New ESC Guideline on Cardiovascular Disease in Pregnancy New ESC Guideline on Cardiovascular Disease in Pregnancy
The document endorses a pregnancy heart team for care, advises inducing labor at 40 weeks, and provides a table on safety of cardiovascular drugs during pregnancy and breastfeeding.Medscape Medical News
The objective of this study was to use TGCS to evaluate potential associations between EA and cesarean and assisted vaginal delivery rates, according to the TGCS groups.
Introduction: Pre-pregnancy overweight and obesity lead to an increment of maternal and perinatal complications. The impact of a woman body mass index (BMI) on the risk of genital tract trauma is less clear. Maternal obesity is associated with fetal macrosomia which can be associated with an increased rate of genital tract trauma. According to that, obese nulliparous women can possibly have a higher risk to have a genital tract trauma.
Introduction: The clinical management of patients with intrahepatic cholestasis of pregnancy (ICP) is still a controversially discussed issue among clinicians. In fact, the Green-top guideline of the RCOG considers ICP as a risk factor for spontaneous preterm birth, iatrogenic preterm birth, and fetal death. Treatment with ursodesoxycholic acid and induction of labour at 37+0 weeks of gestation are currently recommended as standards for clinical practise.
Introduction: At term, 3 –4% of pregnant women expect a baby in breech presentation. National societies regard vaginal breech delivery as a safe option, but only for a specific and thoroughly counseled group of patients. To avoid adverse outcomes, many practitioners recommend elective cesarean section once their patients go past the estimated due date. Since encompassing evidence is missing, we need to evaluate this common clinical practice.
ConclusionMaternal hypothyroidism in pregnancy is independently associated with long-term pediatric neurological morbidity of the offspring.
The objective of the study was to explore trial of labor and its failure in pregnancies with medical risk conditions, in a population with a high trial of labor rate.Material and methodsIn a cohort study (n=57 109), using data from the Medical Birth Registry of Norway 1989‐2014, women with a second delivery after a first pregnancy cesarean section were included. Preterm, multiple, and non‐cephalic deliveries were excluded. The outcomes were trial of labor and failed trial of labor, assessed as rates and relative risk, using deliveries without risk conditions as reference. Temporal trends were assessed by three‐...
AbstractObjectiveTo compare pregnancy outcomes following induction of labor with prostaglandins versus extra-amniotic balloon catheter indicated for term isolated oligohydramnios.Study designRetrospective cohort study of all women who underwent induction of labor due to term isolated oligohydramnios at a university affiliated medical center (2007 –2016). The cohort was divided into two subgroups, according to induction method: vaginal prostaglandins E2 versus extra-amniotic balloon catheter. Primary outcomes were successful cervical ripening, defined as a Bishop score ≥ 8, and vaginal delivery rate. ...
ConclusionsNon ‐D Rh alloimmunisation is a relatively uncommon complication of pregnancy, occurring in only 0.33% of pregnancies in the study period. It can lead to significant fetal/neonatal morbidity (and may lead to mortality). The most severe outcomes (including perinatal deaths) were mostly associated with the compound antibodies anti‐CD and anti‐cE, or a non‐D Rh antibody in conjunction with anti‐D.This article is protected by copyright. All rights reserved.
ConclusionsInduction of labor for breech presentation does not seem to increase neonatal mortality or severe neonatal morbidity compared to planned cesarean delivery.This article is protected by copyright. All rights reserved.
AbstractIntroductionThe aim of this study was to compare the efficacy and safety of low ‐dose protocol of vaginal misoprostol and vaginal dinoprostone insert for induction of labor in women with post‐term pregnancies.Material and methodsWe designed a prospective, randomized, open ‐labeled, blinded for the end‐point evaluators trial including women of at least 41 weeks of gestational age with uncomplicated singleton pregnancies and Bishop score lower than 6. They were randomized into dinoprostone or misoprostol groups in a 1:1 ratio. Baseline maternal data and perinatal o utcomes were recorded for statistical analys...