Cesarean section in reducing mother-to-child HBV transmission: a meta-analysis
. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - September 21, 2020 Category: Perinatology & Neonatology Authors: Rongfang He Ping Wen Mei Xiong Zenan Fan Fang Li Dan Luo Xin Xie Source Type: research

Robotic Repair of Complicated Vesico-[utero]/Cervicovaginal Fistula after Cesarean Section
Publication date: Available online 31 August 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Pengfei Wang, Michael Mesbah, George Lazarou, Mathew Wells, Farr R. Nezhat (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 19, 2020 Category: OBGYN Source Type: research

SARS-CoV-2 screening of asymptomatic women admitted for delivery must be performed with a combination of microbiological techniques: an observational study.
CONCLUSIONS: During epidemic episodes in asymptomatic women in labor, universal testing with RT-PCR (considering Ct determination), and the detection of antibodies, permits a better interpretation of the results and avoid unnecessary isolation procedures. PMID: 32945157 [PubMed - as supplied by publisher] (Source: Revista Espanola de Quimioterapia)
Source: Revista Espanola de Quimioterapia - September 18, 2020 Category: Drugs & Pharmacology Authors: Viñuela MC, De León-Luis JA, Alonso R, Catalán P, Lizarraga S, Muñoz P, Bouza E, Gregorio Marañón Obstetrics and Gynecology and Microbiology-ID COVID 19 Study Group Tags: Rev Esp Quimioter Source Type: research

Characterizing dynamics of serum creatinine and creatinine clearance in extremely low birth weight neonates during the first 6 weeks of life
ConclusionsWe report the first mathematical model able to characterize Scr and CLcr in ELBW neonates during the first 6  weeks of life in a quantitative manner as a function of GA, MOD, and ibuprofen treatment. This model allows the derivation of GA-adjusted reference ranges for ELBW neonates and provides a rationale for normative Scr concentrations, and as such will help clinicians to further optimize monitoring an d treatment decisions in this vulnerable patient population. (Source: Pediatric Nephrology)
Source: Pediatric Nephrology - September 17, 2020 Category: Urology & Nephrology Source Type: research

Risk factors for postpartum depression: An evidence-based systematic review of systematic reviews and meta-analyses.
CONCLUSION: Thirteen risk factors were identified, but five factors still controversial due to the insufficient of the evidence. What's more, skin-to-skin care and some nutrition related factors are protective factors against PPD. PMID: 32927309 [PubMed - as supplied by publisher] (Source: Asian Journal of Psychiatry)
Source: Asian Journal of Psychiatry - September 16, 2020 Category: Psychiatry Tags: Asian J Psychiatr Source Type: research

Impact of clinical audits on Cesarean section rate in a Spanish hospital: analysis of 6 year data according to the Robson classification
Publication date: Available online 15 September 2020Source: European Journal of Obstetrics & Gynecology and Reproductive BiologyAuthor(s): Patricia Pinto, Patricia H. Crispín-Milart, Elena Rojo, Begoña Adiego (Source: European Journal of Obstetrics and Gynecology and Reproductive Biology)
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - September 16, 2020 Category: OBGYN Source Type: research

Preparing the Burns Unit to Accommodate Vaginal Delivery and Cesarean Section for Pregnant Women with COVID-19: A Successful Experience from Jordan
(Source: Advances in Therapy)
Source: Advances in Therapy - September 16, 2020 Category: Drugs & Pharmacology Source Type: research

Prolonged Fetal Heart Rate Decelerations in Labor: Can We Reduce Unplanned Primary Cesarean Sections in This Group?
ConclusionOur results indicate that the practice of placing patients on fetal monitor upon arrival to the operating room prior to performing crash cesarean delivery could reduce the rate of primary cesarean deliveries performed for prolonged decelerations in labor. When fetal heart tones have returned to baseline upon arrival in the operating room, the decision to proceed with cesarean delivery can be reconsidered. However, many clinical factors must be taken into consideration, and the decision to proceed is ultimately at the discretion of the obstetrics provider. (Source: Advances in Therapy)
Source: Advances in Therapy - September 16, 2020 Category: Drugs & Pharmacology Source Type: research

