Delivering Neonates at High Risk at the Right Place
Regionalization of perinatal care has long been known to improve neonatal outcomes. The March of Dimes, in their original iteration of Toward Improving the Outcome of Pregnancy in 1976, strongly advocated for regionalized perinatal care and development of levels of neonatal care. In response, health care systems created regional perinatal networks to facilitate antenatal transfer of women at risk for preterm birth in the hopes of improving neonatal outcome and maternal care. In the 1990s, with the advent of managed care and expansion of Medicaid reimbursement, hospitals sought to control costs within systems. These changes led to an increase in the number of community neonatal intensive care units, which have outpaced local acuity and volume and contributed to the relative disintegration of regionalized perinatal networks. With variable definitions of levels of neonatal care, smaller neonatal intensive care units (NICUs) may not be able to offer the same resources as larger units, and lower daily volumes of NICU census can be associated with poorer outcomes. For women with pregnancies requiring very preterm deliveries, receiving care at the right hospital with the right resources can be a matter of survival or normal development for their children.
Publication date: Available online 5 April 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Ayala Zilberman, Vered Eisenberg, Rakefet Yoeli, David Soriano, Eyal Sivan, Gil Golan, Roy Mashiach
Publication date: Available online 4 April 2020Source: Case Reports in Women's HealthAuthor(s): Peter Khamvongsa, Naiya Patel, Ayesha Aziz Ali, Nikita Bodoukhin, Octavio Carreno
As much of the world settles into a new routine of social distancing, couples are likely to have a lot more free time to snuggle at home together. But there could be a number of risks in trying to get pregnant right now.
In this study, we aimed to assess the possible association between affective temperaments and GH.Methods: This cross-sectional study was conducted on women with GH hospitalized in hospitals affiliated with Mashhad University of Medical Sciences, compared with healthy women admitted for normal delivery in the same centers during the study. Data were collected via Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Auto-questionnaire (TEMPS-A) and Depression Anxiety Stress Scale (DASS) 21.Results: TEMPS-A revealed that scores anxious (P
Conclusion: This study provides evidence for blood pressure management in Chinese pregnant women. PMID: 32243195 [PubMed - as supplied by publisher]
Contributor : Daniel VaimanSeries Type : Expression profiling by arrayOrganism : Homo sapiensThe STOX1 transcription factor has been involved in a complex human disease of pregnancy, preeclampsia, in human families, and mouse models. However, its mode of action is still largely unknown. Overexpression of either the long (STOX1A) or the short (STOX1B) isoform was obtained in the BeWo villous trophoblast model, a cell line able to fuse in syncytiotrophoblast following induction by forskolin treatment. The effects at the transcriptional level are evaluated in every condition.
CONCLUSIONS: The iNOS -2087A>G (rs2297518) gene polymorphism does not influence RPL in the study area of Dolj County, Romania. PMID: 32239088 [PubMed - in process]
Introduction: Domestic violence (DV) during pregnancy is associated with poor health outcomes for both the mother and newborn, and sometimes death. In a low-income country like Nepal, women have few options to leave abusive situations. Theref...
This cross-sectional, observational, and descriptive study was conducted to evaluate the association between age at menarche in the adolescent population and the age at sexual initiation, age at first pregnancy, and experience of sexual violence in the ado...
Carrie Symonds, the pregnant fiance of British Prime Minister Boris Johnson, said she had spent the past week in bed with symptoms of the novel coronavirus but after seven days of rest felt stronger and was on the mend.