Ultrasound your NPO: Effect of body mass index on gastric volume in term pregnant women – Retrospective Case Series

Publication date: Available online 6 November 2019Source: Annals of Medicine and SurgeryAuthor(s): Efrain Riveros-Perez, Sherwin Davoud, Maria Gabriela Sanchez, Hugo Montesinos, Alexander RocutsAbstractIntroductionA common belief has been that obese patients are prone to develop aspiration of gastric contents when general anesthesia is administered. We aimed to determine the correlation between antral cross-sectional area as a surrogate of gastric volume measured by gastric ultrasound, and body mass index (BMI) in term pregnant women scheduled for elective cesarean section.MethodsA cross-sectional observational study was conducted on forty-two term pregnant patients scheduled for cesarean section. A preoperative qualitative and quantitative ultrasound assessment of the antral area was performed on the day of surgery. Gastric volume as a function of BMI was evaluated.ResultsA significant correlation was found between BMI and gastric antral area (p=0.001), as well as with longitudinal diameter (p
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research

Related Links:

This study aimed to evaluate the reproducibility of three BIA instruments in pregnancy and analyse the relationship between the body composition and the GDM risk. Methods: A prospective cohort (n = 117) of women with singleton pregnancies participating in the Microbiome Understanding in Maternity Study (MUMS) at St. George Hospital, Sydney, Australia. Anthropometric measurements and BIA body composition were measured at ≤13 weeks (T1), 20-24 weeks (T2), and 32-36 weeks (T3) of gestation. Body fat percentage (BFP), total body water (TBW), and impedance were estimated by three BIA instruments: Bodystat 1...
Source: Journal of Obesity - Category: Eating Disorders & Weight Management Tags: J Obes Source Type: research
Conclusion: PlGF is reduced in MC4R-def obese hypertensive pregnant rats, which is similar to findings in obese hypertensive pregnant women, while increasing its levels with exogenous rhPlGF reduces their blood pressure.
Source: Journal of Hypertension - Category: Cardiology Tags: ORIGINAL PAPERS: Experimental studies Source Type: research
We report the perioperative management of a patient with a giant ovarian tumor that contained 23 L of fluid who underwent tumor resection. Given the infrequency of these giant ovarian tumors, a detailed anesthetic plan and postoperative respiratory support strategy were tailored to address the patient's hemodynamic and respiratory risks, as well as to minimize potential complications, including supine hypotensive syndrome, re-expansion pulmonary edema, and postoperative intestinal ileus. To prevent supine hypotensive syndrome, the patient used a mild left-sided position (10∼20°) after admission until the tumor wa...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Background and objective: The maternal glucose-insulin axis is central for metabolic adaptations required for a healthy pregnancy. Metabolic changes in obese mothers in early pregnancy have been scantly described. Here we characterized the glucose-insulin axis in the first trimester of human pregnancy and assessed the effect of maternal obesity and fat mass.Methods: In this cross-sectional study, maternal blood samples (N = 323) were collected during voluntary pregnancy termination (gestational age 4+0–11+6 weeks) after overnight fasting. Smokers (N = 198) were identified by self-report and serum cotinine levels (ELI...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
Publication date: Available online 7 October 2020Source: Pregnancy HypertensionAuthor(s): Laura Sarno, Maddalena Morlando, Antonia Giudicepietro, Annunziata Carlea, Supreet Sidhu, Marta Campanile, Giuseppe Maria Maruotti, Pasquale Martinelli, Maurizio Guida
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
Conditions:   Weight Loss;   Gestational Diabetes Interventions:   Other: PAIGE2 lifestyle intervention;   Other: Standard care Sponsors:   Belfast Health and Social Care Trust;   Northern Health and Social Care Trust;   South Eastern Health and Social Care Trust;   Interreg;   Our Lady of Lourdes Hospital, Drogheda;   Sligo General Hospital;   Letterkenny University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Positive pregnancy and birthing experiences go beyond merely having a healthy mother and baby — so, too, does maternal justice, a term that encompasses broad goals. Affordable, timely, high-quality, equitable, and dignified care during and after pregnancy is essential for all birthing people. Maternal justice is a model of culturally sensitive care that aims to dismantle inequities in maternity care and maximize maternal health and well-being. It rests on human rights and requires us to chip away at racism entrenched in health systems. How do race and ethnicity affect pregnancy and birth? Globally, Black, indigenous,...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Adolescent health Health care disparities Parenting Pregnancy Women's Health Source Type: blogs
This study investigates associations between maternal body mass index (BMI) early in pregnancy and obstetric interventions, maternal and neonatal outcomes.Material and methodsThis is a cohort study of nulliparous women originally included in a cluster randomized controlled trial carried out at 14 Norwegian obstetric units between 2014 and 2017. The sample included 7189 nulliparous women with a singleton fetus, cephalic presentation and spontaneous onset of labor at term, denoted as group 1 in the Ten ‐Group Classification System. The women were grouped according to the World Health Organization’s BMI classifications: underweight (BMI
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Authors: Pereira JN, Chactoura J, Nohra F, Diogenes MEL, Bezerra FF Abstract Normal pregnancy is characterized by many changes in vitamin D metabolism, challenging the assessment of vitamin D status based exclusively on serum total 25-hydroxyvitamin D (25(OH)D). We hypothesized that measuring free and bioavailable fractions contributes to a better vitamin D status assessment in late pregnancy. Our aim was to evaluate a broad set of biomarkers of vitamin D status in Brazilian women in the third trimester of pregnancy. This cross-sectional study was conducted in women (n = 123, 18-44 y, 27-41&thi...
Source: Journal of Nutrition and Metabolism - Category: Nutrition Tags: J Nutr Metab Source Type: research
CONCLUSION: Men and women with CVD or those at increased risk of CVD perceived new research on conventional and sex- and gender-related risk factors as a priority. These findings may guide researchers and funders in further prioritising new CVD research. PMID: 33025404 [PubMed - as supplied by publisher]
Source: Netherlands Heart Journal - Category: Cardiology Authors: Tags: Neth Heart J Source Type: research
More News: Anesthesia | Anesthesiology | Cesarean Section | Eating Disorders & Weight Management | Gastroenterology | General Medicine | Obesity | Pregnancy | Study | Ultrasound | Women