12,721 results match your criteria apgar score

The First Live Birth in Lithuania After Application of Preimplantation Genetic Testing.

Acta Med Litu 2020 21;27(2):76-83. Epub 2020 Dec 21.

Vilnius University Hospital Santaros Klinikos, Clinic of Obstetrics and Gynaecology, Vilnius, Lithuania Vilnius University, Faculty of Medicine, Vilnius, Lithuania.

Summary Background: Preimplantation genetic testing (PGT) is a genetic testing procedure that is performed before the implantation of embryos for the identification of genetic abnormalities. It is commonly performed when one or both expecting parents have such abnormalities and are at a high risk of passing them to their offspring. The aim of this case report is to describe the first successful IVF/ICSI/PGT procedure in Lithuania. Read More

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December 2020

Predictors of later insulin therapy for gestational diabetes diagnosed in early pregnancy.

Endocr J 2021 Jun 10. Epub 2021 Jun 10.

Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, 160-8582, Japan.

Interventions for gestational diabetes mellitus (GDM), diagnosed in early pregnancy, have been a topic of controversy. This study aimed to elucidate factors that predict patients with GDM diagnosed before 24 gestational weeks (early GDM: E-GDM) who require insulin therapy later during pregnancy. Furthermore, we identified patients whose impaired glucose tolerance should be strictly controlled from early gestation onward. Read More

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Relationship between Apgar score and umbilical cord blood acid-base balance in full-term and late preterm newborns born in medium and severe conditions.

Ginekol Pol 2021 Jun 9. Epub 2021 Jun 9.

Clinic of Neonatology, Provincial Combined Hospital, Kielce, Poland.

Objectives: Application of Apgar scores (AS) and umbilical cord blood acid-base analysis is a base for the prediction of future neurological development in children. In clinical practice we often observe huge discrepancy between clinical and biochemical status of newborn. Because many obstetricians consider both assessments as substitute and measure of their proceeding's outcome, we decided to scientifically measure actual correlation between them among newborns born with Apgar less than 8 points. Read More

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The Prevalence of Necrotizing Enterocolitis and Associated Factors Among Enteral Fed Preterm and Low Birth Weight Neonates Admitted in Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Study.

Glob Pediatr Health 2021 27;8:2333794X211019695. Epub 2021 May 27.

Arsi University, Asella, Oromia, Ethiopia.

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. Read More

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The determinants of 5th minute low Apgar score among newborns who delivered at public hospitals in Hawassa City, South Ethiopia.

BMC Pediatr 2021 Jun 8;21(1):266. Epub 2021 Jun 8.

Department of Public Health, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.

Background: Newborn morbidity and mortality are forecasted using the Apgar scores. Obstetricians worldwide have used the Apgar score for more than half a century for the assessment of immediate newborn conditions. It is a simple and convenient evaluation system that offers a standardized and effective assessment of newborn infants. Read More

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Diagnostic performance of cerebroplacental and umbilicocerebral ratio in appropriate for gestational age and late growth restricted fetuses attempting vaginal delivery: a multicenter, retrospective study.

J Matern Fetal Neonatal Med 2021 Jun 8:1-7. Epub 2021 Jun 8.

Fetal Medicine Unit, Maternal and Child Health and Development Network, Department of Obstetrics and Gynecology, University Hospital 12 de Octubre, Complutense University of Madrid, Madrid, Spain.

Background: Cerebroplacental Doppler studies have been advocated to predict the risk of adverse perinatal outcome (APO) irrespective of fetal weight.

Objective: To report the diagnostic performance of cerebroplacental (CPR) and umbilicocerebral (UCR) ratios in predicting APO in appropriate for gestational age (AGA) fetuses and in those affected by late fetal growth restriction (FGR) attempting vaginal delivery.

Study Design: Multicenter, retrospective, nested case-control study between 1 January 2017 and January 2020 involving five referral centers in Italy and Spain. Read More

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Perinatal Outcome and its Prediction Using Longitudinal Feto-Maternal Doppler Follow-Up in Late Onset Small for Gestational Age Fetuses - A Prospective Cohort Study.

Ultraschall Med 2021 Jun 8. Epub 2021 Jun 8.

Department of Pediatric Cardiology and Congenital Heart Defects, German Heart Centre Munich, München, Germany.

