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https://read.qxmd.com/read/30786305/syphilis-in-pregnancy-the-reality-in-a-public-hospital
#1
Rafael Garcia Torres, Ana Laura Neves Mendonça, Grazielle Cezarine Montes, Jacqueline Jácome Manzan, João Ulisses Ribeiro, Marina Carvalho Paschoini
OBJECTIVE:  The present study assessed epidemiological and obstetrical data from pregnant women with syphilis at the Hospital de Clínicas of the Universidade Federal do Triângulo Mineiro (UFTM, in the Portuguese acronym), describing this disease during pregnancy and its vertical transmission for future healthcare actions. METHODS:  Records from pregnant women who had been admitted to the Obstetrics Department of the Hospital de Clínicas of the UFTM and were diagnosed with syphilis between 2007 and 2016 were reviewed...
February 2019: Revista Brasileira de Ginecologia e Obstetrícia
https://read.qxmd.com/read/30786257/delivery-associated-sepsis-trends-in-prevalence-and-mortality
#2
Anthony M Kendle, Jason L Salemi, Jean Paul Tanner, Judette M Louis
BACKGROUND: Sepsis is a leading cause of pregnancy-related mortality. Previous studies have reported an increased prevalence of sepsis during pregnancy. Despite national campaigns to increase sepsis awareness, there is a lack of pregnancy-specific guidelines. OBJECTIVE: We aimed to provide updated national estimates of the prevalence and trends of sepsis, sepsis-related in-hospital mortality, and factors associated with in-hospital mortality among women with sepsis at delivery...
February 13, 2019: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/30786256/unexpected-term-nicu-admissions-a-marker-of-obstetrical-care-quality
#3
Mark A Clapp, Kaitlyn E James, Sara V Bates, Anjali J Kaimal
BACKGROUND: Unexpected admissions of term neonates to the neonatal intensive care unit (NICU) and unexpected postnatal complications have been proposed as neonatal-focused quality metrics for intrapartum care. Previous studies have noted significant variation in overall hospital NICU admission rates; however, little is known about the influence of obstetric practices on these rates or whether variation among unanticipated admissions in low risk, term neonates can be attributed to systemic hospital practices...
February 13, 2019: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/30782891/exploring-the-added-value-of-hospital-registry-data-for-showing-local-service-outcomes-cancers-of-the-ovary-fallopian-tube-and-peritoneum
#4
David Roder, Margaret Davy, Sid Selva-Nayagam, Sellvakumaran Paramasivam, Jacqui Adams, Dorothy Keefe, Caroline Miller, Kate Powell, Kellie Fusco, Dianne Buranyi-Trevarton, Martin K Oehler
OBJECTIVES: To explore the added value of hospital-registry data on invasive epithelial ovarian, tubal and peritoneal cancers. DESIGN: Historic cohort analyses. METHODS: Unadjusted and adjusted regression. SETTING: Major South Australian hospitals. PARTICIPANTS: 1596 women (1984-2015 diagnoses). RESULTS: 5-Year and 10-year survival was 48% and 41%, respectively, equivalent to relative survival for Australia and the USA...
February 19, 2019: BMJ Open
https://read.qxmd.com/read/30782867/cost-effectiveness-of-cell-salvage-and-donor-blood-transfusion-during-caesarean-section-results-from-a-randomised-controlled-trial
#5
Carol McLoughlin, Tracy E Roberts, Louise J Jackson, Philip Moore, Matthew Wilson, Richard Hooper, Shubha Allard, Ian Wrench, Lee Beresford, James Geoghegan, Jane Daniels, Sue Catling, Vicki A Clark, Paul Ayuk, Stephen Robson, Fang Gao-Smith, Matthew Hogg, Doris Lanz, Julie Dodds, Khalid S Khan
OBJECTIVES: To evaluate the cost-effectiveness of routine use of cell salvage during caesarean section in mothers at risk of haemorrhage compared with current standard of care. DESIGN: Model-based cost-effectiveness evaluation alongside a multicentre randomised controlled trial. Three main analyses were carried out on the trial data: (1) based on the intention-to-treat principle; (2) based on the per-protocol principle; (3) only participants who underwent an emergency caesarean section...