Obstetrical care is associated with child's dietary diversity in Indonesia: analysis from Demographic and Health Survey 2017.
CONCLUSIONS: Efforts focusing on providing nutritional education during antenatal care and delivery should be encouraged, especially for mothers seeking care outside of a health facility. PMID: 32933590 [PubMed - as supplied by publisher] (Source: Public Health Nutrition)
Source: Public Health Nutrition - September 16, 2020 Category: International Medicine & Public Health Authors: Young AMP, Kang Y Tags: Public Health Nutr Source Type: research

Magnitude and trends in socio-economic and geographic inequality in access to birth by cesarean section in Tanzania: evidence from five rounds of Tanzania demographic and health surveys (1996 –2015)
ConclusionThe findings showed that over the last 19  years, women who were uneducated, poorest/poor, living in rural settings and from regions such as Zanzibar South, appeared to utilize CS services less in Tanzania. Therefore, such subpopulations need to be the central focus of policies and programmes implemmentation to improve CS services cover age and enhance equity-based CS services utilization. (Source: Archives of Public Health)
Source: Archives of Public Health - September 15, 2020 Category: International Medicine & Public Health Source Type: research

A double-blind placebo controlled trial on effectiveness of prophylactic dexamethasone for preventing post- dural puncture headache after spinal anesthesia for cesarean section
. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - September 15, 2020 Category: Perinatology & Neonatology Authors: Boniface Chukwuneme Okpala George Uchenna Eleje Joseph Ifeanyichukwu Ikechebelu Chukwuemeka Jude Ofojebe Toochukwu Benjamin Ejikeme Cyril Emeka Nwachukwu Augusta Nkiruka Okpala Source Type: research

Impact of clinical audits on Cesarean section rate in a Spanish hospital: analysis of 6  year data according to the Robson classification
In 1985, the World Health Organization claimed that there was no justification for cesarean section (CS) rates over 10-15% [1], as higher rates were not associated with further improvement in maternal and neonatal outcomes and could be linked to negative consequences [2 –6]. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - September 15, 2020 Category: OBGYN Authors: Patricia Pinto, Patricia H. Crisp ín-Milart, Elena Rojo, Begoña Adiego Tags: Full length article Source Type: research

Association between mode of delivery and postpartum depression: A systematic review and network meta-analysis.
CONCLUSION: The mode of delivery has a significant effect on the occurrence of mild postpartum depression. Women who give birth by cesarean section, especially who give birth by emergency cesarean section, are at a higher risk of mild postpartum depression. We should carefully monitor the progress of postpartum mental disorders in women who delivered by cesarean section and make it possible for women to have a quick access to mental healthcare. PMID: 32929976 [PubMed - as supplied by publisher] (Source: The Australian and New Zealand Journal of Psychiatry)
Source: The Australian and New Zealand Journal of Psychiatry - September 15, 2020 Category: Psychiatry Authors: Sun L, Wang S, Li XQ Tags: Aust N Z J Psychiatry Source Type: research

Pregnant patients requiring appendectomy: comparison between open and laparoscopic approaches in NY State
AbstractIntroductionEven though acute appendicitis is the most common general surgical condition encountered during pregnancy, the preferred approach to appendectomy in pregnant patients remains controversial. Current guidelines support laparoscopic appendectomy as the treatment of choice for pregnant women with appendicitis, regardless of trimester. However, recent published data suggests that the laparoscopic approach contributes to higher rates of fetal demise. Our study aims to compare laparoscopic and open appendectomy in pregnancy at a statewide population level.MethodsICD-9 codes were used to extract 1006 pregnant p...
Source: Surgical Endoscopy - September 14, 2020 Category: Surgery Source Type: research

