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Luexay Phadouangdeth - - 2014
Maternal near-miss (MNM) incidence is the indicator reflecting maternal healthcare services. This study aimed to determine the burden of maternal near-miss and maternal deaths in Sayaboury Province, Lao PDR. A descriptive study was done in a cohort of 1215 pregnant women, who had their last normal menstrual period (LMP) between ...
Ameh Ca C Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Liverpool, - - 2014
Understanding the causes of and factors contributing to maternal deaths is critically important for development of interventions that reduce the global burden of maternal mortality and morbidity. The International Classification of Diseases-Maternal Mortality (ICD-MM) classification of cause of death during pregnancy, childbirth and the puerperium was applied to data obtained ...
Takahashi Hironori H Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, - - 2014
As reported in this journal (1), single fetal death occurs much more frequently in monochorionic diamniotic (MCDA) than in dichorionic diamniotic twins. After a MCDA co-twin's death, the surviving twin sometimes suffers brain damage (2). It has been considered that this mainly occurs after the second, or at least late ...
Lassi Zohra S - - 2014
Worldwide, 250,000-280,000 women die during pregnancy and childbirth every year and an estimated 6.55 million children die under the age of five. The majority of maternal deaths occur during or immediately after childbirth, while 43% of child death occurs during the first 28 days of life. However, the progress in ...
Economou Marina M 1st Pediatric Department, Hippokration General Hospital, Aristotle University of Thessaloniki, Thessaloniki, - - 2014
Haemophilia is an X-linked recessive genetic disease of haemostasis. Women carriers may present with a bleeding tendency similar to milder forms of the disease. Haemophilic newborns present risk factors and patterns of bleeding that are challenging. Identification of carriers and genetic counselling before conception is considered optimal to help decide ...
Childress Katherine M Scolari - - 2014
To evaluate the length of the third stage of labor in second trimester pregnancies, to determine the rate of complications such as hemorrhage or infection, and to determine the ideal timing for delivery of the placenta in these pregnancies. A review of 121 consecutive vaginal deliveries between 16 and 27 ...
Tıras Bulent B Department of Obstetrics and Gynecology, Acibadem University School of Medicine, Istanbul, - - 2014
Many patient and embryo factors influence the outcome of assisted reproductive technology (ART) treatment. The predictors for a successful ART cycle include female age, ovarian reserve, embryo quality, endometrial receptivity, and embryo transfer (ET) technique. ET, the final step of ART, has recently been noted as a crucial step affecting ...
Hoover Merrit A MA Oregon Health & Science University, Portland, - - 2014
The objective of this study was to determine the optimal gestational age for delivery in cases of vasa previa. A decision-analytic model was designed to compare gestational age of delivery in vasa previa for gestational ages between 32 and 37 weeks using maternal and fetal quality-adjusted life-years in a theoretical ...
Lee Vanessa R VR Oregon Health & Science University, Portland, - - 2014
Maternal obesity complicates over 20% of pregnancies in the United States and increases the risk of many adverse perinatal outcomes. However, limited data exist on the timing of delivery in such cases. The purpose of this study was to determine the optimal gestational age of delivery in an obese patient. ...
Oakley Sarah - - 2014
Yoga is considered a good form of exercise in pregnancy (NHS Choices recommend exercise such as yoga, amongst others) to help women keep fit during their pregnancy and prepare for the birth. But apart from the physical postures, yoga has plenty to offer. The breathing and meditation techniques keep pregnant ...
Exavery Amon - - 2014
Intermittent preventive treatment during pregnancy (IPTp) with optimal doses (two+) of sulphadoxine-pyrimethamine (SP) protects pregnant women from malaria-related adverse outcomes. This study assesses the extent and predictors of uptake of optimal doses of IPTp-SP in six districts of Tanzania. The data come from a cross-sectional survey of random households conducted ...
Reis Pamela J PJ Assistant Professor, East Carolina University College of - - 2014
The study reported here explored changes in optimism, power, and well-being over time in women who participated in a six-week prenatal yoga program during their second and third trimesters of pregnancy. The study was conceptualized from the perspective of Rogers' science of unitary human beings. A correlational, one-group, pre-post-assessment survey ...
Rovei Valentina - - 2013
Some data suggest that the results of human in vitro fertilization (IVF) may be affected by the site of the uterine cavity where embryos are released. It is not yet clear if there is an optimal range of embryo-fundus distance (EFD) within which embryos should be transferred to optimize IVF ...
