The effects of remifentanil used during caesarean section on oxidative stress markers in correlation with maternal hemodynamics and neonatal outcome: A randomized controlled trial
Publication date: Available online 17 October 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Marija S. Kutlesic, Gordana Kocic, Ranko M. KutlesicAbstractBackground and objectiveRemifentanil is used to attenuate maternal hemodynamic response to intubation and surgical stress during Induction-Delivery period of cesarean section. The goal was to compare the effects of two remifentanil dosing regimens on oxidative stress level, in correlation with its hemodynamic and neonatal effects.MethodsFifty-one patients, 17 per group, enrolled for elective cesarean section were randomly divided by computer-ge...
Source: Brazilian Journal of Anesthesiology - October 18, 2019 Category: Anesthesiology Source Type: research

Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis
Evidence for the relationship between maternal and perinatal factors and the success of vaginal birth after cesarean section (VBAC) is conflicting. We aimed to systematically analyze published data on maternal... (Source: BMC Pregnancy and Childbirth)
Source: BMC Pregnancy and Childbirth - October 17, 2019 Category: OBGYN Authors: Yanxin Wu, Yachana Kataria, Zilian Wang, Wai-Kit Ming and Christina Ellervik Tags: Research article Source Type: research

Transvaginal Reduction of a Heterotopic Cornual Pregnancy with Conservation of Intrauterine Pregnancy
Publication date: September 2019Source: Chinese Medical Sciences Journal, Volume 34, Issue 3Author(s): Yingya Li, Liyan Duan, Fengli Chi, Kunming LiAbstractHere we report a case of heterotopic cornual pregnancy after in vitro fertilization who was diagnosed at 6 weeks after frozen embryos transfer. The heterotopic pregnancy was successfully terminated by transvaginal ultrasound-guided selective fetal reduction. At 38+1 weeks, she underwent a cesarean section and delivered a healthy 3300 g male infant with Apgar score of 10-10' evaluated at 1 min and 5 min. (Source: Chinese Medical Sciences Journal)
Source: Chinese Medical Sciences Journal - October 17, 2019 Category: General Medicine Source Type: research

Risk factors for relaparotomy after cesarean section due to hemorrhage: a tertiary center experience
. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - October 17, 2019 Category: Perinatology & Neonatology Authors: Nurullah Peker Mustafa Yavuz Edip Ayd ın Serhat Ege Muhammed Hanifi Bademk ıran Talip Karacor Source Type: research

Delivery in Myopic Women: A Comparison of Mode of Delivery in Years 1990, 2000, and 2010.
CONCLUSIONS The proportion of myopic women in labor receiving ophthalmological consultations showed an increasing trend over time. Despite publication of the Ophthalmology-Obstetrics Consensus of the Polish Society of Ophthalmology guidelines, myopia still remains an indication for cesarean section (cesarian section), but not to shorten the second stage of delivery. PMID: 31609961 [PubMed - in process] (Source: Medical Science Monitor)
Source: Medical Science Monitor - October 16, 2019 Category: Research Tags: Med Sci Monit Source Type: research

Intraoperative superior hypogastric plexus block during cesarean section: a new technique for pain relief
. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - October 16, 2019 Category: Perinatology & Neonatology Authors: Bahar Sar ıibrahim Astepe Hande G ürbüz Aytuluk Arzu Yavuz Ünal Turkay Hasan Terzi Ahmet Kale Source Type: research