Determinants of exclusive breast-feeding discontinuation in southeastern Brazil, 2008-2013: a pooled data analysis.
CONCLUSIONS: Mothers working outside the home, first-time moms, pacifier use and low birth weight were the factors associated with EBF discontinuation. Evidence-based counselling strategies during antenatal and early postpartum care in primary healthcare are needed to address the modifiable determinants of EBF discontinuation and ultimately to improve its rates in southeastern Brazil. PMID: 32924912 [PubMed - as supplied by publisher] (Source: Public Health Nutrition)
Source: Public Health Nutrition - September 14, 2020 Category: International Medicine & Public Health Authors: Nascimento EN, Leone C, de Abreu LC, Buccini G Tags: Public Health Nutr Source Type: research

Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia.
Authors: Thomard P, Morakul S, Wirachpisit N, Ittichaikulthol W, Pisitsak C Abstract Background: Enlarged uterus can compress the inferior vena cava and cause hypotension when lying supine. Previous studies have shown a positive association between the abdominal circumference and size of the uterus. Therefore, the aim of this study was to evaluate the relationship between abdominal circumference and incidence of hypotension during cesarean section under spinal anesthesia. Methods: The study cohort comprised women undergoing cesarean section under spinal anesthesia. Patients were divided into two groups accordin...
Source: Anesthesiology Research and Practice - September 12, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effectiveness of Leg Elevation to Prevent Spinal Anesthesia-Induced Hypotension during Cesarean Delivery in the Resource-Limited Area: Open Randomized Controlled Trial.
Conclusion: Performing leg elevation immediately after spinal anesthesia reduced the incidence of hypotension. The trial is registered with PACTR201908713181850. PMID: 32908497 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - September 12, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Temporal heterogeneity of placental segmental fetal vascular malperfusion: timing but not etiopathogenesis
AbstractClinicopathologic correlations of segmental villous avascularity and other histological lesions of segmental fetal vascular malperfusion (SFVM) were analyzed retrospectively to determine whether lesions of various durations reflect different etiopathogeneses. The frequencies of 25 independent clinical and 43 placental phenotypes were statistically compared by ANOVA or Chi-square among 3 groups containing a total of 378 placentas with SFVM: group 1 contained 44 cases of recent SFVM (endothelial fragmentation, villous hypovascularity by CD34 immunostain, and/or stromal vascular karyorrhexis); group 2 contained 264 ca...
Source: Virchows Archiv - September 12, 2020 Category: Pathology Source Type: research

Delayed Establishment of Gut Microbiota in Infants Delivered by Cesarean Section
The maternal vaginal microbiome is an important source for infant gut microbiome development. However, infants delivered by Cesarean section (CS) do not contact the maternal vaginal microbiome and this delivery method may perturb the early establishment and development of the gut microbiome. The aim of this study was to investigate the early gut microbiota of Korean newborns receiving the same postpartum care services for two weeks after birth by delivery mode using fecal samples collected at days 3, 7, and 14. Early gut microbiota development patterns were examined using 16S rRNA gene-based sequencing from 132 infants eit...
Source: Frontiers in Microbiology - September 11, 2020 Category: Microbiology Source Type: research

Single Center Outcome of Multiple Births in the Premature and Very Low Birth Weight Cohort in Singapore
Am J Perinatol DOI: 10.1055/s-0040-1716482 Objective The aim of this study is to compare neonatal mortality and morbidity in multiple and singleton preterm/very low birthweight (PT/VLBW) multiethnic Asian infants. Study Design Cohort study of 676 singleton and 299 multiple PT/VLBW infants born between 2008 and 2012 at KK Women's and Children's Hospital, the largest tertiary perinatal center in Singapore with further stratification by gestational ages 23 to 25 (Group 1), 26 to 28 (Group 2), and ≥29 (Group 3) weeks. Outcome measures included predischarge mortality and major neonatal morbidity. Results&e...
Source: American Journal of Perinatology - September 11, 2020 Category: Perinatology & Neonatology Authors: Anand, Amudha Jayanthi Sabapathy, Karthik Sriram, Bhavani Rajadurai, Victor Samuel Agarwal, Pratibha Keshav Tags: Original Article Source Type: research

