{"title":"Report on The 39th Annual Congress of the Japan Society for the Study of Hypertension in Pregnancy (JSSHP 2018)","authors":"","doi":"10.14390/jsshp.6.43","DOIUrl":"https://doi.org/10.14390/jsshp.6.43","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46237320","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}
Hironori Takahashi, Y. Baba, R. Usui, A. Ohkuchi, S. Matsubara
{"title":"Video image: Matsubara’s Nelaton and Fishing methods for easier Bakri balloon insertion and avoiding its prolapse during cesarean section","authors":"Hironori Takahashi, Y. Baba, R. Usui, A. Ohkuchi, S. Matsubara","doi":"10.14390/JSSHP.HRP2018-009","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2018-009","url":null,"abstract":"Various intrauterine hemostatic balloons for postpartum hemorrhage (PPH) have been developed. Among them, the Bakri balloon has been widely used for PPH after vaginal delivery and cesarean section (CS).1) This balloon is considered “easy to handle” and serves as a preventive treatment for PPH as “insurance,” which explains why its use has spread. While attempting to use it in many patients, we noted that the Bakri balloon is sometimes not so easy to handle. The obstacles hindering a smooth procedure, and thus effective hemostasis, are 1) the occasional difficulties in achieving smooth insertion of the balloon, and 2) the difficulties in keeping the balloon intrauterine, such that the balloon sometimes prolapses into the vagina. We developed several methods to overcome these problems,2–6) of which “holding the uterine cervix” (Matsubara-Takahashi [MT] holding)3) has already been explained in a video article2) of this journal. Here, we introduce two other useful procedures: the Nelaton (Matsubara)4) and Fishing (Matsubara) methods,5) both of which will enable obstetricians to handle easily the Bakri balloon during CS.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44232633","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}
{"title":"Development of methods for prevention and treatment of hypertension disorder of pregnancy","authors":"T. Ikeda","doi":"10.14390/JSSHP.6.40","DOIUrl":"https://doi.org/10.14390/JSSHP.6.40","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48995358","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}
Akihiko Ueda, Baku Nakakita, Yoshitsugu Chigusa, Hirohiko Tani, Haruta Mogami, M. Mandai, E. Kondoh
{"title":"Committee for Academic Affairs JSSHP Research Award 2018 Clinical Research Introducing tight systolic blood pressure control before 16 weeks’ gestation is associated with good pregnancy outcomes in patients with chronic hypertension","authors":"Akihiko Ueda, Baku Nakakita, Yoshitsugu Chigusa, Hirohiko Tani, Haruta Mogami, M. Mandai, E. Kondoh","doi":"10.14390/JSSHP.6.38","DOIUrl":"https://doi.org/10.14390/JSSHP.6.38","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46111840","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}
Hideko Kotani, K. Matsubara, T. Koshizuka, K. Nishiyama, H. Kaneko, Mie Tasaka, Takashi Sugiyama, T. Suzutani
{"title":"Human β-defensin-2 as a biochemical indicator of vaginal environment in pregnant women","authors":"Hideko Kotani, K. Matsubara, T. Koshizuka, K. Nishiyama, H. Kaneko, Mie Tasaka, Takashi Sugiyama, T. Suzutani","doi":"10.14390/JSSHP.HRP2018-005","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2018-005","url":null,"abstract":"Aim: Vaginal environment is an important factor in predicting threatened abortion and premature rupture of membranes (PROM) in early pregnancy. Vaginal human β -defensin-2 (HBD-2), a main antimicrobial peptide associated with innate immunity, plays multiple roles to protect the lower genital tract from microbes. This study aimed to assess the usefulness of vaginal HBD-2 as a biochemical marker for monitoring the vaginal environment in pregnant women. Methods: Twenty-eight pregnant women were enrolled in this study. Vaginal secretion samples were collected to determine Nugent scores, and vaginal washing fluid (4 ml saline) was used to measure HBD-2 levels by ELISA. Results: In the first trimester, vaginal HBD-2 levels were significantly lower in patients with bacterial vaginosis (BV) (42.1 ± 19.8 pg/ml) compared to those without BV (350.1 ± 68.7 pg/ml, P < 0.05), and in patients with PROM (57.2 ± 31.9","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14390/JSSHP.HRP2018-005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46749817","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}
{"title":"The use of lumbar spine and gastric ultrasound in perioperative obstetric anesthesia","authors":"Y. Ohashi, S. Farzi, N. Siddiqui","doi":"10.14390/JSSHP.HRP2018-008","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2018-008","url":null,"abstract":"Neuraxial anesthesia is a gold standard anesthetic technique employed for labor analgesia and cesarean section. Spinal cord injury can occur if the needle insertion is performed above the recommended lumbar spine level. Pre-procedural lumbar spine ultrasound scanning can provide several benefits, such as increasing first attempt success rate, reducing the number of attempts, and reducing redirection of the needle. Pulmonary aspiration during general anesthesia is a fatal complication which remains a cause of maternal mortality. Gastric content volume (GCV) is an important component related to the risk of regurgitation followed by aspiration. There is growing interest in the utility of bedside gastric ultrasound to assess GCV in non-obstetric and obstetric populations.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14390/JSSHP.HRP2018-008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45992594","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}
