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REVIEW
Divya Bajpai, Silvi Shah
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a rapidly spreading pandemic. Owing to changes in the immune system and respiratory physiology, pregnant women are vulnerable to severe viral pneumonia. We review the clinical course, pregnancy outcomes, and management of women with COVID-19 in pregnancy with a focus on those with kidney involvement. Current evidence does not show an increased risk of acquiring SARS-CoV-2 during pregnancy and the maternal course appears to be similar to nonpregnant patients...
September 2020: Advances in Chronic Kidney Disease
#42
JOURNAL ARTICLE
L J Griffiths, R D Johnson, K Broadhurst, S Bedston, L Cusworth, B Alrouh, D V Ford, A John
BACKGROUND: Under the Children Act 1989, local authorities in Wales, UK, can issue care proceedings if they are concerned about the welfare of a child, which can lead to removal of a child from parents. For mothers at risk of child removal, timely intervention during pregnancy may avert the need for this and improve maternal/fetal health; however, little is known about this specific population during the antenatal period. The study examined maternity characteristics of mothers whose infants were subject to care proceedings, with the aim of informing preventative interventions targeted at high risk mothers...
November 16, 2020: BMC Pregnancy and Childbirth
#43
JOURNAL ARTICLE
Friday Ebhodaghe Okonofua, Lorretta Favour Chizomam Ntoimo, Bola Ekezue, Victor Ohenhen, Kingsley Agholor, Mohammed Gana, Brian Igboin, Chioma Ekwo, Wilson Imongan, Hadiza Galadanci, Rosemary Ogu
BACKGROUND: The study was designed as quasi-experimental research to investigate the effectiveness of multifaceted interventions for improving the quality of antenatal care in referral hospitals in Nigeria. Two referral hospitals (the Central Hospital in Benin City, South-South Nigeria, and the General Hospital in Minna) served as intervention sites, while two hospitals in comparable locations, (the Central Hospital Warri and the Suleja Hospital Abuja) were the control hospitals. METHODS: Intervention activities consisted of the introduction of a strategic plan with the shared vision of reducing maternal mortality by 50% in 1 year in the hospitals; staff training and re-training; the establishment of an automated appointment system; composite health education involving couples and providers; advocacy with policymakers; and the implementation of maternal death reviews and surveillance...
November 4, 2020: Reproductive Health
#44
JOURNAL ARTICLE
S M Tafsir Hasan, Syed Imran Ahmed, Md Alfazal Khan, Shafiqul Alam Sarker, Tahmeed Ahmed
BACKGROUND: Hypertensive disorders, including preeclampsia, complicate 10% of all pregnancies, causing maternal and fetal morbidity and mortality. In Bangladesh, 24% of all maternal deaths are directly attributed to hypertensive disorders. Conventional antenatal care practices often delay or miss detecting hypertensive disorders in pregnancy, which may allow some women to become vulnerable to the adverse consequences of the hypertensive disorders. Regular self-monitoring of blood pressure and weight gain may improve maternal and fetal outcomes among pregnant women at risk of developing hypertensive disorders during pregnancy through early diagnosis, prompt referral, and timely clinical management; however, to undertake a randomized controlled trial of an intervention to reduce adverse consequences of hypertensive disorders in pregnancy, its feasibility must first be determined...
June 15, 2020: JMIR Research Protocols
#45
JOURNAL ARTICLE
Jesse Coleman, Jaran Eriksen, Vivian Black, Anna Thorson, Abigail Hatcher
BACKGROUND: Using cell phones to support healthcare (mHealth) has been shown to improve health outcomes across a multitude of health specialties and across the world. Exploring mHealth user experiences can aid in understanding the 'how and why' an intervention was impactful. The Mobile Alliance for Maternal Action (MAMA) was a free maternal mHealth text messaging (SMS) service offered to pregnant women in Johannesburg, South Africa with a goal of improving maternal, fetal, and infant health outcomes...