Value of Crystal Vue technique in detecting the placenta accreta spectrum located in c-section scar area.
The objective of this study was to explore the diagnostic accuracy of the Crystal Vue technique combined with two-dimensional (2D) ultrasound in detecting the degree of placenta accreta spectrum (PAS) located in the C-section scar area. MATERIALS AND METHODS: Twenty-seven pregnant women with a strong suspicion of PAS underwent 2D ultrasound combined with a Crystal Vue examination. The diagnosis of 2D ultrasound alone and Crystal Vue combined with 2D ultrasound was statistically calculated, respectively. Cohen's kappa (k) was used to measure the consistency between these two ultrasound diagnosis and the postoperative di...
Source: Medical Ultrasonography - September 10, 2020 Category: Radiology Tags: Med Ultrason Source Type: research

Weekend and off-hour effects on the incidence of cerebral palsy: contribution of consolidated perinatal care
ConclusionLabor on weekends, during the night shift, and at regional perinatal medical care centers was associated with significantly elevated risk for cerebral palsy in emergency cesarean section. (Source: Environmental Health and Preventive Medicine)
Source: Environmental Health and Preventive Medicine - September 10, 2020 Category: Environmental Health Source Type: research

Frequent recurrence of pregnancy-triggered congenital thrombotic thrombocytopenic purpura: A rare case report.
We report a case of a 24-year-old woman who was diagnosed as TTP during early pregnancy. A novel mutation was detected: c.3667G>T (p.E1223*). She responded well to plasma therapy during pregnancy and had a child by cesarean section at 32 weeks. TTP is still recurrent in postpartum patients. The plasma transfusion was effective, but caused a severe transfusion reaction. Cyclosporine was administered with the consent of the patient. This case showed cyclosporine-A (CSA) had a positive effect on ADAMTS13 activity. At 11-months follow-up, the patient's blood cells and LDH status were stable and no symptom was seen. Our case...
Source: Clinical Hemorheology and Microcirculation - September 10, 2020 Category: Hematology Authors: Xu J, Yu S, Zhang F Tags: Clin Hemorheol Microcirc Source Type: research

Fatherhood too soon. Anxiety, depression and quality of life in fathers of preterm and term babies: a longitudinal study.
Authors: Petersen IB, Quinlivan JA Abstract INTRODUCTION: Fathers are increasingly recognized as playing a critical role in the family unit and emotional development of children. The birth of a preterm baby can be confronting, yet there is limited research that explores how preterm birth might impact on father's emotional wellbeing and quality of life. The aim of the study was to monitor quality of life and psychological wellbeing in a group of fathers to explore if a preterm birth altered outcomes in these two domains. METHODS: Institutional ethics committee approval was obtained. Australian men (N =&th...
Source: Journal of Psychosomatic Obstetrics and Gynaecology - September 9, 2020 Category: OBGYN Tags: J Psychosom Obstet Gynaecol Source Type: research

Analysis of Factors That May Affect the Effect of Atropine 0.01% on Myopia Control
Children respond differently to atropine treatment, and predicting patient factors associated with better myopia control is important. Therefore, we aimed to evaluate factors related to myopia progression in Chinese children treated with atropine 0.01%. This retrospective study included 133 children who were administered atropine 0.01% eyedrops every night for 1 year. Enrolled children were examined at follow-up visits at 3 and 6 months, and 1 year. The primary outcome was clinically significant myopia progression (over a -0.75 diopter (D) increase in spherical equivalent (SE)). Multivariate logistic analysis was used to i...
Source: Frontiers in Pharmacology - September 9, 2020 Category: Drugs & Pharmacology Source Type: research

