Leaner Women with Impaired Insulin Secretion Accounts for about 40% of Gestational Diabetes Mellitus in Japan.
Authors: Furukawa S, Kobayashi Y Abstract Aim: To identify the involvement of leanness and impaired insulin secretion with Japanese gestational diabetes mellitus (GDM). Method: A cross-sectional study was conducted comprising 219 at-risk pregnant women who underwent a 75g glucose tolerance test at a single institute in Tokyo, Japan. We identified GDM and normal glucose tolerance (NGT). The cut-off value of the homeostasis model assessment insulin resistance (HOMA-IR) for detecting GDM was determined. The GDM group was divided into subgroups according to insulin resistance based on the cut-off value of HOMA-IR. ...
Source: Journal of Pregnancy - July 6, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Determinants of Men's Involvement in Maternity Care in Dodoma Region, Central Tanzania.
Conclusions: Long waiting time to receive the service and limited access to information regarding men's involvement are associated with low men's involvement in maternity care. Male friendly maternity care should recognize men's preferences on timely access to services and provide them with relevant information on their roles in maternity care. Spousal communication is important; mothers must be empowered with relevant information to communicate to their male partners regarding fertility preferences and maternity care in general. PMID: 31275654 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - July 6, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Factors Associated with Singleton Preterm Birth in Shire Suhul General Hospital, Northern Ethiopia, 2018.
Authors: Kelkay B, Omer A, Teferi Y, Moges Y Abstract Background: Preterm birth is the leading cause of neonatal mortality and significant health consequences to the newborn, families, and communities and tens of emotional and economic costs. Therefore, the aim of this study was to assess the magnitude of singleton preterm birth and associated factors in Shire Suhul General Hospital, Northern Ethiopia. Methods: Institutional based cross-sectional study was conducted among systematically selected 325 postnatal mothers in Shire Suhul General Hospital, Northern Ethiopia, from January to March 2018. The data were c...
Source: Journal of Pregnancy - June 19, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Effect of Pregnant Mothers' Forum Participation on Birth Preparedness and Complication Readiness among Pregnant Women in Dale District, Southern Ethiopia: A Comparative Cross-Sectional Study.
Conclusion: In this study, birth preparedness and complication readiness is found to be low. However, it was significantly higher among forum members compared to forum nonmembers. Hence, efforts should be targeted to strengthen the pregnant mothers' forum and enroll the pregnant women to antenatal care service at early stage of the pregnancy. PMID: 31192014 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - June 15, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Does Current General Mental Health Status Relate to Current Smoking Status in Pregnant Women?
Conclusions: Overall, current mental health status was highly related to current smoking status in pregnant women. Clinicians in obstetrics may expect a very low proportion of pregnant women to report smoking and up to one-third to report low or moderate current general mental health status. Given that current mental health issues and current tobacco use may harm both mother and child, be highly related in pregnant women, and change throughout the pregnancy, pregnant women should be screened automatically for both at each visit. PMID: 31186961 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - June 13, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Inadequate Prenatal Visit and Home Delivery as Determinants of Perinatal Outcomes: Does Parity Matter?
Conclusion: This finding underscores the fact that frequency of antenatal care and place of delivery are significant predictors of perinatal outcomes. However, parity did not show statistically significant difference in perinatal outcomes. Women empowerment, promoting health facility delivery, and early, comprehensive antenatal care are needed. PMID: 31093374 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - May 17, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Changes in Gastric Smooth Muscle Cell Contraction during Pregnancy: Effect of Estrogen.
In conclusion, GSMC contractile behavior undergoes drastic changes in response to estrogen during pregnancy and this might explain some of the pregnancy-associated gastric disorders. PMID: 31080672 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - May 14, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Birth Preparedness among Women Who Gave Birth in the Last Twelve Months in Jardega Jarte District, Western Ethiopia.
