The MODE Trial: Planned Caesarean Section Versus Induction of Labour for Women With Class III Obesity
Conditions: Obesity Complicating Childbirth; Obesity; Labor Onset and Length Abnormalities; Pregnancy, High Risk; Cesarean Section Complications Interventions: Procedure: Caesarean section; Procedure: Induction of Labour Sponsors: Ottawa Hospital Research Institute; Canadian Institutes of Health Research (CIHR) Not yet recruiting
Conclusion: Obesity is associated with increased complications during pregnancy, an increased incidence of a cesarean section and induced birth but it has no significant effect on the delivery time.
BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; &AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regio...
We describe below how metagenomic and nutritional data were integrated into the algorithm in Tobalina et al. (2015). Metagenomic Data From Vallès et al. (2014), we collected 454 pyrosequencing metagenomic data of the gut microbiota of 13 Spanish infants at five different time points during the first year after birth (1 week and 1, 3, 7 months, and 1 year). For the second time point considered (1 month), we only have data for 9 out of 13 infants and, therefore, we have 61 samples overall. Information on sex, type of delivery, antibiotic exposure, and feeding habits for these infants is provided in Supplementary Tab...
CONCLUSION: Advanced maternal age women are at a higher risk of adverse obstetrical and perinatal outcomes. In both comparisons, worse outcomes were more prevalent in the older group, suggesting that poorer outcomes are more prevalent with increasing age. PMID: 30946794 [PubMed - in process]
Amer J Perinatol DOI: 10.1055/s-0039-1681057 Objective To evaluate the prevalence of cesarean delivery in women with hypertensive disorders of pregnancy (HDP), and explore whether maternal, sociodemographic, or obstetric comorbidities contribute to cesarean delivery rates. Study Design This is a retrospective cohort study of nulliparous, term, singleton, vertex women using the 2013 U.S. National Vital Statistics Report. We compared prevalence of risk factors for cesarean delivery between women with and without HDP, and then calculated probabilities of cesarean delivery after controlling for these risk facto...
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.
ConclusionMaternal hypothyroidism in pregnancy is independently associated with long-term pediatric neurological morbidity of the offspring.