keyword
https://read.qxmd.com/read/38453018/development-and-implementation-of-a-pregnancy-heart-team-at-a-southeastern-us-tertiary-hospital-a-qualitative-study
#21
JOURNAL ARTICLE
William Michael Hart, Ben Cobb, Johanna Quist-Nelson, Kristin P Tully
BACKGROUND: The United States has seen a significant rise in maternal mortality and morbidity associated with cardiovascular disease over the past four decades. Contributing factors may include an increasing number of parturients with comorbid conditions, a higher rate of pregnancy among women of advanced maternal age, and more patients with congenital heart disease surviving into childbearing age and experiencing pregnancy. In response, national medical organizations have recommended the creation of multidisciplinary obstetric-cardiac teams, also known as pregnancy heart teams, to provide comprehensive preconception counseling and coordinated pregnancy management extending through the postpartum period...
March 5, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38447667/characteristics-and-management-of-chorioamnionitis-at-an-academic-centre-in-ontario-before-and-after-implementation-of-an-order-set
#22
JOURNAL ARTICLE
Vanessa R Kay, Isabella Liang, Sarah Turvey, Avi Vandersluis, Alexander Norgaard, Jennifer Twiss, Michelle Morais Hon
OBJECTIVE: Chorioamnionitis has implications for parturient and neonatal outcomes but is difficult to diagnose accurately. The particulars of management also differ between providers and between institutions. Clinical order sets have been shown to standardize and improve care. This study compares characteristics of chorioamnionitis and aspects of management before and after implementation of an order set. METHODS: Chart review facilitated comparison of 76 cases occurring prior to implementation of the order set and 66 cases occurring after...
March 4, 2024: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/38439945/investigating-factors-associated-with-the-development-of-postnatal-depression-after-cesarean-delivery-a-validation-cohort-study
#23
JOURNAL ARTICLE
Daryl Jian An Tan, Rehena Sultana, Sheryl Yu Xuan Chow, Chin Wen Tan, Hon Sen Tan, Helen Yu Chen, Tze-Ern Chua, Ban Leong Sng
PURPOSE: This study aimed to validate a proposed association model previously published to determine the clinical relevance of pre-operative determinants in the development of PND after Cesarean delivery (CD). PATIENTS AND METHODS: Parturients undergoing elective CD under neuraxial anesthesia were recruited for a prospective cohort study between Oct 2021 and Oct 2022 at KK Women's and Children's Hospital, Singapore. Predelivery pain, psychological and mechanical temporal summation, and demographic data were recorded...
2024: Neuropsychiatric Disease and Treatment
https://read.qxmd.com/read/38438681/the-90-effective-dose-of-intrathecal-hyperbaric-bupivacaine-for-cesarean-delivery-under-combined-spinal-epidural-anesthesia-in-parturients-with-super-obesity-an-up-down-sequential-allocation-study
#24
JOURNAL ARTICLE
Hon Sen Tan, Matthew E Fuller, Emily Z Barney, Olga I Diomede, Riley A Landreth, Trung Pham, Samantha M Rubright, Liliane Ernst, Ashraf S Habib
PURPOSE: To determine the 90% effective dose (ED90 ) of intrathecal hyperbaric bupivacaine for Cesarean delivery under combined spinal-epidural anesthesia (CSE) in parturients with super obesity (body mass index [BMI] ≥ 50 kg·m-2 ). METHODS: We enrolled parturients with BMI ≥ 50 kg·m-2 with term, singleton vertex pregnancies undergoing elective Cesarean delivery under CSE. An independent statistician generated the 0...
March 4, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38435665/comparative-evaluation-of-nebulised-dexmedetomidine-vs-fentanyl-for-the-treatment-of-post-dural-puncture-headache-pdph-in-parturients-after-caesarean-section-under-spinal-anaesthesia-a-randomised-controlled-study
#25
JOURNAL ARTICLE
Amarjeet Kumar, Chandni Sinha, Kunal Singh, Monika Anant, Ajeet Kumar, Poonam Kumari
BACKGROUND AND AIMS: The incidence of post-dural puncture headache (PDPH) following spinal anaesthesia in the obstetric population is around 0.5%-2%. Hydration, bed rest, caffeine, paracetamol, non-steroid anti-inflammatory drugs, epidural blood patches, etc., are the various modalities used for its management. This study aims to compare nebulised dexmedetomidine versus fentanyl for the treatment of PDPH in parturients after caesarean section under spinal anaesthesia. METHODS: Ninety obstetric patients aged 18-35 years with American Society of Anesthesiologists (ASA) physical status II/III and suffering from PDPH as per the criteria of the International Headache Society after caesarean section under spinal anaesthesia were recruited in this double-blinded randomised study...