Association of traction force and adverse neonatal outcome in vacuum ‐assisted vaginal delivery: A prospective cohort study
AbstractIntroductionTraction force is a possible risk factor for adverse neonatal outcome in vacuum extraction delivery, but the knowledge is scarce and further investigation is needed. Our hypothesis was that high ‐level traction force increases the risk of admission to the neonatal intensive care unit.Material and methodsThe study was a hospital ‐based prospective cohort study on low‐ and mid‐vacuum extractions at the labor and delivery ward, Karolinska University Hospital, Huddinge, Sweden. Traction forces were measured in 331 women. An electronical handle was used to measure and register traction force. The mai...
Source: Acta Obstetricia et Gynecologica Scandinavica - September 9, 2020 Category: OBGYN Authors: Kristina A. Pettersson, Magnus Westgren, Mats Blennow, Gunilla Ajne Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Clinical characteristics and outcomes in pregnant women with epilepsy.
Abstract BACKGROUND: Epilepsy in pregnancy can lead to substantial maternal and neonatal morbidity and mortality. Early intervention in pregnant women with epilepsy (WWE), accurate assessment of the severity of their condition, and effective treatment are required to improve maternal and neonatal prognosis. Many obstetricians lack experience in monitoring and treating pregnant WWE. AIMS: The aim of this study was to describe the demographic and clinical characteristics of pregnant WWE and examine maternal and neonatal outcomes. METHODS: Medical records of 75 pregnant women with a history of epilepsy who ...
Source: Epilepsy and Behaviour - September 9, 2020 Category: Neurology Authors: Huang CY, Dai YM, Feng LM, Gao WL Tags: Epilepsy Behav Source Type: research

Association of traction force and adverse neonatal outcome in vacuum ‐assisted vaginal delivery: A prospective cohort study
AbstractIntroductionTraction force is a possible risk factor for adverse neonatal outcome in vacuum extraction delivery, but the knowledge is scarce and further investigation is needed. Our hypothesis was that high ‐level traction force increases the risk of admission to the neonatal intensive care unit.Material and methodsThe study was a hospital ‐based prospective cohort study on low‐ and mid‐vacuum extractions at the labor and delivery ward, Karolinska University Hospital, Huddinge, Sweden. Traction forces were measured in 331 women. An electronical handle was used to measure and register traction force. The mai...
Source: Acta Obstetricia et Gynecologica Scandinavica - September 9, 2020 Category: OBGYN Authors: Kristina A. Pettersson, Magnus Westgren, Mats Blennow, Gunilla Ajne Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

5-HT3 blockade does not attenuate postspinal blood pressure change in cesarean section: A case-control study
Spinal anesthesia (SpA) for elective caesarean section (CS) is often accompanied by clinically relevant arterial hypotension. The Bezold-Jarisch reflex, causing postspinal hypotension, has been shown to be antagonized by serotonin type 3 (5-HT3) blockade. Our aim was to assess if routine prophylactic administration of the 5-HT3 antagonist ondansetron (ODS) attenuates postspinal change in maternal blood pressure. Elective CS under SpA were retrospectively analyzed. Eighty parturients having routinely received 8 mg ODS prior to SpA were compared with 80 patients having not (control group). Mean arterial blood pressure si...
Source: Medicine - September 4, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

High-intensity focused ultrasound (HIFU) for the treatment of uterine fibroids: does HIFU significantly increase the risk of pelvic adhesions?
CONCLUSIONS: Based on our results with limited numbers, we concluded that HIFU treatment did not significantly increase the risk of pelvic adhesions. PMID: 32873107 [PubMed - in process] (Source: International Journal of Hyperthermia)
Source: International Journal of Hyperthermia - September 4, 2020 Category: Internal Medicine Tags: Int J Hyperthermia Source Type: research

