Preconception diet in adolescence and its association with hypertensive disorders of pregnancy and preterm birth. Results from The HUNT study
Br J Nutr. 2024 Apr 18:1-22. doi: 10.1017/S0007114524000746. Online ahead of print.ABSTRACTOur aim was to estimate associations of adolescent dietary patterns and meal habits with hypertensive disorders of pregnancy (HDP) and preterm birth. We used data from a prospective cohort study (Norwegian Young-HUNT1) where dietary information was collected during adolescence and pregnancy outcomes were obtained through record linkage to the Norwegian national birth registry. The outcomes were HDP, hypertension, preeclampsia/ eclampsia, and preterm birth in the first pregnancy and in any pregnancy. Diet was self-reported from valida...
Source: The British Journal of Nutrition - April 18, 2024 Category: Nutrition Authors: Andrew Keith Wills Elisabet Rudjord Hillesund Wendy Van Lippevelde Mary Barker Fr øydis Nordgård Vik Nina Cecilie Øverby Source Type: research

Eucommia granules activate Wnt/ β-catenin pathway, and improve oxidative stress, inflammation, and endothelial injury in preeclampsia rats
CONCLUSIONS: EG may activate the Wnt/β-catenin pathway and inhibit oxidative stress, inflammation, and vascular endothelial injury in PE rats, thereby improving the perinatal prognosis of preeclamptic rats. EG may inhibit oxidative stress, inflammation, and vascular endothelial injury through activation of the Wnt/β-catenin pathway in preeclampsia rats, thereby improving perinatal outcomes in PE rats.PMID:38629649 | PMC:PMC11020635 | DOI:10.1590/acb391524 (Source: Acta Cirurgica Brasileira)
Source: Acta Cirurgica Brasileira - April 17, 2024 Category: Surgery Authors: Xia Huang Guangyang Xing Cui Zhang Xiaotong Sun Source Type: research

Aspirin versus metformin in pregnancies at high risk of preterm pre-eclampsia in China (AVERT): protocol for a multicentre, double-blind, 3-arm randomised controlled trial
This study will compare the incidence of preterm-PE with delivery at <37 weeks’ gestation, as the primary outcome, of three different interventional groups: (1) aspirin 75 mg daily, (2) aspirin 150 mg daily and (3) aspirin 75 mg with metformin 1.5 g daily. 957 participants per treatment group are required to detect a significant difference of 59% in the reduction of the incidence of preterm-PE with 80% power and type I error of 5%. Pregnancy and neonatal outcomes will be collected and analysed. Ethics and dissemination Ethical approval for the study was obtained from the Joint Chinese University of Hong Kong&ndas...
Source: BMJ Open - April 17, 2024 Category: General Medicine Authors: Liu, J., Shen, L., Nguyen-Hoang, L., Zhou, Q., Wang, C. C., Lu, X., Sahota, D., Chong, K. C., Ying, H., Gu, W., Zhou, R., Yang, H., Jiang, Y., Chen, D., Li, X., Poon, L. Tags: Open access, Obstetrics & Gynaecology Obstetrics and gynaecology Source Type: research

Obstetric Complications and Birth Outcomes After Antenatal Coronavirus Disease 2019 (COVID-19) Vaccination
CONCLUSION: Receipt of an mRNA COVID-19 vaccine during pregnancy was not associated with an increased risk of adverse pregnancy outcomes; this information will be helpful for patients and clinicians when considering COVID-19 vaccination in pregnancy.PMID:38626447 | DOI:10.1097/AOG.0000000000005583 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - April 16, 2024 Category: OBGYN Authors: Kimberly K Vesco Anna E Denoble Heather S Lipkind Elyse O Kharbanda Malini B DeSilva Matthew F Daley Darios Getahun Ousseny Zerbo Allison L Naleway Lisa Jackson Joshua T B Williams Thomas G Boyce Candace C Fuller Eric S Weintraub Gabriela Vazquez-Benitez Source Type: research

