Intraabdominal pressure in non ‐laboring preeclamptic vs normotensive patients undergoing cesarean section: A prospective observational study
AbstractIntroductionIt is hypothesized that increased intraabdominal pressure (IAP) may be a cause of preeclampsia. There is, however, a paucity of clinical data regarding IAP in preeclamptics. We evaluated and compared the IAP and its effects on organ functions, in normotensive and preeclamptic patients.Material and methodsPreviously healthy non ‐laboring patients with a singleton pregnancy scheduled for elective cesarean section under subarachnoid block were enrolled (preeclamptic and normotensive; n = 29 each). IAP was measured using an indwelling Foley catheter, and compared in both cohorts at four predefined time points: just before subarachnoid block, immediately after the onset of sensory block to T6 dermatomal level, just after surgery, and 2 hours later. In addition, the presence of organ dysfunction for respiratory, cardiovascular, renal, hepatic, hematopoietic and central nervous systems were evaluated for association with IAP.ResultsAlthough age, body mass index, gravidity, parity, serum bilirubin, serum creatinine, PaO2/FiO2 ratio and Glasgow coma score of the preeclamptic and normotensive patients were similar, the mean blood pressure was significantly higher (P
AbstractWe are grateful for the opportunity to reply to the comments to our paper on maternal age and risk on cesarean section (CS) in induced labor at term in the Nordic countries (1) byOle Bredahl Rasmussen (2).Rasmussen states that we conclude that women should be informed about a higher risk of CS if they have their labor induced compared with spontaneous labor. He underlines why a direct comparison of risk of CS risk in women in spontaneous labor with women having labor induced at any given gestational age around term, is irrelevant in a clinical setting for the patient (3). We completely agree with this reasoning. Ou...
AbstractIntroductionObese primiparae women with induction of labor are at high risk for a cesarean section. There are contradictory results regarding time in induced labor in relation to maternal body mass index (BMI). It is important to characterize the course of induced labor in order to prevent unnecessary cesarean section. We aimed to evaluate whether the duration of labor was associated with maternal BMI in primiparae women with induction of labor.Material and methodsA national retrospective cohort study, including 15 259 primiparae women with a single term pregnancy, admitted for induction of labor from January 2014 ...
AbstractCongratulations with your collaborative work from the Nordic countries on induction of labor (IOL). In your conclusion you state that women should be informed about a higher risk of cesarean section (CS) if they have their labor induced compared with spontaneous labor1.When you use data for clinical discussions with the patients, data should relate as much as possible to the clinical situation that the patient is facing. When discussing pro et con in relation to IOL, the woman is of course not in spontaneous labor. For this reason, comparing induced labor with spontaneous labor is irrelevant for the patient.
This study aimed to compare the long-term reproductive and obstetric outcomes in women treated for FOC during their first pregnancy with women who did not experience FOC with their first pregnancy.
ConclusionKagami –Ogata syndrome should have been suspected because of the presence of polyhydramnios and omphalocele during pregnancy. Respiratory insufficiency soon after birth, because of a small thorax, is expected in this disease and a diagnosis during pregnancy may have enabled appropriate care after birth.
ConclusionsWomen with CP are at increased risk of preterm birth and other adverse pregnancy outcomes, suggesting that they deserve extra surveillance during antenatal care. Further studies, with information on type of CP and gross motor function, are warranted in order to better understand the association between CP and pregnancy outcome.
Conclusion: In the late-term abortions, obstetricians should be vigilant if ultrasound imaging shows suspected umbilical vascular thrombosis or shows 1 umbilical artery when there had previously been 2. The fetus should be closely monitored and interventions implemented as early as possible to improve the prenatal detection rate of umbilical vessel thrombosis and avoid adverse pregnancy outcomes.
CONCLUSIONS: The problem of unexpected non-cephalic presentation in labor can to a great extent be overcome by a routine ultrasound examination at 35+0 - 36+6 weeks' gestation. The incidence of non-cephalic presentation at the 35+0 - 36+6 weeks scan was about 5%, but, in about 40% of these cases the presentation at birth was cephalic, mainly due to subsequent spontaneous rotation and to a lesser extent as a consequence of successful ECV. This article is protected by copyright. All rights reserved. PMID: 31671470 [PubMed - as supplied by publisher]
ConclusionsThe performance of the Danish national screening program for SGA based on selective EFWus on clinical indication have improved considerably over the last 20 years. Limitations of the program are the large proportion of women referred to ultrasound scan and the low performance post ‐term.
AbstractIntroductionGestational diabetes is on the rise and demographics are changing in many countries due to increased migration. Simultaneously, the treatment of gestational diabetes in our clinic has shifted towards metformin with substantially less insulin treatment. The aim was to study the impact of these changes on metabolic control and pregnancy outcome through comparing women diagnosed with gestational diabetes during 2012 ‐2013 and 2016‐2017.Material and methodsOur universal Oral Glucose Tolerance Test screening program for gestational diabetes diagnosed a total of 199 women with singleton pregnancies during...