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

Association Between Hypertensive Disorders of Pregnancy and Interval Neurocognitive Decline: An Analysis of the Hispanic Community Health Study/Study of Latinos
CONCLUSION: The presence of preeclampsia or eclampsia was not associated with interval neurocognitive decline. In this cohort of U.S. Hispanic/Latina individuals, gestational hypertension alone was associated with decreased processing speed and executive functioning later in life.PMID:38574370 | DOI:10.1097/AOG.0000000000005571 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - April 4, 2024 Category: OBGYN Authors: Tali Elfassy Shathiyah Kulandavelu Leah Dodds Robert A Mesa Tatjana Rundek Vera Sharashidze Michael Paidas Martha L Daviglus Michelle A Kominiarek Ariana M Stickel Krista M Perreira Marissa A Kobayashi Tanya P Garcia Carmen R Isasi Richard B Lipton Hector 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

Association Between Hypertensive Disorders of Pregnancy and Interval Neurocognitive Decline: An Analysis of the Hispanic Community Health Study/Study of Latinos
CONCLUSION: The presence of preeclampsia or eclampsia was not associated with interval neurocognitive decline. In this cohort of U.S. Hispanic/Latina individuals, gestational hypertension alone was associated with decreased processing speed and executive functioning later in life.PMID:38574370 | DOI:10.1097/AOG.0000000000005571 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - April 4, 2024 Category: OBGYN Authors: Tali Elfassy Shathiyah Kulandavelu Leah Dodds Robert A Mesa Tatjana Rundek Vera Sharashidze Michael Paidas Martha L Daviglus Michelle A Kominiarek Ariana M Stickel Krista M Perreira Marissa A Kobayashi Tanya P Garcia Carmen R Isasi Richard B Lipton Hector 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

Association Between Hypertensive Disorders of Pregnancy and Interval Neurocognitive Decline: An Analysis of the Hispanic Community Health Study/Study of Latinos
CONCLUSION: The presence of preeclampsia or eclampsia was not associated with interval neurocognitive decline. In this cohort of U.S. Hispanic/Latina individuals, gestational hypertension alone was associated with decreased processing speed and executive functioning later in life.PMID:38574370 | DOI:10.1097/AOG.0000000000005571 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - April 4, 2024 Category: OBGYN Authors: Tali Elfassy Shathiyah Kulandavelu Leah Dodds Robert A Mesa Tatjana Rundek Vera Sharashidze Michael Paidas Martha L Daviglus Michelle A Kominiarek Ariana M Stickel Krista M Perreira Marissa A Kobayashi Tanya P Garcia Carmen R Isasi Richard B Lipton Hector 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

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

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

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

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

Inter-facility transfers for emergency obstetrical and neonatal care in rural Madagascar: a cost-effectiveness analysis
Conclusions In our study, the inter-facility referral system was a very cost-effective intervention. Our findings may inform policies, decision-making and implementation strategies for emergency obstetrical and neonatal care referral systems in similar resource-constrained settings. (Source: BMJ Open)
Source: BMJ Open - April 3, 2024 Category: General Medicine Authors: Franke, M. A., Nordmann, K., Frühauf, A., Ranaivoson, R. M., Rebaliha, M., Rapanjato, Z., Bärnighausen, T., Muller, N., Knauss, S., Emmrich, J. V. Tags: Open access, Global health Source Type: research

Magnesium sulfate and risk of hypoxic ischemic encephalopathy in a high-risk cohort
Hypoxic ischemic encephalopathy contributes to morbidity and mortality among neonates ≥ 360 weeks’ gestation. Evidence of preventative antenatal treatment is limited. Magnesium sulfate has neuroprotective properties among preterm fetuses. Hypertensive disorders of pregnancy are a risk factor for hypoxic ischemic encephalopathy and magnesium sulfate is recommended for maternal sei zure prophylaxis among patients with pre-eclampsia with severe features. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - April 2, 2024 Category: OBGYN Authors: Kathleen C. MINOR, Jessica LIU, Maurice L. DRUZIN, Yasser Y. EL-SAYED, Susan R. HINTZ, Sonia L. BONIFACIO, Stephanie A. LEONARD, Henry C. LEE, Jochen PROFIT, Scarlett D. KARAKASH Tags: Original Research: Obstetrics Source Type: research

Incidence, predictors and immediate neonatal outcomes of birth asphyxia in Nigeria
CONCLUSIONS: The incidence of reported birth asphyxia in the participating facilities was low, with around one in six or seven babies with birth asphyxia dying. Factors associated with birth asphyxia included sociodemographic and clinical considerations, underscoring a need for a comprehensive approach focused on the empowerment of women and ensuring access to quality antenatal, intrapartum and postnatal care.PMID:38560768 | DOI:10.1111/1471-0528.17816 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - April 1, 2024 Category: OBGYN Authors: Joseph Ifeanyichukwu Ikechebelu George Uchenna Eleje Chinyere Ukamaka Onubogu Nnabuike Okechukwu Ojiegbe Uchenna Ekwochi Ifeanyichukwu Uzoma Ezebialu Eziamaka Pauline Ezenkwele Emily Akuabia Nzeribe Uchenna Anthony Umeh Ijeoma Obumneme-Anyim Linda Nneka N Source Type: research

Incidence, predictors and immediate neonatal outcomes of birth asphyxia in Nigeria
CONCLUSIONS: The incidence of reported birth asphyxia in the participating facilities was low, with around one in six or seven babies with birth asphyxia dying. Factors associated with birth asphyxia included sociodemographic and clinical considerations, underscoring a need for a comprehensive approach focused on the empowerment of women and ensuring access to quality antenatal, intrapartum and postnatal care.PMID:38560768 | DOI:10.1111/1471-0528.17816 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - April 1, 2024 Category: OBGYN Authors: Joseph Ifeanyichukwu Ikechebelu George Uchenna Eleje Chinyere Ukamaka Onubogu Nnabuike Okechukwu Ojiegbe Uchenna Ekwochi Ifeanyichukwu Uzoma Ezebialu Eziamaka Pauline Ezenkwele Emily Akuabia Nzeribe Uchenna Anthony Umeh Ijeoma Obumneme-Anyim Linda Nneka N Source Type: research