Obstetric Complications and Birth Outcomes After Antenatal Coronavirus Disease 2019 (COVID-19) Vaccination
CONCLUSION: Receipt of an mRNA COVID-19 vaccine during pregnancy was not associated with an increased risk of adverse pregnancy outcomes; this information will be helpful for patients and clinicians when considering COVID-19 vaccination in pregnancy.PMID:38626447 | DOI:10.1097/AOG.0000000000005583 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - April 16, 2024 Category: OBGYN Authors: Kimberly K Vesco Anna E Denoble Heather S Lipkind Elyse O Kharbanda Malini B DeSilva Matthew F Daley Darios Getahun Ousseny Zerbo Allison L Naleway Lisa Jackson Joshua T B Williams Thomas G Boyce Candace C Fuller Eric S Weintraub Gabriela Vazquez-Benitez Source Type: research

Lung Protective Ventilation during Pregnancy: An Observational Cohort Study
Conclusion LTVV was utilized more often than HTVV among pregnant women in all trimesters. There was a high prevalence of maternal and fetal morbidity and fetal mortality among our cohort. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology Reports)
Source: American Journal of Perinatology Reports - April 16, 2024 Category: Perinatology & Neonatology Authors: Kislovskiy, Yasaswi Hauspurg, Alisse Donadee, Chenell Sakamoto, Sara Murugan, Raghavan Tags: Original Article Source Type: research

Sarcoidosis in pregnancy
Key content: Sarcoidosis is an uncommon multi-system disorder characterised by the presence of non-caseating granulomas. It has a peak incidence between the ages of 20 –40 years old. The pathogenesis of sarcoidosis is uncertain; however, it is known to be associated with an exaggerated T helper 1 (TH1) immune response leading to systemic inflammation and granuloma formation. Suppression in TH1 responses in pregnancy leads to disease remission in the majority of pregnancies. Nevertheless, the potential for decompensation in a subgroup remains, and  consideration should be given to the pre-pregnancy state. Sarcoidos...
Source: The Obstetrician and Gynaecologist - April 15, 2024 Category: OBGYN Authors: Joshua Odendaal, Fiona L Mackie, Sofia Tosounidou, Swati Ghosh, Ellen Knox Tags: Review Source Type: research

Hospital-acquired pneumonia due to Burkholderia cepacia in a thalassemia pregnancy with postoperative eclampsia: A case report
Respir Med Case Rep. 2024 Apr 4;49:102021. doi: 10.1016/j.rmcr.2024.102021. eCollection 2024.ABSTRACTThere are limited case reports on individuals infected with Burkholderia cepacia who do not have typical risk factors, particularly pregnant women with beta-thalassemia. A 34-year-old pregnant female with beta-thalassemia trait and hypertension was admitted to the hospital. The patient was diagnosed with eclampsia and underwent a cesarean section. After two days following the surgery, the patient experienced hospitality-acquired pneumonia. B.cepacia was isolated from blood cultures, and antibiotic susceptibility testing ind...
Source: Respiratory Care - April 11, 2024 Category: Respiratory Medicine Authors: Khoa Nguyen-Dang Ngoc Duong-Minh Hanh-Duyen Bui-Thi Source Type: research

Hospital-acquired pneumonia due to Burkholderia cepacia in a thalassemia pregnancy with postoperative eclampsia: A case report
Respir Med Case Rep. 2024 Apr 4;49:102021. doi: 10.1016/j.rmcr.2024.102021. eCollection 2024.ABSTRACTThere are limited case reports on individuals infected with Burkholderia cepacia who do not have typical risk factors, particularly pregnant women with beta-thalassemia. A 34-year-old pregnant female with beta-thalassemia trait and hypertension was admitted to the hospital. The patient was diagnosed with eclampsia and underwent a cesarean section. After two days following the surgery, the patient experienced hospitality-acquired pneumonia. B.cepacia was isolated from blood cultures, and antibiotic susceptibility testing ind...
Source: Respiratory Care - April 11, 2024 Category: Respiratory Medicine Authors: Khoa Nguyen-Dang Ngoc Duong-Minh Hanh-Duyen Bui-Thi Source Type: research