Reiter Russel J - - 2013
BACKGROUNDResearch within the last decade has shown melatonin to have previously-unsuspected beneficial actions on the peripheral reproductive organs. Likewise, numerous investigations have documented that stable circadian rhythms are also helpful in maintaining reproductive health. The relationship of melatonin and circadian rhythmicity to maternal and fetal health is summarized in this ...
Salihu Hamisu M - - 2013
To evaluate the relationship between pregnancy weight gain and placental abruption, Missouri's population-based, maternally linked, longitudinal dataset (1989-2005, n = 1,146,935) was assessed. Regardless of baseline body mass index, women who gained less than the optimal amount recommended by the Institute of Medicine had a 67% increased likelihood of placental abruption (adjusted ...
Johnson Rebecca L - - 2013
Profound hypotension and resistance to conventional vasopressor therapy following administration of spinal anesthesia for Cesarean delivery occurred in a multiparous parturient. Postpartum evaluation for secondary hypertension showed a diagnosis of pheochromocytoma. Pheochromocytoma was mistaken for preeclampsia with significant vasopressor requirement to treat hypotension from spinal anesthesia. If pheochromocytoma is diagnosed ...
Dermish Amna I - - 2013
Worldwide, 40% of all pregnancies are unintended. Widespread, over-the-counter availability of oral emergency contraception (EC) has not reduced unintended pregnancy rates. The EC visit presents an opportunity to initiate a highly effective method of contraception in a population at high risk of unintended pregnancy who are actively seeking to avoid ...
Tiblad Eleonor - - 2013
OBJECTIVE: The aim of the present study was to analyze the timing of Rhesus D (RhD) immunization in pregnancy and the consequences for the index pregnancy and for subsequent pregnancies to be able to optimize the design of antenatal screening and prevention programs. DESIGN: Retrospective cohort study. SETTIN: Stockholm county, ...
Dudenhausen Joachim W - - 2013
Abstract Objectives: In the industrialized world, the mean age at which mothers give birth to their first child has increased. The purpose of this article was to review the available evidence in order to optimize preconception care in women who have postponed childbearing to the later years of the reproductive ...
Patel Ketan M - - 2012
Pregnancy following abdominal flap-based breast reconstruction may cause stress to the abdominal wall. These changes may result in weakness and hernia or bulge. We present two patients who previously underwent unilateral deep inferior epigastric perforator (DIEP) flap breast reconstruction and became pregnant twice. Both patients maintained abdominal contour without bulges ...
Fishman Shira G - - 2011
Acute chorioamnionitis or intra-amniotic infection is defined by maternal fever in association with at least one additional clinical criterion including maternal or fetal tachycardia, maternal leukocytosis, uterine tenderness, or foul amniotic fluid odor. In clinically uncertain cases, the diagnosis can be augmented by routine laboratory studies (e.g. white blood cell ...
Machado Susana - - 2011
The incidence of acute kidney injury in pregnancy declined significantly over the second half of the 20th century; however, it is still associated with major maternal and perinatal morbidity and mortality. A set of systemic and renal physiological adaptive mechanisms occur during a normal gestation that will constrain several changes ...
McCallister Jennifer W - - 2011
OBJECTIVE: Asthma is one of the most common medical conditions complicating pregnancy. Despite the presence of published guidelines outlining the care of the pregnant patient with asthma, disparities in the treatment of acute asthma exacerbations in the emergency department related to pregnancy status are known to exist. We sought to ...
Wand S - - 2011
Acute fatty liver of pregnancy (AFLP) is a rare but serious liver disease and typically occurs during the third trimester. It carries the risk for significant perinatal and maternal mortality. Therefore an early diagnosis and delivery, followed by close monitoring and optimized management of the impaired liver function with all ...
Papaioannou George I - - 2011
BACKGROUND The aim of this retrospective study was to assess the value of maternal history and ultrasound scan findings at 6-10 weeks for predicting early miscarriage. METHODS Embryonic crown-rump length (CRL), heart rate (HR), gestational sac diameter (GSD) and yolk sac diameter (YSD) were compared in two groups of women ...
Chiang An-Jen - - 2011
A combination of systemic chemotherapy, feticide with intrachest and intra-abdominal injection with methotrexate, and hysteroscopy with dilation and curettage to remove the gestational tissue was successful in the treatment of a cesarean scar ectopic pregnancy. This case presents images of the ultrasound, magnetic resonance imaging, and pathologic features unique to ...