February 19, 2019: BMJ Open
https://read.qxmd.com/read/30780078/seizure-and-epilepsy-publication-in-nonneurology-journals
#6
Victoria S S Wong, Matthew Stevenson, Jared Mott, Kinshuk Sahaya
PURPOSE: The prevalence and characteristics of seizure and epilepsy research published in nonneurology journals are unknown. Characterizing this published research allows for insight into the relevance of seizures and epilepsy in other specialties and may increase opportunity for cross-specialty collaboration. METHODS: In this observational study, we reviewed the top five highly cited clinical journals within eleven specialties in the InCites Journal Citation Reports (JCR) database (2016)...
February 16, 2019: Epilepsy & Behavior: E&B
https://read.qxmd.com/read/30779738/national-policies-and-care-provision-in-pregnancy-and-childbirth-for-twins-in-eastern-and-southern-africa-a-mixed-methods-multi-country-study
#7
Claudia Hanson, Stephen Munjanja, Agnes Binagwaho, Bellington Vwalika, Andrea B Pembe, Elsa Jacinto, George K Chilinda, Kateri B Donahoe, Sikolia Z Wanyonyi, Peter Waiswa, Muchabayiwa F Gidiri, Lenka Benova
BACKGROUND: High-risk pregnancies, such as twin pregnancies, deserve particular attention as mortality is very high in this group. With a view to inform policy and national guidelines development for the Sustainable Development Goals, we reviewed national training materials, guidelines, and policies underpinning the provision of care in relation to twin pregnancies and assessed care provided to twins in 8 Eastern and Southern African countries: Kenya, Malawi, Mozambique, Rwanda, Tanzania, Uganda, Zambia, and Zimbabwe...
February 2019: PLoS Medicine
https://read.qxmd.com/read/30772958/maternal-and-neonatal-complications-of-pregnant-women-with-mitral-stenosis
#8
Olga Perelshtein Brezinov, Michal J Simchen, Sagit Ben Zekry, Rafael Kuperstein
BACKGROUND: Rheumatic mitral stenosis (MS) is a relatively rare diagnosis in the developed countries and its treatment during pregnancy is challenging due to hemodynamic changes. With the demographic changes due to recent waves of immigration an increase in the prevalence of rheumatic heart disease is expected. OBJECTIVES: To evaluate maternal and neonatal complications in patients with mitral stenosis. METHODS: During the years 2006-2017, 22 women who underwent 31 pregnancies were followed at the Sheba Medical Center in Israel...
February 2019: Israel Medical Association Journal: IMAJ
https://read.qxmd.com/read/30772741/postpartum-post-traumatic-stress-disorder-associated-perinatal-factors-and-quality-of-life
#9
Antonio Hernández-Martínez, Julian Rodríguez-Almagro, Milagros Molina-Alarcón, Nuria Infante-Torres, Miriam Donate Manzanares, Juan Miguel Martínez-Galiano
BACKGROUND: The relationship between obstetric variables and postpartum post-traumatic stress disorder (PTSD), and its influence on quality of life (QoL), have scarcely been studied. OBJECTIVE: Determine the prevalence of PTSD at postpartum weeks 4 and 6, and its relation with perinatal variables and quality of life METHOD: A cross-sectional study with 2990 Spanish puerperal women in Spain. Data were collected on socio-demographic and obstetric variables, and on newborns...
February 10, 2019: Journal of Affective Disorders
https://read.qxmd.com/read/30772493/the-european-registry-on-obstetric-antiphospholipid-syndrome-euroaps-a-survey-of-1000-consecutive-cases
#10
REVIEW
Jaume Alijotas-Reig, Enrique Esteve-Valverde, R Ferrer-Oliveras, L Sáez-Comet, E Lefkou, A Mekinian, C Belizna, A Ruffatti, A Tincani, L Marozio, G Espinosa, R Cervera, S de Carolis, O Latino, E LLurba, P L Meroni, C B Chighizola, M Gerosa, V Pengo, K Lundelin, P Rovere-Querini, V Canti, K Mayer-Pickel, T Reshetnyak, A Hoxha, S Tabacco, L Stojanovich, V Gogou, A Varoudis, A Arnau, D Ruiz-Hidalgo, J Trapé, L Sos, C Stoppani, A Martí-Cañamares, Inmaculada Farran-Codina
AIM: To analyse the clinical features, laboratory data and foetal-maternal outcomes, and follow them up on a cohort of 1000 women with obstetric antiphospholipid syndrome (OAPS). METHODS: The European Registry of OAPS became a registry within the framework of the European Forum on Antiphospholipid Antibody projects and was placed on a website in June 2010. Thirty hospitals throughout Europe have collaborated to carry out this registry. Cases with obstetric complaints related to antiphospholipid antibodies (aPL) who tested positive for aPL at least twice were included prospectively and retrospectively...