This study aimed to assess birth preparedness and factors associated with it among women who gave birth in the last 12 months preceding the survey in Jardega Jarte district, Western Ethiopia. Methods: A community-based cross-sectional study was conducted from January to February 2016. A total of 581 women who gave birth recently were randomly selected for an interview. Data were entered and analyzed using SPSS version 21. Binary logistic regression was performed to identify predictive factors. Statistical significance was declared at p
Source: Journal of Pregnancy - May 7, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Magnitude of Low Birth Weight and Associated Factors among Newborns Delivered in Dangla Primary Hospital, Amhara Regional State, Northwest Ethiopia, 2017.
Authors: Talie A, Taddele M, Alemayehu M Abstract Background: Low birth weight is defined as a live born infant weighs less than 2 500 g regardless of gestational age. Globally, the prevalence of low birth weight ranges from 3% to 15%. Birth weight plays an important role in infant mortality, morbidity, development, and future health. The prevalence of low birth weight in Ethiopia was estimated to be 14% which is one of the highest percentages in the world. So, the aim of this study is to assess magnitude and associated factors of low birth weight among newborns delivered at Dangla Primary Hospital, Amhara Region, ...
Source: Journal of Pregnancy - April 4, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Gestational Weight Gain among Healthy Pregnant Women from Asia in Comparison with Institute of Medicine (IOM) Guidelines-2009: A Systematic Review.
Authors: Arora P, Tamber Aeri B Abstract In 1990, Institute of Medicine (IOM) recommended gestational weight gain (GWG) ranges for women in the United States primarily to improve infant birth weight. Changes in key aspects of reproductive health of women of child bearing age, a rising prevalence of obesity, and noncommunicable diseases prompted the revision of IOM guidelines in 2009. However, there is no such recommendation available for Asian women. This systematic review assesses the utility of IOM-2009 guidelines among Indian and other Asian pregnant women in terms of maternal and fetal outcomes. 624 citations w...
Source: Journal of Pregnancy - April 4, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Maternal Cardiac Function after Normal Delivery, Preeclampsia, and Eclampsia: A Prospective Study.
Conclusions: The hemodynamics of the puerperas after PE and E is characterized by impaired contractility of the myocardium and an increase in the indices of peripheral resistance. The degree of deviation in the parameters of cardiac hemodynamics and vascular resistance depended on the severity of hypertensive complications of pregnancy. PMID: 30941219 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - April 4, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Maternal Hepatitis B Infection Burden, Comorbidity and Pregnancy Outcome in a Low-Income Population on the Myanmar-Thailand Border: A Retrospective Cohort Study.
Conclusions: The results highlight the disease burden of HBV in women on the Myanmar-Thailand border and support original reports of a lack of significant associations with HBsAg+ irrespective of HBeAg status, for comorbidity, and pregnancy outcomes in deliveries supervised by skilled birth attendants. PMID: 30931155 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - April 3, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

The Impact of Scientific and Technical Training on Improving Databases' Adequacy for Fetal Growth Chart Development in Limited-Resource Settings: A Case Study in the Province of South Kalimantan, Indonesia.
Authors: Anggraini D, Abdollahian M, Marion K, Nuryani S, Ramadhan F, Rahayu RP, Rachman IR, Wurianto W Abstract Objectives: To assess the impact of scientific and technical training on midwives' abilities in collecting and recording the key performance indicators for fetal growth chart development in limited-resource settings. Methods: A descriptive design was used to describe midwives' abilities in timely collecting and recording the minimum data required to estimate fetal weight and develop fetal growth chart. The study was conducted among 19 urban and rural midwives in South Kalimantan, Indonesia, between A...
Source: Journal of Pregnancy - March 13, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Predictors of Unsafe Induced Abortion among Women in Ghana.
This study aimed to explore the predictors of unsafe induced abortion among women in Ghana. Methods: The study used data from the 2017 Ghana Maternal Health Survey. The association between women's sociodemographic, obstetric characteristics, and unsafe induced abortion was explored using logistic regression. The analysis involved a weighted sample of 1880 women aged 15-49 years who induced abortion in the period 2012-2017. Analysis was carried out using STATA/IC version 15.0. Statistical significance was set at p
Source: Journal of Pregnancy - March 13, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Glycosylation Profile of the Transferrin Receptor in Gestational Iron Deficiency and Early-Onset Severe Preeclampsia.
