Hospitalization Duration Following Uncomplicated Cesarean Delivery: Predictors, Facility Variation, and Outcomes
This study was designed to: (1) characterize stay duration following cesarean delivery, (2) ascertain whether facility variation exists, and (3) determine whether shorter stays are associated with rates of readmission or costs. Study Design The 2017 Nationwide Readmissions Database was used to identify uncomplicated cesarean deliveries. Hierarchical logistic regression was used to assess for facility variation in percentage of patients discharged within 2 days. Similar models were used to assess for associations between probability of readmission within 30 days and facility-level rates of discharge within 2 days. ...
Source: American Journal of Perinatology Reports - June 19, 2020 Category: Perinatology & Neonatology Authors: Federspiel, Jerome J. Suresh, Sunitha C. Darwin, Kristin C. Szymanski, Linda M. Tags: Case Report Source Type: research

Redefining Second Stage of Labor: Number of Pushing Contractions
AJP Rep 2020; 10: e183-e186 DOI: 10.1055/s-0040-1709982 Introduction Despite time standards for second stage labor, “delayed pushing,” uterine contraction frequency, and alternate contraction pushing may alter the effective maternal effort. We sought to quantify the number of pushing contractions needed for a spontaneous vaginal delivery (SVD) among primipara and multipara patients. Methods Deliveries at Harbor-UCLA Medical Center in 2017 were selected for SVD of singleton, term newborns. The first 100 primipara and 100 multipara deliveries were analyzed and monitor tracings quantified for pushi...
Source: American Journal of Perinatology Reports - June 19, 2020 Category: Perinatology & Neonatology Authors: Bok, Serin M. Carmona, Gabriela E. Pena Crawford, Jake Eskander, Ramy Desai, Mina Ross, Michael G. Tags: Case Report Source Type: research

COVID-19 and HELLP: Overlapping Clinical Pictures in Two Gravid Patients
Conclusion Clinicians are encouraged to consider both of these diagnoses when caring for pregnant women during the COVID-19 pandemic to assure that both maternal and fetal concerns are addressed and treated appropriately. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - June 18, 2020 Category: Perinatology & Neonatology Authors: Futterman, Itamar Toaff, Miriam Navi, Liel Clare, Camille A. Tags: Case Report Source Type: research

Cell-Free DNA as an Addition to Ultrasound for Screening of a Complete Hydatidiform Mole and Coexisting Normal Fetus Pregnancy: A Case Report
Conclusion In atypical cases, cell-free DNA may be useful in evaluation of molar pregnancy. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - June 18, 2020 Category: Perinatology & Neonatology Authors: Gabra, Martina G. Gonzalez, Maritza G. Bullock, Holly N. Hill, Meghan G. Tags: Case Report Source Type: research

Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)
AJP Rep 2020; 10: e169-e175 DOI: 10.1055/s-0040-1712925There is a current paucity of information about the obstetric and perinatal outcomes of pregnant novel coronavirus disease 2019 (COVID-19) patients in North America. Data from China suggest that pregnant women with COVID-19 have favorable maternal and neonatal outcomes, with rare cases of critical illness or respiratory compromise. However, we report two cases of pregnant women diagnosed with COVID-19 in the late preterm period admitted to tertiary care hospitals in New York City for respiratory indications. After presenting with mild symptoms, both quickly developed w...
Source: American Journal of Perinatology Reports - June 4, 2020 Category: Perinatology & Neonatology Authors: Silverstein, Jenna S. Limaye, Meghana A. Brubaker, Sara G. Roman, Ashley S. Bautista, Judita Chervenak, Judith Ratner, Adam J. Sommer, Philip M. Roselli, Nicole M. Gibson, Charlisa D. Ellenberg, David Penfield, Christina A. Tags: Case Report Source Type: research

Heart Failure with Preserved Ejection Fraction in a Postpartum Patient with Superimposed Preeclampsia and COVID-19
We present a case from March 2020 of a 25-year-old G2P2002 whose delivery was complicated by preeclampsia with severe features who presented to the emergency department 9 days after cesarean delivery with chest tightness and dyspnea on exertion. On presentation she had severe hypertension, pulmonary edema, elevated brain natriuretic peptide, and high-sensitivity troponin-I, suggesting a diagnosis of hypertensive emergency leading to heart failure with a preserved ejection fraction resulting in pulmonary edema and abnormal cardiac screening tests. However, bilateral opacities were seen on a computed tomography of the chest,...
Source: American Journal of Perinatology Reports - June 4, 2020 Category: Perinatology & Neonatology Authors: Sinkey, Rachel G. Rajapreyar, Indranee Robbins, Lindsay S. Dionne-Odom, Jodie Pogwizd, Steven M. Casey, Brian M. Tita, Alan T.N. Tags: Case Report Source Type: research

