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Keywords defination of adverse obstetri...

defination of adverse obstetric outcome

https://read.qxmd.com/read/38527602/the-association-between-discordant-umbilical-arterial-resistance-in-growth-restricted-fetuses-and-adverse-outcomes
#1
JOURNAL ARTICLE
Misgav Rottenstreich, Swati Agrawal, Homero Flores Mendoza, Sarah D McDonald, Bryon DeFrance, Jon Fr Barrett, Eran Ashwal
BACKGROUND: Assessing the umbilical artery pulsatility index (UA PI) via Doppler measurements plays a critical role in evaluating fetal growth impairment. This study aims to investigate perinatal outcomes associated with discordant PIs of umbilical arteries (UAs) in growth-restricted fetuses. METHODS: In this retrospective cohort study, all singleton pregnancies were included if their estimated fetal weight (EFW) and/or abdominal circumference (AC) fell below the 10th percentile for gestational age (2017-2022)...
March 23, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38507091/timing-of-planned-cesarean-delivery-among-patients-with-two-previous-cesarean-sections
#2
JOURNAL ARTICLE
Noa Leybovitz-Haleluya, Alla Saban, Adi Yariv, Reli Hershkovitz
OBJECTIVES: The timing of planned repeat cesarean delivery (CD) is debateful in clinical practice. Planned repeat CD is typically scheduled before the spontaneous onset of labor to minimize the risk of uterine rupture during labor and the associated risk for fetal compromise. This timing should be balanced with the potential risk of delivering an infant who could benefit from additional maturation in utero. We aim to study the influence of gestational age at the time of repeat CD on maternal and fetal complications...
March 20, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38498267/doppler-ultrasound-of-umbilical-and-middle-cerebral-artery-in-third-trimester-small-for-gestational-age-fetuses-to-decide-on-timing-of-delivery-for-suspected-fetal-growth-restriction-a-cohort-with-nested-rct-drigitat
#3
JOURNAL ARTICLE
Mauritia C Marijnen, Hester D Kamphof, Stefanie E Damhuis, Maddy Smies, Aleid G Leemhuis, Hans Wolf, Sanne J Gordijn, Wessel Ganzevoort
OBJECTIVE: To assess the association of the umbilicocerebral ratio (UCR) with adverse perinatal outcome in late preterm small-for-gestational age (SGA) fetuses and to investigate the effect on perinatal outcomes of immediate delivery. DESIGN: Multicentre cohort study with nested randomised controlled trial (RCT). SETTING: Nineteen secondary and tertiary care centres. POPULATION: Singleton SGA pregnancies (estimated fetal weight [EFW] or fetal abdominal circumference [FAC] <10th centile) from 32 to 36+6  weeks...
February 5, 2024: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/38493168/pregnancy-planning-and-neonatal-outcome-a-retrospective-cohort-study
#4
JOURNAL ARTICLE
Isa Reuterwall, Jenny Niemeyer Hultstrand, Alisa Carlander, Maria Jonsson, Tanja Tydén, Merit Kullinger
BACKGROUND: Unplanned pregnancy is common, and although some research indicates adverse outcomes for the neonate, such as death, low birth weight, and preterm birth, results are inconsistent. The purpose of the present study was to investigate associated neonatal outcomes of an unplanned pregnancy in a Swedish setting. METHODS: We conducted a retrospective cohort study in which data from 2953 women were retrieved from the Swedish Pregnancy Planning Study, covering ten Swedish counties from September 2012 through July 2013...
March 16, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38490046/prediction-of-adverse-neonatal-adaptation-in-fetuses-with-severe-fetal-growth-restriction-after-34%C3%A2-weeks-of-gestation
#5
JOURNAL ARTICLE
Célia Ross, Philippe Deruelle, Mary Pontvianne, Lise Lecointre, Samuel Wieder, Pierre Kuhn, Massimo Lodi
OBJECTIVE: To establish a predictive model for adverse immediate neonatal adaptation (INA) in fetuses with suspected severe fetal growth restriction (FGR) after 34 gestational weeks (GW). METHODS: We conducted a retrospective observational study at the University Hospitals of Strasbourg between 2000 and 2020, including 1,220 women with a singleton pregnancy and suspicion of severe FGR who delivered from 34 GW. The primary outcome (composite) was INA defined as Apgar 5-minute score <7, arterial pH <7...