March 3, 2020: JMIR Human Factors
#46
JOURNAL ARTICLE
Vedran Stefanovic
The novel coronavirus disease 2019 (COVID-19) pandemic is causing concern also for the management and outcome of COVID-19-positive pregnant women and their offspring, as reported cases are rare. Current evidence suggests the association of COVID-19 infection in pregnancy with both severe maternal morbidity requiring intensive care and perinatal complications (preterm birth with consequent neonatal morbidity and even perinatal death). Most of the reported cases focused specifically on the maternal outcomes and possible vertical transmission, but less attention has been paid to fetus as a patient in such pregnancies...
June 25, 2020: Journal of Perinatal Medicine
#47
REVIEW
Cristina Belizna, Pier Luigi Meroni, Yehuda Shoenfeld, Katrien Devreese, Jaume Alijotas-Reig, Enrique Esteve-Valverde, Cecilia Chighizola, Francesca Pregnolato, Hannah Cohen, Celine Fassot, Patrick Martin Mattera, Pascale Peretti, Alexandre Levy, Laurence Bernard, Mathilde Saiet, Laurence Lagarce, Marie Briet, Marianne Rivière, Isabelle Pellier, Géraldine Gascoin, Jose Rakotonjanahary, Maria Orietta Borghi, Ljudmila Stojanovich, Aleksandra Djokovic, Natasa Stanisavljevic, Rebecca Bromley, Elisabeth Elefant-Amoura, Nadia Bahi Buisson, Taylor Pindi Sala, Hilde Kelchtermans, Alexander Makatsariya, Viktoria Bidsatze, Jamilya Khizroeva, Jose Omar Latino, Sebastian Udry, Daniel Henrion, Laurent Loufrani, Anne Laure Guihot, Christian Muchardt, Milena Hasan, Marie Noelle Ungeheuer, Jan Voswinkel, Laura Damian, Ingrid Pabinger, Johanna Gebhart, Rosario Lopez Pedrera, Jan Willem Cohen Tervaert, Angela Tincani, Laura Andreoli
Azathioprine (AZA), an oral immunosuppressant, is safe during pregnancy. Some reports suggested different impairments in the offspring of mothers with autoimmune diseases (AI) exposed in utero to AZA. These observations are available from retrospective studies or case reports. However, data with respect to the long-term safety in the antenatally exposed child are still lacking. The aim of this study is to summarize the current knowledge in this field and to focus on the need for a prospective study on this population...
March 30, 2020: Autoimmunity Reviews
#48
JOURNAL ARTICLE
Yonas Getaye Tefera, Begashaw Melaku Gebresillassie, Amanual Getnet Mersha, Sewunet Admasu Belachew
Background: Most studies on drug use during pregnancy were generally focused on potential teratogenic effects. However, beliefs and risk awareness of medications can also influence medication use and fetal well-being. Objective: This study aimed at assessing the risk awareness and beliefs on medication use among pregnant women attending antenatal care unit in an Ethiopian university hospital. Method: A cross-sectional study was employed in pregnant women who were attending for antenatal care service at Gondar University Referral Hospital from March 15, to April 15, 2016...
2020: Frontiers in Public Health
#49
JOURNAL ARTICLE
Ioannis Tsakiridis, Apostolos Mamopoulos, Apostolos Athanasiadis, Anargyros Kourtis, Themistoklis Dagklis
BACKGROUND: Pregestational diabetes is associated with adverse maternal and neonatal outcomes. The aim of this study was to summarize and compare evidence-based recommendations on pregestational diabetes and to focus especially on issues related to the management of this entity. MATERIALS AND METHODS: A descriptive review of three recently published national guidelines on pregestational diabetes was conducted: the American Diabetes Association on "Diabetes in Pregnancy: Standards of Medical Care in Diabetes - 2019," the National Institute for Health and Care Excellence on "Diabetes in pregnancy: management from preconception to the postnatal period" and the American College of Obstetricians and Gynecologists on "Pregestational Diabetes Mellitus...