Risk Factors for Postpartum Maternal Infection Following Spontaneous Vaginal Delivery Complicated by Chorioamnionitis
AJP Rep 2020; 10: e159-e164 DOI: 10.1055/s-0040-1709983 Objective Guidelines for the management of chorioamnionitis include intrapartum antibiotics, while postpartum antibiotics after spontaneous vaginal delivery (SVD) are reserved high-risk women. Our objective is to describe the incidence of and risk factors for postpartum infection after SVD complicated by chorioamnionitis. Study Design This is a retrospective study of SVDs with clinically diagnosed chorioamnionitis at a single center. The primary outcome was a composite of postpartum infection. Women who developed the primary outcome were compared with ...
Source: American Journal of Perinatology Reports - May 15, 2020 Category: Perinatology & Neonatology Authors: Daifotis, Helen A. Smith, Megan M. Denoble, Anna E. Dotters-Katz, Sarah K. Tags: Case Report Source Type: research

The Carit Maneuver: A Novel Approach for the Relief of Shoulder Dystocia —A Case Series
Conclusion The Carit maneuver is an original and successful intervention in the management of shoulder dystocia unresponsive to McRobert's maneuver and suprapubic pressure. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - April 15, 2020 Category: Perinatology & Neonatology Authors: Gei, Alfredo F Mastache, Jorge Suarez Pacheco, Luis D. Villanueva, Mariana Tags: Original Article Source Type: research

Antibiotic Prophylaxis Trials in Obstetrics: A Call for Pediatric Collaboration
AJP Rep 2020; 10: e155-e158 DOI: 10.1055/s-0040-1709513Surgical site infections are common complications of cesarean delivery. Many recent studies, including meta-analyses, have assessed the efficacy of antibiotic prophylaxis. Those articles have demonstrated that preincision antibiotic prophylaxis reduces the incidence of surgical site infections postcesarean, and that the use of adjunctive azithromycin further reduces infection after nonelective cesarean deliveries. However, long-term effects of fetal exposure to antibiotic prophylaxis—including asthma, obesity, and alterations in microbiota—have also been de...
Source: American Journal of Perinatology Reports - April 15, 2020 Category: Perinatology & Neonatology Authors: McLaren, Rodney A. Atallah, Fouad Minkoff, Howard Tags: Case Report Source Type: research

Applying a Prediction Model for Vaginal Birth after Cesarean to a Latina Inner-City Population
Conclusion Our results question whether Latina ethnicity should continue to be considered a negative predictive factor for VBAC success. Our results also suggest that Latinas with a low predicted VBAC success should not necessarily be discouraged from attempting TOLAC. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - April 15, 2020 Category: Perinatology & Neonatology Authors: Nguyen, Michelle T. Hayes-Bautista, Teodocia Maria Hsu, Paul Bragg, Christina Chopin, Irving Shaw, Kathryn J. Tags: Case Report Source Type: research

Perinatal Hypophosphatasia in a Premature Infant
AJP Rep 2020; 10: e139-e147 DOI: 10.1055/s-0040-1709512A premature male infant was delivered at 32 weeks' gestation due to category-2 fetal tracing after preterm labor. The physical exam showed shortened and bowed long bones, with calvarium felt in small area of the head. Serum alkaline phosphatase was very low on admission. Extensive metaphyseal abnormalities, bowing of long bones, and poor ossification of all bones were noted on skeletal survey (radiography). Based on ultrasound evidence of “bowing” and long bone fractures at 26 weeks, amniocentesis was performed that later diagnosed hypophosphatasia by genet...
Source: American Journal of Perinatology Reports - April 15, 2020 Category: Perinatology & Neonatology Authors: Sankaran, Deepika Chandrasekharan, Praveen K. Rawat, Munmun Tags: Case Report Source Type: research