Conclusion: The increase in Gal-GlcNAc may be due to the increased presence of antennary structures and the mannose glycans of TfR1 may indicate the presence of misfolded or incomplete proteins. These findings may be associated with the low expression of placental TfR1 in women with preeclampsia. PMID: 30854239 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - March 13, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Unintended Pregnancy among Pregnant Women in Ghana: Prevalence and Predictors.
Conclusions: The study findings strongly underscore the need for significant improvement in the access to contraception methods and family planning information in the quest to considerably reduce unintended pregnancies in the entire country. PMID: 30834145 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - March 7, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Frequent Antenatal Care Visits Increase Institutional Delivery at Dabat Health and Demographic Surveillance System Site, Northwest Ethiopia.
Authors: Fekadu A, Yitayal M, Alemayehu GA, Abebe SM, Ayele TA, Tariku A, Andargie G, Teshome DF, Gelaye KA Abstract Background: Early diagnosis of pregnancy, professional follow-up, and skilled delivery service are the main interventions that reduce maternal morbidity and mortality. Generating local based evidence could support targeted and effective intervention placed by a government. Therefore, determining the prevalence of skilled institutional delivery and its associated factors is of supreme importance. Methods: A community based cross-sectional study was conducted among pregnant women at Dabat Health an...
Source: Journal of Pregnancy - February 28, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Exclusive Breastfeeding Knowledge, Intention to Practice and Predictors among Primiparous Women in Enugu South-East, Nigeria.
Authors: Ihudiebube-Splendor CN, Okafor CB, Anarado AN, Jisieike-Onuigbo NN, Chinweuba AU, Nwaneri AC, Arinze JC, Chikeme PC Abstract Breastfeeding is considered as the most complete nutritional source for infants because breast milk contains the essential carbohydrates, fats, proteins, and immunological factors needed for infants to thrive and resist infection in the formative first year of life. Knowledge of exclusive breastfeeding (EBF) among women is essential when promoting optimal breastfeeding practices. This cross-sectional descriptive survey assessed knowledge and intention to practice EBF and its associat...
Source: Journal of Pregnancy - February 7, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

The Concentration of Micronutrients and Heavy Metals in Maternal Serum, Placenta, and Cord Blood: A Cross-Sectional Study in Preterm Birth.
This study aimed to analyze the micronutrients and heavy metals concentrations between subjects with term and preterm birth. Design: A cross-sectional study was conducted during January-June 2017 in Cipto Mangunkusumo Hospital and Budi Kemuliaan Hospital, Jakarta, Indonesia. Subjects were divided into term and preterm birth groups. The measured outcomes were maternal serum, placental, and blood cord concentration of zinc, copper, iron, selenium, manganese, mercury, lead, AtRA, and 25(OH)D. Results: A total of 51 pregnant women participated in this study. Term group had higher concentration of maternal serum AtRA (0...
Source: Journal of Pregnancy - January 31, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

The Association of Polycystic Ovary Syndrome and Gestational Hypertensive Disorders in a Diverse Community-Based Cohort.
Authors: Schneider D, Gonzalez JR, Yamamoto M, Yang J, Lo JC Abstract Purpose: To examine the association of polycystic ovary syndrome (PCOS) and pregnancy-induced hypertension (PIH) within a large population of pregnant women in an integrated healthcare system. Methods: This retrospective study utilized a source cohort of 1023 women with PCOS and 1023 women without PCOS who had a delivered pregnancy within Kaiser Permanente Northern California. Preexisting hypertension was defined by hypertension diagnosis, treatment, or elevated blood pressure prior to 20 weeks of gestation. The development of PIH, including ...
Source: Journal of Pregnancy - January 31, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

What Do Clinicians Who Deliver Maternity Services Think Patient-Centered Care Is and How Is That Different for Vulnerable Women? A Qualitative Study.