2144 Robotic Isthmocele Repair of a Big Cesarean Scar Defect - A Feasible Technique
ConclusionRobotic isthmocele repair is a feasible technique when correctly chosen. Due to the raising number of cesarean sections, gynecologists will face this problem more frequently and must be aware of its indications as well as different approaches. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2065 Robot-Assisted Laparoscopy Repair of a C-Section Scar Defect: A Case Report
ConclusionThe robotic-assisted laparoscopy view, with the 3-D dimension, and the forceps joint make the suture easily to be performed by the gynecologic surgeon. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2960 An Overview of Uterine Scar Defects Post Cesarean Section
ConclusionThere are numerous reports of the minimally invasive repair of CSD; however, it remains unknown in the obstetrical literature when interventions are required. Patients with minimal myometrial thinning and without evidence of serosal dehiscence may not require repair of the defect. More evidence is needed to observe obstetrical outcomes with or without repair. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2728 Robotic Assisted Excision of a Uterine Rudimentary Horn
ConclusionWe hypothesize that after removal of the right fallopian tube retrograde menstrual flow was blocked and caused her severe dysmenorrhea. After the excision of the rudimentary horn the patient's pain improved and went on to naturally conceive an intrauterine pregnancy. The Patient is currently in her second trimester. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1894 Delivery Outcome in the Third Trimester after Hysteroscopic Adhesiolysis
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): B Gao, Q Feng, D Xu, X GuanStudy ObjectiveTo investigate the delivery outcome of women in the third trimester who previously underwent hysteroscopic adhesiolysis (HA).DesignRetrospective cohort study.SettingUniversity-affiliated hospital.Patients or ParticipantsA total of 127 women with a history of HA before pregnancy and delivery in the third trimester from May 2011 to May 2018 were enrolled (Study Group). Additionally, a total of 127 women with a negative history of HA were randomly se...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1514 Impact of Hysteroscopic Surgical Management of Cesarean Scar Syndrome on Pregnancy Rate: A Prospective Observational Study
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): A Takahashi, F Kimura, S Tsuji, A Yamanaka, A Takashima, A Takebayashi, T MurakamiStudy ObjectiveTo evaluate fertility outcomes following hysteroscopic treatment of ishmoceles women with cesarean scar syndrome.DesignProspective observational study.SettingAcademic department in a university hospital.Patients or ParticipantsA series of 36 patient who had undergone hysteroscopic surgery for secondary infertility due to defects with retention of bloody fluid in the uterine cavity between July...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1253 A Descriptive Analysis of Anomalous Ectopic Pregnancies
The objective of this study is to describe the characteristics and history of patients presenting with anomalous ectopics encountered at North Shore University Hospital/Long Island Jewish (NSUH/LIJ) from 2016 to 2018. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: M Cooperman, R Sinha, SC Tardieu, M Farrow, ML Nimaroff Tags: Virtual Poster Session 1: Laparoscopy (10:40 AM — 10:50 AM) 10:40 AM: STATION A Source Type: research

2756 Obstetric Outcomes in a Contemporary Cohort of Women with Endometriosis at an Academic Medical Center
Previous literature shows that women with endometriosis have higher rates of adverse pregnancy outcomes compared to the general population, including preterm birth, fetal growth restriction, and cesarean section. We aim to identify disease-specific risk factors and surgical treatments that impact obstetric outcomes. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: M Orlando, C Blat, M Rosenstein, J Opoku-Anane Tags: Virtual Poster Session 3: Endometriosis (10:20 AM – 10:30 AM) 10:20 AM: STATION D Source Type: research

2144 Robotic Isthmocele Repair of a Big Cesarean Scar Defect - A Feasible Technique
Describe a robotic isthmocele repair of a big cesarean section scar defect. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: LFC Fernandes, A Amaral, J.P.M. Carvalho, JA Dias Junior Tags: Virtual Poster Session 4: Robotics (1:20 PM — 1:30 PM) 1:20 PM STATION O Source Type: research

2065 Robot-Assisted Laparoscopy Repair of a C-Section Scar Defect: A Case Report
A case report that describe a robot-assisted laparoscopy repair of a cesarean scar defect (isthmocele) after a pregnancy loss. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: M Carpenedo Tomasi, HA Ribeiro, F Ohara, ALL Goncalves, PA Ribeiro Tags: Virtual Poster Session 4: Robotics (1:20 PM — 1:30 PM) 1:20 PM STATION N Source Type: research