Peritoneovaginal Fistula and Appendicitis-Related Pelvic Abscess in Pregnancy
AJP Rep 2020; 10: e129-e132 DOI: 10.1055/s-0040-1708849Appendicitis in pregnancy is the most common nonobstetric surgical emergency. Pregnancy causes changes in anatomy, which could lead to uncertainty regarding the diagnosis of appendicitis. This case report describes a case of appendicitis presenting with peritoneovaginal fistula in a pregnant woman in the second trimester, with interesting finding of isolated appendiceal endometriosis on pathology. The importance of complete physical examination, including speculum examination, is emphasized in the pregnant patient presenting with acute-onset abdominal pain. Imaging cri...
Source: American Journal of Perinatology Reports - April 15, 2020 Category: Perinatology & Neonatology Authors: Saleh, Mona Kim, Antonia Francis Gardner, Andrew Sun, Katherine Brubaker, Sara Tags: Case Report Source Type: research

Hepatitis C Virus Infection in Children and Pregnant Women: An Updated Review of the Literature on Screening and Treatments
Conclusion To improve public health, universal screening of pregnant women for HCV infection should be performed. Early identification of women and children with HCV infection is important to enable them to be included in assessment and/or treatment programs. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 31, 2020 Category: Perinatology & Neonatology Authors: Ragusa, Rosalia Corsaro, Liberato Simone Frazzetto, Evelise Bertino, Emanuele Bellia, Maria Alessandra Bertino, Gaetano Tags: Case Report Source Type: research

Smith –Lemli–Opitz's Syndrome as a Possible Cause of Recurrent Pregnancy Loss: A Case Report
AJP Rep 2020; 10: e118-e120 DOI: 10.1055/s-0040-1705131Based on the known carrier frequency of Smith–Lemli–Opitz's syndrome (SLOS), the prevalence of this disease should be significantly higher than what is observed in the population. This may be due to a higher rate of pregnancy loss in affected embryos. Here, we present the case of a couple who underwent expanded carrier screening (ECS) after experiencing three first trimester pregnancy losses. Both parents were found to be carriers of SLOS mutations, and DNA analysis of the fetal remains of the third loss revealed the aborted fetus had inherited both the mat...
Source: American Journal of Perinatology Reports - March 31, 2020 Category: Perinatology & Neonatology Authors: Mitra, Anjali Dolitsky, Shelley Yadava, Stacy Ashkinadze, Elena Tags: Case Report Source Type: research

Unique Clinical and Histological Features of Placental Mesenchymal Dysplasia Complicated by Severe Preeclampsia in the Midtrimester
AJP Rep 2020; 10: e113-e117 DOI: 10.1055/s-0040-1709186Detailed clinical and pathological features of placental mesenchymal dysplasia (PMD) complicated by preeclampsia (PE) are unknown. A 39-year-old nulliparous woman was referred at 19 weeks gestation. Ultrasound examination identified a fetus with severe growth restriction (−2.8 SD) and a markedly thickened placenta with many cystic structures suggestive of PMD. At 21 weeks, the patient developed severe hypertension (180/95 mm Hg) with marked proteinuria and an elevated serum soluble fms-like tyrosine-kinase-1 (sFlt-1) level (47,000 pg/L). The pregnancy was ...
Source: American Journal of Perinatology Reports - March 28, 2020 Category: Perinatology & Neonatology Authors: Kuwabara, Yoshimitsu Yonezawa, Mirei Kubota, Yumene Ichikawa, Tomoko Ohashi, Ryuji Takeshita, Toshiyuki Tags: Case Report Source Type: research

Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review
Conclusion Our protocol might be effective and sufficient in preventing postpartum BIUB placement-related endometritis. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 19, 2020 Category: Perinatology & Neonatology Authors: Nagase, Yoshikazu Matsuzaki, Shinya Kawanishi, Yoko Nakagawa, Satoshi Kakigano, Aiko Takiuchi, Tsuyoshi Mimura, Kazuya Tomimatsu, Takuji Endo, Masayuki Kimura, Tadashi Tags: Original Article Source Type: research

How Reliable Is a Statewide Prescription Monitoring Program for Identifying Post-Cesarean Opioid Use?
Conclusion Nearly half of women who underwent a cesarean section and who were administered opioids 24 hours prior to discharge did not have a detectable postpartum opioid prescription in the PMP. While identification of prescription filling improved with time, many of women were not detectable in the PMP system. These data call into question the accuracy of PMPs in identifying prescription opioid filling patterns in the postpartum setting. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  | ...
Source: American Journal of Perinatology Reports - March 19, 2020 Category: Perinatology & Neonatology Authors: Premkumar, Ashish Speedy, Sedona E. Miller, Emily S. Tags: Original Article Source Type: research