March 8, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38488268/adverse-pregnancy-outcomes-in-pregnant-women-with-chronic-kidney-disease-a-systematic-review-and-meta-analysis
#6
REVIEW
Deepthika Jeyaraman, Ben Walters, Kate Bramham, Richard Fish, Mark Lambie, Pensée Wu
BACKGROUND: Chronic kidney disease (CKD) is associated with an increased risk of adverse pregnancy outcomes, but the risk at different stages of CKD (defined by estimated glomerular filtration rate, eGFR) compared with women without CKD has not been quantified in large cohorts. OBJECTIVES: To quantify the association between CKD and adverse pregnancy outcomes according to CKD definition, CKD stage and presence or absence of diabetes. SEARCH STRATEGY: A systematic search of EMBASE and MEDLINE from inception to 5 January 2023...
March 15, 2024: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/38486145/placental-pathology-and-neonatal-morbidity-exploring-the-impact-of-gestational-age-at-birth
#7
JOURNAL ARTICLE
Elisabeth B Budal, Jørg Kessler, Geir Egil Eide, Cathrine Ebbing, Karin Collett
AIM: To evaluate placental pathology in term and post-term births, investigate differences in clinical characteristics, and assess the risk of adverse neonatal outcome. METHODS: This prospective observational study included 315 singleton births with gestational age (GA) > 36 weeks + 6 days meeting the local criteria for referral to placental histopathologic examination. We applied the Amsterdam criteria to classify the placentas. Births were categorized according to GA; early-term (37 weeks + 0 days to 38 weeks + 6 days), term (39 weeks + 0 days to 40 weeks + 6 days), late-term (41 weeks + 0 days to 41 weeks + 6 days), and post-term births (≥ 42 weeks + 0 days)...
March 14, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38485318/optimal-gestational-weight-gain-in-taiwan-a-retrospective-cohort-study
#8
JOURNAL ARTICLE
Fu-Ching Chuang, Hsin-Yin Huang, Yu-Hao Chen, Jian-Pei Huang
OBJECTIVE: Maternal body mass index (BMI) and gestational weight gain (GWG) are believed to be associated with fetal conditions and maternal complications. The aim of this study was investigating the influence of maternal prepregnancy BMI and GWG on pregnancy outcomes and exploring the optimal GWG in Taiwanese singleton women. MATERIALS AND METHODS: Retrospective records of 8146 singleton pregnant women between 2017 and 2019, obtained from a tertiary center in Taiwan were reviewed, and the associations between maternal prepregnancy BMI, GWG, and perinatal outcomes were analyzed...
March 2024: Taiwanese Journal of Obstetrics & Gynecology
https://read.qxmd.com/read/38478160/perinatal-outcomes-according-to-umbilical-artery-doppler-assessment-among-fetuses-with-congenital-heart-disease
#9
JOURNAL ARTICLE
Amelie Pham, Karampreet Kaur, Matthew R Grace, Laura C Ha, Lisa C Zuckerwise
PURPOSE: To evaluate a cohort of fetuses with congenital heart disease (CHD) who underwent serial umbilical artery (UA) Doppler surveillance and assess perinatal outcome according to UA Doppler assessment. METHODS: A retrospective cohort study of singleton fetuses with CHD at a single academic center was performed between 2018 and 2020. Fetuses with a chromosomal abnormality or growth restriction were excluded. We compared fetuses with normal versus abnormal UA Doppler assessment at any time in pregnancy...
March 13, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38462248/third-stage-of-labor-evidence-based-practice-for-prevention-of-adverse-maternal-and-neonatal-outcomes
#10
REVIEW
Alyssa R Hersh, Guillermo Carroli, G Justus Hofmeyr, Bharti Garg, Metin Gülmezoglu, Pisake Lumbiganon, Bremen De Mucio, Sarah Saleem, Mario Philip R Festin, Suneeta Mittal, Jorge Andres Rubio-Romero, Tsungai Chipato, Catalina Valencia, Jorge E Tolosa
The third stage of labor is defined as the time period between delivery of the fetus through delivery of the placenta. During a normal third stage, uterine contractions lead to separation and expulsion of the placenta from the uterus. Postpartum hemorrhage is a relatively common complication of the third stage of labor. Strategies have been studied to mitigate the risk of postpartum hemorrhage, leading to the widespread implementation of active management of the third stage of labor. Initially, active management of the third stage of labor consisted of a bundle of interventions including administration of a uterotonic agent, early cord clamping, controlled cord traction, and external uterine massage...