Bodri Daniel - - 2011
OBJECTIVE: To compare pregnancy and implantation rates with transvaginal (TV) versus transabdominal (TA) ultrasound-guided embryo transfer (ET). DESIGN: Randomized, clinical trial registered at clinicaltrials.gov (NCT 01137461). SETTING: Private, infertility clinic. PATIENT(S): Three-hundred thirty randomized recipients of donor oocytes. INTERVENTION(S): Embryo transfer using TV (with empty bladder, using the Kitazato ET ...
Zaher Summia - - 2011
We describe an in vitro fertilization (IVF) pregnancy and delivery after magnetic resonance-guided focused ultrasound (MRgFUS) for a symptomatic uterine fibroid. A 45-year-old para 0 + 1, with four previous failed IVF treatments underwent MRgFUS for a single anterior wall fibroid causing intra-cavitary distortion and conceived after the first IVF ...
Hata Toshiyuki - - 2011
We present two cases of amniotic band syndrome diagnosed using two-dimensional (2D) ultrasound with three-dimensional (3D)/four-dimensional (4D) ultrasound in early pregnancy. In Case 1, at 13 weeks' gestation, multiple amniotic bands, acrania, the absence of fingers and amputation of the toes bilaterally were clearly shown using transvaginal 3D/4D ultrasound. In Case ...
Flyckt Rebecca L - - 2011
Laparoscopic ovarian drilling (LOD) is an alternative to ovulation induction with gonadotropins for polycystic ovarian syndrome (PCOS) patients unresponsive to clomiphene. It is quick and easy to perform, although the number of punctures and energy doses has not been standardized. The mechanism of LOD is unclear, but it is likely ...
Vikhareva Osser Olga - - 2011
To estimate the association between the appearance of cesarean hysterotomy scars at transvaginal ultrasound examination of nonpregnant women and the outcome of subsequent pregnancies and deliveries. A total of 162 women who had ever given birth by cesarean underwent transvaginal ultrasound examination of the hysterotomy scar 6 to 9 months ...
Moschos Elysia - - 2011
OBJECTIVE: The objective of this study was to describe ultrasound findings, clinical symptoms, and outcomes of first-trimester pregnancies with intrauterine devices (IUDs). STUDY DESIGN: This was a retrospective review of 42 women with history of IUD placement and positive serum human chorionic gonadotropin in the first trimester. RESULTS: There were ...
Barton Sara E - - 2011
OBJECTIVE: To investigate the efficacy of ultrasound-guided transabdominal follicular aspiration when the ovaries are not accessible transvaginally. DESIGN: Retrospective case-control study. SETTING: University-hospital based in vitro fertilization (IVF) clinic. PATIENT(S): 69 women undergoing transabdominal follicular aspiration for oocyte retrieval, including 12 cases of mixed abdominal/vaginal aspiration, compared with controls matched ...
Barnhart Kurt T - - 2011
: To evaluate factors associated with accuracy of initial ultrasonography in patients with symptomatic first-trimester pregnancy. : Ultrasound diagnosis in the emergency department was compared with an ultimate clinical diagnosis in women in need of a gynecologic consult. The sensitivity, specificity, positive predictive values, and accuracy of the initial ultrasound ...
Shaunik Alka - - 2011
We sought to determine utility of uterine evacuation for diagnosis of nonviable pregnancy of unknown location (PUL). We conducted a cohort study to assess the prevalence of ectopic pregnancy (EP), overall, and stratified by presenting signs and symptoms in women with a nonviable PUL. Of the 173 women, 66 (38%) ...
Dias Tiran - - 2011
OBJECTIVES: To determine the accuracy of ultrasound at 11-14 weeks' gestation in the diagnosis of chorionicity in twin pregnancy. METHODS: A retrospective observational study between 1999 and 2010. At the first trimester routine ultrasound scan, chorionicity was assigned according to the number of placental masses and the T or λ-signs ...
To William W K - - 2011
Aim:  To evaluate the use of quantitative ultrasound measurement of the os calcis to monitor bone mineral density (BMD) changes in pregnancy and 24 months after delivery. Methods:  Low-risk patients booked before 20 weeks of gestation were recruited prospectively over a period of 12 months. BMD measurements of the os calcis were taken ...
Matsubara Shigeki - - 2011
Uterine rupture is an obstetric complication associated with significant maternal and fetal morbidity and mortality. This disorder usually occurs with a scarred uterus, especially in a uterus with prior Cesarean section. Uterine sacculation or diverticulum may also lead to a thin uterine wall during pregnancy. A 27-year-old Japanese primigravid woman ...