Abortion for Fetal Genetic Abnormalities: Type of Abnormality and Gestational Age at Diagnosis
Conclusion Most abortions were for abnormalities that can be suspected early in pregnancy. As many structural abnormalities associated with rare conditions are not identifiable until the mid-trimester, prenatal diagnosis and abortion occurred significantly later. Physicians and patients should be aware of the limitations of genetic screening. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 16, 2020 Category: Perinatology & Neonatology Authors: Grossman, Tracy B. Chasen, Stephen T. Tags: Original Article Source Type: research

Electronic Fetal Monitoring Credentialing Examination: The First 4000
Conclusion The PQF FMC exam is a reliable, valid assessment of both Electronic Fetal Monitoring (EFM) knowledge and judgment. It evaluates essential EFM skills for the establishment of practical credentialing. It also reports modest correlation between knowledge and judgment scores, suggesting that knowledge alone does not assure clinical competency. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 16, 2020 Category: Perinatology & Neonatology Authors: Tomlinson, Mark W. Brumbaugh, Sara A. O'Keeffe, Marin Berkowitz, Richard L. D'Alton, Mary Nageotte, Michael Tags: Case Report Source Type: research

Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count
Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 9, 2020 Category: Perinatology & Neonatology Authors: Antony, Kathleen M. Kazembe, Peter N. Pace, Ryan M. Levison, Judy Phiri, Henry Chiudzu, Grace Harris, Ronald Alan Chirwa, Rose Nyondo, Mary Marko, Ellina Chigayo, Andrew Nanthuru, Debora Banda, Bertha Twyman, Nicholas Ramin, Susan M. Raine, Susan P. Belfo Tags: Original Article Source Type: research

Clinical Utility of Weekly Laboratory Testing in the Outpatient Management of Preeclampsia and Gestational Hypertension
Conclusion This study found that weekly laboratory testing may have minimal clinical utility in the outpatient management protocol in monitoring patients with mild gestational hypertension or preeclampsia. Delivery was guided by other clinical factors. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 4, 2020 Category: Perinatology & Neonatology Authors: Morgan, John A. McCalmont, Lauren E. Towers, Craig V. Davis, Melissa Hankins, Miriam Rangnekar, Niyati McNeal, Mary Ellen Lewis, David F. Tags: Original Article Source Type: research

Metabolomic Pathways Predicting Labor Dystocia by Maternal Body Mass Index
Conclusion Metabolic pathways consistent with lipotoxicity, steroid hormone production, and tryptophan metabolism in late pregnancy serum were significantly associated with term labor dystocia in African-American women. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 4, 2020 Category: Perinatology & Neonatology Authors: Carlson, Nicole S. Frediani, Jennifer K. Corwin, Elizabeth J. Dunlop, Anne Jones, Dean Tags: Case Report Source Type: research

Perinatal Oral Health: A Novel Collaborative Initiative to Improve Access, Attitudes, Comfort Level, and Knowledge of Pregnant Women and Dental Providers
Conclusion This initiative resulted in increased students' knowledge, exposure, and comfort level to treating pregnant women and pregnant women received needed oral health care education and dental treatment. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 4, 2020 Category: Perinatology & Neonatology Authors: Mayberry, Melanie E. Gonik, Bernard Trombly, Robert M. Tags: Case Report Source Type: research

Safety and Feasibility of Intravenous Paracetamol for Patent Ductus Arteriosus in Indomethacin-/Ibuprofen-Resistant or -Contraindicated Preterm Infants: A Case Series
Conclusion The intravenous administration of higher dose paracetamol was safe and feasible in premature infants with hsPDA. Future clinical trials to explore the optimized dose and timing of administration are needed. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 4, 2020 Category: Perinatology & Neonatology Authors: Oshima, Ayumi Matsumura, Shun Iwatani, Ayaka Morita, Machiko Fujinuma, Sumie Motojima, Yukiko Tanaka, Kosuke Masutani, Satoshi Kabe, Kazuhiko Ueda, Keiko Namba, Fumihiko Tags: Case Report Source Type: research

Persistence and Extent of Neonatal Brachial Plexus Palsy: Association with Number of Maneuvers and Duration of Shoulder Dystocia
Conclusion Though the number of maneuvers used and duration of shoulder dystocia are associated with persistence of NBPP, the retrospective nature of the study of a selective cohort precludes recommendations changing the current management of shoulder dystocia. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - March 4, 2020 Category: Perinatology & Neonatology Authors: Doty, Morgen S. Chauhan, Suneet P. Chang, Kate W.-C. Al-Hafez, Leen McGovern, Connie Yang, Lynda J.-S. Blackwell, Sean C. Tags: Case Report Source Type: research