February 2024: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38435651/prevention-of-post-spinal-anaesthesia-hypotension-in-caesarean-delivery-using-delayed-supine-positioning-a-randomised-controlled-trial
#26
JOURNAL ARTICLE
Ahmed Ibrahim Elsakka, Gamal Mostafa, Mohamed Raafat Abdelaziz Mohamed, Reham Mahrous, Amr Abdelnasser
BACKGROUND AND AIMS: Maternal hypotension is a common and dangerous consequence after a subarachnoid block for a caesarean section. Combining pharmacological methods such as norepinephrine infusion, ondansetron and non-pharmacological methods in delayed supine positioning better impacts the maternal haemodynamic profile. The present study assessed the benefits and adverse effects of combining pharmacological and non-pharmacological methods in hypotension prophylaxis. METHODS: This randomised controlled trial was conducted at Cairo University Hospital's obstetric theatre from January to October 2020...
February 2024: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38434699/a-prospective-randomized-double-blind-study-comparing-the-dose-response-curves-of-epidural-ropivacaine-for-labor-analgesia-initiation-between-parturients-with-and-without-obesity
#27
JOURNAL ARTICLE
Xiao-Dong Huang, Xiao-Xiao Qiu, He-Jie Wang, Xia-Fang Jin, Fei Xiao
Background: Previous studies have explored the median effective concentration (EC50) of ropivacaine for labor epidural analgesia in parturients with obesity. However, the clinical relevance of the 90% effective concentration (EC90) remains unclear. This study aimed to determine and compare the dose-response curve of epidural ropivacaine for labor analgesia between parturients with and without obesity. Methods: Parturients were divided into two groups based on body mass index (BMI): group N, consisting of parturients with BMI <30 kg/m2 , and group O, consisting of parturients with BMI >30 kg/m2 ...
2024: Frontiers in Pharmacology
https://read.qxmd.com/read/38421237/the-outcome-of-reduced-and-non-reduced-triplet-pregnancies-managed-in-a-tertiary-hospital-during-a-15-year-period%C3%A2-a-retrospective-cohort-study
#28
JOURNAL ARTICLE
Riina Maria Jernman, Annu-Riikka Susanna Rissanen, Vedran Stefanovic
OBJECTIVES: Triplet pregnancies involve several complications, the most important being prematurity as virtually all triplets are born preterm. We conducted this study to compare the outcomes of reduced vs. non-reduced triplet pregnancies managed in the largest tertiary hospital in Finland. METHODS: This was a retrospective cohort study in the Helsinki University Hospital during 2006-2020. Data on the pregnancies, parturients and newborns were collected from patient records...
March 1, 2024: Journal of Perinatal Medicine
https://read.qxmd.com/read/38414334/the-value-of-fibrinogen-combined-with-d-dimer-and-neonatal-weight-in-predicting-postpartum-hemorrhage-in-vaginal-delivery
#29
JOURNAL ARTICLE
Yanke Zou, Shuai Zeng, Changxiao Huang, Ling Liu, Li Li
OBJECTIVES: The purpose of this study was to explore whether fibrinogen (Fib) can be used as a predictor of postpartum hemorrhage (PPH) in parturients with vaginal delivery, and the value of combining Fib with other indexes to predict postpartum hemorrhage in vaginal delivery. METHODS: A total of 207 parturients who delivered via vagina were divided into PPH group (n=102) and non-PPH group (n=105). The PPH group was further divided into mild PPH group and severe PPH group...
February 29, 2024: Journal of Perinatal Medicine
https://read.qxmd.com/read/38409787/randomized-controlled-study-comparing-oral-misoprostol-with-intramuscular-oxytocin-in-active-management-of-third-stage-of-labour
#30
JOURNAL ARTICLE
Atanda Abdulrasaq Sambo, Munir'deen Aderemi Ijaiya, Duum Nwachukwu, Ikemefuna Christopher Nwosu, Haruna Idris, Rasheedat Morayo Abdullateef, Folorunsho Benard Adewale
OBJECTIVE: The study aimed to compare the effectiveness and side effects of 600 µg of oral Misoprostol with 10 IU intramuscular oxytocin in managing the third stage of labor. METHODS: This open-label, randomized controlled trial included 260 low-risk women in the second stage of labor with anticipated vaginal delivery. They were randomly assigned, to receive either 600 µg of misoprostol orally or 10 IU of oxytocin intramuscularly. The primary outcomes were blood loss during delivery and incidence of postpartum hemorrhage, evaluated using intention-to-treat analysis...
