30,592 results match your criteria Use of Vital Statistics in Obstetrics

Risk of Spine Surgery in Patients with Rheumatoid Arthritis: A Secondary Cohort Analysis of a Nationwide, Population-Based Health Claim Database.

Medicina (Kaunas) 2022 Jun 8;58(6). Epub 2022 Jun 8.

Division of Allergy, Immunology and Rheumatology, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi 62247, Taiwan.

: To study the risk of spine surgery, including cervical and lumbar spine surgeries in patients with rheumatoid arthritis (RA) compared with those without a diagnosis of RA. : This is a secondary data analysis using population-based health claim data. We identified newly diagnosed adult patients with RA between January 2000 and December 2012, according to the International Classification of Diseases, Ninth revision, clinical modification code 714. Read More

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The Influence of Maternal Factors on Neonatal Intensive Care Unit Admission and In-Hospital Mortality in Premature Newborns from Western Romania: A Population-Based Study.

Medicina (Kaunas) 2022 May 26;58(6). Epub 2022 May 26.

Department of Obstetrics and Gynecology, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.

: Neonatal mortality is a global public health issue, disproportionately affecting low- and middle-income nations. Although Romania is a high-income nation, according to the European Union's most recent demographic data, it had the second-highest infant death rate in 2019. Although significant progress has been made in the last three decades in lowering newborn mortality, more initiatives to accelerate progress are required to meet the 2030 Sustainable Development Goals (SDG) objective. Read More

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Is There an Association between the Use of Epidural Analgesia during Labor and the Development of Autism Spectrum Disorder in the Offspring?-A Review of the Literature.

Int J Environ Res Public Health 2022 Jun 12;19(12). Epub 2022 Jun 12.

1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Starynkiewicza Sq. 1/3, 02-015 Warsaw, Poland.

Autism spectrum disorders (ASDs) are multifactorial and complex neurodevelopmental conditions usually diagnosed in the early childhood. The etiology of ASDs is commonly described as a genetic predisposition combined with an environmental impact. As a result of broadening of the diagnostic criteria the prevalence of ASDs has been increasing worldwide and the search for the modifiable factors is still on-going. Read More

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Diabetes Prevalence and Associated Risk Factors among Women in a Rural District of Nepal Using HbA1c as a Diagnostic Tool: A Population-Based Study.

Int J Environ Res Public Health 2022 Jun 8;19(12). Epub 2022 Jun 8.

Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, 7491 Trondheim, Norway.

Given the scarcity of data on diabetes prevalence and associated risk factors among women in rural Nepal, we aimed to examine this, using glycated hemoglobin (HbA1c) as a diagnostic tool. A cross-sectional survey addressing reproductive health and non-communicable diseases was conducted in 2012-2013 among non-pregnant, married women in Bolde, a rural district of Nepal. HbA1c ≥ 6. Read More

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Prevalence of Pathogenic Germline Variants and Their Association with Clinical Characteristics in Patients with Epithelial Ovarian Cancer in a Rural Area of Japan.

Genes (Basel) 2022 Jun 18;13(6). Epub 2022 Jun 18.

Department of Obstetrics and Gynecology, Tokushima University, Tokushima 770-8503, Japan.

The prevalence of germline or pathogenic variants (g-PV) in patients with primary epithelial ovarian cancer (OC) in a rural area of Japan and their association with clinical characteristics, including treatment response and survival outcome, were investigated. A total of 123 unbiased patients with OC were tested for g and g using next-generation sequencing-based targeted amplicon sequencing. Clinical characteristics of OC patients with and without g status were compared. Read More

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Exploring the sustainability of perinatal audit in four district hospitals in the Western Cape, South Africa: a multiple case study approach.

BMJ Glob Health 2022 Jun;7(6)

School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Bellville, South Africa.

Introduction: Maternal and perinatal death surveillance and response (MPDSR) is an intervention process that uses a continuous cycle of identification, notification and review of deaths to determine avoidable causes followed by actions to improve health services and prevent future deaths. This study set out to understand how and why a perinatal audit programme, a form of MPDSR, has sustained practice in South Africa from the perspectives of those engaged in implementation.