Is Early Amniotomy Associated with Higher Likelihood of Vaginal Birth after Cesarean?
AJP Rep 2020; 10: e37-e41 DOI: 10.1055/s-0040-1702924 Objective The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact of early amniotomy on VBAC success. Study Design This is a secondary analysis case-control study using the MFMU (Maternal-Fetal Medicine Units Network) Cesarean Registry. Women were included if they had a singleton pregnancy, were attempting VBAC, and underwent induction with artificial rupture of membr...
Source: American Journal of Perinatology Reports - March 4, 2020 Category: Perinatology & Neonatology Authors: Varvoutis, Megan S. Sayres, Lauren C. Dotters-Katz, Sarah K. Tags: Case Report Source Type: research

Early Onset Severe Hypertensive Disease in Pregnancy and Screening for Antiphospholipid Syndrome
AJP Rep 2020; 10: e32-e36 DOI: 10.1055/s-0040-1702926 Objective Although preterm delivery (PTD) before 34 weeks for severe hypertensive disease is a diagnostic criterion for antiphospholipid syndrome (APS), there is no consensus regarding testing for antiphospholipid antibodies (aPL) in this setting. We aim to describe the frequency of and the characteristics associated with inpatient aPL testing in this population. Study Design In this retrospective study of PTD before 34 weeks for severe hypertensive disease, charts were reviewed for aPL testing, gestational age at delivery, fetal complications, and sever...
Source: American Journal of Perinatology Reports - March 4, 2020 Category: Perinatology & Neonatology Authors: Sobhani, Nasim C. Shulman, Rachel Tran, Erin E. Gonzalez, Juan M. Tags: Case Report Source Type: research

Antenatal Screening for Group B Streptococcus in the Setting of Preterm Premature Rupture of Membranes: Empiric versus Culture-based Prophylaxis
Conclusion In pregnancies complicated by PPROM, infants of women who received culture-based IAP had no significant difference in EONS or GBS infection compared with infants of women with empiric IAP. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 11, 2020 Category: Perinatology & Neonatology Authors: Mithal, Leena B. Shah, Nirali Romanova, Anna Miller, Emily S. Tags: Original Article Source Type: research

Time Has Come for Routine Penicillin Allergy Testing in Obstetrics
Conclusion Most women who report a penicillin allergy during pregnancy would be candidates for penicillin allergy testing. With the high rate of antibiotic interventions in pregnant women who report a penicillin allergy, consideration should be given for penicillin allergy assessment. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - February 4, 2020 Category: Perinatology & Neonatology Authors: Cook, Elizabeth Ramirez, Mildred Turrentine, Mark Tags: Original Article Source Type: research

Predicting Preeclampsia with Noninvasive Measures of Endothelial Dysfunction: A Pilot Study
This study evaluates the assessment of endothelial function and its prediction for preeclampsia among women with high-risk factors. Study Design A prospective cohort study of 107 pregnant women at 20 weeks or greater gestation with risk factors for developing preeclampsia. Endothelial dysfunction was assessed using peripheral arterial tonometry by generating a reactive hyperemia index (RHI) score. An index score of
Source: American Journal of Perinatology Reports - January 27, 2020 Category: Perinatology & Neonatology Authors: Emeasoba, Emmanuel U. McLaren, Rodney A. Landau, Rebecca Weedon, Jeremy Haberman, Shoshana Minkoff, Howard Shani, Jacob Montemarano, Nadine Tags: Original Article Source Type: research

Is Video Laryngoscopy the Optimal Tool for Successful Intubation in a Neonatal Simulation Setting? A Single-Center Experience
Conclusion We conclude that novice providers tend to perform better with VL, while more experienced providers perform better with DL. In this era of decreased clinical training opportunities, VL may serve as a useful tool to teach residents and other novice health care providers. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - January 27, 2020 Category: Perinatology & Neonatology Authors: Musharaf, Iram Daspal, Sibasis Shatzer, John Tags: Original Article Source Type: research