Norepinephrine prophylaxis for postspinal anesthesia hypotension in parturient undergoing cesarean section: a randomized, controlled trial
AbstractObjectiveTo investigate the efficacy and safety of prophylactic infusion of norepinephrine (NE) versus normal saline in patients undergoing cesarean section.MethodsPatients (n = 97) were randomized to receive a bolus of NE (6 μg) immediately following spinal anesthesia with maintenance NE (0.05 μg/kg/min IV) or normal saline (n = 98). The primary endpoint was the incidence of postspinal anesthesia hypotension [systolic blood pressure (SBP) 
Source: Archives of Gynecology and Obstetrics - September 4, 2020 Category: OBGYN Source Type: research

Implementation and evaluation of nonclinical interventions for appropriate use of cesarean section in low- and middle-income countries: protocol for a multisite hybrid effectiveness-implementation type III trial
While cesarean sections (CSs) are a life-saving intervention, an increasing number are performed without medical reasons in low- and middle-income countries (LMICs). Unnecessary CS diverts scarce resources and... (Source: Implementation Science)
Source: Implementation Science - September 4, 2020 Category: Health Management Authors: Alexandre Dumont, Ana Pilar Betr án, Charles Kaboré, Myriam de Loenzien, Pisake Lumbiganon, Meghan A. Bohren, Quoc Nhu Hung Mac, Newton Opiyo, Guillermo Carroli, Kristi Sidney Annerstedt, Valéry Ridde, Ramón Escuriet, Michael Robson and Claudia Hanson Tags: Study protocol Source Type: research

Acute compartment syndrome of the lower limb following childbirth: a case report
ConclusionAcute compartment syndrome is an important differential diagnosis in the setting of sudden onset of lower limb pain following childbirth. Predisposing factors for its manifestation within an obstetric environment are augmented labor, the lithotomy position, postpartum hemorrhage, hypotension following epidural analgesia, and the use of vasoconstrictive agents. If left undiagnosed and untreated, acute compartment syndrome may cause permanent neurovascular deficit, leading to a poor functional result, tissue ischemia, limb amputation, and rhabdomyolysis. If severe, and in large compartments, it can lead to renal fa...
Source: Journal of Medical Case Reports - September 4, 2020 Category: General Medicine Source Type: research

Pyoderma gangrenosum in a cesarean section wound in a woman with myelodysplastic syndrome: A case report
Publication date: Available online 1 September 2020Source: Case Reports in Women's HealthAuthor(s): Nanao Suzuki, Tsuyoshi Murata, Toma Fukuda, Aya Kanno, Hyo Kyozuka, Shun Yasuda, Akiko Yamaguchi, Keiya Fujimori (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - September 3, 2020 Category: OBGYN Source Type: research

Analysis of Myomectomy during Cesarean Section: A Tertiary Center Experience.
CONCLUSION: Myomectomy during CS is safe and can be applied regardless of the location, size, type, and number of myomas. However, to make myomectomy routine during CS, multi-center studies that include more cases are needed. PMID: 32865048 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)
Source: Journal of Investigative Surgery - September 2, 2020 Category: Surgery Tags: J Invest Surg Source Type: research

Robotic repair of complicated vesico-[utero]/cervico-vaginal fistula after cesarean section
Publication date: Available online 31 August 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Pengfei Wang, Michael Mesbah, George Lazarou, Mathew Wells, Farr Nezhat (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 2, 2020 Category: OBGYN Source Type: research

Efficacy of transvaginal cervical cerclage in women at risk of preterm birth following previous emergency cesarean section
This study aims to assess efficacy of transvaginal cervical cerclage (TVC) in prevention of preterm birth among women who have had an EMCS followed by a subsequent late miscarriage or sPTB.Material and methodsA historical cohort study was performed assessing outcomes of women attending the Preterm Surveillance Clinic at St Thomas ’ Hospital, London, who received TVC, with a history of EMCS (pregnancy A) followed by a sPTB/late miscarriage (pregnancy B) and a subsequent pregnancy (pregnancy C). A historical reference group managed in the same clinic was identified comprising women with any risk factor for sPTB, who re...
Source: Acta Obstetricia et Gynecologica Scandinavica - September 2, 2020 Category: OBGYN Authors: Maria M. Hickland, Lisa Story, Agnieszka Glazewska ‐Hallin, Natalie Suff, Matthew Cauldwell, Helena A. Watson, Jenny Carter, Kate E. Duhig, Andrew H. Shennan Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

