical benefits of hybrid simulation training in obstetrics. We searched MEDLINE using the keywords: Obstetrics AND Medical Education AND (Standardized patient OR Hybrid simulation). Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.12.024DOI Listing

Early gestational diabetes screening in obese women: a randomized controlled trial.

Am J Obstet Gynecol 2020 May 9;222(5):495.e1-495.e8. Epub 2020 Jan 9.

Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, AL.

Background: Although in 2013 the American College of Obstetricians and Gynecologists recommended early screening for gestational diabetes in obese women, no studies demonstrate an improvement in perinatal outcomes with this strategy.

Objective: We sought to determine whether early screening for gestational diabetes improves perinatal outcomes in obese women.

Materials And Methods: Randomized controlled trial comparing early gestational diabetes screening (14-20 weeks) to routine screening (24-28 weeks) in obese women (body mass index ≥30 kg/m) at 2 tertiary care centers in the United States. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.12.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196002PMC

[Lucy's fatal childbirth? About materno-foetal mortality in the ancient times].

Gynecol Obstet Fertil Senol 2020 02 7;48(2):204-210. Epub 2020 Jan 7.

Département de gynécologie, université Claude-Bernard Lyon 1, EMR 3738, hôpital Femme-Mère-Enfant, HFME, hospices civils de Lyon, 59, boulevard Pinel, 69000 Lyon, France. Electronic address:

Objectives: Skeletal remains of pregnant woman whit fetus still in the pelvic region are scarce in the archaeological record. We aimed to review the different cases of maternal and fetal death in the ancient times.

Methods: A review of literature using Medline database and Google about mortality during pregnancy in Prehistory, Antiquity and middle age. Read More

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http://dx.doi.org/10.1016/j.gofs.2020.01.004DOI Listing
February 2020

Difficult Delivery and Neonatal Resuscitation: A Novel Simulation for Emergency Medicine Residents.

West J Emerg Med 2019 Dec 9;21(1):102-107. Epub 2019 Dec 9.

Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York.

Introduction: Newborn delivery and resuscitation are rare, but essential, emergency medicine (EM) skills. We evaluated the effect of simulation on EM residents' knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation.

Methods: We developed a novel simulation that integrates a shoulder dystocia with neonatal resuscitation and studied a convenience sample of EM residents. Read More

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http://dx.doi.org/10.5811/westjem.2019.10.43913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948703PMC
December 2019

Pregnancy outcomes associated with an abnormal 50-g glucose screen during pregnancy: a systematic review and Meta-analysis.

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

Department of Obstetrics and Gynecology, College of Medicine, University of Florida, Jacksonville, FL, USA.

To assess the association between an abnormal 1-h 50-g glucose challenge test (GCT) followed by a normal 3-h 100-g glucose tolerance test (GTT) on fetal macrosomia and other adverse outcomes. MEDLINE, Cochrane, clinicaltrials.gov, and Google Scholar were searched from inception to March 2019. Read More

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http://dx.doi.org/10.1080/14767058.2019.1706473DOI Listing
January 2020

ACOG Simulation Working Group: A Needs Assessment of Simulation Training in OB/GYN Residencies and Recommendations for Future Research.

J Surg Educ 2020 May - Jun;77(3):661-670. Epub 2019 Dec 16.

Division of Gynecologic Specialty Surgery, Department of Obstetrics and Gynecology, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York.

Objective: To evaluate current availability and needs of simulation training among obstetrics/gynecology (OB/GYN) residency programs.

Design: Cross-sectional survey.

Setting: Accreditation Council for Graduate Medical Education accredited OB/GYN residency programs in the United States. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.12.002DOI Listing
December 2019

A Nationwide Needs Assessment to Identify and Prioritize Technical Procedures for Simulation in Obstetrics and Gynaecology: A Delphi Study.

J Obstet Gynaecol Can 2020 Apr 16;42(4):409-419. Epub 2019 Dec 16.

Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Juliane Marie Center for Children, Women, and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Objective: The aims of the study were to identify and prioritize technical procedures that should be developed and integrated in a simulation-based curriculum for obstetrics and gynaecology residents.

Methods: The Delphi method was used, consisting of three rounds of survey questionnaires. Key leaders across Denmark were invited to participate. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.08.043DOI Listing

Macrosomia: ACOG Practice Bulletin, Number 216.

Authors:

Obstet Gynecol 2020 01;135(1):e18-e35

Suspected macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the newborn increases. The purpose of this document is to quantify those risks, address the accuracy and limitations of methods for estimating fetal weight, and suggest clinical management for a pregnancy with suspected macrosomia. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003606DOI Listing
January 2020

Macrosomia: ACOG Practice Bulletin Summary, Number 216.

Authors:

Obstet Gynecol 2020 01;135(1):246-248

Suspected macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the newborn increases. The purpose of this document is to quantify those risks, address the accuracy and limitations of methods for estimating fetal weight, and suggest clinical management for a pregnancy with suspected macrosomia. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003607DOI Listing
January 2020

Risk factors associated with neonatal brachial plexus palsy in the United States.

J Pediatr Orthop B 2020 Jul;29(4):392-398

Department of Orthopaedic Surgery, Children's Hospital Los Angeles, Los Angeles, California, USA.