February 2022: Journal of Maternal-fetal & Neonatal Medicine
#50
REVIEW
Marjolijn S Spruijt, Enrico Lopriore, Sylke J Steggerda, Femke Slaghekke, Jeanine M M Van Klink
Introduction : Twin-twin transfusion syndrome (TTTS) is a devastating complication of monochorionic twin pregnancy and remains a major challenge for worldwide fetal medicine specialists. In TTTS, intertwin transfusion through vascular anastomoses in the shared placenta leads to severe hemodynamic imbalance. This review summarizes the current knowledge of TTTS. Areas covered : The most recent insights concerning the management of TTTS, as well as fetal and neonatal complications are described. Relevant articles were selected based on a Pubmed search using the keywords below...
March 2020: Expert Review of Hematology
#51
JOURNAL ARTICLE
Binyam Bogale, Kjersti Mørkrid, Brian O'Donnell, Buthaina Ghanem, Itimad Abu Ward, Khadija Abu Khader, Mervett Isbeih, Michael Frost, Mohammad Baniode, Taghreed Hijaz, Tamara Awwad, Yousef Rabah, J Frederik Frøen
BACKGROUND: Targeted client communication (TCC) using text messages can inform, motivate and remind pregnant and postpartum women of timely utilization of care. The mixed results of the effectiveness of TCC interventions points to the importance of theory based interventions that are co-design with users. The aim of this paper is to describe the planning, development, and evaluation of a theory led TCC intervention, tailored to pregnant and postpartum women and automated from the Palestinian electronic maternal and child health registry...
January 6, 2020: BMC Medical Informatics and Decision Making
#52
JOURNAL ARTICLE
Irisa Zile, Inguna Ebela, Ingrida Rumba-Rozenfelde
Background and O bjectives: The number of stillbirths has reduced more slowly than has maternal mortality or mortality in children younger than 5 years, which were explicitly targeted in the Millennium Development Goals. Placental pathologies and infection associated with preterm birth are linked to a substantial proportion of stillbirths. Appropriate preconception care and quality antenatal care that is accessible to all women has the potential to reduce stillbirth rates. The aim of the present study was to assess potential risk factors associated with stillbirth within maternal medical diseases and obstetric complications...
July 1, 2019: Medicina
#53
JOURNAL ARTICLE
Linda Vesel, Kojo Nimako, Rachel M Jones, Meghan Munson, Sarah Little, Henry Njogu, Irene Njuru, Teresa Ogolla, Grace Kimenju, Mary Nell Wegner, Sathyanath Rajasekharan, Nicholas Pearson, Ana Langer
BACKGROUND: Perinatal and newborn complications are major risk factors for unfavorable fetal and neonatal outcomes. Gestational dating and growth monitoring can be instrumental in the identification and management of high-risk pregnancies and births. The INTERGROWTH-21st Project developed the first global standards for gestational dating and fetal and newborn growth monitoring, supplying a toolkit for clinicians. This study aimed to assess the feasibility and acceptability of the first known implementation study of these standards in a low resource setting...
2019: PloS One
#54
JOURNAL ARTICLE
Annika Åhman, Kristina Edvardsson, Tove Anita Fagerli, Elisabeth Darj, Sophia Holmlund, Rhonda Small, Ingrid Mogren
BACKGROUND: Midwives are the main providers of routine antenatal care services including the routine ultrasound examination in Norway. The ultrasound examination can be perceived by expectant parents not only as a medical examination but also as a social event facilitating attachment to their fetus. This study explores Norwegian midwives' experiences and views on the role of ultrasound in clinical management of pregnancy. METHODS: A qualitative study design was applied...