February 15, 2019: Autoimmunity Reviews
https://read.qxmd.com/read/30770990/risk-of-adverse-pregnancy-outcomes-by-pre-pregnancy-body-mass-index-among-italian-population-a-retrospective-population-based-cohort-study-on-27-807-deliveries
#11
Bianca Masturzo, Vera Franzè, Chiara Germano, Rossella Attini, Gianluca Gennarelli, Antonella Lezo, Alessandro Rolfo, Claudio Plazzotta, Elena Brunelli, Aly Youssef, Tullia Todros, Antonio Farina
PURPOSE: To estimate the impact of increasing pre-pregnancy Body Mass Index (BMI) on the risk of adverse maternal and perinatal outcomes, in patients who delivered in an Italian tertiary care Obstetric department. METHODS: Data, related to women who delivered at Sant'Anna Hospital, Turin, between 2011 and 2015, were collected retrospectively from the hospital database. According to BMI, women were considered as normal weight, overweight, and class 1, 2 and 3 obese (WHO criteria)...
February 15, 2019: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/30769367/increasing-the-chances-of-natural-conception-opinion-statement-from-the-the-brazilian-federation-of-gynecology-and-obstetrics-associations-committee-on-endocrine-gynecology
#12
Bruno Ramalho de Carvalho, Ionara Diniz Evangelista Santos Barcelos, Sebastião Freitas de Medeiros, Cristina Laguna Benetti-Pinto, Daniela Angerame Yela, Andrea Prestes Nácul, Gustavo Arantes Rosa Maciel, José Maria Soares Júnior, Ana Carolina Japur de Sá Rosa E Silva, Laura Olinda Bregieiro Fernandes Costa
Considering that myths and misconceptions regarding natural procreation spread rapidly in the era of easy access to information and to social networks, adequate counseling about natural fertility and spontaneous conception should be encouraged in any kind of health assistance. Despite the fact that there is no strong-powered evidence about any of the aspects related to natural fertility, literature on how to increase the chances of a spontaneous pregnancy is available. In the present article, the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO, in the Portuguese acronym) Committee on Endocrine Gynecology provides suggestions to optimize counseling for non-infertile people attempting spontaneous conception...
February 15, 2019: Revista Brasileira de Ginecologia e Obstetrícia
https://read.qxmd.com/read/30766684/drug-related-teratogenic-and-pathologic-causes-of-birth-defects-in-a-tertiary-hospital-in-southwestern-nigeria
#13
Ifeanyichukwu Offor, Olufunsho Awodele, Kazeem A Oshikoya
Birth defects are important causes of neonatal morbidity and mortality. A good understanding of the etiology is a vital step toward developing improved treatment and preventive strategies. We conducted an audit of medical records of newborns with birth abnormalities in a tertiary hospital over a 10-year period, using a Pro forma designed to collect information on obstetric history, antenatal history, sociodemographics of parents, and the type of birth abnormality. Of the 180 medical records reviewed, female babies were 92 (51...
February 2019: Pharmacology Research & Perspectives
https://read.qxmd.com/read/30762377/gender-and-obstetric-factors-in-the-determination-of-the-age-of-onset-of-schizophrenia-in-a-nigerian-cohort
#14
Taiwo Afe, Abosede Adekeji Adegbohun, Olawale Ogunsemi, Bamidele Osalusi, Suraju Adeyemo, Omobola Comfort Adetunmbi, Adebayo Jejeloye, Afeez Enifeni, Gbonjubola Babalola-Abiri, Oyewale Ogunlowo
The importance of gender and obstetric factors as predictors of the age of onset of schizophrenia is debatable. Unfortunately, there is a significant dearth of studies in developing countries such as Nigeria. This study involved a survey of patients with schizophrenia (n = 1,445; N = 2,393), from March 2014 to March 2016, from a psychiatric hospital in southwest Nigeria. Structured diagnostic interviews were used to confirm diagnosis. Females had a higher age of onset (M = 34.91, SD = 15.52) compared with males (M = 28...
February 14, 2019: Journal of Abnormal Psychology
https://read.qxmd.com/read/30761284/comparative-assessment-of-economic-burden-of-disease-in-relation-to-out-of-pocket-expenditure
#15
Shivendra Sangar, Varun Dutt, Ramna Thakur
Background: The economic costs associated with morbidity pose a great financial risk on the population. Household's over-dependence on out-of-pocket (OOP) health expenditure and their inability to cope up with the economic costs associated with illness often push them into poverty. The current paper aims to measure the economic burden and resultant impoverishment associated with OOP health expenditure for a diverse set of ailments in India. Methods: Cross-sectional data from National Sample Survey Organization (NSSO) 71st Round on "Key Indicators of Social Consumption: Health" has been employed in the study...
