First and Second Stage Risk Factors Associated with Perineal Lacerations
ConclusionOperative vaginal delivery is a modifiable risk factor associated with an increased risk of perineal laceration. Amnioinfusion appeared protective against injury, which could reflect a spurious finding, but may also represent true risk reduction similar to the mechanism of warm perineal compress. (Source: Maternal and Child Health Journal)
Source: Maternal and Child Health Journal - March 5, 2024 Category: Health Management Source Type: research

A retrospective cohort study evaluating pregnancy outcomes in women with MIDD
ConclusionWomen with mitochondrial disease appear to have more frequent obstetric complications including miscarriage and GDM. Pre-pregnancy diagnosis of m.3243A>G will enable the counseling of women and increase awareness of possible obstetric complications. (Source: Acta Diabetologica)
Source: Acta Diabetologica - March 1, 2024 Category: Endocrinology Source Type: research

Incidence of shoulder dystocia and risk factors for recurrence in the subsequent pregnancy —A historical register‐based cohort study
ConclusionsThe incidence of shoulder dystocia among nulliparous women with vaginal delivery was 1.0% with a 7.2% risk of recurrence in a population where about 50% had a subsequent birth and of these 78% had subsequent vaginal delivery. Important risk factors for recurrence were low maternal height, increase of birthweight ≥250 g from index to subsequent delivery and operative vaginal delivery. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - February 27, 2024 Category: OBGYN Authors: Maria Jeppegaard, Marie H. Larsen, Amalie B. Thams, Amalie B. Schmidt, Steen C. Rasmussen, Lone Krebs Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Variation in Episiotomy Use Among Nulliparous Individuals by Maternity Care Provider and Associated Rates of Obstetric Anal Sphincter Injury
CONCLUSIONS: In nullipara, irrespective of maternity care provider, there is a positive association between episiotomy and OASI among SVDs and an inverse association between episiotomy and deliveries with forceps. The relationship between episiotomy and OASI is modified by maternity care providers among vacuum deliveries.PMID:38387834 | DOI:10.1016/j.jogc.2024.102415 (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - February 22, 2024 Category: OBGYN Authors: Giulia M Muraca Anvi Desai Vanessa H ébert Gurkiran K Mann Meejin Park Sarka Lisonkova K S Joseph Source Type: research

Pelvic floor dysfunction after intervention, compared with expectant management, in prolonged second stage of labour: A population-based questionnaire and cohort study
CONCLUSIONS: Pelvic floor dysfunction was common in primiparous women after a prolonged second stage, and the risk of PFD increased after VE but was unaffected by CS, compared with expectant management. If a spontaneous vaginal delivery eventually occurred, allowing an extended duration of labour did not increase the risk of PFD.PMID:38375535 | DOI:10.1111/1471-0528.17792 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 20, 2024 Category: OBGYN Authors: Sandra Bergendahl Anna Sandstr öm Hongwei Zhao Jonathan M Snowden Sophia Brismar Wendel Source Type: research

Pelvic floor dysfunction after intervention, compared with expectant management, in prolonged second stage of labour: A population-based questionnaire and cohort study
CONCLUSIONS: Pelvic floor dysfunction was common in primiparous women after a prolonged second stage, and the risk of PFD increased after VE but was unaffected by CS, compared with expectant management. If a spontaneous vaginal delivery eventually occurred, allowing an extended duration of labour did not increase the risk of PFD.PMID:38375535 | DOI:10.1111/1471-0528.17792 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 20, 2024 Category: OBGYN Authors: Sandra Bergendahl Anna Sandstr öm Hongwei Zhao Jonathan M Snowden Sophia Brismar Wendel Source Type: research

Maternal exposure to particulate matter from duck houses restricts fetal growth due to inflammatory damage and oxidative stress
Ecotoxicol Environ Saf. 2024 Feb 15;273:116114. doi: 10.1016/j.ecoenv.2024.116114. Online ahead of print.ABSTRACTThe composition of particulate matter (PM) in poultry farms differs significantly from that of atmospheric PM as there is a higher concentration of microbes on farms. To assess the health effects of PM from poultry farms on pregnant animals, we collected PM from duck houses using a particulate sampler, processed it via centrifugation and vacuum concentration, and subsequently exposed the mice to airborne PM at 0.48 mg/m3 (i.e., low concentration group) and 1.92 mg/m3 (i.e., high concentration group) on the fifth...
Source: Ecotoxicology and Environmental Safety - February 17, 2024 Category: Environmental Health Authors: Jing Li Yuxin Kong Zhiyun Guo Lei Qu Zhaopeng Zhang Zhengxiu Qu Hairong Wang Tongjie Chai Ning Li Source Type: research

Maternal exposure to particulate matter from duck houses restricts fetal growth due to inflammatory damage and oxidative stress
Ecotoxicol Environ Saf. 2024 Feb 15;273:116114. doi: 10.1016/j.ecoenv.2024.116114. Online ahead of print.ABSTRACTThe composition of particulate matter (PM) in poultry farms differs significantly from that of atmospheric PM as there is a higher concentration of microbes on farms. To assess the health effects of PM from poultry farms on pregnant animals, we collected PM from duck houses using a particulate sampler, processed it via centrifugation and vacuum concentration, and subsequently exposed the mice to airborne PM at 0.48 mg/m3 (i.e., low concentration group) and 1.92 mg/m3 (i.e., high concentration group) on the fifth...
Source: Ecotoxicology and Environmental Safety - February 17, 2024 Category: Environmental Health Authors: Jing Li Yuxin Kong Zhiyun Guo Lei Qu Zhaopeng Zhang Zhengxiu Qu Hairong Wang Tongjie Chai Ning Li Source Type: research

Labor induction at 41+0 gestational weeks or expectant management for the nulliparous woman: The Finnish randomized controlled multicenter trial
ConclusionsOffering labor induction to nulliparous women at 41+0 gestational weeks may decrease the probability of operative delivery, postpartum hemorrhage, and neonatal weight ≥4000 g. However, this study was underpowered to affirm the trends of rising rates of CS and adverse neonatal outcomes in the expectant management group. Thus, expectant management could remain an option for some, as one in two women with expectant management had a spontaneous onset of labor. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - February 15, 2024 Category: OBGYN Authors: Katariina Place, Leena Rahkonen, Aydin Tekay, Kirsi V äyrynen, Maija‐Riitta Orden, Marja Vääräsmäki, Jukka Uotila, Kati Tihtonen, Kirsi Rinne, Kaarin Mäkikallio, Seppo Heinonen, Heidi Kruit Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

The role of the cerebroplacental ratio in predicting pregnancy outcomes at 40 –42 gestational weeks: a prospective observational trial
ConclusionAccording to the study results, fetal Doppler indices, including the cerebroplacental ratio, are not predictive of unfavorable outcome in women with pregnancies exceeding 40 weeks. Larger prospective studies are needed. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - February 12, 2024 Category: OBGYN Source Type: research