Perinatal Management of Bart's Hemoglobinopathy: Paradoxical Effects of Intrauterine, Transplacental, and Partial Exchange Transfusions
We describe a fetus at 24 3/7 weeks' gestation that showed ultrasound evidence of anemia, hydrops, and severe growth restriction. Both parents were known to be cis heterozygous carriers for SEA α-thalassemia deletion (αα/–). Cordocentesis confirmed fetal anemia and homozygous α-thalassemia (−/−) in the fetus. Fetal intrauterine transfusions corrected the anemia, treated the hydrops, and improved fetal growth. The postnatal course was complicated by hypoxic respiratory failure and persistent pulmonary hypertension of the newborn, which resolved only after partial volume exchange tra...
Source: American Journal of Perinatology Reports - January 27, 2020 Category: Perinatology & Neonatology Authors: Curran, Mark Mikhael, Michel Sun, Wang-Dar Lim, Jina Leung, Anna Morchi, Gira Chmait, Ramen H. Tags: Case Report Source Type: research

A Case Study of Puerperal Group A Streptococcal Infection Complicated by Toxic Shock Syndrome
We present the case of a 32-year-old Para 2 reporting severe left distal lower extremity pain, fevers, and chills at 1 week following an uncomplicated vaginal delivery. The patient's clinical status rapidly decompensated to septic shock requiring transfer to the intensive care unit. She underwent anterior and lateral compartment fasciotomy of the left lower extremity for concerns of possible necrotizing soft tissue infection. Final blood cultures confirmed GAS infection with unclear primary source, though endometritis was favored. She required additional orthopaedic procedures including an arthroscopy with washout for cont...
Source: American Journal of Perinatology Reports - January 27, 2020 Category: Perinatology & Neonatology Authors: Olp, Robert J. Chamales, Ingrid A. Schmiedecke, Stacey S. Tags: Case Report Source Type: research

Erratum: Adverse Pregnancy Outcomes in Women with Sickle Cell Trait
AJP Rep 2019; 09: e389-e389 DOI: 10.1055/s-0040-1701199 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - January 14, 2020 Category: Perinatology & Neonatology Authors: Wellenstein, Whitney L. Sullivan, Shannon Darbinian, Jeanne Ritterman Weintraub, Miranda L. Greenberg, Mara Tags: Erratum Source Type: research

External Cephalic Version in Cases of Imminent Delivery at Preterm Gestational Ages: A Prospective Series
Conclusion ECV at preterm gestational ages may be an appropriate approach to management in patients requiring delivery. Larger series are needed to further document success rates and risks of the procedure. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - December 31, 2019 Category: Perinatology & Neonatology Authors: Hill, Meghan G. Reed, Kathryn L. Tags: Original Article Source Type: research

Mechanical Properties of the Every Second Matters for Mothers-Uterine Balloon Tamponade (ESM-UBT) Device: In Vitro Tests
Conclusion The mechanical properties of the ESM-UBT device make it attractive for scale across resource-poor settings. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - December 5, 2019 Category: Perinatology & Neonatology Authors: Mollazadeh-Moghaddam, Kamyar Dundek, Michelle Bellare, Anuj Borovac-Pinheiro, Anderson Won, Alice Burke, Thomas F. Tags: Original Article Source Type: research

Spontaneous Remission of Sick Sinus Syndrome in a Fetus with Pulmonary Stenosis Regurgitation
Conclusion Although fetal PSR can cause fetal SSS owing to immaturity at an earlier gestational age, SSS might be spontaneously resolved by fetal heart development as pregnancy progresses. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 19, 2019 Category: Perinatology & Neonatology Authors: Kajiwara, Kazuhiro Ishikawa, Satoru Mori, Takuma Samura, Osamu Okamoto, Aikou Tags: Case Report Source Type: research

Postnatal Amelioration of Fetal Right Ventricular Hypoplasia Associated with Large Eustachian Valve: A Case Report
We report a fetal case of postnatal amelioration of the tricuspid valve and right ventricle hypoplasia, despite significant right ventricular hypoplasia associated with a large Eustachian valve. Application of an appropriate respiratory management regimen to help reduce pulmonary vascular resistance is of particular importance for the reversal of the right-to-left shunt via the foramen ovale and associated increases in right ventricular inflow. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  o...
Source: American Journal of Perinatology Reports - November 19, 2019 Category: Perinatology & Neonatology Authors: Iwatani, Ayaka Miyake, Fumihito Ishido, Hirotaka Kanai, Masayo Ishiguro, Akio Iwamoto, Yoichi Kabe, Kazuhiko Masutani, Satoshi Tags: Case Report Source Type: research

Pyelonephritis in Pregnancy: Relationship of Fever and Maternal Morbidity
Conclusion Afebrile pregnant patients with pyelonephritis remain at risk of significant maternal morbidity. Application of the MEWC on admission identifies patients at higher risk of ICU admission. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 19, 2019 Category: Perinatology & Neonatology Authors: DeYoung, Tracey H. Whittington, Julie R. Ennen, Christopher S. Poole, Aaron T. Tags: Original Article Source Type: research