Hypertensive disorders of pregnancy among women with cardiovascular disease in Norway: A historical cohort study
ConclusionsThe occurrence of hypertensive disease of pregnancy in the study cohort was more than doubled compared to the general population in Norway. The risk of HDP increased with maternal cardiovascular risk group. We recommend taking into account maternal cardiovascular risk group when assessing risk and prophylaxis of HDP. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - April 11, 2024 Category: OBGYN Authors: Ingrid Langen, Eldrid Langes æter, Nina Gunnes, Vibeke Marie Almaas, Guttorm Haugen, Mette‐Elise Estensen, Ingvil Krarup Sørbye Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Considering belimumab during pregnancy: A more viable option over time
CONCLUSIONS: Belimumab may be an option for pregnant women with difficult-to-control lupus. Further research is needed to confirm the absence of association between belimumab and foetal harm.PMID:38594808 | DOI:10.1177/09612033241245549 (Source: Lupus)
Source: Lupus - April 10, 2024 Category: Rheumatology Authors: Paloma Vela-Casasempere Roc ío Caño Alameda Silvia G ómez Sabater Silvia Cortell Aznar Encarnaci ón Pérez Pascual Source Type: research

Considering belimumab during pregnancy: A more viable option over time
CONCLUSIONS: Belimumab may be an option for pregnant women with difficult-to-control lupus. Further research is needed to confirm the absence of association between belimumab and foetal harm.PMID:38594808 | DOI:10.1177/09612033241245549 (Source: Lupus)
Source: Lupus - April 10, 2024 Category: Rheumatology Authors: Paloma Vela-Casasempere Roc ío Caño Alameda Silvia G ómez Sabater Silvia Cortell Aznar Encarnaci ón Pérez Pascual Source Type: research

Maternal and fetal outcomes in pregnancy complicated by pre-existing lupus nephritis: Insights from a developing country Pakistan
CONCLUSION: The maternal and fetal outcomes in pre-existing LN depend on the disease activity at the time of conception. No correlation was found between International Society of Nephrology/Renal Pathology Society (ISN/RPS) classes of LN and adverse disease and pregnancy outcomes.PMID:38594605 | DOI:10.1177/09612033241246642 (Source: Lupus)
Source: Lupus - April 9, 2024 Category: Rheumatology Authors: Tabassum Elahi Saima Ahmed Muhammed Mubarak Ejaz Ahmed Source Type: research

Maternal and fetal outcomes in pregnancy complicated by pre-existing lupus nephritis: Insights from a developing country Pakistan
CONCLUSION: The maternal and fetal outcomes in pre-existing LN depend on the disease activity at the time of conception. No correlation was found between International Society of Nephrology/Renal Pathology Society (ISN/RPS) classes of LN and adverse disease and pregnancy outcomes.PMID:38594605 | DOI:10.1177/09612033241246642 (Source: Lupus)
Source: Lupus - April 9, 2024 Category: Rheumatology Authors: Tabassum Elahi Saima Ahmed Muhammed Mubarak Ejaz Ahmed Source Type: research

Hypertensive Disorders of Pregnancy
Am Fam Physician. 2024 Mar;109(3):251-260.ABSTRACTHypertensive disorders of pregnancy are a major contributor to maternal morbidity and mortality in the United States and include chronic and gestational hypertension, preeclampsia, HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome, eclampsia, and chronic hypertension with superimposed preeclampsia. For patients with chronic hypertension, oral antihypertensive therapy should be initiated or titrated at a blood pressure threshold of 140/90 mm Hg or greater. Gestational hypertension and preeclampsia without severe features can be managed with blood pre...
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Narges Farahi Fareedat Oluyadi Andrea B Dotson Source Type: research