Neonatal brachial plexus palsy (NBPP) is a birth injury that can cause severe functional loss in the affected limb. The purpose of this study was to determine the temporal changes in the national incidence of this condition and whether associated risk factors have changed over time. Children born via vaginal delivery were identified in the Kids' Inpatient Database (KID) from 1997 to 2012, and those with NBPP were identified. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000706DOI Listing

Oral glucose tolerance test for suspected late onset gestational diabetes.

J Matern Fetal Neonatal Med 2019 Dec 18:1-5. Epub 2019 Dec 18.

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel.

Oral glucose tolerance test is used for the diagnosis of gestational diabetes at the second trimester, however, its use at term has been questioned. To compare obstetric outcomes in women with and without abnormal oral glucose tolerance test (OGTT) conducted at term due to large for gestational age (LGA) fetuses or polyhydramnios. A retrospective cohort study including all women ≥37 weeks of gestation, with normal glucose challenge test (GCT), who performed 100 g OGTT at term, due to LGA fetus or polyhydramnios between January 2012 and January 2017. Read More

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http://dx.doi.org/10.1080/14767058.2019.1702945DOI Listing
December 2019

INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?

Acta Clin Croat 2019 Jun;58(2):365-370

1Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Gynecology and Obstetrics, Zenica Cantonal Hospital, Zenica, Bosnia and Herzegovina; 3Sarajevo Medical School, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina; 4Jordanovac Department of Thoracic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia.

In the era of new molecular, epigenetic and proteomic discoveries, birth canal injuries seem like outdated discussion. A vast increase in the incidence of obstetric anal sphincter injuries (OASIS) has been recorded in the last two decades despite advantages in modern medicine and new obstetric methods. This increase might be attributed to the new classification of perineal injury but also to the new imaging methods, including endoanal sonography, which earlier identifies injuries that previously were considered to be occult and actually underwent unrecognized, and which should have been recognized immediately postpartum. Read More

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http://dx.doi.org/10.20471/acc.2019.58.02.22DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884390PMC

Is the low AMH level associated with the risk of cardiovascular disease in obese pregnants?

J Obstet Gynaecol 2019 Dec 6:1-6. Epub 2019 Dec 6.

Department of Perinatology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

Our aim was to investigate whether Antimullerian Hormone (AMH), complete blood count (CBC), Homeostasis model assessment (HOMA-IR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and weight gain have any diagnostic value for the prediction of cardiovascular disease CVD) in obese and non-obese pregnant patients. A prospective, case-control study was carried out, including 187 patients (93 obese, and 94 non-obese). CVD risk for each patient was evaluated according to the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA). Read More

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http://dx.doi.org/10.1080/01443615.2019.1672633DOI Listing
December 2019

Adherence to postpartum diabetes mellitus screening, do associated pregnancy complications make a difference?

Diabetes Res Clin Pract 2020 Jan 2;159:107972. Epub 2019 Dec 2.

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

Aims: We aimed to investigate the impact of Gestational Diabetes Mellitus (GDM) complications on compliance with postpartum Diabetes screening.

Methods: A retrospective cohort study was conducted comparing screening rates of women with and without GDM associated complications who delivered at the Soroka University Medical Center, between 2016 and 2017. The screening test of choice was a 2-hour 75 g oral glucose tolerance test, taken 6-12 weeks after delivery. Read More

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http://dx.doi.org/10.1016/j.diabres.2019.107972DOI Listing
January 2020

Complementary therapy and alternative medicine: effects on induction of labour and pregnancy outcome in low risk post-dates women.

Heliyon 2019 Nov 22;5(11):e02787. Epub 2019 Nov 22.

North West Anglia NHS Trust, Hinchingbrooke Hospital, Department of Obstetrics and Gynaecology, Huntingdon, UK.

Background: Complementary therapy and Alternative medicine (CAM) is used worldwide for many ailments and is a popular option amongst pregnant women for general wellbeing and managing symptoms. Many studies investigating the use of CAM in the antenatal and intrapartum period have been conducted however there is a lack of evidence regarding its effects on induction of labour and delivery. We established a post-dates clinic comprising of an antenatal check and CAM for low risk pregnant women to determine the impact of CAM on these outcomes. Read More

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http://dx.doi.org/10.1016/j.heliyon.2019.e02787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881689PMC
November 2019

Influence of Foetal Macrosomia on the Neonatal and Maternal Birth Outcome.

Geburtshilfe Frauenheilkd 2019 Nov 11;79(11):1191-1198. Epub 2019 Nov 11.

Klinik für Geburtsmedizin, Charité Universitätsmedizin Berlin, Berlin, Germany.

Foetal macrosomia is associated with various obstetrical complications and is a common reason for inductions and primary or secondary Caesarean sections. The objective of this study is the generation of descriptive data on the mode of delivery and on maternal and foetal complications in the case of foetal macrosomia. The causes and consequences of foetal macrosomia as well as the rate of shoulder dystocia are examined in relation to the severity of the macrosomia. Read More

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http://dx.doi.org/10.1055/a-0880-6182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846738PMC
November 2019