Impact of Preclinical Labor and Delivery Shadowing on Student Perceptions of Obstetrics and Gynecology as a Specialty and Possible Career: A Prospective Cohort
Discussion Although shadowing may not increase students' desire to pursue OBGYN, it is nearly universally felt to be worthwhile and improves perceptions of the field. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 19, 2019 Category: Perinatology & Neonatology Authors: Dotters-Katz, Sarah K. Smid, Marcela C. Tinkham, Sara Chuang, Alice Tags: Original Article Source Type: research

Deciduoma, a Large Intrauterine Mass of Deciduosis
AJP Rep 2019; 09: e337-e340 DOI: 10.1055/s-0039-1697647Deciduosis is the presence of ectopic decidual tissue outside the uterus, pelvic, or abdominal organs usually associated with pregnancy. It usually presents as smaller lesions but can be larger vascular lesions. Typically, these masses are detected incidentally during operative procedures. Our patient was referred at 14 weeks for a large intrauterine mass detected on ultrasound examination that was initially thought to be an acardiac twin. The mass was highly vascularized. However, since the patient was asymptomatic, she strongly desired to continue the pregnancy. The ...
Source: American Journal of Perinatology Reports - November 14, 2019 Category: Perinatology & Neonatology Authors: Dasani, Megha Lee, Hwa Jeong Rijhsinghani, Asha Tags: Case Report Source Type: research

Antenatal Magnesium Sulfate Exposure and Hemodynamically Significant Patent Ductus Arteriosus in Premature Infants
AJP Rep 2019; 09: e353-e356 DOI: 10.1055/s-0039-3400316 Objective The use of antenatal magnesium sulfate (MgSO4) has been associated with neuroprotective effects. One of its' proposed mechanisms of action includes antagonism of calcium channels. Calcium influx is important for closure of ductus arteriosus. We hypothesized that antenatal MgSO4 exposure may be associated with an increased risk of hemodynamically significant patent ductus arteriosus (HsPDA) in premature infants (PI). Study Design A prospective cohort study conducted in two parts. PI ( 40 pg/mL or NTproBNP > 10,200 pg/mL...
Source: American Journal of Perinatology Reports - November 14, 2019 Category: Perinatology & Neonatology Authors: Qasim, Amna Jain, Sunil K. Aly, Ashraf M. Tags: Original Article Source Type: research

Adverse Pregnancy Outcomes in Women with Sickle Cell Trait
Conclusion SCT alone does not appear to be associated with adverse pregnancy outcomes. Race/ethnicity is a risk factor for adverse pregnancy outcomes. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 11, 2019 Category: Perinatology & Neonatology Authors: Wellenstein, Whitney L. Sullivan, Shannon Darbinian, Ms Jeanne Ritterman Weintraub, Miranda L. Greenberg, Mara Tags: Original Article Source Type: research

Role of Maternal Thyroid-Stimulating Immunoglobulin in Graves' Disease for Predicting Perinatal Thyroid Dysfunction
Conclusion For patients with Graves' disease, those with iatrogenic hypothyroidism and TSI > 2.5 times the basal level are at the highest risk for neonatal thyrotoxicosis. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - November 11, 2019 Category: Perinatology & Neonatology Authors: Cui, Yiwen Rijhsinghani, Asha Tags: Original Article Source Type: research

Trend of Cesarean Section Rates and Correlations with Adverse Maternal and Neonatal Outcomes: A Secondary Analysis of Thai Universal Coverage Scheme Data
AJP Rep 2019; 09: e328-e336 DOI: 10.1055/s-0039-1697656 Objectives The main purpose of this article is to estimate the trend and projection of cesarean section rates (CSRs) and explore correlations between CSRs with adverse maternal and perinatal outcomes, namely maternal mortality ratios (MMRs), rates of postpartum hemorrhage (PPH), neonatal mortality rates (NMRs), and birth asphyxia per 1,000 live births across all regions of Thailand. Study design A secondary analysis of the hospital-based database of pregnant women and newborns under the Thai Universal Coverage Scheme between January 2009 and December 2...
Source: American Journal of Perinatology Reports - October 30, 2019 Category: Perinatology & Neonatology Authors: Liabsuetrakul, Tippawan Sukmanee, Jarawee Thungthong, Jutatip Lumbiganon, Pisake Tags: Original Article Source Type: research