February 27, 2024: Obstetrics & Gynecology Science
https://read.qxmd.com/read/38405910/the-lateral-habenula-is-required-for-maternal-behavior-in-the-mouse-dam
#31
Jessie Benedict, Robert H Cudmore, Diarra Oden, Aleah Spruell, David J Linden
UNLABELLED: Mammalian parenting is an unusually demanding commitment. How did evolution co-opt the reward system to ensure parental care? Previous work has implicated the lateral habenula (LHb), an epithalamic nucleus, as a potential intersection of parenting behavior and reward. Here, we examine the role of the LHb in the maternal behavior of naturally parturient mouse dams. We show that kainic acid lesions of the LHb induced a severe maternal neglect phenotype in dams towards their biological pups...
February 16, 2024: bioRxiv
https://read.qxmd.com/read/38390981/deep-learning-radiomic-analysis-of-mri-combined-with-clinical-characteristics-diagnoses-placenta-accreta-spectrum-and-its-subtypes
#32
JOURNAL ARTICLE
Changye Zheng, Jian Zhong, Ya Wang, Kangyang Cao, Chang Zhang, Peiyan Yue, Xiaoyang Xu, Yang Yang, Qinghua Liu, Yujian Zou, Bingsheng Huang
BACKGROUND: Different placenta accreta spectrum (PAS) subtypes pose varying surgical risks to the parturient. Machine learning model has the potential to diagnose PAS disorder. PURPOSE: To develop a cascaded deep semantic-radiomic-clinical (DRC) model for diagnosing PAS and its subtypes based on T2-weighted MRI. STUDY TYPE: Retrospective. POPULATION: 361 pregnant women (mean age: 33.10 ± 4.37 years), suspected of PAS, divided into segment training cohort (N = 40), internal training cohort (N = 139), internal testing cohort (N = 60), and external testing cohort (N = 122)...
February 23, 2024: Journal of Magnetic Resonance Imaging: JMRI
https://read.qxmd.com/read/38390622/carbapenem-producing-enterobacteriaceae-in-mothers-and-newborns-in-southeast-gabon-2022
#33
JOURNAL ARTICLE
Sandra Dos Santos, Mesmin Moussounda, Moussa Togola, Evelyne Avoune Nguema, Christiane Matteya, Michelle Bignoumba, Richard Onanga, Jean-Bernard Lekana-Douki, Patrice François, Nathalie van der Mee-Marquet
INTRODUCTION: Infections caused by carbapenemase-producing Enterobacteriaceae (CPE) pose a significant threat, leading to severe morbidity and mortality among newborns. METHODS: This study, conducted at Franceville hospital's maternity and neonatology wards from February 22nd to June 20th, 2022, investigated the prevalence of CPE in 197 parturients and 203 newborns. Rectal swabs were taken from parturients before delivery and from newborns 30 minutes after birth...
2024: Frontiers in Cellular and Infection Microbiology
https://read.qxmd.com/read/38383358/the-relationship-between-postpartum-negative-life-events-and-postpartum-depression-a-moderated-mediation-model-of-neuroticism-and-psychological-flexibility
#34
JOURNAL ARTICLE
Ningning Hu, Jie Luo, Wei Xiang, Guiying Yang, Ting Huang, Li Guan, Jufang Xu, Biao Peng
BACKGROUND: Postpartum depression (PPD) is a major public health problem worldwide. Previous studies have shown that postpartum negative life events and neuroticism are both important risk factors for PPD. However, few studies have considered the role of protective factors in the influence of postpartum negative life events and neuroticism on PPD. Based on the diathesis-stress model and Acceptance and Commitment Therapy (ACT), a moderated mediating model was established to examine the mediating role of neuroticism between postpartum negative life events and PPD, as well as the moderating role of psychological flexibility in this mediating effect...