Roellig Kathleen - - 2011
The naked mole-rat (Heterocephalus glaber) is one of the two known mammalian species that live in a eusocial population structure. Here we investigate the exceptionally long gestation period of 70 days observed in the mole-rat queen. The course of seven successful pregnancies in two individuals was recorded in a colony ...
Johnson S - - 2011
To determine the level of agreement between the Clearblue Digital Pregnancy Test with Conception Indicator home pregnancy test and standard-of-care ultrasound in assessing pregnancy duration in a real-life, observational setting encompassing routine, clinical care. This was a prospective observational study of non-pregnant women seeking conception. Women collected daily urine samples ...
Ghanem Mohamad E - - 2010
BACKGROUND Controlled ovarian hyperstimulation with intrauterine insemination (COH/IUI) is an established tool in medically assisted conception for many infertility factors. However, the proper timing of IUI after hCG trigger and the frequency of IUI are still debated. We aimed to examine the association between the cycle pregnancy rate (CPR) and: ...
Dourey Antoine - - 2010
The objectives were to investigate the relationships between endometrial cytology (EC) and interval from calving to first ovulation, and pregnancy in dairy cows, and that between uterine fluid and EC. On day 25 postpartum, 39 dairy cows were grouped based on EC, as having low (⩽8%) or high (>8%) polymorphonuclear ...
Hata T - - 2011
Conventional two-dimensional (2D) ultrasound has been widely used for the evaluation of the placenta during pregnancy. This 2D ultrasound evaluation includes the morphology, anatomy, location, implantation, anomaly, size, and color/power and pulsed Doppler sonographic assessment of the placenta. The introduction of three-dimensional (3D) ultrasound would facilitate the novel assessment of ...
Bracken H - - 2011
To test the feasibility and efficacy of an approach that foregoes the routine use of ultrasound for the determination of eligibility for medical termination of pregnancy. Prospective trial. Ten termination of pregnancy clinics in the USA. A total of 4484 women seeking termination of pregnancy with mifepristone-misoprostol. Women provided estimates ...
Ishimoto Hitoshi - - 2011
Continuous efforts have been devoted to unraveling the biophysiology and development of the human fetal adrenal cortex, which is structurally and functionally unique from other species. It plays a pivotal role, mainly through steroidogenesis, in the regulation of intrauterine homeostasis and in fetal development and maturation. The steroidogenic activity is ...
Pundir Jyotsna - - 2010
Approximately 15% of couples are affected with subfertility, of which up to 20% remain unexplained. Uterine cavity abnormalities can be a contributing cause of subfertility and recurrent implantation failure. Uterine cavity assessment has been suggested as a routine investigation in the evaluation of subfertile women. Traditionally, hysterosalpingography has been the ...
Sakai Satoko - - 2011
Adult growth hormone deficiency (AGHD) is a recently recognized endocrine disorder characterized by low peak GH levels during provocative tests. The AGHD has a negative impact on bone mineral density, skeletal muscle strength, physical capacity and psychosocial well-being. Furthermore, the girls with GHD have delayed pubertal development, and in adulthood ...
O'Shaughnessy Peter J PJ College of Medical, Veterinary and Life Sciences, University of Glasgow, Veterinary Research Facility, Bearsden Road, Glasgow, UK. - - 2011
The testes are essential endocrine regulators of fetal masculinization and male development and are, themselves, subject to hormonal regulation during gestation. This review focuses, primarily, on this latter control of testicular function. Data available suggest that, in most mammalian species, the testis goes through a period of independent function before ...
Collado Ferrer María - - 2010
A 17-year-old-female at 39 weeks gestation, presented with pelvic pain, proteinuria and a decrease in fetal heart rate. Timely caesarean section was performed. The postoperative course was complicated by acute renal failure, acute pancreatitis, acute liver failure, anemia, thrombocytopenia, systemic inflammatory response syndrome (SIRS), prolonged coagulopathy, hyperbilirubinemia, ecclampsia, and psychosis. ...
Kaneshiro Bliss - - 2011
Medical abortion studies have traditionally relied on ultrasound to confirm gestational age, intrauterine location and abortion completion. However, the routine dependence on ultrasound can limit access to safe services for women living in low resource settings that are often most in need of safe abortion care. This review discusses the ...
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