Obstetrics & Gynecology: Open Access最新文献_第3页

Intensive Care Associated Experiences of Extremely Premature Infants Who Die 极度早产儿死亡的重症监护相关经验

Obstetrics & Gynecology: Open Access Pub Date : 2023-06-09 DOI: 10.29011/2577-2236.100161

Lyubov Tiegs, Erin Rholl, S. McDonnell, J. Paradise, M. Uhing, M. Basir

{"title":"Intensive Care Associated Experiences of Extremely Premature Infants Who Die","authors":"Lyubov Tiegs, Erin Rholl, S. McDonnell, J. Paradise, M. Uhing, M. Basir","doi":"10.29011/2577-2236.100161","DOIUrl":"https://doi.org/10.29011/2577-2236.100161","url":null,"abstract":"Objective: Pain and quality of death are important considerations in treatment choices for children. Our objective is to assess the intensive care-associated experiences of 22-25 weeks gestational age (GA) infants who die despite intensive care treatment. Study Design: In a 1:1 case-control study, medical records were screened for all inborn 22-25 weeks GA infants who received intensive care treatments between 2014 and 2020. Cases were all infants who died. Each case was matched by GA and birth weight to an infant who survived to discharge (control). Data was collected on cases and controls for a matched timeframe based on the case’s duration of intensive care treatment. Information collected included intensive care-associated negative experiences (invasive procedures, surgeries, use of pain medication) and positive experiences (enteral feedings, being held by family). Results: The cases (n=20) survived for 0 to 93 days, with median (IQR) survival 8 (5, 24) days. The mean (SD) number of invasive procedures was higher for cases than controls, 34 (30) vs. 24 (22), p=0.004. Cases underwent 8 surgeries compared to 4 in the controls. Additionally, compared to controls, cases spent more time receiving pain medications (64% vs. 27%, p<0.001) and without being fed (54% vs. 39%, p<0.001). Half of cases were never held by parents until the day they died. Conclusion: Extremely premature infants who die despite intensive care face more treatment burdens than the survivors. Larger studies are needed to confirm these findings and gather information necessary for informed decisions about intensive care treatment of these infants. Obstetrics & Gynecology: Open Access Tiegs L, et al. Gynecol Obstet Open Acc 7: 161. www.doi.org/10.29011/2577-2236.100161 www.gavinpublishers.com","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125603597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Childbirth Experience during COVID-19 Pandemic: A Cross-Sectional Study COVID-19大流行期间的分娩经验:一项横断面研究

Obstetrics & Gynecology: Open Access Pub Date : 2023-04-26 DOI: 10.29011/2577-2236.100160

{"title":"Childbirth Experience during COVID-19 Pandemic: A Cross-Sectional Study","authors":"","doi":"10.29011/2577-2236.100160","DOIUrl":"https://doi.org/10.29011/2577-2236.100160","url":null,"abstract":"Objective: The aim of this study was to assess the impact of the COVID-19 pandemic on women’s childbirth experience. It is a significant part of quality care which is affected by various factors. It may result in positive or negative shortand longterm effects on well-being, confidence and life in general. Exceptional circumstances like the COVID-19 pandemic have altered many different aspects of our lives and possibly also women’s childbirth experience. Design: Single-center crosssectional cohort study using a modified version of the Childbirth Experience Questionnaire (CEQ) as a validated instrument. Setting: Labour ward at the Department for Obstetrics and Gynaecology at the Medical University Graz, Austria. Sample: 230 women undergoing labour at the Medical University Graz were included in the study. Methods: Women received the CEQ during their stay at the labour ward and were asked to return it upon discharge. Results: No major difference in birth experience subscales was found between women giving birth during the COVID-19 pandemic and data collected in different countries in recent years. There was also no statistically significant difference between women having their partner absent or present at birth. Conclusion: Despite the COVID-19 pandemic being a time of global crisis, women rated their childbirth experience comparably to prepandemic data emphasizing good obstetric healthcare provided. Obstetrics & Gynecology: Open Access Eisnecker K, et al. Gynecol Obstet Open Acc 7: 160. www.doi.org/10.29011/2577-2236.100160 www.gavinpublishers.com","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130820524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences in Implantation Timing After Embryo Transfer Based on Embryo Characteristics 基于胚胎特征的胚胎移植后着床时机的差异