International Consensus Statement on the Use of Uterotonic Agents During Cesarean Section
(Anaesthesia. 2019;74:1305–1319) (Source: Obstetric Anesthesia Digest)
Source: Obstetric Anesthesia Digest - September 1, 2020 Category: Anesthesiology Tags: Editorials and Reviews Source Type: research

Transversus Abdominis Plane Block and Intrathecal Morphine Use in Cesarean Section: A Retrospective Review
(Reg Anesth Pain Med. 2019;44:1035–1037) (Source: Obstetric Anesthesia Digest)
Source: Obstetric Anesthesia Digest - September 1, 2020 Category: Anesthesiology Tags: Anesthesia and Analgesia: Postoperative Analgesia Source Type: research

Considering delay of cholecystectomy in the third trimester of pregnancy
AbstractIntroductionCurrent guidelines support laparoscopic cholecystectomy as the treatment of choice for pregnant women with symptomatic gallbladder disease, regardless of the trimester. Early intervention has remained the standard of care, but recent evidence has challenged this practice in pregnant women. We sought to compare surgical and maternal –fetal outcomes of antepartum versus postpartum cholecystectomy in New York State.MethodsBetween 2005 and 2014, the New York Statewide Planning and Research Cooperative System (SPARCS) database was queried for patients who underwent cholecystectomy within 3 months befor...
Source: Surgical Endoscopy - September 1, 2020 Category: Surgery Source Type: research

A Nemzeti V éradó és Vérmentő Program szülészeti vonatkozásai.
A Nemzeti Véradó és Vérmentő Program szülészeti vonatkozásai. Orv Hetil. 2020 Sep;161(37):1588-1598 Authors: Oláh Z, Deli T, Mühl D Abstract The aims of the National Blood Donation and Blood Saving Program are to support the rational and judicious utilization of blood products and abolish irrational transfusion policy to improve patient safety. In addition to the general principles, this program has got some special obstetrical aspects. Obstetrical, especially the postpartum haemorrhages belong to the leading causes of maternal mortality worl...
Source: Orvosi Hetilap - September 1, 2020 Category: General Medicine Authors: Oláh Z, Deli T, Mühl D Tags: Orv Hetil Source Type: research

Robotic repair of complicated vesico-[utero]/cervico-vaginal fistula after cesarean section
To demonstrate intra and postoperative steps in a successful management of a complicated vesico-[utero]/cervico-vaginal fistula. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - August 31, 2020 Category: OBGYN Authors: Pengfei Wang, Michael Mesbah, George Lazarou, Mathew Wells, Farr Nezhat Tags: Video Article Source Type: research

Robotic Repair of Complicated Vesico-[utero]/Cervicovaginal Fistula after Cesarean Section
To demonstrate intra- and postoperative steps in a successful management of a complicated vesico-[utero]/cervicovaginal fistula. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - August 31, 2020 Category: OBGYN Authors: Pengfei Wang, Michael Mesbah, George Lazarou, Mathew Wells, Farr R. Nezhat Tags: Video Article Source Type: research

Adverse effects of gestational diabetes-related risk factors on pregnancy outcomes and intervention measures.
This study was designed to investigate the risk factors of gestational diabetes mellitus (GDM), analyze its adverse effects on pregnancy outcomes and propose corresponding interventions. From January 2017 to December 2018, 378 GDM patients (GDM group) awaiting delivery in Weifang People's hospital were selected. At the same time, 200 pregnant women with normal blood glucose (NGT) were randomly selected as the control group. According to general and clinical data, the univariate and multivariate logistic regression analyses were used to screen the risk factors for GDM. The pregnancy outcomes of the two groups were calculate...
Source: Experimental and Therapeutic Medicine - August 30, 2020 Category: General Medicine Tags: Exp Ther Med Source Type: research