2019: Frontiers in Public Health
https://read.qxmd.com/read/30758840/desmopressin-acetate-ddavp-for-preventing-and-treating-acute-bleeds-during-pregnancy-in-women-with-congenital-bleeding-disorders
#16
REVIEW
Laxminarayan Karanth, Ankur Barua, Sachchithanantham Kanagasabai, N Sreekumaran Nair
BACKGROUND: Congenital bleeding disorders can cause obstetric haemorrhage during pregnancy, labour and following delivery. Desmopressin acetate (DDAVP) is found to be an effective drug which can reduce the risk of haemorrhage and can also stop bleeding in certain congenital bleeding disorders. Its use in pregnancy has been controversial. Hence beneficial and adverse effects of DDAVP in these groups of pregnant women should be evaluated.This is an update of a Cochrane Review first published in 2013 and updated in 2015...
February 13, 2019: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/30758678/role-of-mri-in-staging-and-follow-up-of-endometrial-and-cervical-cancer-pitfalls-and-mimickers
#17
REVIEW
María Milagros Otero-García, Alicia Mesa-Álvarez, Olivera Nikolic, Patricia Blanco-Lobato, Marijana Basta-Nikolic, Rafael Menéndez de Llano-Ortega, Laura Paredes-Velázquez, Nikola Nikolic, Magda Szewczyk-Bieda
MRI plays important roles in endometrial and cervical cancer assessment, from detection to recurrent disease evaluation. Endometrial cancer (EC) is the most common malignant tumor of the female genital tract in Western countries. EC patients are divided into risk categories based on histopathological tumor type, grade, and myometrial invasion depth. EC is surgically staged using the International Federation of Gynecology and Obstetrics (FIGO) system. Since FIGO (2009) stage correlates with prognosis, preoperative staging is essential for tailored treatment...
February 13, 2019: Insights Into Imaging
https://read.qxmd.com/read/30755555/maternal-death-audit-in-a-tertiary-hospital
#18
K Guha, F Ashraf
Maternal death audit in a tertiary hospital was conducted to improve the quality of maternal health care. In this descriptive type cross sectional study, maternal deaths were reviewed and factors responsible for maternal death were identified and noted in Rajshahi Medical College Hospital from July 2008 to June 2009. During the study period total 63 maternal deaths recorded among 7560 deliveries. Almost 43% deceased mother was less than 25 years of age. 39.7% mother died during their first pregnancy. Among the delivery group 46% cases delivered vaginally...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755186/do-social-factors-and-country-of-origin-contribute-towards-explaining-a-latina-paradox-among-immigrant-women-giving-birth-in-germany
#19
Kim Alexandra Zolitschka, Céline Miani, Jürgen Breckenkamp, Silke Brenne, Theda Borde, Matthias David, Oliver Razum
BACKGROUND: The "Latina paradox" describes the unexpected association between immigrant status, which is often correlated to low socioeconomic status, and low prevalence of unfavourable birth outcomes. Social (e.g. culture, religion) and/or non-social factors related to country of origin are potentially responsible for this paradox. METHODS: Questionnaire survey of 6413 women delivering in three large obstetric hospitals in Berlin (Germany) covering socioeconomic and migration status, country of origin (Turkey, Lebanon), and acculturation...
February 12, 2019: BMC Public Health
https://read.qxmd.com/read/30753232/monitoring-quality-of-obstetric-care-from-hospital-discharge-databases-a-delphi-survey-to-propose-a-new-set-of-indicators-based-on-maternal-health-outcomes
#20
Priscille Sauvegrain, Anne Alice Chantry, Coralie Chiesa-Dubruille, Hawa Keita, François Goffinet, Catherine Deneux-Tharaux
OBJECTIVES: Most indicators proposed for assessing quality of care in obstetrics are process indicators and do not directly measure health effects, and cannot always be identified from routinely available databases. Our objective was to propose a set of indicators to assess the quality of hospital obstetric care from maternal morbidity outcomes identifiable in permanent hospital discharge databases. METHODS: Various maternal morbidity outcomes potentially reflecting quality of obstetric care were first selected from a systematic literature review...
2019: PloS One
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