Discussion: Most providers did not cite the core concepts of patient-centered care as defined by the Institute of Medicine and others. PMID: 30643647 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - January 16, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Pregnancy in Disability: Community Perceptions and Personal Experiences in a Rural Setting in Ghana.
Authors: Akasreku BD, Habib H, Ankomah A Abstract Background: Persons with disabilities (PWDs) generally face strong discrimination and exclusion, especially with regard to their sexual and reproductive health. There is a prevailing social myth in Ghana that women with disabilities are asexual and cannot experience a positive motherhood experience. Although the World Health Organization recommends that research is conducted in this regard, community attitudes towards pregnant women living with disabilities remain largely unexplored. The purpose of this study was to explore community attitudes to pregnancy among wom...
Source: Journal of Pregnancy - January 16, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Maternal Anthropometric Measurements Do Not Have Effect on Birth Weight of Term, Single, and Live Births in Addis Ababa City, Ethiopia.
The objective of this study is to investigate the effect of maternal anthropometric measurements on birth weight. A cross-sectional study was conducted from Nov 25, 2012, to Feb 25, 2013, in maternity public hospitals in Addis Ababa city, Ethiopia. The effect is investigated using correlation, linear regression, independent sample T-test, one-way ANOVA, and finally multivariate linear regression analysis. A total of 605 women and their newborns took part in this study and prevalence of low birth weight is 8.3%. On adjusted multivariate linear regression analysis, maternal anthropometric measurements did not have an effect ...
Source: Journal of Pregnancy - January 11, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Efficacy of an Emergency Cervical Cerclage Using Absorbable Monofilament Sutures.
Conclusions: Although our series included some patients at high risk for spontaneous abortion and preterm delivery, satisfactory prolongation and favorable neonatal outcomes were achieved for most patients by using absorbable monofilament sutures, thus suggesting the efficacy of this type of suture for emergency cervical cerclage. PMID: 30598846 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - January 3, 2019 Category: OBGYN Tags: J Pregnancy Source Type: research

Prevalence and Factors Associated with Teenage Pregnancy, Northeast Ethiopia, 2017: A Cross-Sectional Study.
Conclusions: There is high prevalence of teenage pregnancy in the area. Age, residence, contraceptive nonuse, and parental divorce were found to have a statistically significant association. Strengthening contraceptive use by giving special attention to rural dwellers and showing the consequences of divorce to the community are strongly recommended. PMID: 30515326 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - December 7, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Utilization of Antenatal Care Services in Dalit Communities in Gorkha, Nepal: A Cross-Sectional Study.
Conclusion: Even though there is reasonable good utilization rate of antenatal service, the study revealed that low education and awareness among mothers, low socioeconomic condition, early marriage and pregnancy, inappropriate antenatal health check-up, and cultural taboos were significant factors affecting the satisfactory utilization of services among the Dalit community. Hence, there is a need to emphasize on raising awareness of Dalit mothers for receiving available prenatal services. PMID: 30515327 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - December 7, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age.
Conclusions: Having a history of poor mental health before pregnancy may increase the likelihood of premature breastfeeding cessation. A woman's mental health status before pregnancy should be considered in reproductive and prenatal care models. Efforts should be made to understand challenges women of specific age groups face when trying to breastfeed. PMID: 30515328 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - December 7, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study.
Conclusion: Further research is needed to establish whether the suggestions can lead to more (cost) effective care and improve the course of HG and outcomes for HG patients and their children. PMID: 30515329 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - December 7, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Prevalence and Factors Influencing Alcohol Use in Pregnancy among Women Attending Antenatal Care in Dodoma Region, Tanzania: A Cross-Sectional Study.
Conclusion: There is a significantly high prevalence of alcohol use during pregnancy in Dodoma. Social networks and low social, economic status were associated with alcohol use in pregnancy. There is a need for public health interventions to address alcohol use particularly targeting women of reproductive age with low socioeconomic status. PMID: 30420920 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - November 15, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

The Relationship between Gestational Weight Gain and Postpartum Depression in Normal and Overweight Pregnant Women.
