Diagnostic and therapeutic use of oral micronized progesterone in endocrinology
Rev Endocr Metab Disord. 2024 Apr 23. doi: 10.1007/s11154-024-09882-0. Online ahead of print.ABSTRACTProgesterone is a natural steroid hormone, while progestins are synthetic molecules. In the female reproductive system, progesterone contributes to the control of luteinizing hormone and follicle-stimulating hormone secretion and their pulsatility, via its receptors on the kisspeptin, neurokinin B, and dynorphin neurons in the hypothalamus. Progesterone together with estradiol controls the cyclic changes of proliferation and decidualization of the endometrium; exerts anti-mitogenic actions on endometrial epithelial cells; r...
Source: Cancer Control - April 23, 2024 Category: Cancer & Oncology Authors: Eleni Memi Polina Pavli Papagianni Maria Nikolaos Vrachnis George Mastorakos Source Type: research

Diagnostic and therapeutic use of oral micronized progesterone in endocrinology
Rev Endocr Metab Disord. 2024 Apr 23. doi: 10.1007/s11154-024-09882-0. Online ahead of print.ABSTRACTProgesterone is a natural steroid hormone, while progestins are synthetic molecules. In the female reproductive system, progesterone contributes to the control of luteinizing hormone and follicle-stimulating hormone secretion and their pulsatility, via its receptors on the kisspeptin, neurokinin B, and dynorphin neurons in the hypothalamus. Progesterone together with estradiol controls the cyclic changes of proliferation and decidualization of the endometrium; exerts anti-mitogenic actions on endometrial epithelial cells; r...
Source: ENDOCR REV - April 23, 2024 Category: Endocrinology Authors: Eleni Memi Polina Pavli Papagianni Maria Nikolaos Vrachnis George Mastorakos Source Type: research

Patient Perspectives on Outpatient versus Inpatient Cervical Ripening for Induction of Labor
Conclusion Outpatient cervical ripening can be a patient-centered solution to obstetric throughput challenges arising from increased numbers of inductions. Those who underwent outpatient cervical ripening had similar perceived control to those who underwent inpatient cervical ripening, suggesting that individual patient preferences are most important in determining the optimal setting for care. The patients' reported experiences identified focus areas for process improvement efforts and future research, including improving patient education regarding expectations and innovating new pain management strategies for cervical...
Source: American Journal of Perinatology - April 23, 2024 Category: Perinatology & Neonatology Authors: Watters, Amber Ekpe, Etoroabasi Okafor, Annette Donelan, Emily Tags: Original Article Source Type: research

Diagnostic and therapeutic use of oral micronized progesterone in endocrinology
AbstractProgesterone is a natural steroid hormone, while progestins are synthetic molecules. In the female reproductive system,progesterone contributes to the control ofluteinizing hormone andfollicle-stimulating hormone secretion and their pulsatility,via itsreceptors on thekisspeptin,neurokinin B, anddynorphin neurons in the hypothalamus.Progesterone together withestradiol controls the cyclic changes of proliferation and decidualization of the endometrium; exerts anti-mitogenic actions on endometrial epithelial cells; regulates normal menstrual bleeding; contributes to fertilization and pregnancy maintenance; participate...
Source: Reviews in Endocrine and Metabolic Disorders - April 23, 2024 Category: Endocrinology Source Type: research

Hearing Difficulties Among Farmworkers in the M éxico-US Southwest Border Region
This report contributes to understanding the perception of hearing-related health and occupational exposures among farmworkers in the México-US Southwest border region. The i nformation from this line of research will inform appropriate safety measures known to lower the risk of experiencing occupational NIHL. (Source: Journal of Immigrant and Minority Health)
Source: Journal of Immigrant and Minority Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research

Factors Associated with Maternal Morbidity among Black Women in the United States
Conclusion The three factors most associated with SMM among NHBP are potentially avoidable or modifiable by aggressive screening, prevention, and treatment of preeclampsia and preterm birth as well as reducing cesarean rates in this population. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - April 19, 2024 Category: Perinatology & Neonatology Authors: Ibrahim Sous, Catrine Moravec, William DeFranco, Emily Kelly, Elizabeth A. Rossi, Robert M. Tags: Original Article Source Type: research

Swedish maternity care professionals' perception of labor induction
CONCLUSIONS: Labor inductions might pose challenges to midwives and could bring to light underlying tensions between obstetricians/gynecologists and midwives. Given the modest response rate of the study, we cautiously suggest that while the development of new maternity care guidelines should be grounded in evidence, they should also embrace concerns and insights from a diversity of professional perspectives.PMID:38636350 | DOI:10.1016/j.midw.2024.103997 (Source: Midwifery)
Source: Midwifery - April 18, 2024 Category: Midwifery Authors: Gabriel Raoust Stefan Rocco Hansson Petri Kajonius Source Type: research

A simulation study to assess the potential benefits of MRI-based fetal weight estimation as a second-line test for suspected macrosomia
CONCLUSION: The superior accuracy of MRI-EFW over US-EFW for the diagnosis of macrosomia could result in lower rates of IOL without compromising the relative advantages of the intervention but fails to demonstrate a significant benefit to justify a replication of the original trial using MRI-EFW as a second-line test.PMID:38615575 | DOI:10.1016/j.ejogrb.2024.04.009 (Source: Reproductive Biology)
Source: Reproductive Biology - April 14, 2024 Category: Reproduction Medicine Authors: Dominique A Badr Andrew Carlin Michel Boulvain Caroline Kadji Mieke M Cannie Jacques C Jani Leonardo Gucciardo Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cancer Control - April 10, 2024 Category: Cancer & Oncology Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Sleep disturbances in late pregnancy: associations with induction of labor
ConclusionsDeterioration in sleep quality was noticeable in pregnant women, but it was unconnected with IOL. As the frequency of IOL is increasing, more research for related risk factors is needed. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - April 5, 2024 Category: OBGYN Source Type: research