Benefit of standardized risk assessment for postpartum hemorrhage.

Benefit of standardized risk assessment for postpartum hemorrhage. BJOG. 2020 Jul 01;: Authors: Contag S Abstract Global estimates for 2017 indicated that there were 295,000 maternal deaths, 35 per cent lower than in 2000 with a decline in global maternal mortality ratio from 342 to 211 deaths per 100,000 live births (World Health Organization (WHO) 2019). Maternal hemorrhage is the leading direct cause of maternal death worldwide, representing 27% (20-36) of maternal deaths ( Say L, et al. Lancet 2014). Multiple large retrospective population cohorts have identified risk factors invariably associated with maternal hemorrhage including mode of delivery, prolonged labor, chorioamnionitis, and twins among others (Briley A, et al. BJOG 2014). Factors such as maternal BMI, race or ethnicity, pregnancy induced hypertension, and maternal age have not been consistently associated with increased PPH and require more research, especially given the relationship between maternal obesity, gestational diabetes, pregnancy induced hypertension and PPH. PMID: 32613729 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research

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By Jomo Kwame Sundaram and Wan Manan MudaKUALA LUMPUR, Malaysia, Jul 2 2020 (IPS) The Covid-19 crisis has had several unexpected effects, including renewed attention to food security concerns. Earlier understandings of food security in terms of production self-sufficiency have given way to importing supplies since late 20th century promotion of trade liberalization. Jomo Kwame SundaramTransnational food business Disruption of transnational food supply chains and the devastation of many vulnerable livelihoods by policy responses to the Covid-19 pandemic have revived interest in earlier understandings of food self-sufficien...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Development & Aid Economy & Trade Food Security and Nutrition Food Sustainability Global Headlines Health Humanitarian Emergencies Poverty & SDGs TerraViva United Nations Source Type: news
Maternal obesity during pregnancy and gestational diabetes mellitus (GDM) are both associated with of several postnatal diseases in the offspring, including obesity, early onset hypertension, diabetes mellitus, and reproductive alterations. Metformin is an oral drug that is being evaluated to treat GDM, obesity-associated insulin resistance, and polycystic ovary syndrome (PCOS) during pregnancy. The beneficial effects of metformin on glycemia and pregnancy outcomes place it as a good alternative for its use during pregnancy. In this line of thought, improving the metabolic status of the pregnant mother by using metformin s...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
In this study, BMI at the time of birth was not associated with neonatal near miss or death. We found that previous maternal obesity, diabetes, and chronic hypertension were associated with SNO. Maternal pathology in the index pregnancy such as other obstetric hemorrhage, preeclampsia, anemia, and gestational diabetes were associated with SNO. PMID: 32513319 [PubMed - as supplied by publisher]
Source: The British Journal of Nutrition - Category: Nutrition Authors: Tags: Br J Nutr Source Type: research
AbstractObjectivesThe primary objective is to determine the efficacy of a single dose of ivermectin, administered to low risk, non-severe COVID-19 patients in the first 48 hours after symptom onset to reduce the proportion of patients with detectable SARS-CoV-2 RNA by Polymerase Chain Reaction (PCR) test from nasopharyngeal swab at day 7 post-treatment.The secondary objectives are:To assess the efficacy of ivermectin to reduce the SARS-CoV-2 viral load in the nasopharyngeal swab at day 7 post treatment.To assess the efficacy of ivermectin to improve symptom progression in treated patients.To assess the proportion of seroco...
Source: Trials - Category: Research Source Type: clinical trials
Conclusions and Relevance A myriad of patient and environmental factors impact the potential success rates of IVF in treating infertility. Providers must be equipped to provide data-driven, patient-centered counseling before initiation of IVF. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completion of this CME article, readers should be better able to explain the importance of IVF in treating infertility for a variety of patient populations; describe current recommendations and best practices for preconception workup and counseling; identify important risk factors an...
Source: Obstetrical and Gynecological Survey - Category: OBGYN Tags: CME ARTICLES Source Type: research
Conclusions: Maternal health risks were associated with increased adult preventive visits, but 38% of dyads had no adult preventive visits in the year following birth. Most dyads had more opportunities for preventive care in pediatric settings than adult settings.
Source: Medical Care - Category: Health Management Tags: Original Articles Source Type: research
Abstract Human health and environmental risks are increasing following air pollution associated with vehicular and industrial emissions in which particulate matter is a constituent. The purpose of this review was to assess studies on the health effects and mortality induced by particles published for the last 15 years. The literature survey indicated the existence of strong positive associations between fine and ultrafine particles' exposure and cardiovascular, hypertension, obesity and type 2 diabetes mellitus, cancer health risks, and mortality. Its exposure is also associated with increased odds of hypertensive...
Source: Environmental Science and Pollution Research International - Category: Environmental Health Authors: Tags: Environ Sci Pollut Res Int Source Type: research
In this study, we targeted people, both male and female, in the age group of >20 and <60, excluding pregnancy and genetic factors. This paper qualifies as a tutorial article on how to use different ML methods to identify potential risk factors of obesity/overweight. Although institutions such as “Center for Disease Control and Prevention (CDC)” and “National Institute for Clinical Excellence (NICE)” guidelines work to understand the cause and consequences of overweight/obesity, we aimed to utilize the potential of data science to assess the correlated risk factors of ob...
Source: Sensors - Category: Biotechnology Authors: Tags: Article Source Type: research
AbstractPurposeLifestyle changes in diabetes mellitus leads to metabolic syndrome, thus resulting in a hike in micro and macrovascular complications in diabetes mellitus patients. The main objective of the study  was to identify the occurrence of metabolic syndrome and to evaluate the gender-associated difference in each component of metabolic syndrome by using International Diabetic Federation (IDF) and National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III)criteria.MethodsThis is a cross-sectional study conducted in 350 type II diabetes mellitus patients. All the study participants withi...
Source: Journal of Diabetes and Metabolic Disorders - Category: Endocrinology Source Type: research
(Abstracted from J Pediatr 2019;215:64–74) Fetal growth restriction (FGR) and preterm birth are associated with an increase in morbidity and mortality during infancy. Growth-restricted and preterm newborns are also at an increased risk of developing obesity, hypertension, non–insulin-dependent diabetes, and atherosclerosis later in life.
Source: Obstetrical and Gynecological Survey - Category: OBGYN Tags: OBSTETRICS: PHYSIOLOGY & PATHOPHYSIOLOGY OF PREGNANCY, LABOR, AND THE PUERPERIUM Source Type: research
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