Conclusion: In addition to considering other risk factors for postpartum depression, health care providers should consider the higher probability of PPD in prepregnancy normal and overweight women who have excessive weight gain especially in the third trimester of pregnancy. PMID: 30420921 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - November 15, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Prediction of Preterm Birth: Maternal Characteristics, Ultrasound Markers, and Biomarkers: An Updated Overview.
Authors: Oskovi Kaplan ZA, Ozgu-Erdinc AS Abstract There is not a single or combined screening method for preterm birth with high sensitivity which will truly identify the women at risk for preterm birth while also with high specificity to prevent unnecessary interventions and high treatment costs. Measurement of cervical length is the most cost-effective method that is used in clinical practice. Bedside tests have also been developed for detecting markers like fetal fibronectin, insulin-like growth factor binding protein-1 (IGFBP-1), interleukin-6, and placental alpha-macroglobulin-1. Taking the maternal history, ...
Source: Journal of Pregnancy - November 10, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Danish Sonographers' Experiences of the Introduction of "Moderate Risk" in Prenatal Screening for Down Syndrome.
Conclusion: Sonographers' communicative strategies succeeded in limiting worry in pregnant women in MR. As such, the findings are valuable for health professionals, who are responsible for communicating about prenatal screening results and diagnostic options. PMID: 30402287 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - November 9, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Risk Factors for Neonatal Sepsis in Pregnant Women with Premature Rupture of the Membrane.
This study aimed to determine the incidence of neonatal sepsis in Cipto Mangunkusumo Hospital and the risk factors. Methods: A cross-sectional study was done in Cipto Mangunkusumo Hospital, Jakarta, from December 2016 to June 2017. The study used total sampling method including all pregnant women with gestational age of 20 weeks or more experiencing PROM, who came to the hospital at that time. Samples with existing comorbidities such as diabetes mellitus or other serious systemic illnesses such as heart disease or autoimmune condition were excluded from the analysis. Results: A total of 405 pregnant women with PROM...
Source: Journal of Pregnancy - November 9, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Cesarean Section in the Delivery Room: An Exploration of the Viewpoint of Midwives, Anaesthesiologists, and Obstetricians.
Conclusion: A detailed job description and education of all those involved in cesarean section at the delivery ward are necessary to improve patient safety. Patient experience is improved, but our knowledge on this is hampered by lack of studies. PMID: 30363741 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - October 27, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Improved Value of Individual Prenatal Care for the Interdisciplinary Team.
Authors: Damiano E, Theiler R Abstract Objective: Innovative models of prenatal care are needed to improve pregnancy outcomes and lower the cost of care. We sought to increase the value of traditional prenatal care by using a new model (PodCare) featuring a standardized visit schedule and coordination of care within small interdisciplinary teams in an academic setting. Methods: Prenatal providers and clinic staff were divided into four "Pods". Testing and counseling topics were assigned to visits based on gestational age. Interdisciplinary weekly Pod meetings provided coordination of care. A retrospec...
Source: Journal of Pregnancy - October 14, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

The Impact of Scientific and Technical Training on Improving Routine Collection of Antenatal Care Data for Maternal and Foetal Risk Assessment: A Case Study in the Province of South Kalimantan, Indonesia.
Authors: Anggraini D, Abdollahian M, Marion K, Nuryani S, Ramadhan F, Rahayu RP, Rachman IR, Wurianto W Abstract Objectives: First, to assess the impact of scientific and technical training on midwives' abilities in collecting and recording the results of routine antenatal care examinations. Second, to explore midwives' views with regard to factors affecting their abilities to successfully complete the data documentation tasks. Methods: The study was conducted in South Kalimantan, Indonesia (April 2016-October 2017). Nineteen urban and rural midwives were selected. Access to antenatal care information on 4,946 ...
Source: Journal of Pregnancy - October 13, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Vitamin D Postpartum Concentrations: Relationship with Nutritional Condition and Morbidities during Pregnancy.