Purpose:  To describe the perinatal outcome of a prospective cohort of late-onset small-for-gestational-age (SGA) fetuses and to test adverse perinatal outcome (APO) prediction using Doppler measurements.

Methods:  Singleton pregnancies from 32 weeks with suspicion of SGA (followed-up each 2 weeks) and randomly selected healthy controls at a university hospital were included. The whole SGA group was divided into the FGR subgroup or SGA percentile 3-10 subgroup. Read More

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Effect of intravenous dexmedetomidine and remifentanil on neonatal outcomes of caesarean section under general anaesthesia: A systematic review and meta-analysis.

Eur J Anaesthesiol 2021 Jun 7. Epub 2021 Jun 7.

From the Department of Anesthesiology and Pain Medicine (ML), Research Institute of Medical Science, Konkuk University School of Medicine, Chungju (ML), Department of Anesthesiology and Pain Medicine, Wonkwang University School of Medicine, Muwang-ro, Iksan (CL), Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Heukseok-ro, Dongjak-gu (HK) and Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Republic of Korea (HK).

Background: Various strategies have been used to mitigate haemodynamic instability during general anaesthesia for caesarean section. However, the safety of these strategies for neonates remains controversial.

Objective: To investigate the effects of intravenous dexmedetomidine and remifentanil on neonatal outcomes during caesarean section under general anaesthesia. Read More

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Different antecedents and neonatal condition in neonatal arterial ischemic stroke and hypoxic-ischemic neonatal encephalopathy.

Int J Gynaecol Obstet 2021 Jun 8. Epub 2021 Jun 8.

Department of Obstetrics and Gynecology, MBBM Foundation, San Gerardo Hospital, University of Milan, Bicocca School of Medicine and Surgery, Monza, Italy.

Objective: To define similarities and differences between neonatal arterial ischemic stroke (NAIS) and hypoxic-ischemic neonatal encephalopathy (HINE).

Methods: A retrospective case-control study was conducted of neonates born at 35 weeks or more and weighing 1800 g or more at a tertiary care university hospital, between 2005 and 2016, with NAIS (group A), perinatal asphyxia (PA) with Stage II-III HINE (group B), and PA with or without Stage I HINE (group C). Ante- and intrapartum data, neonatal characteristics, and placental histopathology were compared. Read More

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Parturient Controlled Epidural Analgesia with and without Basal Infusion of Ropivacaine and Fentanyl: A Randomized Trial.

Anesth Essays Res 2020 Jul-Sep;14(3):390-394. Epub 2021 Mar 22.

Department of Anesthesiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Introduction: Parturient controlled epidural analgesia (PCEA) is an established method of providing safe and effective labor analgesia.

Objective: The aim of this single-blind, randomized controlled trial was to compare the efficacy of PCEA with or without basal infusion (BI) of ropivacaine and fentanyl for the effective management of labor pain associated with normal vaginal delivery.

Materials And Methods: A total of 78 nulliparous parturients with vertex presentation at term and with cervical dilatation of 3-5 cm demanding for epidural analgesia (EA) were enrolled in the study. Read More

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Associations between inpatient psychiatric admissions during pregnancy and adverse obstetric and birth outcomes.

Am J Obstet Gynecol MFM 2021 May 31:100413. Epub 2021 May 31.

University of Illinois, Chicago, Department of Obstetrics and Gynecology.

Background: Previous research supports an association between psychiatric diagnoses and adverse obstetric and neonatal outcomes including low birth weight, preterm birth, and preeclampsia. Women who are admitted for inpatient psychiatric care are regarded as having more acute illnesses than those who are able to be managed as outpatients. Prior research has not yet investigated how the severity of psychiatric illness, as indicated by type of antenatal psychiatric care received, is associated with adverse obstetric outcomes. Read More

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Systematic screening for vasa previa at the 20-week anomaly scan.

Acta Obstet Gynecol Scand 2021 Jun 2. Epub 2021 Jun 2.

Ambulatorium für Fetalmedizin Feldkirch, Feldkirch, Austria.