2960 An Overview of Uterine Scar Defects Post Cesarean Section
Using a patient's obstetrical history, symptomatology, and radiologic findings of cesarean scar defects (CSD) to establish criteria to triage patients who require surgical repair. Additionally, to outline surgical technique for successful Robotic-assisted laparoscopic repair of CSDs. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: MO Santandreu, AA Patel, B Abittan, S Pacthman, ML Nimaroff Tags: Virtual Poster Session 4: Robotics (1:20 PM — 1:30 PM) 1:20 PM STATION L Source Type: research

Single-Site Laparoscopy Combined with Hysteroscopy for Large Cesarean Section Diverticulum Arising from Atypical Placental Site Nodule
To demonstrate a technique for single-site laparoscopic management combined with hysteroscopy of large cesarean section diverticulum arising from atypical placental site nodule. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: Y Ding, X. Zhang, K Hua, J Qiu, Y Gu, Z Lu Tags: Open Communications 17:  Laparoscopy (11:00 AM – 12:45 PM) 11:14 AM Source Type: research

Robotic Assisted Laparoscopic Resection of Uterine Isthmocele
Uterine isthmoceles are pouchlike defects in the anterior uterine wall, at the site of a prior cesarean section scar. Its prevalence has increased in direct relation to the increase in cesarean rates worldwide. Isthmoceles cause abnormal uterine bleeding, secondary infertility, and pain. There is no standard treatment for isthmoceles. This video demonstrates a robotic assisted laparoscopic approach to the resection of a uterine isthmocele. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: O Lu, ML Lewis Tags: Open Communications 16:  Robotics (11:00 AM – 12:45 PM) 11:35 AM Source Type: research

Robotic-Assisted Laparoscopic Excision of C-Section Scar Ectopic Pregnancy with Bipolar Coagulation of Uterine Vessels
To describe a technique of robotic-assisted laparoscopic excision of c-section scar ectopic pregnancy (CSP) with bipolar coagulation of uterine vessels. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: CC De Amorim Paiva, I Alagkiozidis, MA Son, A Elfeky Tags: Open Communications 16:  Robotics (11:00 AM – 12:45 PM) 11:14 AM Source Type: research

Perioperative Outcomes of Total Vaginal Hysterectomy in Women with Prior Cesarean Section
To compare rates of perioperative complications of total vaginal hysterectomy (TVH) in women with and without prior cesarean section (CS). (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: RMM Delara, J Yi, M Girardo, MN Wasson Tags: Open Communications 10: Hysteroscopy (3:05 PM – 4:05 PM) 3:12 PM Source Type: research

Laparoscopic Management of Exogenic Cesarean Section Pregnancy with Transient Uterine Artery Clipping
To show the laparoscopic management of a c-section scar pregnancy aided by transient uterine artery clipping to limit bleeding. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: F Heredia, G Donetch, D Ramos, JR Escalona, M Hinostroza Tags: Open Communications 24:  Laparoscopy (3:05 PM – 4:05 PM) 3:33 PM Source Type: research

Application and Utility of Continuous Glucose Monitoring in Pregnancy: A Systematic Review
Conclusion: Current updated evidence suggests that CGM is superior to SMBG among GDM pregnancies in terms of detecting hypoglycemic and hyperglycemic episodes, which might result in an improvement of maternal and fetal outcomes. In addition, CGM detects a wider glycemic variability in GDM mothers than non-GDM controls. Further research with larger sample sizes and complete pregnancy coverage is needed to explore the clinical utility such as screening and predictive values of CGM for GDM. (Source: Frontiers in Endocrinology)
Source: Frontiers in Endocrinology - October 11, 2019 Category: Endocrinology Source Type: research

Trend Prediction for Cesarean Deliveries Based on Robson Classification System at a Tertiary Referral Unit of North India
ConclusionIncreasing CS rate trend was seen over last 3  years with a predicted rise of 0.905% per year. Robson groups 5, 2 and 1 were at present major contributors; however, the trend analysis predicted a decreasing trend. Trend analysis predicted annual increment in groups 3, 4, 6, 7 and 8 over next 3 years, thereby suggesting need to focus on these groups as well. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - October 11, 2019 Category: OBGYN Source Type: research