Authors: Martins MEP, Esmeraldo CUP, Sabiá JPD, Carvalho JHL, Suano-Souza FI, Sarni ROS Abstract Objective: To evaluate postpartum vitamin D deficiency/insufficiency and to relate it to pregestational BMI, gestational weight gain, and sociodemographic variables. Methods: This is a cross-sectional study with 225 full-term pregnant women. Data collected are as follows: maternal health, socioeconomic status, pregestational body mass index (BMI), and gestational weight gain. Laboratory evaluation included vitamin D [25(OH)D], calcium, phosphorus, magnesium, and alkaline phosphatase. Results: The mean age...
Source: Journal of Pregnancy - September 26, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Can Obstetric Risk Factors Predict Fetal Acidaemia at Birth? A Retrospective Case-Control Study.
Authors: Kapaya H, Williams R, Elton G, Anumba D Abstract Background: Despite major advances in perinatal medicine, intrapartum asphyxia remains a leading and potentially preventable cause of perinatal mortality and long-term morbidity. The umbilical cord pH is considered an essential criteria for the diagnosis of acute intrapartum hypoxic events. The purpose of this study was to evaluate whether obstetric risk factors are associated with fetal acidaemia at delivery. Methodology: In a case-control study, 294 women with term singleton pregnancies complicated by an umbilical artery cord pH 7.20. Groups were compa...
Source: Journal of Pregnancy - September 26, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Prevalence and Determinants of Complete Postnatal Care Service Utilization in Northern Shoa, Ethiopia.
Authors: Akibu M, Tsegaye W, Megersa T, Nurgi S Abstract Background: Postnatal period presents the highest risk of death for mothers and newborns. Although progress has been made in expanding the coverage for most of maternal health services, national prevalence of postnatal care service utilization in Ethiopia is still extremely limited. Hence, this study aims to determine the prevalence and factors associated with complete postnatal care service utilization in Northern Shoa, Ethiopia. Methods: Community based cross-sectional survey was conducted between November 2016 and February 2017. A total of 510 mothers ...
Source: Journal of Pregnancy - September 7, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Foetal Macrosomia and Foetal-Maternal Outcomes at Birth.
Authors: Turkmen S, Johansson S, Dahmoun M Abstract To investigate how macrosomia affects foetal-maternal birth outcomes, we conducted a retrospective cohort study of singleton pregnant women who gave birth at gestational age ≥37+0 weeks. The patients were divided into three groups according to birth weight: "macrosomia" group, ≥4500 g, n=285; "upper-normal" group, 3500-4499 g, n=593; and "normal" group, 2500-3499 g, n=495. Foetal-maternal and delivery outcomes were compared among the three groups after adjustment for confounders. Caesarean section was more frequent in the macros...
Source: Journal of Pregnancy - September 4, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Trichomonas vaginalis Transports Virulent Mycoplasma hominis and Transmits the Infection to Human Cells after Metronidazole Treatment: A Potential Role in Bacterial Invasion of Fetal Membranes and Amniotic Fluid.
Authors: Thi Trung Thu T, Margarita V, Cocco AR, Marongiu A, Dessì D, Rappelli P, Fiori PL Abstract Mycoplasma hominis is considered an opportunistic pathogen able to colonize the lower urogenital tract; in females the infection is associated with severe pregnancy and postpartum complications, including abortion, endometritis, preterm delivery, and low birth weight. Molecular mechanisms of pathogenicity and virulence effectors remain poorly characterized. A number of studies in the last decade have demonstrated that M. hominis can establish an endosymbiotic relationship with Trichomonas vaginalis, a urogenit...
Source: Journal of Pregnancy - September 4, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Prevalence, Infectivity, and Associated Risk Factors of Hepatitis B Virus among Pregnant Women in Yirgalem Hospital, Ethiopia: Implication of Screening to Control Mother-to-Child Transmission.
