Zeitschrift fur Geburtshilfe und Neonatologie最新文献_第4页

Massive fetomaternal hemorrhage: A case report. 产妇大出血：病例报告

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-01-29 DOI: 10.1055/a-2238-3217

Victoria Weinhold, Susanne Rauber, Elsa Hollatz-Galuschki, Michael Seybold, Franz Kainer, Christina Kouskouti

引用次数: 0

[Legal Compliance of Medical Information in the Case of a Relatively Indicated Secondary Caesarean Section in Obstetric Clinics in Germany - Part II: New Information Concept]. [德国产科诊所相对指示性的二次剖腹产手术中医疗信息的法律合规性——第二部分：新信息概念]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2023-10-18 DOI: 10.1055/a-2183-8781

Alexandra Marina Jaster, Peter Wolfgang Gaidzik, Sven Schiermeier

{"title":"[Legal Compliance of Medical Information in the Case of a Relatively Indicated Secondary Caesarean Section in Obstetric Clinics in Germany - Part II: New Information Concept].","authors":"Alexandra Marina Jaster, Peter Wolfgang Gaidzik, Sven Schiermeier","doi":"10.1055/a-2183-8781","DOIUrl":"10.1055/a-2183-8781","url":null,"abstract":"Introduction: The avoidance of liability cases for birth defects due to medical information errors is in the urgent interest of obstetric clinics in Germany. The aim of this study throughout Germany was to have a newly developed information concept with regard to the frequent situation of the relatively indicated secondary caesarean section evaluated by the obstetric clinics in Germany as to its usefulness in practice and to analyze response behaviour on a comparative basis.Methods: All obstetric clinics in Germany were contacted within the context of an anonymous online study using a specially developed questionnaire and asked to answer 5 questions. The clinics were divided into two comparison groups based on their previous information practices in relation to the use of a general information sheet when registering a birth with a medical information discussion.Results: 93 questionnaires were analyzed. The majority of the clinics (59.14%) attested to the usefulness in practice of the new information algorithm. In the group comparison, there are clear differences in evaluation.Conclusion: In their own interest, the clinic operators should strive to provide their doctors with a legally compliant information concept along with the necessary human and material resources.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"340-345"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kommentar: Beratung nach pränatalen Diagnosen: Sorgen wir für Informationen aus erster Hand! 评论：产前诊断后的咨询：让我们提供第一手信息！

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-07-22 DOI: 10.1055/a-2341-8336

Holm Schneider

引用次数: 0

Role of Ductus Venosus Doppler Sonography for the Prediction of Perinatal Outcome in Term Pregnancies Complicated by Gestational Diabetes Mellitus. 多普勒静脉导管超声在预测妊娠糖尿病并发足月妊娠围产期结局中的作用

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-03-22 DOI: 10.1055/a-2272-6743

Oliver Graupner, Caroline Rath, Linda Lecker, Monica Ritter, Jochen Ritgen, Christian Enzensberger

{"title":"Role of Ductus Venosus Doppler Sonography for the Prediction of Perinatal Outcome in Term Pregnancies Complicated by Gestational Diabetes Mellitus.","authors":"Oliver Graupner, Caroline Rath, Linda Lecker, Monica Ritter, Jochen Ritgen, Christian Enzensberger","doi":"10.1055/a-2272-6743","DOIUrl":"10.1055/a-2272-6743","url":null,"abstract":"Purpose: Ductus venosus (DV) Doppler velocimetry reflects fetal cardiac function. Gestational diabetes mellitus (GDM) is assumed to impair cardiac function due to fetal hyperglycemia. The purpose of this study was to assess the ability of DV Doppler to predict an adverse perinatal outcome (APO) in term pregnancies with GDM.Methods: This is a retrospective cohort study including GDM pregnancies of singleton, non-anomalous fetuses without any signs of placental dysfunction. All GDM women who primarily had a vaginal delivery attempt and in which DV Doppler was examined from 37+0 weeks on were included. Receiver operating characteristic curve (ROC) analyses were performed to assess the predictive value of DV pulsatility index (DV-PI) regarding a composite APO (CAPO). Furthermore, a subgroup analysis was performed regarding the presence of a large-for-gestational-age (LGA) newborn.Results: A total of n=89 cases were included. Overall, CAPO occurred in 26 out of 89 cases (29.2%). All DV Doppler examinations showed a positive A wave. DV-PI was>95th percentile in 8 out of 89 cases (9%). Overall, ROC analysis showed no significant association of DV-PI with CAPO (AUC=0.523, p=0.735). However, regarding individual APO parameters, ROC analysis showed a significant association of DV-PI with 5th-min AGPAR (AUC=0.960, p=0.027), which was not confirmed after exclusion of LGA cases.Conclusion: In GDM pregnancies at term, DV Doppler sonography seems to have no benefit for APO prediction.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"363-369"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Hyperglycemia on Angiogenesis in Human Placental Endothelial Cells. 高血糖对人类胎盘内皮细胞血管生成的影响