March 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38458271/the-safety-and-efficacy-of-a-no-touch-abortion-program-implemented-in-the-greater-toronto-area-during-the-covid-19-pandemic
#11
JOURNAL ARTICLE
Martha K Smith, Maya Biderman, Erin Frotten, Sarah Warden, Sheila Dunn, Robert Dmytryshyn, Julie G Thorne
OBJECTIVE: To evaluate the safety and efficacy of first trimester "No Touch" medication abortion programs at two clinics in Toronto, Ontario during their early implementation in response to the COVID-19 pandemic. METHODS: This retrospective study included all patients who underwent virtual consultation for mifepristone-misoprostol medication abortion between April 2020 - August 2022 at two reproductive health clinics. In response to the pandemic, "No Touch" abortion protocols had been developed that align with the Canadian Protocol for the Provision of Medical Abortion via Telemedicine...
March 6, 2024: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/38443958/subsidized-gestational-diabetes-mellitus-screening-and-management-program-in-rural-china-a-pragmatic-multicenter-randomized-controlled-trial
#12
JOURNAL ARTICLE
Tingting Xu, Qing Xia, Xiaozhen Lai, Kun He, Dazhi Fan, Liangkun Ma, Hai Fang
BACKGROUND: The increasing prevalence of gestational diabetes mellitus (GDM) is a major challenge, particularly in rural areas of China where control rates are suboptimal. This study aimed to evaluate the effectiveness of a GDM subsidy program in promoting GDM screening and management in these underserved regions. METHODS: This multicenter, randomized controlled trial (RCT) was conducted in obstetric clinics of six rural hospitals located in three provinces in China...
March 5, 2024: BMC Medicine
https://read.qxmd.com/read/38432628/association-between-polycystic-ovarian-syndrome-and-incompetent-uterine-cervix-a-systematic-review-and-meta-analysis
#13
REVIEW
Sindhu Sekar, Sujeewa Fernando, Srividhya Budithi
OBJECTIVE: We aimed to determine the association between polycystic ovarian syndrome (PCOS) and cervical incompetence (CI). We hypothesise that insulin resistance induces a glucose metabolism disorder that could potentially cause cervical incompetence, resulting in an adverse outcome. DESIGN: We conducted a systematic review and meta-analysis of observational studies to summarise the evidence regarding the strength of the association of occurrence of CI in a PCOS pregnant woman compared to a non-PCOS pregnant woman...
March 1, 2024: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/38401448/mid-trimester-sonographic-placenta-previa-thickness-and-persistence-at-delivery
#14
JOURNAL ARTICLE
Minhazur R Sarker, Henri M Rosenberg, Leslie Warren, Lauren Ferrara, Angela Bianco, Chelsea A Debolt
OBJECTIVE: Increasing placental thickness is associated with adverse outcomes including earlier gestational age at delivery, lower birthweight, and lower umbilical artery pH. We aim to determine whether mid-trimester placenta previa thickness is associated with persistence of previa at time of delivery. STUDY DESIGN: Single-center retrospective cohort study of singleton gestations with previa diagnosed at 18-24 weeks delivering between 2015 and 2019. The thickest portion of the placenta was measured in a longitudinal plane on transabdominal imaging to determine placental thickness...
February 20, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38395789/association-of-maternal-serum-uric-acid-levels-with-lbw-sga-a-large-retrospective-cohort-study
#15
JOURNAL ARTICLE
Yaoxi Xiong, Panchan Zheng, Chao Chen, Chengrong He, Xingyu Yang, Weiwei Cheng
BACKGROUND: Elevated maternal serum uric acid (UA) levels were associated with adverse perinatal outcomes. This study aimed to examine the association between UA and the risk of low birth weight (LBW) / small for gestational age (SGA). METHODS: A cohort study of women delivered in Shanghai maternity hospital was included between 2017 and 2021. Electronic medical records were utilized to extract information and antenatal care records. The cut-off value of UA was 360 μmol/L...