Conclusions: High prevalence of HBsAg and HBeAg as well as low awareness and practices of HBV prevention methods suggests that perinatal transmission of HBV might be the prevailing mode of HBV transmission in the study area. Thus, screening of all pregnant women, particularly those who had history of multiple sexual partners and HIV coinfection, and provision of health education about HBV prevention methods are inevitable. PMID: 30174956 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - September 4, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Natural Cytotoxicity Receptors in Decidua Natural Killer Cells of Term Normal Pregnancy.
Conclusion: The decreased expression of some NCRs in deciduas may be related to decreased cytotoxicity at term pregnancy, but the increased expression of NKp44 may affect the increased cytokine production in the decidua. Similarly, the expression of NCRs in the decidua may be connected to the maintenance of pregnancy at term. PMID: 30155304 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - August 31, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy.
Conclusion: Pregnancies at risk for DMD should be prenatally tested to prevent the effect of disease on families and DMD carrier fetuses had obstetric outcomes similar to DMD negative female fetuses. PMID: 30151283 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - August 30, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Discordance in Couples Pregnancy Intentions and Breastfeeding Duration: Results from the National Survey of Family Growth 2011-2013.
Conclusions: Findings from this study show a relationship between couples' pregnancy intentions and subsequent breastfeeding behaviors. Healthcare professionals should be cognizant of parents' differing opinions surrounding pregnancy intention and the implications on breastfeeding outcomes. PMID: 30140460 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - August 25, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Maternal and Neonatal Characteristics for Late Foetal Death in Latvia between 2001 and 2014: Population-Based Study.
This study calculated LFD rates and rate ratios (RR). Results: The overall LFD rate showed a slight statistically significant reduction (p
Source: Journal of Pregnancy - August 18, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Prevalence and Outcome of Operative Vaginal Delivery among Mothers Who Gave Birth at Jimma University Medical Center, Southwest Ethiopia.
Authors: Hubena Z, Workneh A, Siraneh Y Abstract Background: Operative vaginal deliveries (OVD) are vaginal deliveries accomplished with the use of a vacuum device or forceps. If it is technically feasible and can be safely accomplished, termination of second stage labor by operative vaginal delivery is indicated in any condition threatening the mother or fetus that is likely to be relieved by delivery. Hence, the objective of this study is to assess the prevalence, common indication, outcome, and associated factors of operative vaginal delivery among mothers who gave birth in Jimma University Medical Center (JUMC)...
Source: Journal of Pregnancy - August 15, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Clinical Presentation of Preeclampsia and the Diagnostic Value of Proteins and Their Methylation Products as Biomarkers in Pregnant Women with Preeclampsia and Their Newborns.
Authors: Portelli M, Baron B Abstract Preeclampsia (PE) is a disorder which affects 1-10% of pregnant women worldwide. It is characterised by hypertension and proteinuria in the later stages of gestation and can lead to maternal and perinatal morbidity and mortality. Other than the delivery of the foetus and the removal of the placenta, to date there are no therapeutic approaches to treat or prevent PE. It is thus only possible to reduce PE-related mortality through early detection, careful monitoring, and treatment of the symptoms. For these reasons the search for noninvasive, blood-borne, or urinary biochemical m...
Source: Journal of Pregnancy - July 31, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Magnesium Supplementation and Blood Pressure in Pregnancy: A Double-Blind Randomized Multicenter Study.
Conclusion: Magnesium supplementation in healthy first-time pregnant women is not to be recommended for prevention of blood pressure increase. Supplementation in risk pregnancies needs to be further investigated. The study is listed on the ISRCTN registry with study ID 13890849. PMID: 30002931 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - July 15, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research

Factors Associated with Successful Trial of Labor after Cesarean Section: A Retrospective Cohort Study.
Conclusion: The simple audit system had the greatest impact on the success rate of TOLAC, instead of the less powerful obstetrical factors as reported in previous reports. The audit system is the only potential factor that could be strengthened to improve the success rate. PMID: 29967697 [PubMed - in process] (Source: Journal of Pregnancy)
Source: Journal of Pregnancy - July 5, 2018 Category: OBGYN Tags: J Pregnancy Source Type: research