Is it safe to give birth with an activated implantable cardioverter-defibrillator: A multicentre observational study
CONCLUSIONS: This study shows no evidence that labour and birth in women with an activated ICD are unsafe, as there were no ventricular arrhythmias or inappropriate therapy. In addition, most patients prefer an activated ICD during labour.PMID:38326282 | DOI:10.1111/1471-0528.17777 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 7, 2024 Category: OBGYN Authors: Willeke van der Stuijt Kirsten M Kooiman Jolien A de Veld Shari Pepplinkhuizen Louise R A Olde Nordkamp Martijn A Oudijk Arthur A M Wilde Lonneke Smeding Reinoud E Knops Source Type: research
Obesity at term: What to consider? How to deliver?
AbstractObesity presents significant challenges during pregnancy, increasing the risk of complications and adverse outcomes for both mother and baby. With the rising prevalence of obesity among pregnant women, questions arise regarding optimal management, including timing of delivery and choice of delivery mode. Labour induction in obese women may require a combination of mechanical and pharmacological methods due to increased risk of failed induction. Caesarean section in obese women presents unique challenges, requiring comprehensive perioperative planning and specialized care to optimize outcomes. However, specific guid...
Source: Archives of Gynecology and Obstetrics - February 7, 2024 Category: OBGYN Source Type: research
Histologic Evidence of Epithelial-Mesenchymal Transition and Autophagy in Human Fetal Membranes
This study documents pPROMs association with amniochorion autophagy and EMT, and confirmers OS's role in inducing dysfunctional cell fates that increase inflammation, predisposing membranes to rupture.PMID:38320630 | DOI:10.1016/j.ajpath.2023.12.011 (Source: Am J Pathol)
Source: Am J Pathol - February 6, 2024 Category: Pathology Authors: Mary Elise Severino Lauren S Richardson Marian Kacerovsky Ramkumar Menon Source Type: research
Histologic Evidence of Epithelial-Mesenchymal Transition and Autophagy in Human Fetal Membranes
This study documents pPROMs association with amniochorion autophagy and EMT, and confirmers OS's role in inducing dysfunctional cell fates that increase inflammation, predisposing membranes to rupture.PMID:38320630 | DOI:10.1016/j.ajpath.2023.12.011 (Source: The American Journal of Pathology)
Source: The American Journal of Pathology - February 6, 2024 Category: Pathology Authors: Mary Elise Severino Lauren S Richardson Marian Kacerovsky Ramkumar Menon Source Type: research
Ethical challenges in the treatment of psychotic pregnancy denial
ConclusionPsychotic pregnancy denial is potentially life-threatening. Delivery of the fetus requires carefully weighing risks and benefits and thoroughly considering the ethical framework.Teaching pointsTreatment of birthing people with psychotic denial of pregnancy is complex; it requires special clinical and ethical skills to determine the patient’s level of decision-making impairment and to find a middle ground between the pregnant person’s right to autonomy and the physicians’ beneficence-based duties. Using a well-coordinated, interdisciplinary approach and a solid ethical framework, the decision to deliver the ...
Source: Frontiers in Psychiatry - February 2, 2024 Category: Psychiatry Source Type: research
What are the economic costs of a poor work environment?
At the Scandinavian Journal of Work, Environment & Health, it is our fundamental conviction that workers’ health is a value in itself. To put it simply, work must not be health-hazardous, and work must not make the worker neither physically nor mentally sick. In our minds, there is no need for any further rationale for healthy and safe work.
That said, it would be naïve to think that, in a bottom-line world, the bottom-line would not count with regard to work and health. It does count at individual, company, and societal level. At individual level, a worker may worry about reduced payment during sickness absence. At co...