Adverse Pregnancy and Neonatal Outcomes Among Marshallese Women Living in the United States
AbstractObjective Despite heterogeneity among Pacific Islanders, most studies aggregate them regardless of origin. Thus, limited information is available about perinatal outcomes among various subgroups of Pacific Islanders in the United States, including immigrants from the Republic of the Marshall Islands. We sought to evaluate perinatal outcomes among Marshallese women.Methods We conducted a cross-sectional study of women with at least one singleton live birth between 1997 and 2013 in two Arkansas counties using birth certificate data from the Arkansas Department of Health. Unadjusted and adjusted prevalence ratios (PR)...
Source: Maternal and Child Health Journal - October 10, 2019 Category: Health Management Source Type: research

Growth Restriction and Systemic Immune Development in Preterm Piglets
Background: Many preterm infants are born with growth restriction (GR) following maternal or fetal complications before birth. Such infants may continue to grow slowly after birth, regardless of birth weight (BW), due to morbidities related to their immature organs. Severe GR increases the susceptibility to infections, but it is not clear if this is a consequence of impaired systemic immunity or other factors, such as prolonged hospital stay or poor mucosal barrier function. Using preterm pigs as models for preterm infants, we hypothesized that moderate GR, exerting limited clinical effects, does not influence systemic imm...
Source: Frontiers in Immunology - October 10, 2019 Category: Allergy & Immunology Source Type: research

A Randomized Controlled Trial of Intact Cord Milking versus Immediate Cord Clamping in Term Infants Born by Elective Cesarean Section
Amer J Perinatol DOI: 10.1055/s-0039-1697673 Objective We evaluated whether intact umbilical cord milking (UCM) is more effective than immediate cord clamping (ICC) in enhancing placental transfusion after elective cesarean delivery. Study Design In a randomized trial, volume of placental transfusion was assessed by Δ hematocrit (Hct) between neonatal cord blood and capillary heel blood at 48 hours of age, corrected for the change in body weight. Results There were no significant differences in cord blood mean Hct values at birth (UCM, 44.5 ± 4.8 vs. ICC, 44.9&thins...
Source: American Journal of Perinatology - October 10, 2019 Category: Perinatology & Neonatology Authors: Zanardo, Vincenzo Guerrini, Pietro Severino, Lorenzo Simbi, Alphonse Parotto, Matteo Straface, Gianluca Tags: Original Article Source Type: research

[Readability of Information Material in Obstetrics].
Abstract Up-to-date health care implies users' autonomous decision-making on diagnostic and therapeutic measures (informed consent). Patients depend on comprehensible information material to be able to understand an intervention and its consequences. Informed consent sheets on cesarean section, other obstetrical measures, and anesthesia methods were assessed for readability using tools including the G-SMOG, Flesch Index, Amstad Formula, and LIX. In addition, comparative material on the same topics, e. g., from the Internet, was assessed. The assessment tools developed for the German language proved to be us...
Source: Zeitschrift fur Geburtshilfe und Neonatologie - October 9, 2019 Category: Perinatology & Neonatology Authors: Tegethoff D Tags: Z Geburtshilfe Neonatol Source Type: research

The Associations between Antenatal Corticosteroids and In-Hospital Outcomes of Preterm Singleton Appropriate for Gestational Age Neonates according to the Presence of Maternal Histologic Chorioamnionitis.
CONCLUSION: In neonates with HCA, ACS treatment was associated with reduced morbidities. However, increased sepsis was associated with optimal ACS use. PMID: 31593959 [PubMed - as supplied by publisher] (Source: Neonatology)
Source: Neonatology - October 8, 2019 Category: Perinatology & Neonatology Authors: Ryu YH, Oh S, Sohn J, Lee J Tags: Neonatology Source Type: research