Methods: A multiple case study design was carried out in four rural subdistricts of the Western Cape with over 10 years of implementing the programme. Read More

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Maternal Education Level Among People with Diabetes and Associated Adverse Outcomes.

Am J Perinatol 2022 Jun 23. Epub 2022 Jun 23.

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas McGovern Medical School, Houston, United States.

Objective: To determine the relation between education and adverse outcomes in individuals with pregestational or gestational diabetes.

Study Design: This population-based cohort study, using the U.S. Read More

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Cost-effectiveness of Pulmonary Rehabilitation Among US Adults With Chronic Obstructive Pulmonary Disease.

JAMA Netw Open 2022 Jun 1;5(6):e2218189. Epub 2022 Jun 1.

Duke Clinical Research Institute, Durham, North Carolina.

Importance: Pulmonary rehabilitation (PR) after exacerbation of chronic obstructive pulmonary disease (COPD) is effective in reducing COPD hospitalizations and mortality while improving health-related quality of life, yet use of PR remains low. Estimates of the cost-effectiveness of PR in this setting could inform policies to improve uptake.

Objective: To estimate the cost-effectiveness of participation in PR after hospitalization for COPD. Read More

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Frequency, distribution and determinants of Helicobacter pylori infection in adults and adolescents with gastric symptoms: cross-sectional epidemiological inquiry in district Haripur, Pakistan.

Braz J Biol 2022 17;84:e248913. Epub 2022 Jun 17.

Pak-Austria Fachhochschule: Institute of Applied Sciences & Technology, Department of Biomedical Sciences, Haripur, Pakistan.

Helicobacter pylori (HP) is a vital element in the etiology of peptic ulcers and gastric cancer. This research aimed to determine the frequency, distribution, and determinants of HP infection in adults and adolescents with gastric symptoms in district Haripur, Khyber Pakhtunkhwa, Pakistan. This cross-sectional study was performed from June 2018 to June 2020 at the Medical Laboratory Technology Department, The University of Haripur, Pakistan. Read More

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Predicting cumulative live birth rate for patients undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) for tubal and male infertility: a machine learning approach using XGBoost.

Chin Med J (Engl) 2022 04 20;135(8):997-999. Epub 2022 Apr 20.

Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

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Variation and racial/ethnic disparities in Caesarean delivery at New York City hospitals: The contribution of hospital-level factors.

Ann Epidemiol 2022 Jun 18. Epub 2022 Jun 18.

Institute for Implementation Science in Population Health (ISPH), Graduate School of Public Health and Health Policy, City University of New York (CUNY), New York, NY, USA; Department of Epidemiology & Biostatistics, Graduate School of Public Health and Health Policy, City University of New York (CUNY), New York, NY, USA.

Purpose: We aimed to quantify general and specific contextual effects associated with Caesarean delivery at New York City (NYC) hospitals, overall and by maternal race/ethnicity.

Methods: Among 127,449 singleton, nulliparous births at NYC hospitals from 2015 to 2017, we used multilevel logistic regression to examine the association of hospital characteristics (public/private ownership, teaching status and delivery caseloads) with Caesarean delivery, overall, and by maternal race/ethnicity. We estimated the intra-class correlation (ICC) to examine general contextual effects and 80% interval odds ratios (IOR) and percentage of opposed odds ratios (POOR) to examine specific contextual effects. Read More

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Evaluation of the Growth Assessment Protocol (GAP) for antenatal detection of small for gestational age: The DESiGN cluster randomised trial.

PLoS Med 2022 Jun 21;19(6):e1004004. Epub 2022 Jun 21.

Department of Women and Children's Health, King's College London, London, United Kingdom.