February 21, 2024: BMC Psychiatry
https://read.qxmd.com/read/38373497/-maternal-mortality-due-to-venous-thromboembolism-in-france-2016-2018
#35
JOURNAL ARTICLE
Marie Jonard, Mathias Rossignol, Coralie Chiesa-Dubruille
Pregnancy and the postpartum period represent a thromboembolic risk situation, with pulmonary embolism (PE) remaining one of the leading causes of direct maternal deaths in developed countries. Between 2016 and 2018 in France, twenty maternal deaths were caused by venous thromboembolic complications (VTE), yielding a Maternal Mortality Ratio (MMR) of 0.9 per 100,000 live births (95% CI 0.6-1.3), with no change compared to the periods 2013-2015 or 2010-2012. Among these 20 deaths, 1 death was related to cerebral thrombophlebitis, and the remaining 19 were due to PE...
February 17, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38373492/-maternal-mortality-in-france-2016-2018-frequency-causes-and-women-s-profile
#36
JOURNAL ARTICLE
Monica Saucedo, Catherine Deneux-Tharaux
OBJECTIVE: To describe, for the 2016-2018 period, the frequency, causes and risk factors of maternal deaths in France. METHOD: Data from the National Confidential Enquiry into Maternal Deaths for 2016-2018 Results: For 2016-2018, 272 maternal deaths occurred in France, i.e a maternal mortality ratio of 11,8 per 100,000 live births (95% CI 10,4-13,3), and 8.5 (IC 95 % 7,4-9,8) for maternal mortality up to 42 days. Compared to women aged 20-24, the risk of maternal death is multiplied by 2...
February 17, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38371599/cloprostenol-sodium-improves-reproductive-performance-of-multiparous-sows-during-lactation
#37
JOURNAL ARTICLE
Xuedan Zhu, Xinke Zhang, Yuqing Zhang, Jiahao Li, Siqi Li, Siqi Zhang, Li Li, Li Meng, Hengxi Wei, Shouquan Zhang
This study aimed to determine the effect of prostaglandin F2α (PGF2α ) analog ( D -cloprostenol sodium and DL -cloprostenol sodium) administration on the milk yield of multiparous sows (MS) and piglet growth performance. In total, 320 Landrace×Yorkshire parturient MS were randomly divided into three groups on day 115 of pregnancy: without treatment ( N  = 50), with 75 μg D -cloprostenol sodium ( N  = 137), and with 200 μg DL -cloprostenol sodium ( N  = 133)...
2024: Frontiers in Veterinary Science
https://read.qxmd.com/read/38370331/likely-vertical-transmission-of-neonatal-sars-cov-2-infection
#38
Andre A Robinson, Samantha Feder, Sushma Krishna, Lois Brustman
Maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can affect placental function, but the possibility of intrauterine transmission has been debated. Several authors have published inclusion criteria for vertical transmission, but few reports exist that are able to meet the suggested requirements. Despite the fact that the majority of fetuses born to infected mothers do well, others become critically ill. We present a case of likely intrauterine transmission of a neonate born to a mother who was recently symptomatic with a positive SARS CoV-2 polymerase chain reaction (PCR)...
January 2024: American Journal of Perinatology Reports
https://read.qxmd.com/read/38367750/optimal-misoprostol-dosing-among-patients-with-a-body-mass-index-greater-than-30-a-randomized-controlled-trial
#39
JOURNAL ARTICLE
Alexander M Saucedo, Miriam Alvarez, George A Macones, Alison G Cahill, Lorie M Harper
BACKGROUND: Patients with obesity experience an increased duration of labor with an increased risk for perinatal morbidity. When compared with parturients without obesity, they also experience fewer uterine contractions after administration of misoprostol. It is unclear if the same dose of misoprostol should be used for induction of labor in patients with obesity compared to non-obese patients. Therefore, we sought to investigate if a higher dose of misoprostol for patients with obesity is more effective...
February 15, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38366324/is-epidural-analgesia-non-inferior-to-intrathecal-fentanyl-as-initiation-for-neuraxial-analgesia-in-early-non-spontaneous-labour
#40
JOURNAL ARTICLE
Lotta Salmi, Riina Jernman, Antti Väänänen
BACKGROUND AND AIM: Intrathecal fentanyl, using the combined spinal-epidural (CSE) technique, provides rapid analgesia during early labour. Because of the technique's more complex and invasive nature, as its replacement we assessed the use of epidural analgesia in primiparous parturients with induced labour. The study was registered at www. CLINICALTRIALS: gov (NCT04645823). The aim was to compare the efficacy, duration of analgesia and maternal satisfaction. The primary outcome was the difference in pain visual analogue scale (VAS) between the interventions at 20 min after the analgesia administration...
February 16, 2024: Acta Anaesthesiologica Scandinavica
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