Adiponectin levels in maternal serum and umbilical cord blood at birth by mode of delivery: relationship to anthropometric measurements and fetal sex
The rate of cesarean section is increasing worldwide. Adiponectin is a hormone related to anti-inflammatory and anti-atherogenic effects; and it ′s concentrations may change in response to inflammatory situatio... (Source: BMC Pregnancy and Childbirth)
Source: BMC Pregnancy and Childbirth - October 7, 2019 Category: OBGYN Authors: Seyedeh Razieh Fazeli Daryasari, Najmeh Tehranian, Anoshirvan Kazemnejad, Fatemeh Razavinia, Fatemeh Tork Tatari and Fattaneh Pahlavan Tags: Research article Source Type: research

Identifying strategies to reduce cesarean section rates by using Robson ten-group classification
. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - October 7, 2019 Category: Perinatology & Neonatology Authors: Hasan Onur Top çu Şule Özel Yaprak Üstün Source Type: research

Determinants of early breastfeeding initiation and exclusive breastfeeding in Colombia.
ini G Abstract OBJECTIVE: To identify modifiable risk factors associated with early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) in Colombia. DESIGN: Cross-sectional study from the 2010 Colombia nationally representative Demographic Health Survey (DHS). Studied exposures were categorized into five hierarchical blocks of increasing proximity to the outcomes: household, maternal, health systems, child, and early feeding characteristics. The two outcomes examined were delayed breastfeeding initiation among infants
Source: Public Health Nutrition - October 7, 2019 Category: International Medicine & Public Health Authors: Finnie S, Peréz-Escamilla R, Buccini G Tags: Public Health Nutr Source Type: research

Ulinastatin attenuates vascular endothelial cell damage in pregnant women with severe pre-eclampsia.
This study was designed to evaluate the effect of ulinastatin on vascular endothelial cell damage and coagulation in pregnant women with severe pre-eclampsia (PE).From October 2015 to November 2017 at Tianjin Central Hospital of gynecology and obstetrics in China. Eighty pregnant women with severe PE, who elected to deliver by cesarean section, were randomly assigned to a control group or an ulinastatin group. The plasma concentration of von Willebrand factor (vWF) and platelet granule membrane protein (GMP-140), platelet count, fibrinogen levels, prothrombin time (PT), and partial prothrombin activation time (APTT) w...
Source: An Acad Bras Cienc - October 4, 2019 Category: Science Authors: Yu Z, Wang J, Zhang P, Ding W Tags: An Acad Bras Cienc Source Type: research

Maternal age and risk of cesarean section in women with induced labor at term ‐ a Nordic register‐based study
ConclusionsAdvanced maternal age is associated with increased risk of cesarean section in women undergoing labor induction with a single cephalic presentation at term without a previous cesarean section. The absolute risk of cesarean section is 3 ‐5 times higher across 5‐year age groups in nulliparous relative to multiparous women having induced labor. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - October 4, 2019 Category: OBGYN Authors: Thomas Bergholt, Finn Egil Skjeldestad, Aura Pyyk önen, Steen C. Rasmussen, Anna‐Maija Tapper, Ragnheiður I. Bjarnadóttir, Alexander Smárason, Birna B. Másdóttir, Kari Klungsøyr, Susanne Albrechtsen, Karin Källén, Mika Gissler, Elle Tags: Original Research Article Source Type: research

Peripartum Management of Gestational Diabetes Using a Digital Health Care Service: A Pilot, Randomized Controlled Study.
This study aimed to develop and evaluate a model for the management of GDM with the use of mobile health care. METHODS: This was a prospective, randomized controlled pilot study. A total of 21 patients who were diagnosed with GDM during 24-28 weeks of gestation were randomly divided into a conventional management (CM) group (n = 10) and a mobile management (MM) group (n = 11). The CM group received conventional GDM management and could freely use the mobile health care application. The MM group received mobile health care services, including tailored mobile coaching. After delivery, obstetric outco...
Source: Clinical Therapeutics - October 4, 2019 Category: Drugs & Pharmacology Authors: Sung JH, Lee DY, Min KP, Park CY Tags: Clin Ther Source Type: research