Obstetrics & Gynecology: Open Access Pub Date : 2023-04-12 DOI: 10.29011/2577-2236.100159

Y. Enatsu, N. Enatsu, J. Otsuki, E. Okamoto, S. Kokeguchi, M. Shiotani

{"title":"Differences in Implantation Timing After Embryo Transfer Based on Embryo Characteristics","authors":"Y. Enatsu, N. Enatsu, J. Otsuki, E. Okamoto, S. Kokeguchi, M. Shiotani","doi":"10.29011/2577-2236.100159","DOIUrl":"https://doi.org/10.29011/2577-2236.100159","url":null,"abstract":"Objective: To evaluate the differences in implantation timing after Embryo Transfer (ET) based on embryo characteristics. Patients: This retrospective study evaluated cases of 7,269 frozen-thawed ET cycles using single blastocysts that resulted in single live birth. The implantation timings after ET were speculated by a calculation formula made for the dynamics of serum human chorionic gonadotropin (HCG) changes. The patients were divided into two groups based on the initial serum HCG (10 days after ET): high-HCG group (HCG > 800) and low-HCG group (HCG < 50). Results: The average estimated implantation timing (HCG = 0) was 3.3 days after ET. The serum HCG levels after logarithmic conversion (logHCG) changed in parallel regardless of the starting HCG levels. The estimated implantation timing varied approximately five days (2.5–7.5 days after ET) based on the starting HCG levels. The ratios of matured blastocysts (3 or higher in Gardner’s grading scale) were significantly higher in the high-HCG group (90.9%) than in the low-HCG group (47.4%). Similarly, the average grade of blastocysts was higher in the high-HCG group than in the low-HCG group (4.72 vs. 3.15, p < 0.01). Conclusions: The implantation timing after ET varies based on embryo characteristics.","PeriodicalId":365505,"journal":{"name":"Obstetrics & Gynecology: Open Access","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131473959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Basic Social and Psychοlogical Determinants of Infertile Couples Health in Greece during the COVID-19 Pandemic COVID-19大流行期间希腊不孕夫妇健康的基本社会和心理决定因素

Obstetrics & Gynecology: Open Access Pub Date : 2023-03-30 DOI: 10.29011/2577-2236.100158

引用次数: 0

Tension and Recurrent Spontaneous Pneumothorax during Pregnancy: A Case Report 妊娠期紧张与复发性自发性气胸1例报告

Obstetrics & Gynecology: Open Access Pub Date : 2023-03-08 DOI: 10.29011/2577-2236.100157

引用次数: 0

Quantitative Image Analysis for Detecting into the Myometrium of the Placenta Accreta Spectrum: A Case Report 增生性胎盘肌层光谱定量图像分析1例

Obstetrics & Gynecology: Open Access Pub Date : 2023-02-16 DOI: 10.29011/2577-2236.100156

引用次数: 0

Efficacy of Granisetron in the Treatment of Nausea and Vomiting Post-Cesarean Section (A Single Centre Retrospective Cohort Study) 格拉司琼治疗剖宫产术后恶心呕吐的疗效(单中心回顾性队列研究)

Obstetrics & Gynecology: Open Access Pub Date : 2023-01-24 DOI: 10.29011/2577-2236.100154

引用次数: 0

Multi-Professional Collaboration for a Fetal Anomaly in an Adolescent Pregnancy: A Case Report 多专业合作的胎儿畸形在青春期怀孕:一个案例报告

Obstetrics & Gynecology: Open Access Pub Date : 2022-12-26 DOI: 10.29011/2577-2236.100151

引用次数: 0

Comprehensive Review of Management of Hypertension in Pregnancy 妊娠期高血压管理的综合综述

Obstetrics & Gynecology: Open Access Pub Date : 2022-08-08 DOI: 10.29011/2577-2236.100148

引用次数: 0

One Pregnancy Can Hide Another about a Case of Spontaneous Heterotopic Pregnancy Maternity, Ward of the Hospital Principal De Dakar 一个妊娠可能隐藏另一个关于一例自然异位妊娠孕妇，医院院长病房De Dakar

Obstetrics & Gynecology: Open Access Pub Date : 2022-04-08 DOI: 10.29011/2577-2236.100144

引用次数: 0

Obstetrics &amp; Gynecology: Open Access最新文献

Obstetrics & Gynecology: Open Access最新文献