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-05-13 DOI: 10.1055/a-2282-9007

Turkan Yanik, Ertan Katirci, Mehmet Simsek, Emin Turkay Korgun, Dijle Kipmen-Korgun

{"title":"Effects of Hyperglycemia on Angiogenesis in Human Placental Endothelial Cells.","authors":"Turkan Yanik, Ertan Katirci, Mehmet Simsek, Emin Turkay Korgun, Dijle Kipmen-Korgun","doi":"10.1055/a-2282-9007","DOIUrl":"10.1055/a-2282-9007","url":null,"abstract":"The placenta is a temporary organ that provides communication between the mother and fetus. Maternal diabetes and abnormal placental angiogenesis may be linked. We investigated the angiogenesis mechanism resulting from VEGF and glucose stimulation in PECs obtained from human term placenta. Immunohistochemistry was performed to characterize PECs obtained from human term placenta. D-glucose was added to the medium containing PECs to establish normoglycemic and hyperglycemic conditions. The expression levels of VEGF, VEGFR-1 and VEGFR-2 genes and proteins in PECs from the control and experimental groups were analyzed by RT-PCR and Western blotting, respectively. With 48-hours incubation, gene expressions increased due to hyperglycemia, while protein levels increased due to the combined effect of VEGF and hyperglycemia. While VEGFR-2 gene expression and protein amounts increased in 24-hours due to the combined effect of VEGF and hyperglycemia, the effect of VEGF stimulation and glucose level on VEGFR-2 decreased in 48-hour incubation with time. VEGF, VEGFR-1 and VEGFR-2 genes and proteins were affected by hyperglycemic conditions in PECs. Hyperglycemia occurring in various conditions such as gestational diabetes mellitus and diabetes mellitus may affect VEGF, VEGFR-1 and VEGFR-2 genes and proteins of PECs derived from human term placenta.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"346-354"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral Diaphragmatic Agenesis in Cornelia de Lange Syndrome. 科尼莉亚-德-朗格综合征的双侧膈肌缺失。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-01-29 DOI: 10.1055/a-2231-3349

Lena-Marie Fritsch, Konrad Reinshagen, Sofia Apostolidou, Dominique Singer, Usha Peters, Manuela Tavares de Sousa, Jochen Herrmann, Philipp Deindl

引用次数: 0

Use of Shock Index, Modified Shock Index, and Age-Adjusted Shock Index for Detection of Postpartum Hemorrhage. 使用休克指数、修正休克指数和年龄调整休克指数检测产后出血。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI: 10.1055/a-2322-1861

Cagla Celikkan, Mujde Can Ibanoglu, Yaprak Engin-Ustun

{"title":"Use of Shock Index, Modified Shock Index, and Age-Adjusted Shock Index for Detection of Postpartum Hemorrhage.","authors":"Cagla Celikkan, Mujde Can Ibanoglu, Yaprak Engin-Ustun","doi":"10.1055/a-2322-1861","DOIUrl":"10.1055/a-2322-1861","url":null,"abstract":"Purpose: The aim of this study is to evaluate the role of shock index (SI), modified shock index (MSI), and delta shock index (ΔSI) in predicting postpartum hemorrhage (PPH) and adverse maternal outcomes.Material and methods: In this cross-sectional cohort study, a study group consisting of 416 pregnant women who delivered at our hospital and had postpartum hemorrhage was compared with 467 control patients with normal follow-up. SI (pulse/systolic blood pressure), MSI (pulse/mean arterial pressure), ΔSI (input SI - 2nd- or 6th-hour SI) values were calculated.Results: A total of 883 postpartum women were included in the study. The study group had higher peripartum, 2nd-hour, and 6th-hour SI values (p=0.011, p=0.001, p<0.001, respectively). Peripartum MSI values (p=0.004), 2nd-hour MSI values (p<0.001), and 6th-hour MSI values (p<0.001) were significantly lower in the control group than in the PPH group. When the groups were evaluated, the cut-off value of the 2nd-hour SI parameter was>0.8909 (sensitivity 30%, specificity 84%), and the 6th-hour SI parameter was>0.8909 (sensitivity 40%, specificity 80%) for predicting postpartum hemorrhage requiring blood transfusion and surgical intervention. The cut-off value of the 2nd-hour MSI parameter was>1.2 (sensitivity 34%, specificity 82%), and the cut-off value of the 6th-hour MSI parameter was>1.2652 (sensitivity 32%, specificity 90%).Conclusion: The 2nd- and 6th-hour SI and 2nd- and 6th-hour MSI values were significantly higher in patients with postpartum hemorrhage. Values greater than 0.89 for SI and 1.2 for MSI were considered significant for predicting postpartum hemorrhage with maternal impairment.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"370-376"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Komplettierung des Herausgeber-Gremiums und Vorstellung des Deutschen Hypothermieregisters. 完成编辑委员会的工作并提交《德国体温过低登记册》。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-08-05 DOI: 10.1055/a-2338-8108