Background: Antenatal detection and management of small for gestational age (SGA) is a strategy to reduce stillbirth. Large observational studies provide conflicting results on the effect of the Growth Assessment Protocol (GAP) in relation to detection of SGA and reduction of stillbirth; to the best of our knowledge, there are no reported randomised control trials. Our aim was to determine if GAP improves antenatal detection of SGA compared to standard care. Read More

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Clarithromycin prevents preterm birth and neonatal mortality by dampening alarmin-induced maternal-fetal inflammation in mice.

BMC Pregnancy Childbirth 2022 Jun 20;22(1):503. Epub 2022 Jun 20.

Perinatology Research Branch, Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, U.S. Department of Health and Human Services (NICHD/NIH/DHHS), Bethesda, MD, 20892, and Detroit, MI, 48201, USA.

Background: One of every four preterm neonates is born to a woman with sterile intra-amniotic inflammation (inflammatory process induced by alarmins); yet, this clinical condition still lacks treatment. Herein, we utilized an established murine model of sterile intra-amniotic inflammation induced by the alarmin high-mobility group box-1 (HMGB1) to evaluate whether treatment with clarithromycin prevents preterm birth and adverse neonatal outcomes by dampening maternal and fetal inflammatory responses.

Methods: Pregnant mice were intra-amniotically injected with HMGB1 under ultrasound guidance and treated with clarithromycin or vehicle control, and pregnancy and neonatal outcomes were recorded (n = 15 dams each). Read More

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Incidence of vaginal birth-related rupture of the pubic symphysis: A nationwide register study in Finland from 1998 to 2018.

Scand J Surg 2022 Apr-Jun;111(2):14574969221103161

School of Medicine, University of Eastern Finland, Kuopio, Finland.

Background And Purpose: To assess the incidence of vaginal birth -related rupture of the pubic symphysis in Finland from 1998 to 2018.

Methods: A retrospective cohort study using nationwide data from the Finnish Care Register for Health Care and the Finnish Medical Birth Register. As participants we included all ≥ 22-week pregnancies of women aged between 15 and 49 years from January 1, 1998 to December 31, 2017. Read More

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Pre-IVF treatment with a GnRH antagonist in women with endometriosis (PREGNANT): study protocol for a prospective, double-blind, placebo-controlled trial.

BMJ Open 2022 Jun 17;12(6):e052043. Epub 2022 Jun 17.

Biostatistics, Yale University School of Public Health, New Haven, Connecticut, USA.

Introduction: Infertility is a common complication of endometriosis. While in vitro fertilisation-embryo transfer (IVF) successfully treats endometriosis-associated infertility, there is some evidence that pregnancy rates may be diminished in women seeing fertility treatment for endometriosis-associated infertility compared with other etiologies of infertility. The use of gonadotropin releasing hormone (GnRH) agonist prior to IVF has been suggested to improve success, however studies have been small and rarely reported live birth rates. Read More

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Frequency of HIV among patients seeking antenatal care at a tertiary care hospital, Karachi.

J Pak Med Assoc 2022 May;72(5):855-859

King Salman Hospital, Riyadh, Saudi Arabia.

Objective: To determine the frequency of human immunodeficiency virus among pregnant women reporting for antenatal care at a tertiary care hospital.

Methods: The cross-sectional study was conducted at Unit-1 of the Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre, Karachi, from August 2018 to January 2019, and comprised all women attending antenatal clinics aged 15-40 years having gestational age of at least 10 weeks confirmed by trans-vaginal/trans-abdominal scan. Data was collected using a predesigned questionnaire. Read More

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Differences in perinatal outcomes among rural women by county composition.

Am J Perinatol 2022 Jun 16. Epub 2022 Jun 16.

Obstetrics & Gynecology, Oregon Health & Science University, Portland, United States.

Objective: We compared differences in perinatal outcomes among rural and non-rural women, stratified by maternal race/ethnicity. We also examined differences between majority minority rural counties with majority white rural counties.

Study Design: We conducted a retrospective cohort study with 2015 national vital statistics birth certificate data. Read More

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Prevalence of diabetes in pregnancy and microvascular complications in native Indonesian women: The Jogjakarta diabetic retinopathy initiatives in pregnancy (Jog-DRIP).

