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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 26, 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 13, 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 30, 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 4, 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 18, 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  |  open access Full text (Source: A...
Source: American Journal of Perinatology Reports - November 18, 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 18, 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 18, 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 13, 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
Conclusion Antenatal MgSO4 exposure is not associated with an increased risk of HsPDA. It may be associated with a decreased likelihood of HsPDA. [...] 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 13, 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 10, 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 10, 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
Conclusion CSRs in Thailand continuously increased and were correlated with adverse maternal and perinatal outcomes. More effort at the national level to reduce unnecessary CS is urgently required. [...] 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 - October 29, 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
Conclusion Among women with fetal malpresentation at term, those without a prior vaginal delivery were significantly less likely to undergo attempted ECV. [...] 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 - October 14, 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 29, 2019 Category: Perinatology & Neonatology Authors: Jones, Danielle M. Haikal, Samantha O. Whitham, Megan D. Howard, David L. Tags: Original Article Source Type: research