Rolf Schlößer

引用次数: 0

Lower Uterine Segment Corrugated Sutures in Hemorrhage during Cesarean Section because Previal and/or Placenta Accreta Spectrum: Case Reports Series and Literature Review. 剖宫产术中因前置胎盘和/或胎盘早剥而大出血的子宫下段波形缝合术：病例报告系列和文献综述。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-06-03 DOI: 10.1055/a-2313-0948

Dubravko Habek, Mislav Mikuš, Anis Cerovac

{"title":"Lower Uterine Segment Corrugated Sutures in Hemorrhage during Cesarean Section because Previal and/or Placenta Accreta Spectrum: Case Reports Series and Literature Review.","authors":"Dubravko Habek, Mislav Mikuš, Anis Cerovac","doi":"10.1055/a-2313-0948","DOIUrl":"10.1055/a-2313-0948","url":null,"abstract":"Objectives: We present the original technique of compression hemostatic sutures on the lower uterine segment due to early postpartum hemorrhage during cesarean section, with a literature review.Methods: A retrospective clinical case study was conducted at the tertiary perinatal center. Twelve patients had nine planned and three urgent cesarean sections due to antenatally verified placenta previa and/or placenta accreta spectrum and defined early postpartum hemorrhage > 1000 mL during cesarean section. As the use of uterotonics failed to produce any effect and hemorrhage persisted, compression sutures of the lower uterine segment were made by our own technique, as follows: below the hysterotomy, a horizontal corrugated suture is placed from the right to the left corner and after 2-3 cm vertically and backwards at several sites from the left to the right corner, where it is tightened.Results: Seven patients had one cesarean section, three patients had two cesarean sections, and seven patients had pregnancy from the in vitro fertilization procedure in their history. There were six patients with placenta previa and six patients with anterior invasive placenta accreta or increta. Original hemostatic procedure was applied successfully in ten cases, and after placement of O'Leary suture and persistent bleeding in two cases. In this group, no hysterectomy was performed, and patients received blood transfusion of 440-880 mL. Three patients later had spontaneous pregnancies.Conclusion: Our own hemostatic method with a simple technique, fast learning, and minimal logistics contributes to successful management of this currently global problem of morbidly adherent placenta previa.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"377-381"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fetal Long QT Syndrome - Challenges in Perinatal Management: A Review and Case Report. Induction of Labor and Vaginal Birth Under Continuous Magnesium Therapy. 胎儿长 QT 综合征--围产期管理的挑战：回顾与病例报告。持续镁治疗下的引产和阴道分娩。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-02-22 DOI: 10.1055/a-2231-9348

Linda Sarah Wegner, Johannes Steinhard, Thomas Frank, Kai Thorsten Laser, Karol Kubiak

{"title":"Fetal Long QT Syndrome - Challenges in Perinatal Management: A Review and Case Report. Induction of Labor and Vaginal Birth Under Continuous Magnesium Therapy.","authors":"Linda Sarah Wegner, Johannes Steinhard, Thomas Frank, Kai Thorsten Laser, Karol Kubiak","doi":"10.1055/a-2231-9348","DOIUrl":"10.1055/a-2231-9348","url":null,"abstract":"Congenital LQTS is an often undetected inherited cardiac channel dysfunction and can be a reason for intrauterine fetal demise. It can present in utero as CTG and ultrasound abnormalities, i. e., bradycardia, ventricular tachycardia, or fetal hydrops. Diagnosis is made by CTG, echocardiography, or fMCG. Intrauterine therapy with a ß blocker and i. v. magnesium should be started. Our objective was to examine the current knowledge about diagnosis and treatment of LQTS and in particular to highlight the opportunity of vaginal birth under continuous intravenous magnesium therapy. Therefore, a thorough MEDLINE and Google Scholar search was conducted. Randomized controlled trials, meta-analyses, prospective and retrospective cohort trials, and case reports were considered. We showed the possibility of vaginal delivery under continuous magnesium therapy in a case of suspected fetal LQTS. A stepwise concept for diagnosis, monitoring, and peripartum management in low, intermediate, and high risk cases of fetal LQTS is presented. If risk is low or intermediate, a vaginal delivery under continuous monitoring is reasonable. Induction of labor at term should be evaluated.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"328-339"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0