Factors Associated with Attempted External Cephalic Version for Fetal Malpresentation at Term
AJP Rep 2019; 09: e323-e327 DOI: 10.1055/s-0039-1695748 Objective To assess differences in patient characteristics between women who did and did not undergo attempted external cephalic version (ECV) for fetal malpresentation at term. Study Design This was a retrospective cohort study of women with a singleton gestation and noncephalic presentation at > 37.0 weeks between October 2014 and October 2015. We compared demographic and clinical characteristics of women who did and did not undergo attempted ECV and assessed the reasons that women did not attempt ECV. Results Among 215 women...
Source: American Journal of Perinatology Reports - October 15, 2019 Category: Perinatology & Neonatology Authors: Limaye, Meghana Abdullahi, Najma Has, Phinnara Danilack, Valery A. Froehlich, Rosemary Werner, Erika Tags: Original Article Source Type: research

Universal versus Risk-Based Management of Unknown Group B Streptococcus Status at Term
Conclusions Universal IAP may be cost saving due to the reduction in extended hospitalizations for neonates and healthy mothers. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - September 30, 2019 Category: Perinatology & Neonatology Authors: Jones, Danielle M. Haikal, Samantha O. Whitham, Megan D. Howard, David L. Tags: Original Article Source Type: research

The Accuracy of Group Beta Streptococcus Rectovaginal Cultures at 35 to 37 Weeks of Gestation in Predicting Colonization Intrapartum
This study aims to investigate accuracy of group beta Streptococcus (GBS) rectovaginal cultures at 35 to 37 weeks in predicting intrapartum colonization. Study Design Institutional review board (IRB) approved prospective cohort study of 302 women from October 2015 to May 2017. Patients had the following tests for GBS: first trimester urine culture, rectovaginal culture at 35 to 37 weeks, and intrapartum rectovaginal culture. Outcomes included accuracy of 35- to 37-week GBS rectovaginal culture in detecting results intrapartum, and accuracy of first trimester urine culture in comparison to intrapartum rectovaginal c...
Source: American Journal of Perinatology Reports - September 23, 2019 Category: Perinatology & Neonatology Authors: Hussain, Farrah N. Al-Ibraheemi, Zainab Pan, Stephanie Francis, Antonia P. Taylor, Dyese Lam, Melissa Chu Lewis, Dawnette Tags: Original Article Source Type: research

Two Extremely Low Birth Weight Infants Who Survived Functional Pulmonary Atresia with Normal Intracardiac Anatomy
AJP Rep 2019; 09: e310-e314 DOI: 10.1055/s-0039-1697960For the first time, we report about two extremely low birth weight infants who were born at 25 and 22 weeks' gestation and who survived functional pulmonary atresia (fPA) with normal intracardiac anatomy. A slow, reflected, and bimodal blood flow pattern in the pulmonary artery (both cases) and the presence of pulmonary regurgitation (1 case) were useful for diagnosing fPA. Timely use of lipo-prostaglandin E1 to maintain adequate pulmonary flow and reduce pulmonary arterial resistance and sodium bicarbonate to improve acidosis were effective treatments to attain forwar...
Source: American Journal of Perinatology Reports - September 19, 2019 Category: Perinatology & Neonatology Authors: Oka, Shuntaro Kondo, Utako Oshima, Ayumi Matsumura, Shun Kanai, Masayo Ishiguro, Akio Iwamoto, Yoichi Ishido, Hirotaka Omori, Isaku Masutani, Satoshi Tags: Case Report Source Type: research

Fetomaternal Bleeding and Neonatal Hematocrit following Cesarean Delivery: Routine versus Transplacental Transection
AJP Rep 2019; 09: e298-e301 DOI: 10.1055/s-0039-1697654 Objective To evaluate fetomaternal bleeding following routine cesarean delivery compared with cesarean delivery involving transplacental transection. Study Design A prospective cohort study evaluating cesarean delivery in which the placenta was transected (cases) versus controls (placenta not transected) from January 2016 to April 2018. A maternal Kleihauer–Betke's (KB) test and newborn hematocrit were performed shortly after delivery. Results The rate of a positive KB test was not significantly different between cases (n = ...
Source: American Journal of Perinatology Reports - September 19, 2019 Category: Perinatology & Neonatology Authors: Gregory, Emily Towers, Craig V. van Nes, Jaclyn Shumard, Kristina Fortner, Kim B. Weitz, Beth Tags: Original Article Source Type: research