{"title":"Forceps deliveries in Scotland: current practice, training opportunities and national trends","authors":"Konstantinos Papadakis","doi":"10.14390/JSSHP.HRP2018-015","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2018-015","url":null,"abstract":"We discuss the contemporary practice of forceps delivery in Scotland, a country with affluent experience in operative vaginal birth. Globally, the popularity of forceps has significantly declined and undeniably it is considered by many a lost art. As a result, the volume and the complexity of the attempted forceps deliveries have lessened and more women undergo high-risk second-stage caesarean sections. Therefore, we have to draw our attention to realistic alternatives such as reinstating the skill of assisted delivery. Introducing these techniques in modern obstetrics can be a challenging task. The rates of forceps deliveries remain stable in Scotland, despite the opposite experience from most other countries. This paper is based on reviewing relevant guidelines and official national statistics. Forceps still have a place in modern obstetric practice in order to shorten labour when clinically indicated. Obstacles to forceps delivery are broadly due to the potential harm and the subsequent related medico-legal implications. Since the availability of specialists with substantial experience has been reduced, it sounds of paramount importance to conserve the learning of this valuable obstetric technique. Even more, initiatives that appoint future generations of obstetricians with expertise in performing forceps deliveries are an urgent educational priority. International recommendations and high-quality local workshops can facilitate this path.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43742982","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}
{"title":"Trends in mode of delivery for breech presentation in Japan: ‘Transverse figure 8 breech delivery’","authors":"Shunji Suzuki, K. Kubonoya, Y. Takeishi","doi":"10.14390/JSSHP.HRP2018-010","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2018-010","url":null,"abstract":"This review discusses trends in mode of breech delivery in Japan. Recently, primary elective cesarean delivery rates for singleton breech pregnancies have markedly increased due to medical counseling and maternal requests. However, breech extraction skills should be preserved and passed on to future generations of obstetricians. Vaginal breech delivery may be considered if well-trained and full-time medical staff with experience performing breech deliveries are available and comprehensive informed consent is obtained. As specialists of obstetrics and gynecology, it may be necessary to acquire rudimentary techniques for vaginal breech delivery in order to perform fair and objective informed consent procedures regarding the mode of breech delivery.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14390/JSSHP.HRP2018-010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43477212","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}
Kazushi Watanabe, K. Matsubara, O. Nakamoto, J. Ushijima, A. Ohkuchi, K. Koide, S. Makino, K. Mimura, M. Morikawa, K. Naruse, Kanji Tanaka, T. Nohira, H. Metoki, I. Kawabata, S. Takeda, H. Seki, K. Takagi, M. Yamasaki, A. Ichihara, T. Kimura, S. Saito
{"title":"Outline of the new definition and classification of “Hypertensive Disorders of Pregnancy (HDP)”; a revised JSSHP statement of 2005","authors":"Kazushi Watanabe, K. Matsubara, O. Nakamoto, J. Ushijima, A. Ohkuchi, K. Koide, S. Makino, K. Mimura, M. Morikawa, K. Naruse, Kanji Tanaka, T. Nohira, H. Metoki, I. Kawabata, S. Takeda, H. Seki, K. Takagi, M. Yamasaki, A. Ichihara, T. Kimura, S. Saito","doi":"10.14390/JSSHP.HRP2018-014","DOIUrl":"https://doi.org/10.14390/JSSHP.HRP2018-014","url":null,"abstract":"1Department of Obstetrics and Gynecology, Aichi Medical University School of Medicine, 2Department of Obstetrics and Gynecology, Ehime University School of Medicine, 3Department of Obstetrics, Osaka City General Hospital, 4Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University, 5Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine, 6Department of Obstetrics and Gynecology, Showa University School of Medicine, 7Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, 8Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 9Department of Obstetrics, Hokkaido University Graduate School of Medicine, 10Department of Obstetrics and Gynecology, St. Barnabas’ Hospital, 11Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 12Department of Obstetrics and Gynecology, Tokyo Medical University, 13Division of Public Health, Hygiene and Epidemiology, Tohoku Medical and Pharmaceutical University Faculty of Medicine, 14Department of Obstetrics and Gynecology, Tokyo Women’s Medical University, 15Department of Obstetrics and Gynecology, Saitama Medical University, 16Department of Obstetrics and Gynecology, Palmore Hospital, 17Department of Endocrinology and Hypertension, Tokyo Women’s Medical University, 18Department of Obstetrics and Gynecology, University of Toyama Hypertension Research In Pregnancy","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14390/JSSHP.HRP2018-014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42921613","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}
{"title":"Why general practitioners do not implement evidence: qualitative study.","authors":"A C Freeman, K Sweeney","doi":"10.1136/bmj.323.7321.1100","DOIUrl":"10.1136/bmj.323.7321.1100","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the reasons why general practitioners do not always implement best evidence.</p><p><strong>Design: </strong>Qualitative study using Balint-style groups.</p><p><strong>Setting: </strong>Primary care.</p><p><strong>Participants: </strong>19 general practitioners.</p><p><strong>Main outcome measures: </strong>Identifiable themes that indicate barriers to implementation.</p><p><strong>Results: </strong>Six main themes were identified that affected the implementation process: the personal and professional experiences of the general practitioners; the patient-doctor relationship; a perceived tension between primary and secondary care; general practitioners' feelings about their patients and the evidence; and logistical problems. Doctors are aware that their choice of words with patients can affect patients' decisions and whether evidence is implemented.</p><p><strong>Conclusions: </strong>General practitioner participants seem to act as a conduit within the consultation and regard clinical evidence as a square peg to fit in the round hole of the patient's life. The process of implementation is complex, fluid, and adaptive.</p>","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":"1100-2"},"PeriodicalIF":105.7,"publicationDate":"2001-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC59686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88717007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}