PLoS One 2022 15;17(6):e0267663. Epub 2022 Jun 15.

Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Objectives: To report the prevalence of total diabetes in pregnancy (TDP) and diabetes-related microvascular complications among Indonesian pregnant women.

Methods: We conducted a community-based cross-sectional study with multi-stage, cluster random sampling to select the participating community health centers (CHC) in Jogjakarta, Indonesia between July 2018-November 2019. All pregnant women in any trimester of pregnancy within the designated CHC catchment area were recruited. Read More

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Prevalence of amniotomy in Sweden: a nationwide register study.

BMC Pregnancy Childbirth 2022 Jun 14;22(1):486. Epub 2022 Jun 14.

Faculty of Health and Life Sciences, Linnaeus University, 391 82, Kalmar, Sweden.

Background: Amniotomy is a commonly used labor intervention with uncertain evidence, and there are complications connected to the intervention. Yet, the Swedish prevalence of amniotomy is unknown. The aim of the study was therefore to describe the prevalence of amniotomy in Sweden. Read More

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Prevalence and Factors Associated with Peripartum Hysterectomy among Iranian Pregnant Women: A Retrospective Study.

Ethiop J Health Sci 2022 Mar;32(2):289-296

Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Background: Peripartum hysterectomy (PPH) is one of the effective treatment modalities which is increasingly performed to save the life of pregnant women with uncontrollable severe postpartum hemorrhage. The aim of this study was to assess the prevalence and factors associated with PPH among Iranian pregnant women.

Methods: In a retrospective study, 33 pregnant women with PPH referred to Imam Khomeini Hospital in Sari, Mazandaran province, northern Iran were enrolled. Read More

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Prevalence of Human Papillomavirus Among Chinese Han and Mongols Minority Women in Inner Mongolia, China: Reflected by Self-Collected Samples in CHIMUST.

Front Public Health 2022 25;10:840879. Epub 2022 May 25.

Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, China.

Background: The disparities of hr-HPV infection among races/ethnicities have not been fully discussed. This study aimed to investigate the difference of hr-HPV infection between Chinese Han and Mongols minority women in Inner Mongolia.

Methods: Genotyping and histopathology data of Chinese Han and Mongols minority women in Inner Mongolia from Chinese Multi-Center Screening Trial were used to analyze the hr-HPV prevalence, and type-specific distribution in abnormal pathology results. Read More

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Initial Steps in Developing and Implementing a Canadian Obstetric Survey System (CanOSS) for Severe Maternal Morbidity.

J Obstet Gynaecol Can 2022 Jun;44(6):637-638

Departments of Obstetrics & Gynaecology and Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON.

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Global burden of rheumatic heart disease: trends from 1990 to 2019.

Arthritis Res Ther 2022 Jun 11;24(1):138. Epub 2022 Jun 11.

Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515, China.

Background: Rheumatic heart disease (RHD) is a critical public health issue worldwide, and its epidemiological patterns have changed over the decades. This article aimed to estimate the global trends of RHD, and attributable risks from 1990 to 2019.

Methods: Data on RHD burden were explored from the Global Burden of Disease Study 2019. Read More

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Maternal mortality in the United States: The pervasive effects of racism.

Med (N Y) 2022 06;3(6):361-364

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA. Electronic address:

Maternal mortality is a worldwide epidemic, with rates in the United States far surpassing those in similar high-income countries, and years of implicit bias and systemic racism have impacted outcomes for individuals belonging to racial and ethnic minorities. Structural racism must be dismantled to ensure better care for all. Read More

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Multilevel determinants of racial/ethnic disparities in severe maternal morbidity and mortality in the context of the COVID-19 pandemic in the USA: protocol for a concurrent triangulation, mixed-methods study.

BMJ Open 2022 Jun 10;12(6):e062294. Epub 2022 Jun 10.

Department of Health Promotion, Education, & Behavior, University of South Carolina Arnold School of Public Health, Columbia, South Carolina, USA.