January 16, 2019: BMC Pregnancy and Childbirth
#55
JOURNAL ARTICLE
Aja Louise Murray, Daniela Kaiser, Sara Valdebenito, Claire Hughes, Adriana Baban, Asvini D Fernando, Bernadette Madrid, Catherine L Ward, Joseph Osafo, Michael Dunne, Siham Sikander, Susan Walker, Vo Van Thang, Mark Tomlinson, Manuel Eisner
Prenatal intimate partner violence (P-IPV) can have significant adverse impacts on both mother and fetus. Existing P-IPV interventions focus on the safety of the mother and on reducing revictimization; yet expanding these to address the adverse impact on the fetus has considerable potential for preventing long-term negative developmental outcomes. In this review, we draw together evidence on major pathways linking exposure to P-IPV and child outcomes, arguing that these pathways represent potential targets to improve P-IPV intervention efforts...
December 4, 2018: Trauma, Violence & Abuse
#56
JOURNAL ARTICLE
Syed Rizwan A Bokhari, Faisal Inayat, Mah Jabeen, Zumar Sardar, Sara Saeed, Ayesha M Malik, Sabin Nasir, Amtul Zareen, Hafiz Ijaz Ahmad
Introduction Acute kidney injury (AKI) continues to be a cause of increased morbidity and mortality in pregnant women. While studies have been conducted on the incidence and etiology of this complication, the outcomes of obstetric AKI have not been extensively investigated. The primary focus of this prospective observational study was to analyze the risk factors, etiologies as well as maternal and fetal outcomes of AKI in pregnant females in Pakistan. Methods A total of 56 patients with obstetric AKI were recruited...
September 26, 2018: Curēus
#57
JOURNAL ARTICLE
Interventions during pregnancy to prevent preterm birth: an overview of Cochrane systematic reviews.
Nancy Medley, Joshua P Vogel, Angharad Care, Zarko Alfirevic
BACKGROUND: Preterm birth (PTB) is a major factor contributing to global rates of neonatal death and to longer-term health problems for surviving infants. Both the World Health Organization and the United Nations consider prevention of PTB as central to improving health care for pregnant women and newborn babies. Current preventative clinical strategies show varied efficacy in different populations of pregnant women, frustrating women and health providers alike, while researchers call for better understanding of the underlying mechanisms that lead to PTB...
November 14, 2018: Cochrane Database of Systematic Reviews
#58
REVIEW
Ruchi Amin, Aaron Domack, Joseph Bartoletti, Erika Peterson, Britton Rink, Jennifer Bruggink, Melissa Christensen, Anthony Johnson, William Polzin, Amy J Wagner
BACKGROUND: Gastroschisis is an abdominal wall defect with increasing incidence. Given the lack of surveillance guidelines among maternal-fetal medicine (MFM) specialists, this study describes current practices in gastroschisis management. MATERIALS AND METHODS: An online survey was administered to MFM specialists from institutions affiliated with the North American Fetal Therapy Network (NAFTNet). Questions focused on surveillance timing, testing, findings that changed clinical management, and delivery plan...
2019: Fetal Diagnosis and Therapy
#59
RANDOMIZED CONTROLLED TRIAL
Jacqueline Lagendijk, Amber A Vos, Loes C M Bertens, Semiha Denktas, Gouke J Bonsel, Ewout W Steyerberg, Jasper V Been, Eric A P Steegers
Social deprivation negatively affects health outcomes but receives little attention in obstetric risk selection. We investigated whether a combination of (1) risk assessment focused on non-medical risk factors, lifestyle factors, and medical risk factors, with (2) subsequent institution of risk-specific care pathways, and (3) multidisciplinary consultation between care providers from the curative and the public health sector reduced adverse pregnancy outcomes among women in selected urban areas in the Netherlands...
June 2018: European Journal of Epidemiology
#60
REVIEW
Rosalind Haddrill, Georgina L Jones, Dilly Anumba, Caroline Mitchell
BACKGROUND: Delayed access to antenatal care in high income countries is associated with poor maternal, fetal and neonatal outcomes. The aim was to synthesise the diverse body of evidence around women's views of early antenatal care and barriers to attendance in such countries. Critical Interpretive Synthesis integrates the process of systematic review with the qualitative methods of meta-ethnography and grounded theory, with a focus on theory generation to inform policy, practice and future research...
June 2018: Women and Birth
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