Incidence and risk factors for epidural morphine induced pruritus in parturients receiving cesarean section: A prospective multicenter observational study
This study is designed to clarify the incidence of epidural morphine induced pruritus (EMIP) in Chinese Han and Tibetan parturients after cesarean section (CS) and to identify the correlated risk factors. This is a prospective multicenter observational study. Follow-up evaluations were performed at 3 hours, 6 hours, 12 hours, 24 hours, and 48 hours after morphine administration. The primary outcome was EMIP incidence. Other details were also recorded for risk factor screening. Totally 284 parturients receiving CS were enrolled and 247 completed the study. The overall incidence of EMIP was 18.6% (46 in 247). The...
Source: Medicine - October 1, 2019 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Clinical study of ultrasound-guided transversus abdominis plane block for analgesia after cesarean section
Background: Patient-controlled intravenous analgesia (PCIA) and patient-controlled epidural analgesia are 2 common methods of maintaining analgesia after cesarean section. In recent years, transversus abdominis plane block (TAPB) has been gradually applied clinically to reduce opioid analgesics and has achieved good results. Therefore, we performed this study to compare the efficacy and side effects of TAPB and PCIA in analgesia after cesarean section. Methods: One hundred patients who underwent cesarean section were randomly classified into 2 groups. Following surgery, one group underwent ultrasound-guided TAPB and t...
Source: Medicine - October 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research

A case report of pelviscopic resection of invasive hydatidiform mole
Rationale: Invasive moles occur in the fertile period, with about 95% occurring after previous mole removal and the remaining 5% occurring after several other pregnancies. Patient concerns: A 27-year-old patient developed a rare invasive mole two months after a missed abortion. Diagnoses: A transvaginal ultrasound scan revealed a 3.6 × 2.9 × 2.4 cm sized lesion with cystic vascular areas within it, within the myometrium of the right fundal posterior region of the uterus. There was no metastasis to other organs. Interventions: After administration of methotrexate, the level of beta-human chorionic g...
Source: Medicine - October 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

An analysis of the high cesarean section rates in Turkey by Robson classification
. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - October 1, 2019 Category: Perinatology & Neonatology Authors: Elif Gul Yapar Eyi Leyla Mollamahmutoglu Source Type: research

P.188The clinical outcome study for dysferlinopathy: pregnancy in dysferlinopathy
The clinical outcome study of dysferlinopathy (COS) is an international natural history study that recruited 197 patients with genetically confirmed dysferlinopathy. In the study 11 women reported a pregnancy in the last 12 months prior to or during the study. A total of 16 pregnancies with 10 live deliveries and 6 miscarriages were recorded at study visits. Delivery was by C-section with regional anaesthesia in half of cases. There were no major delivery problems or medical concerns with the neonates. (Source: Neuromuscular Disorders)
Source: Neuromuscular Disorders - October 1, 2019 Category: Neurology Authors: U. Moore, M. James, M. Jacobs, A. Mayhew, S. Spuler, J. Day, D. Bharucha-Goebel, T. Stojkovic, J. Mendell, V. Straub Source Type: research

Maternal and obstetric complications in fetal surgery for prenatal myelomeningocele repair: a systematic review.
CONCLUSIONS: Although the efforts of further advancement of intrauterine prenatal MMC repair aim to increase neonatal outcomes, maternal health hazard will continue to be an issue of crucial importance and further studies are required. PMID: 31574465 [PubMed - in process] (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - October 1, 2019 Category: Neurosurgery Authors: Licci M, Guzman R, Soleman J Tags: Neurosurg Focus Source Type: research

Which factors make the difference in the progression of cervical dilation in vaginal birth after cesarean section?
Authors: Consonni S, Incerti M, Bernasconi DP, Vergani P, Pintucci A, Ornaghi S, Fumagalli S, Locatelli A Abstract PMID: 31560181 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - September 30, 2019 Category: OBGYN Tags: Minerva Ginecol Source Type: research

