The outcomes of pregnancies with reduced fetal movements: A retrospective cohort study
AbstractIntroductionTo examine the outcomes and interventions in pregnant women presenting with a perception of reduced fetal movements (RFM), and to determine if repeated episodes of RFM increase the risk of adverse outcomes.Material and methodsThis was a retrospective cohort study conducted in six NHS hospitals within the Thames Valley network region, UK and one neighbouring hospital, an area with approximately 31,000 births annually. All women with a primary presentation of perceived RFM after 24 completed weeks of gestation during the month of October 2016 were included in the study.Prospective records in all units were examined and individual case ‐notes were reviewed. Pregnancy and neonatal outcomes and their relationship with recurrent presentations with RFM were examined using relative risks with 95% confidence intervals. The main outcome measures are described. Neonatal outcomes measured were perinatal mortality, neonatal unit admission , abnormal cardiotocography at presentation, a composite severe morbidity outcome of Apgar
CONCLUSION: This study confirmed published results that labour progresses more slowly as maternal BMI increases. The study was performed in a centre with a specialized BMI pregnancy clinic; thus weight gain adherence, awareness of labour differences, and patient counselling may have contributed to low Caesarean section rates. Obstetric care providers should consider differences in maternal BMI in labour progression before undertaking a potentially premature Caesarean birth, especially in primiparas. PMID: 31324481 [PubMed - as supplied by publisher]
This is a guest post from one of our patients. She is 32 and recently froze her eggs at Malpani Infertility ClinicOur 20 ’s and early 30's may be theeasiest time to have a baby but it's not always the best time - for a lot of good reasons. We are at the top of our career and want to grow professionally; we want to prepare emotionally and financially to be parents ; and we are unwilling to settle for Mr. RightNow instead of Mr. Right.The problem is that the biological clock is ticking on - and we can hear it loud and clear ! The good news is that with a little medical help , we can freeze time , to plan for the future...
Authors: Plagens-Rotman K, Przybylska R, Gerke K, Jaracz K, Serafinowska J, Sadowska-Przytocka A, Adamski Z, Czarnecka-Operacz M PMID: 31320864 [PubMed]
CONCLUSIONS: Lessons from the successful delivery of maternal tetanus immunization in Malawi may be informative for similar countries considering new vaccines for pregnant women or striving to optimize the delivery of those currently provided. PMID: 31319932 [PubMed - in process]
In conclusion, these findings indicated that Zeb1 may promote placental implantation by activating the Akt signaling pathway, thus providing a theoretical basis for investigating the causes of MAP. PMID: 31322233 [PubMed - as supplied by publisher]
When IVF patients get pregnant, they know how important measuring their blood HCG level is, to monitor the health of their pregnancy.However , they aren't sure how to interpret these levels.The reason it can be hard to make sense of them is because the normal range varies vary so widely; and because they rise so quickly as the pregnancy grows.Remember that HCG levels are very dependent on the gestational age of the pregnancy.Also, tracking HCG levels over time gives us far more valuable information as compared to just a single level !Read more at www.drmalpani.com/knowledge-center/articles/hcgYou can register at www....
CONCLUSIONS: Most stakeholders considered different approaches to partner HIV testing to be acceptable, but concerns were raised about each. A choice-based approach may allow women to select their preferred method of partner testing; however, implementation challenges need to be addressed. PMID: 31321884 [PubMed - in process]
When young women use abortion services, the adolescent men who avoid becoming teenaged fathers go on to have better educational and financial futures than peers who do become teen fathers, a U.S. study suggests.Reuters Health Information
CONCLUSIONExposure to some phthalate-containing pharmaceutical drugs during third trimester is associated with preterm birth.
ConclusionsThe GBS detection rate of the vagino-perineal swab was lower compared to the reference standard. However, agreement between the two screening methods was high and there were no cases of GBS neonatal sepsis in the recruited population, supporting this less invasive screening strategy. In contrast, the vaginal-perineal swab was inferior to the rectal swab for detecting ESBL-E, indicating that this less invasive method for detecting antibiotic resistant bacteria that may be potentially transferred to the neonate during labor and delivery would be inappropriate for ESBL-E screening in pregnant women. The low ESBL-E ...