Source: Scandinavian Journal of Work, Environment and Health - February 1, 2024 Category: Occupational Health Tags: Editorial Source Type: research
Effect of epidural analgesia on cervical ripening using dinoprostone vaginal inserts
ConclusionEpidural analgesia as labor relaxant adversely affected the progression of uterine cervical ripening when dinoprostone vaginal inserts were used, whereas it did not affect cervical ripening when a mechanical cervical dilatation balloon was used. The present results are significant for choosing the appropriate ripening method. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - February 1, 2024 Category: Anesthesiology Source Type: research
Differences in Indications for Delivery Based on COVID-19 Infections Status Among an Underserved Pregnant Cohort: A Prospective Cohort Study
There is limited information regarding effects of COVID-19 infection status on obstetric interventions, including cesarean delivery (CD) and induction of labor (IOL). Earlier studies cite increased rates of CD and IOL among COVID-positive gravidae, with unclear indications, suggesting influence from COVID-19 positivity. We aimed to investigate differences in indications for primary CD and IOL in gravidae by COVID-19 status. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - February 1, 2024 Category: OBGYN Authors: Fang M, Chartier A, Dalal L, Ciomperlik H, Matar J, Chen H, Stafford I Source Type: research
Stress hormones to bishop score ratio and induction to delivery time interval
Introduction and aims of the study: Some clinical studies have shown that the combination of mechanical and pharmacologic methods may have benefits in labour induction(LI) process over the use of a single method without increasing the risk of obstetric or perinatal outcomes. The Cortisol/Dehydroepiandrosterone Sulfate(DHEA-S) ratio is considered a measure of chronic stress, which affects the hypothalamic-pituitary-adrenal(HPA) axis. The aim of the study was to find out if the hormonal ratio has an impact on the induction to delivery time interval. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 1, 2024 Category: OBGYN Authors: Zane Rostoka, Laura R ācene, Līva Ķīse, Violeta Bule, Ieva Pitkēviča, Beāte Sārta, Agnija Vecvagare, Laura Lūse, Ļubova Lapidus, Laura Isajeva, Dace Rezeberga, Natālija Vedmedovska Source Type: research
Labour induction with misoprostol: How do BMI and gestational weight gain influence the outcome?
Introduction and aimsof the study: The surfacing evidence in favour of elective labour induction (LI) at 39 weeks-gestation is accompanied by concerns about its effectiveness in obese women. Current evidence suggests a positive correlation between obesity and failed LI, and between excessive gestational weight gain (GWG) and cesarean after LI. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 1, 2024 Category: OBGYN Authors: Mariana Valente Abreu, Beatriz M Neves, Marisa Oliveira Santos, Pedro Figueiredo Source Type: research
Are expectant mothers sufficiently involved in the decision-making process regarding induction of labour? A European survey
This study evaluated women ’s experience with IoL prior to giving birth, focussing on their interaction with healthcare professionals, the level of knowledge they had before IoL and the kind of information they received. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 1, 2024 Category: OBGYN Authors: Luis Guillermo Correa Astorquiza, Gurveena Johal, Marc Watson Source Type: research
Foley catheter for labour induction among patients with premature rapture of membranes – a randomized controlled trial
Background: Prelabor rupture of membranes (PROM) occurs in 8-10% of pregnancies. Studies have demonstrated that the risk of maternal sepsis and neonatal infection secondary to chorioamnionitis increases with duration of PROM. According to available researches early birth for PROM at term can be the intervention reducing maternal and neonatal infections. In case of an unfavourable cervix, the use of mechanical methods like Foley catheter for cervix ripening demonstrates good effectiveness and safety. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 1, 2024 Category: OBGYN Authors: Wanda Gajzlerska-Majewska, Monika Szpota ńska Source Type: research
Ultrasound assessment of fetal head-perineum distance and cervical length to predict the success of labour induction
Introduction and aims of the study: Induction of labour (IOL) is one of the most frequent obstetric procedures. Successful IOL results in a vaginal delivery, either spontaneous or operative. The Bishop score remains a gold standard for assessing suitability for IOL and ultrasound measurements may be added to the list. The study aims to evaluate ultrasound measurements of fetal head-perineum distance and cervical length as predictive factors for the success of IOL. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - February 1, 2024 Category: OBGYN Authors: Ieva Pitk ēviča, Laura Rācene, Līva Ķīse, Violeta Bule, Zane Rostoka, Beāte Sārta, Agnija Vecvagare, Ļubova Lapidus, Laura Luse, Laura Isajeva, Dace Rezeberga, Natālija Vedmedovska Source Type: research