Hematopoietic stem cells debut in embryonic lymphomyeloid tissues of elasmobranchs
The evolutionary initiation of the appearance in lymphomyeloid tissue of the hemopoietic stem cell in the earliest (most primitive) vertebrate model,i.e. the elasmobranch (chondroichthyan)Torpedo marmorata Risso, has been studied. The three consecutive developmental stages of torpedo embryos were obtained by cesarean section from a total of six pregnant torpedoes. Lymphomyeloid tissue was identified in the Leydig organ and epigonal tissue. The sections were treated with monoclonal anti-CD34 and anti-CD38 antibodies to detect hematopoietic stem cells. At stage I (2-cm-long embryos with external gills) and at stage II (3-4 c...
Source: European Journal of Histochemistry - September 30, 2019 Category: Biomedical Science Source Type: research

Two cases of pheochromocytoma in pregnancy: a multidisciplinary challenge.
CONCLUSIONS: Due to extreme rarity of pheochromocytoma in pregnancy, its impact on the mother and the fetus remains poorly understood. Official guidelines for treatment are not established, which, combined with the complex nature of the disease itself, demands a multidisciplinary and individualized approach. PMID: 31566249 [PubMed - as supplied by publisher] (Source: Endokrynologia Polska)
Source: Endokrynologia Polska - September 30, 2019 Category: Endocrinology Authors: Chmielewski G, Walczyk A, Kowalska A Tags: Endokrynol Pol Source Type: research

Effects of Pregnancy and Delivery Methods on Change in Ankylosing Spondylitis Treatment Using the Korean Health Insurance Review and Assessment Service Claims Database.
CONCLUSION: The rate of change in prescriptions was comparable between AS patients with and without delivery. There was no association between the method of delivery and change in prescription. Therefore, pregnancy and VD may not be the factors associated with AS worsening. PMID: 31559710 [PubMed - in process] (Source: Journal of Korean Medical Science)
Source: Journal of Korean Medical Science - September 29, 2019 Category: Biomedical Science Tags: J Korean Med Sci Source Type: research

The microbiome of C-section babies
Publication date: 28 September 2019Source: New Scientist, Volume 243, Issue 3249Author(s): (Source: New Scientist)
Source: New Scientist - September 27, 2019 Category: Science Source Type: research

Exploring the spatial patterns of Cesarean Section Delivery in India: Evidence from National Family Health Survey-4
ConclusionsThere should be the provision of maternity benefits should be given to women who belong to below poverty line (BPL). Routine monitoring and evaluation of emergency obstetric services should be carried out. Further research to improve the quality of care in public health institutions should be made. (Source: Clinical Epidemiology and Global Health)
Source: Clinical Epidemiology and Global Health - September 27, 2019 Category: Epidemiology Source Type: research

Establishment and validation of a prediction model for vaginal delivery after cesarean and its pregnancy outcomes—based on a prospective study
Publication date: Available online 25 September 2019Source: European Journal of Obstetrics & Gynecology and Reproductive BiologyAuthor(s): Jing Lin, Yanyan Hou, Yiling Ke, Weijian Zeng, Wei GuAbstractObjectiveTo explore factors that can be used to predict successful vaginal births after cesarean (VBAC) and its outcome.MethodsThis is a prospective study involving women with a previous low-segment cesarean section, singleton pregnancy and cephalic presentation who desire for vaginal trial delivery. Delivery modes were observed and the pregnancy outcomes were followed up. The data were analyzed to identify the factors ass...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - September 27, 2019 Category: OBGYN Source Type: research

Ultrasound cesarean scar assessment one  year postpartum in relation to one‐ or two‐layer uterine suture closure
ConclusionsThe findings of this study demonstrate that double ‐layer technique with the first continuous nonlocking suture followed by a second continuous nonlocking suture is associated with better suture healing and greater residual myometrial thickness. No difference was observed between single‐ and double‐layer closure for the presence of maternal in fectious morbidity, wound infection or blood transfusion. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - September 26, 2019 Category: OBGYN Authors: Jiri Hanacek, Jiri Vojtech, Iva Urbankova, Michal Krcmar, Petr K řepelka, Jaroslav Feyereisl, Ladislav Krofta Tags: ORIGINAL RESEARCH ARTICLE Source Type: research