February 23, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38360449/greater-risk-of-type-2-diabetes-progression-in-multifetal-gestations-with-gestational-diabetes-the-impact-of-obesity
#16
JOURNAL ARTICLE
Amir Naeh, Esther Maor-Sagie, Mordechai Hallak, Yoel Toledano, Rinat Gabbay-Benziv
BACKGROUND: The relationship between gestational diabetes mellitus and adverse outcomes in multifetal pregnancies is complex and controversial. Moreover, limited research has focused on the risk of gestational diabetes mellitus progression to type 2 diabetes mellitus specifically in multifetal pregnancies, resulting in conflicting results from existing studies. OBJECTIVE: This study aimed to assess the risk of gestational diabetes mellitus progression to type 2 diabetes mellitus between singleton and multifetal pregnancies in a large cohort of parturients with a 5-year follow-up...
December 22, 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38359539/socio-economic-disadvantage-and-utilisation-of-labour-epidural-analgesia-in-scotland-a-population-based-study-%C3%A2
#17
JOURNAL ARTICLE
L Halliday, M Shaw, A Kyzayeva, D A Lawlor, S M Nelson, R J Kearns
Socio-economic deprivation is associated with adverse maternal and childhood outcomes. Epidural analgesia, the gold standard for labour analgesia, may improve maternal well-being. We assessed the association of socio-economic status with utilisation of epidural analgesia and whether this differed when epidural analgesia was advisable for maternal safety. This was a population-based study of NHS data for all women in labour in Scotland between 1 January 2007 and 23 October 2020, excluding elective caesarean sections...
February 15, 2024: Anaesthesia
https://read.qxmd.com/read/38350236/predicting-the-risks-and-recognizing-the-signs-a-two-year-prospective-population-based-study-on-pregnant-women-with-uterine-rupture-in-the-netherlands
#18
JOURNAL ARTICLE
E M Overtoom, T N Huynh, A N Rosman, J J Zwart, T P Schaap, T E Vogelvang, T van den Akker, K W M Bloemenkamp
OBJECTIVE: To estimate the incidence of uterine rupture in the Netherlands and evaluate risk indicators prelabour and during labor of women with adverse maternal and/or perinatal outcome. METHODS: This is a population-based nationwide study using the Netherlands Obstetrics Surveillance System (NethOSS). We performed a two-year registration of pregnant women with uterine rupture. The first year of registration included both women with complete uterine rupture and women with incomplete (peritoneum intact) uterine rupture...
December 2024: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/38347445/risk-factors-of-adverse-birth-outcomes-among-a-cohort-of-pregnant-women-in-coastal-kenya-2017-2019
#19
JOURNAL ARTICLE
Harriet Mirieri, Ruth Nduati, Jeanette Dawa, Lydia Okutoyi, Eric Osoro, Cyrus Mugo, Dalton Wamalwa, Hafsa Jin, Dufton Mwaengo, Nancy Otieno, Doris Marwanga, Mufida Shabibi, Peninah Munyua, John Kinuthia, Erin Clancey, Marc-Alain Widdowson, M Kariuki Njenga, Jennifer R Verani, Irene Inwani
INTRODUCTION: Adverse birth outcomes particularly preterm births and congenital anomalies, are the leading causes of infant mortality globally, and the burden is highest in developing countries. We set out to determine the frequency of adverse birth outcomes and the risk factors associated with such outcomes in a cohort of pregnant women in Kenya. METHODS: From October 2017 to July 2019, pregnant women < 28 weeks gestation were enrolled and followed up until delivery in three hospitals in coastal Kenya...
February 12, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38288160/maternal-and-neonatal-morbidities-by-race-in-college-educated-women
#20
JOURNAL ARTICLE
Adina R Kern-Goldberger, Nigel Madden, Caitlin Baptiste, Alexander Friedman, Cynthia Gyamfi-Bannerman
Objective  Non-Hispanic black and Hispanic women experience significantly higher adverse maternal and neonatal outcomes compared with non-Hispanic white women. The purpose of this study is to explore whether disparities in obstetric outcomes exist by race among women who are college-educated. Study Design  This is a retrospective cohort study from a multicenter observational cohort of women undergoing cesarean delivery. Women were defined as "college-educated" if they reported completion of a 4-year college degree...
January 2024: American Journal of Perinatology Reports
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