Introduction: The presence of vasa previa carries a high risk for severe fetal morbidity and mortality due to fetal bleeding caused by injury to unprotected fetal vessels when rupture of membranes occurs. Previously, it has been shown that prenatal diagnosis significantly improves the outcome. However, systematic screening for vasa previa is not generally performed, and clinical studies demonstrating the performance of systematic screening for vasa previa in routine clinical practice are rare. Read More

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Endogenous erythropoietin concentrations and association with retinopathy of prematurity and brain injury in preterm infants.

PLoS One 2021 2;16(6):e0252655. Epub 2021 Jun 2.

Departments of Pediatrics, Neurology and Radiology, Washington University in St. Louis, St. Louis, Missouri, United States of America.

Background: Endogenous erythropoietin (EPO) concentrations vary widely in preterm infants and may be associated with perinatal risk factors and neurological outcomes. Erythropoietin is elevated in fetal hypoxia but is also a potential neuroprotectant.

Methods: In a prospective study of 27 infants ≤ 30 weeks gestation, serum erythropoietin concentrations were measured during the first month of life, on day 1 and weeks 1, 2, and 4, and related to perinatal risk factors and outcomes including retinopathy of prematurity and cerebral injury evaluated near term-equivalent post menstrual age using magnetic resonance imaging with quantitative scoring. Read More

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A comparative analysis of teenagers and older pregnant women concerning maternal and neonatal adverse outcomes in Raymond Mhlaba sub-District, South Africa.

Afr J Reprod Health 2020 Dec;24(4):138-146

Department of Nursing Science, Faculty of Health Sciences, University of Fort Hare, South Africa.

Teenage pregnancy has become a common global public health issue, associated with increased risk of obstetric complications and adverse neonatal outcomes. Teenagers are more prone to obstetric complications compared to older women. This study examined the maternal and neonatal adverse outcomes among teenagers, and compared them with older pregnant women. Read More

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December 2020

Efficacy and safety of non-pharmacological interventions for labour pain management: A systematic review and Bayesian network meta-analysis.

J Clin Nurs 2021 Jun 1. Epub 2021 Jun 1.

School of Nursing, Peking University, Beijing, China.

Aims And Objectives: To compare and rank the efficacy and safety of non-pharmacological interventions in the management of labour pain.

Background: Recently, various non-pharmacological interventions have been applied to manage labour pain and have shown positive effects. However, evidence identifying which type of non-pharmacological intervention is more efficient and safer is limited. Read More

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Prognostic Value of Cerebroplacental Ratio in Appropriate-for-Gestational-Age Fetuses Before Induction of Labor in Late-Term Pregnancies.

Ultraschall Med 2021 May 31. Epub 2021 May 31.

Division of Obstetrics and Perinatal Medicine, Department of Obstetrics and Gynecology, Technical University of Munich, University Hospital "rechts der Isar", Munich, Germany.

Purpose:  To evaluate the relationship between cerebroplacental ratio (CPR) and the need for operative delivery due to intrapartum fetal compromise (IFC) and adverse perinatal outcome (APO) in appropriate-for-gestational-age (AGA) late-term pregnancies undergoing induction of labor. The predictive performance of CPR was also assessed.

Materials And Methods:  Retrospective study including singleton AGA pregnancies that underwent elective induction of labor between 41 + 0 and 41 + 6 weeks and were delivered before 42 + 0 weeks. Read More

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Racial and Ethnic Disparities in Adverse Perinatal Outcomes at Term.

Am J Perinatol 2021 May 31. Epub 2021 May 31.

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

Objective:  This study aimed to evaluate whether racial and ethnic disparities in adverse perinatal outcomes exist at term.

Study Design:  We performed a secondary analysis of a multicenter observational study of 115,502 pregnant patients and their neonates (2008-2011). Singleton, nonanomalous pregnancies delivered from 37 to 41 weeks were included. Read More

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General Versus Regional Anesthesia for Emergency Cesarean Delivery in a High-volume High-resource Referral Center: A Retrospective Cohort Study.

Rom J Anaesth Intensive Care 2020 Dec 31;27(2):6-10. Epub 2020 Dec 31.

Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, Israel.

Objective: The choice of anesthesia for emergency cesarean delivery (CD) is one of the most important choices to make in obstetric anesthesia. In this study, we examine which type of anesthesia was used for emergency CD in our hospital, and how the choice affected the time from entry to the operation room until incision (TTI), time until delivery (TTD), and maternal/neonatal outcomes.

