Adverse perinatal outcomes of pregnancies among adolescents vs women of advanced age in the Brazilian public health system

Conclusions: When compared with adolescent women, pregnant women of advanced age presented a higher frequency of cesarean deliveries.Resumo Objetivos: comparar os resultados perinatais adversos em gesta ções de adolescentes e mulheres em idade avançada de rede pública de saúde. Métodos: estudo transversal realizado com gestantes nos extremos de idade reprodutiva segundo classificação do Ministério da Saúde do Brasil (adolescentes aquelas com idade ≤ 19 anos e em idade avan çada aquelas com idade ≥ 35 anos) e seus rec ém-nascidos. Foram coletados dados socioeconômicos (renda, escolaridade, ocupação e situação conjugal), clínicos (presença de doenças), antropométricos (IMC materno) e perinatais (sexo, peso, comprimento, Apgar e idade gestacional), e realizada regressão de Poisson em modelo hie-rarquizad o, com resultados em Razão de Prevalência (RP) e respectivo Intervalo de Confiança a 95% (IC95%). Resultados: quando comparadas gestantes adolescentes e aquelas em idade avançada, foram observados, respectivamente: 38,7% vs 54,6% (RP=0,71; IC=0,54-0,94; p=0,002) partos cesarianos; 37,8% vs 25,2 % (RP=0,83; IC=0,58-1,19; p=0,332) nascimentos de pré-termos; 16,6% vs 20,5% (RP=1,07; IC=0,78-1,46; p=0,666) nascimentos de recém-nascidos pequenos para idade gestacional; 18,0% vs 15,3% (RP...
Source: Revista Brasileira de Saude Materno Infantil - Category: Midwifery Source Type: research

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Publication date: Available online 18 October 2019Source: Meta GeneAuthor(s): Mai Shaker, Taghreed Shalabi, Khaled R. Gaber, Khalda AmrAbstractBackgroundLeptin is an important hormone during implantation processes and plays a pivotal role in regulating the development of placenta and endo-metrial receptivity. miRNAs are associated with endometrial diseases, preeclampsia, neural tube defects and infertility, providing their potential role in the function of normal reproductive system. The aim of this study was to investigate the role of miRNA-27a and leptin polymorphisms in the development of idiopathic recurrent pregnancy ...
Source: Meta Gene - Category: Genetics & Stem Cells Source Type: research
Forgive me if I'm posting in the wrong forum, but I'm wondering if y'all had any advice. I don't have time in med school to be in a relationship, and I honestly haven't found anyone I want to be in a relationship with thus far. On the other hand, hooking up scares the hell out of me. Condoms don't adequately protect from HPV or HSV, and getting someone pregnant from a broken condom would financially ruin me. There would be no way for me to pay child support and also financially support... Sex Drive is Getting in the Way of Studying
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Medical Students - MD Source Type: forums
Publication date: Available online 18 October 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Lorraine Carroll, Louise Gallagher, Valerie SmithAbstractMaternal perception of reduced fetal movements (RFM) is an important clinical marker to identify women at higher risk of adverse perinatal outcomes. Preventing and reducing stillbirths can only be achieved through better detection and management of women with RFM, however the characteristics of women who present with RFM in pregnancy vary. A systematic review was conducted to explore the risk factors associated with reduced fetal...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
ConclusionsFindings from observational studies support current dietary guidelines for the prevention of T2DM. Further dietary intervention studies are needed to confirm whether or not dietary modification following a GDM pregnancy reduces women's risk of developing T2DM.
Source: Journal of the Academy of Nutrition and Dietetics - Category: Nutrition Source Type: research
AbstractCertain patient populations (pregnancy, cancer, renal impairment, and obesity) may be at higher risk of adverse events during low molecular weight heparin (LMWH) therapy and may benefit from anti-Xa monitoring. Yet, evidence supporting a standardized approach to anti-Xa monitoring correlated to clinical outcomes is lacking. Patients with at least one documented anti-Xa level and receiving LMWH within a 6-month period were identified. In a 6-month period, 224 adult LMWH patients with 359 anti-Xa levels were identified. Anti-Xa monitoring was most commonly performed in patients with active cancer receiving venous thr...
Source: Journal of Thrombosis and Thrombolysis - Category: Hematology Source Type: research
Publication date: Available online 18 October 2019Source: The Lancet Diabetes &EndocrinologyAuthor(s): Eleanor P Thong, Ethel Codner, Joop S E Laven, Helena TeedeSummaryReproductive dysfunction is a common but little studied complication of diabetes. The spectrum of reproductive health problems in diabetes is broad, and encompasses delayed puberty and menarche, menstrual cycle abnormalities, subfertility, adverse pregnancy outcomes, and potentially early menopause. Depending on the age at diagnosis of diabetes, reproductive problems can manifest early on in puberty, emerge later when fertility is desired, or occur duri...
Source: The Lancet Diabetes and Endocrinology - Category: Endocrinology Source Type: research
ConclusionActive surveillance for low-risk PTC has shown its safety and feasibility in certain populations. In the future, it is warranted to determine valuable tumor progression predictors and most suitable PTC patients for AS.
Source: Journal of Cancer Research and Clinical Oncology - Category: Cancer & Oncology Source Type: research
Publication date: Available online 19 October 2019Source: Autoimmunity ReviewsAuthor(s): Fabrizio Conti, Laura Andreoli, Francesca Crisafulli, Silvia Mancuso, Simona Truglia, Maria G. TektonidouAbstractAntiphospholipid Syndrome (APS) is the commonest treatable cause of recurrent miscarriage and pharmacological treatment of pregnant patients with antiphospholipid antibodies (aPL) should aim at preventing obstetric complications and maternal thrombotic events. Conventional treatment for patients with an established diagnosis of obstetric APS (OAPS), generally resulting in over 70–80% successful pregnancies. Since serop...
Source: Autoimmunity Reviews - Category: Allergy & Immunology Source Type: research
Publication date: November 2019Source: Infant Behavior and Development, Volume 57Author(s): Stephanie D’Souza, Caitlin N. Crawford, Jude Buckley, Lisa Underwood, Elizabeth R. Peterson, Amy Bird, Susan M.B. Morton, Karen E. WaldieAbstractThe determinants of talking delay alone or its comorbidity with behavioural difficulties was examined in 5768 two-year-old members of the Growing Up in New Zealand longitudinal study. Using the MacArthur-Bates Communicative Development inventories and the total difficulties score from the preschool Strengths and Difficulties Questionnaire, a composite measure was created so that child...
Source: Infant Behavior and Development - Category: Child Development Source Type: research
Conclusions: 1. Clinical suspicion of APS requires careful diagnostic testing. Because of inadequate diagnostic workup, many patients may not even have an APS, and these patients could be adequately treated with a DOAC. 2. Patients with single or double positive antiphospholipid antibodies but without positive LA may have a comparably low thrombotic risk and may also be treated with a DOAC in venous TE - sufficient evidence for that conclusion is not yet available but is suggested by the results of meta-analyses. 3. Triple positive patients or those with APS who suffered from arterial thromboembolism have a very high ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - Category: Surgery Authors: Tags: Vasa Source Type: research
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