Introduction: The COVID-19 pandemic has affected communities of colour the hardest. Non-Hispanic black and Hispanic pregnant women appear to have disproportionate SARS-CoV-2 infection and death rates.

Methods And Analysis: We will use the socioecological framework and employ a concurrent triangulation, mixed-methods study design to achieve three specific aims: (1) examine the impacts of the COVID-19 pandemic on racial/ethnic disparities in severe maternal morbidity and mortality (SMMM); (2) explore how social contexts (eg, racial/ethnic residential segregation) have contributed to the widening of racial/ethnic disparities in SMMM during the pandemic and identify distinct mediating pathways through maternity care and mental health; and (3) determine the role of social contextual factors on racial/ethnic disparities in pregnancy-related morbidities using machine learning algorithms. Read More

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Severe maternal infectious morbidity during the second half of pregnancy is an independent risk factor for a small for gestational age neonate.

Eur J Obstet Gynecol Reprod Biol 2022 Jul 30;274:238-242. Epub 2022 May 30.

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

Objective: The effect of severe maternal infectious morbidity on fetal growth during the second half of pregnancy is under debate. Preliminary evidence suggests that such association may be plausible. The objectives of this study were to determine: 1) The association between severe maternal infectious morbidity and adverse pregnancy outcome; and 2) The effect of maternal infection during pregnancy on fetal growth. Read More

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Vitamin D Status among Women in a Rural District of Nepal: Determinants and Association with Metabolic Profile-A Population-Based Study.

Nutrients 2022 May 31;14(11). Epub 2022 May 31.

Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, 7491 Trondheim, Norway.

Hypovitaminosis D is prevalent worldwide, and especially in South-Asia. According to the Institute of Medicine (IOM), 25(OH)D levels below 30 nmol/L are defined as vitamin D deficiency (VDD) and levels between 30-50 nmol/L as insufficiency (VDI). Besides its role in calcium homeostasis, it has been postulated that vitamin D is involved in metabolic syndrome. Read More

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Trends of the Prevalence of Pre-gestational Diabetes in 2030 and 2050 in Belgrade Cohort.

Int J Environ Res Public Health 2022 May 27;19(11). Epub 2022 May 27.

Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia.

The aim of this study was to analyze the trends in diabetes in pregnancy in Belgrade, Serbia for the period of the past decade and forecast the number of women with pre-gestational diabetes for the years 2030 and 2050. The study included the data on all pregnant women with diabetes from the registry of the deliveries in Belgrade, by the City Institute of Public Health of Belgrade, Serbia for the period between 2010 and 2020 and the published data on the deliveries on the territory of Belgrade. During the examined period the total number of live births in Belgrade was 196,987, and the prevalence of diabetes in pregnancy was 3. Read More

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Energy Metabolism in Gynecological Cancers: A Scoping Review.

Int J Environ Res Public Health 2022 May 25;19(11). Epub 2022 May 25.

Human Nutrition Research Unit, Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, AB T6G 2R3, Canada.

Determining energy requirements is vital for optimizing nutrition interventions in pro-catabolic conditions such as cancer. Gynecological cancer encompasses the most common malignancies in women, yet there is a paucity of research on its metabolic implications. The aim of this review was to explore the literature related to energy metabolism in gynecological cancers. Read More

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Low back pain and associated factors among obstetrics care providers in public hospitals of Amhara Regional State, Ethiopia: a cross-sectional study.

BMJ Open 2022 Jun 8;12(6):e055749. Epub 2022 Jun 8.

Midwifery, Wolkite University, Welkite, Ethiopia

Objectives: Although the study of low back pain (LBP) among healthcare workers in Ethiopia is becoming common, it mainly focused on nurses leaving obstetrics care providers aside. The objective of this study was to assess the prevalence and associated factors of LBP among obstetrics care providers in public hospitals in Amhara Regional State, Ethiopia.

Design: An institution-based cross-sectional study. Read More

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