Methods: Retrospectively, we examined all emergency CD's performed in Shaare Zedek Medical Center between January-December 2018. Read More

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December 2020

A Randomized Double-Blinded Dose-dependent Study of Metaraminol for Preventing Spinal-Induced Hypotension in Caesarean Delivery.

Front Pharmacol 2021 12;12:608198. Epub 2021 May 12.

Department of Anesthesia, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Prophylactic infusion of a vasopressor is preferred as a rational choice in clinical practice in Cesarean delivery. Metaraminol is one of most common vasopressors used in obstetric clinical practice. However, the dose-response of metaraminol has not been fully determined and the optimal infusion dose is unknown. Read More

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The Prevalence of Nonsyndromic Oral Clefts in Twins Compared to Singletons: The Association With Birth Weight.

Cleft Palate Craniofac J 2021 Jun 2;58(6):718-727. Epub 2020 Dec 2.

School of Public Health, 5649Central Michigan University, MI, USA.

Purpose: To examine the prevalence of nonsyndromic oral clefts in twins compared to singletons in the United States and to evaluate the association between birth weight and nonsyndromic oral clefts.

Design: A large population-based cross-sectional study was performed using the data from the US National Center for Health Statistics database in 2017.

Participants: Our sample consisted of 128 310 twins and 3 723 273 singletons. Read More

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Neonatal Outcome of Babies Born to Women 40 Years and Older in a Jamaican Birth Cohort.

Am J Perinatol 2021 May 27. Epub 2021 May 27.

Department of Child and Adolescent Health, Faculty of Medical Sciences, University of the West Indies, Mona, St. Andrew, Jamaica.

Objective:  The study aimed to determine the outcome of babies born to women ≥40 years in a Jamaican birth cohort.

Patients And Methods:  Maternal demographic data and neonatal data for women ≥40 years who delivered live singleton babies and their younger counterparts aged 20 30 years were extracted from the JA KIDS birth cohort dataset. Outcome measures were preterm birth, low birth weight, very low birth weight, extremely low birth weight, macrosomia, a low 5-minute Apgar score <7, admission to the neonatal unit, and neonatal death. Read More

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Survival and Predictors of Mortality Among Neonates Admitted to Neonatal Intensive Care Unit at Bombe Primary Hospital, Southern Ethiopia: Institution-Based Retrospective Cohort Study.

Pediatric Health Med Ther 2021 18;12:239-249. Epub 2021 May 18.

Department of Reproductive Health and Nutrition, School of Public Health, College of Medicine and Health Science, Wolaita Sodo University, Sodo, Ethiopia.

Background: Neonatal mortality includes all deaths of neonate occurring before the 28th day of life. Neonatal mortality has been declining over two decades in Sub-Saharan Africa, including Ethiopia. The foremost causes of death are preventable and treatable. Read More

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Adjuvant Sufentanil Decreased the EC50 of Epidural Ropivacaine for Labor Analgesia in Healthy Term Pregnancy.

Drug Des Devel Ther 2021 18;15:2143-2149. Epub 2021 May 18.

Department of Anesthesiology, Chongqing Health Center for Women and Children, Chongqing, 401147, People's Republic of China.

Objective: The optimal concentration of ropivacaine as epidural labor analgesia combined with sufentanil has not been established. This study aimed to determine the median effective concentration (EC50) of epidural ropivacaine for labor analgesia in healthy term pregnancy when co-administered with sufentanil as an adjuvant or alone.

Patients And Methods: Sixty healthy parturients scheduled for epidural labor analgesia were enrolled in the study. Read More

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Secondhand Smoke Exposure during Pregnancy and its Effect on Birth Outcomes: Evidence from a Retrospective Cohort Study in a Tertiary Care Hospital in Bengaluru.

Indian J Community Med 2021 Jan-Mar;46(1):102-106. Epub 2021 Mar 1.

Department of Community Health, St. John's Medical College, Bengaluru, Karnataka, India.

Context: The effect of maternal smoking on birth outcomes is well-established, but the effect of maternal secondhand smoke (SHS) exposure is less clear, especially among Indian women.

Aim: To evaluate the effect of SHS exposure during pregnancy on birth outcomes such as gestational age at birth, neonatal anthropometry, and Apgar score.