Beliefs related to sexual intimacy, pregnancy and breastfeeding in the public during COVID-19 era: a web-based survey from India.
CONCLUSIONS: The present study suggests that a significant proportion of people have misinformation about sexual intimacy, pregnancy, and breastfeeding in the ongoing pandemic which needs to be addressed. PMID: 32851889 [PubMed - as supplied by publisher] (Source: Journal of Psychosomatic Obstetrics and Gynaecology)
Source: Journal of Psychosomatic Obstetrics and Gynaecology - August 29, 2020 Category: OBGYN Tags: J Psychosom Obstet Gynaecol Source Type: research

Ectopic pregnancy in a paraaortic lymph node
A 39-year-old woman, gravida 3, para 1, conceived via IVF-ET. She had undergone bilateral salpingectomy due to an ectopic pregnancy with hydrosalpinx previously. At 55/7 weeks of gestation, a gestational sac (GS) was not seen in the uterine cavity. At 61/7 weeks, she underwent a laparoscopic examination that showed no evidence of an ectopic pregnancy in her pelvic cavity. By 64/7 weeks, her β-hCG level rose to 9429 mIU/ml, and she was transferred to our hospital. We could not detect an ectopic pregnancy by pelvic MRI, but a 1 cm cystic lesion at the cesarean section scar was observed. (Source: European Journal ...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - August 29, 2020 Category: OBGYN Authors: Seiji Kagami, Shoko Amimoto, Yasuyuki Kinjo, Kiyoshi Yoshino Tags: Correspondence Source Type: research

Resuscitation of moderate and late preterm babies in the delivery room: associated factors
Resumo Objetivo Verificar as vari áveis obstétricas e neonatais relacionadas à necessidade de reanimação de recém-nascidos (RN) prematuros moderados e tardios em sala de parto. Métodos Estudo transversal que incluiu 151 RN prematuros moderados e tardios de um hospital universitário do sul do Brasil. Participaram do estudo, todos os RN moderados e tardios, que nasceram no período de maio de 2016 a maio de 2017. A coleta aconteceu por meio dos prontuários dos participantes, utilizando instrumento próprio para coleta de dados. Os resultados foram apr...
Source: Acta Paulista de Enfermagem - August 28, 2020 Category: Nursing Source Type: research

Acute-on-Chronic Liver Failure in Pregnant Patients with Chronic Hepatitis B: A Retrospective Observational Case Series Study.
Conclusion: Asthenia, anorexia, and jaundice during mid-late pregnancy should be immediately investigated. Before and during the pregnancy, hepatologists or obstetricians should actively screen pregnant women with CHB for HBV DNA status and alanine aminotransferase levels. Reactivation of HBV replication in pregnant women with CHB may lead to ACLF, especially in multiparous women. Once ACLF is diagnosed, antiviral therapy should be considered as soon as possible to protect maternal and fetal health. PMID: 32849869 [PubMed] (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - August 28, 2020 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Editorial comment
Postpartum voiding dysfunction (PPVD), also referred to in the literature as postpartum urinary retention, has been defined as inability to void within 6 hours of giving birth or within 6 hours of catheter removal after cesarean section, or incomplete emptying with post void residual urine volume greater than 150 cc. Prior studies, many with poorly defined definitions of PPVD and/or unclear methods of diagnosis, have shown wide variability in prevalence estimates ranging from 1.5% to 37%.1 This contemporary study by Diaz et al (n  = 2308), using a standardized definition and standardized methods with straight catheteri...
Source: Urology - August 28, 2020 Category: Urology & Nephrology Authors: Ariana L. Smith Source Type: research