Call to tackle maternal blood infection risk

ConclusionThis comprehensive study highlights several areas where awareness of the risks of sepsis in pregnancy should be increased in both primary and secondary care. These include: If there is clinical suspicion of infection with group A streptococcus, then urgent action should be taken. There should be increased care given to pregnant women and women who have just given birth who have a suspected infection. High-dose intravenous antibiotics should be given within one hour of admission for suspected sepsis. Vigilant infection control measures should be employed during vaginal delivery. Despite antibiotics being routinely prescribed before planned caesarean sections, women are still at risk of severe sepsis and need to be closely monitored. There should be consideration for clinicians to give prophylactic antibiotics before operative vaginal deliveries. There should be consideration for clinicians to give prophylactic antibiotics at the time the decision is made to perform an emergency caesarean section. Strengths of the study include its size and the 100% participation rate of maternity units in the UK, which should account for any regional or socioeconomic differences.If you are pregnant or have just given birth, and have signs or symptoms of infection, such as a high temperature of over 38°C, it is important to seek medical advice immediately.Analysis by Bazian. Edited by NHS Choices. Follow Behind the Headlines on Twitter. Join the Healthy Evide...
Source: NHS News Feed - Category: Consumer Health News Tags: Pregnancy/child Source Type: news

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Publication date: October 2018Source: Pregnancy Hypertension, Volume 14Author(s): Cheng-Qiu Lu, Jie Lin, Lin Yuan, Jian-Guo Zhou, Kun Liang, Qing-Hua Zhong, Jin-Hua Huang, Li-Ping Xu, Hui Wu, Zhi Zheng, Li-Li Ping, Yi Sun, Zhan-Kui Li, Ling Liu, Qin Lyu, Chao ChenAbstractObjectiveTo identify the effect of pregnancy induced hypertension on neonatal outcomes in early and moderate preterm infants of gestational age less than 34 weeks.Study designProspectively collected data in 773 premature deliveries less than 34 weeks from 10 centers in China between July 2014 and July 2016 were analyzed in this cohort study. Univariate...
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
Publication date: Available online 15 August 2018Source: Comparative Immunology, Microbiology and Infectious DiseasesAuthor(s): Christian Diniz Beduschi Travassos Alves, Renata da Fontoura Budaszewski, Samuel Paulo Cibulski, Matheus Nunes Weber, Fabiana Quoos Mayer, Matheus Viezzer Bianchi, Bruna Zafalon-Silva, Guilherme Konradt, Mônica Slaviero, Luciana Sonne, David Driemeier, Marcelo Meller Alievi, Cláudio Wageck CanalAbstractAstroviruses are a common cause of gastroenteritis in children worldwide and can also cause infection in a range of domestic and wild animal species. Canine astrovirus (formally named a...
Source: Comparative Immunology, Microbiology and Infectious Diseases - Category: Infectious Diseases Source Type: research
Conclusion: The present case not only illustrates the phenotypic diversity ofDUOXA2 mutation carriers but also implies that DUOXA2 is important in prenatal thyroid hormone production.Horm Res Paediatr
Source: Hormone Research in Paediatrics - Category: Endocrinology Source Type: research
Conclusions: Higher hs-CRP as a marker of low-grade inflammation was detected in prepubertal children exposed to maternal GDM, but no differences were seen in height, weight, BMI, or markers of glucose and lipid metabolism compared to control children. This finding may reflect an ongoing process of metabolic changes in children born after a GDM pregnancy.Horm Res Paediatr
Source: Hormone Research in Paediatrics - Category: Endocrinology Source Type: research
Authors: Brown HK, Ray JG, Liu N, Lunsky Y, Vigod SN Abstract BACKGROUND: Rapid repeat pregnancy within 12 months of a live birth is associated with adverse perinatal outcomes. We evaluated the risk for rapid repeat pregnancy among women with intellectual and developmental disabilities, with whom sharing of information about pregnancy planning and contraception may be inadequate. METHODS: We accessed population-based health administrative data for all women with an index live birth in Ontario, Canada, for the period 2002-2013. We used modified Poisson regression to compare relative risks (RRs) for a rapid repea...
Source: Canadian Medical Association Journal - Category: General Medicine Tags: CMAJ Source Type: research
Authors: Galluzzo A, Imazio M Abstract INTRODUCTION: Medical therapy of pericardial diseases is moving forward to the road of evidence-based medicine and has improved in the last years because of the first randomized clinical trials in the area as well as new therapeutic options for recurrent pericarditis. Areas covered: The present review will focus on more recent advances with a special emphasis on the treatment of pericarditis, the area with more significant improvements in the last years. Medline/Pubmed Library were systematically screened with two specific key searches: "pericarditis AND therapy" and...
Source: Expert Review of Cardiovascular Therapy - Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research
Birth control app Natural Cycles has come under fire for unwanted pregnancies, but this just reveals how little we understand contraception
Source: New Scientist - Health - Category: Consumer Health News Source Type: research
Conclusion: Reference charts for several dimensions of physiological midgut herniation were created. In the future, our data might be used as a reference in the first trimester for comparison in case of a suspected pathological omphalocele.Fetal Diagn Ther
Source: Fetal Diagnosis and Therapy - Category: Perinatology & Neonatology Source Type: research
Authors: Hubena Z, Workneh A, Siraneh Y Abstract Background: Operative vaginal deliveries (OVD) are vaginal deliveries accomplished with the use of a vacuum device or forceps. If it is technically feasible and can be safely accomplished, termination of second stage labor by operative vaginal delivery is indicated in any condition threatening the mother or fetus that is likely to be relieved by delivery. Hence, the objective of this study is to assess the prevalence, common indication, outcome, and associated factors of operative vaginal delivery among mothers who gave birth in Jimma University Medical Center (JUMC)...
Source: Journal of Pregnancy - Category: OBGYN Tags: J Pregnancy Source Type: research
Authors: Paquet C, Yudin MH Abstract BACKGROUND: One of the major consequences of pregnant women becoming infected by Toxoplasma gondii is vertical transmission to the fetus. Although rare, congenital toxoplasmosis can cause severe neurological or ocular disease (leading to blindness), as well as cardiac and cerebral anomalies. Prenatal care must include education about prevention of toxoplasmosis. The low prevalence of the disease in the Canadian population and limitations in diagnosis and therapy limit the effectiveness of screening strategies. Therefore, routine screening is not currently recommended. OBJECT...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
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