Setting And Design: Retrospective cohort study at a tertiary hospital in Bengaluru. Read More

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Prophylactic manual Rotation of Occiput POsterior and transverse Positions to decrease operative Delivery: The PROPOP Randomized Clinical Trial.

Am J Obstet Gynecol 2021 May 22. Epub 2021 May 22.

Department of Obstetrics and Gynecology, Nord Hospital, APHM, chemin des Bourrely, 13015 Marseille, France; EA3279, CEReSS, Health Service Research and Quality of Life Center, Aix-Marseille University, 13284 Marseille, France; Department of Obstetrics and Gynecology, Saint Joseph Hospital, 26 Bd de Louvain, 13008 Marseille, France.

Background: Persistent occiput posterior and occiput transverse positions are the commonest malpositions of the fetal head during labor and are associated with prolonged second stage of labor, cesarean sections, instrumental deliveries, severe perineal tears, postpartum hemorrhage and chorioamnionitis. Manual rotation is one of several strategies described to deal with these malpositions.

Objective: The purpose of this study was to determine if the trial of prophylactic manual rotation at the early second stage of labor is associated with a decrease of operative deliveries (instrumental and/or cesarean deliveries). Read More

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Kielland's rotational forceps delivery: comparison of maternal and neonatal outcomes with pregnancies delivering by non-rotational forceps.

J Obstet Gynaecol 2021 May 25:1-6. Epub 2021 May 25.

Department of Obstetrics, Medway NHS Foundation Trust, Gillingham, UK.

We compared complications in pregnancies that had Kielland's rotational forceps delivery (KRFD) with non-rotational forceps delivery (NRFD). Maternal outcomes included post-partum haemorrhage (PPH) and obstetric anal sphincter injury (OASIS); neonatal outcomes included admission to neonatal intensive care unit (NICU), 5-minute Apgar scores <7, hypoxic ischaemic encephalopathy (HIE), jaundice, shoulder dystocia and birth trauma. The study population included 491 (2. Read More

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Effect of Very Advanced Maternal Age on Pregnant Women and Fetuses.

J Coll Physicians Surg Pak 2021 May;30(5):542-545

Department of Obstetrics, Changyi People's Hospital, Shandong Province, China.

Objective: To compare the difference in the effect on pregnant women and fetuses between very advanced maternal age (age of or over 45 years) and other ages (age below 45 years).

Study Design: A descriptive study.

Place And Duration Of Study: Changyi People's Hospital, China, from June 2017 and September 2020. Read More

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Prevalence and predictors of adverse outcomes in neonatal seizures.

J Neonatal Perinatal Med 2021 May 18. Epub 2021 May 18.

Department of Biochemistry, University College of Medical sciences and Guru Teg Bahadur Hospital, Delhi, India.

Objectives: Neonatal seizures are significant cause of neonatal mortality and morbidity. Current study was planned to study prevalence of adverse outcomes in neonatal seizures and identify its predictors.

Methods: This observational descriptive study was carried out on 220 neonates with seizures. Read More

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Reducing the cesarean delivery rate.

Eur J Obstet Gynecol Reprod Biol 2021 May 14;262:155-159. Epub 2021 May 14.

Advocate Illinois Masonic Medical Center, Chicago, IL, USA; Northwestern University Medical Center, Chicago, IL, USA. Electronic address:

Background: The cesarean delivery rate has been rising in recent years, having associated maternal morbidities. Elective induction of labor has also been seen to rise during this same time period.

Objective: This current study investigated the difference in the cesarean delivery rate between induction of labor and spontaneous labor among nulliparous, term, singleton, and vertex-presenting women. Read More

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Challenges in migrant women's maternity care in a high-income country: A population-based cohort study of maternal and perinatal outcomes.

Acta Obstet Gynecol Scand 2021 May 22. Epub 2021 May 22.

Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland.

Introduction: This study aims to explore maternal and perinatal outcomes of migrant women in Iceland.

Material And Methods: This prospective population-based cohort study included women who gave birth to a singleton in Iceland between 1997 and 2018, for a total of 92 403 births. Migrant women were defined as women with citizenship other than Icelandic, including refugees and asylum seekers, and categorised into three groups, based on their country of citizenship Human Development Index score. Read More

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