Journal of Perinatal Education最新文献_第9页

Role of Intrapartum Social Support in Preventing Postpartum Depression. 产后社会支持在预防产后抑郁症中的作用。

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Journal of Perinatal Education Pub Date : 2023-05-01 DOI: 10.1891/JPE-2022-0003

Rieko Kishi Fukuzawa, Chang Gi Park

引用次数: 0

Dietary quality and mindful eating among pregnant women with and without gestational diabetes 有和没有妊娠糖尿病的孕妇的饮食质量和注意饮食

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Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311004

Hatice Nur Özbay, Sinem Bayram, Esen Yeşil

{"title":"Dietary quality and mindful eating among pregnant women with and without gestational diabetes","authors":"Hatice Nur Özbay, Sinem Bayram, Esen Yeşil","doi":"10.2399/prn.23.0311004","DOIUrl":"https://doi.org/10.2399/prn.23.0311004","url":null,"abstract":"Objective: The incidence of gestational diabetes mellitus (GDM) is increasing in parallel with maternal obesity. The main components of treatment are monitoring blood glucose levels with medical nutrition therapy and lifestyle modification in order to prevent short- and long-term materno-fetal complications. This study aimed to compare the diet quality and mindful eating among pregnant women with and without GDM. Methods: This case-control study included 68 pregnant women. Each participant was face-to-face interviewed using a structured questionnaire to obtain socio-demographic information, general health information, nutritional habits, and registered three days of food record. Mindful Eating Questionnaire (MEQ) and Healthy Eating Index (HEI) were applied in order to assess mindful eating and diet quality, respectively. Results: Mean pre-pregnancy body mass index of women was 27.42+5.44 kg/m2, 66.7% of the gestational diabetes group and 29.4% of the control group was obese. Differences in HEI adequacy subgroup scores between the groups were significant. Mean MEQ scores were 2.85±0.34 and 3.13±0.44 in pregnant women with gestational diabetes and control cases, respectively (r=0.61, p=0003, p<0.05). Conclusion: Our results showed that pregnant women with gestational diabetes had lower mindful eating and diet quality scores.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87327635","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

The comparison of systemic inflammatory response markers and Doppler ultrasound parameters between pregnancies with intrahepatic cholestasis and control cases 妊娠合并肝内胆汁淤积与正常妊娠的全身炎症反应指标及多普勒超声参数比较

IF 0.6

Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311009

M. Obut, Süleyman Cemil Oğlak, Özge Yücal Çelik, Şeyhmus Tunç, E. Öcal, Zeynep Gedik Özköse, Gökhan Bolluk, Sadun Sucu

{"title":"The comparison of systemic inflammatory response markers and Doppler ultrasound parameters between pregnancies with intrahepatic cholestasis and control cases","authors":"M. Obut, Süleyman Cemil Oğlak, Özge Yücal Çelik, Şeyhmus Tunç, E. Öcal, Zeynep Gedik Özköse, Gökhan Bolluk, Sadun Sucu","doi":"10.2399/prn.23.0311009","DOIUrl":"https://doi.org/10.2399/prn.23.0311009","url":null,"abstract":"Objective: This study aims to detect a relationship between inflammatory markers, ductus venosus (DV) pulsatility index (PI), middle cerebral artery (MCA) PI, and umbilical artery (UA) systole to diastole ratio (S/D) and PI between pregnancies with intrahepatic cholestasis and control cases. Methods: This prospective study included 82 cases having intrahepatic cholestasis of pregnancy (ICP) and 80 gestational age-matched healthy control cases. The Doppler measurements (DV PI, MCA PI, and UA S/D and PI), inflammatory markers (neutrophil to lymphocyte ratio [NLR], platelet to lymphocyte ratio [PLR], mean platelet volume [MPV], and red blood cell distribution width [RDW]), and fetal and maternal outcomes were compared. Results: Patients with ICP had increased PLR value (p=0.019) and decreased lymphocyte count (p=0.004) compared to control cases. Also, there was a positive correlation between PLR value and the presence of ICP (χ2=5.774, p=0.016). There were no significant differences between ICP and control groups concerning NLR, RDW, MPV, and UA PI values. We found higher UA S/D, and DV PI values and lower MCA PI values in pregnancies with ICP compared to controls (p<0.001, p=0.026, and p=0.003, respectively). Conclusion: In ICP cases, the PLR value was significantly increased than the controls, but the NLR, RDW, MPV, and UA PI values were found to be similar to control cases. The UA S/D, and DV PI values were increased, and MCA PI was significantly decreased in the ICP group compared to healthy pregnancies. However, we could not demonstrate the benefit of Doppler measurements in predicting neonatal outcomes in ICP cases.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"43 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82494979","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

Mid-trimester cerclage outcomes in singleton and twin pregnancies: a single tertiary center experience 单胎和双胎妊娠的中期妊娠结局:单一三级中心经验

IF 0.6

Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311010

Aslı Altınordu Atcı, Şükran Doğru, Fatih Akkuş, Delal Akıncı, A. Acar

{"title":"Mid-trimester cerclage outcomes in singleton and twin pregnancies: a single tertiary center experience","authors":"Aslı Altınordu Atcı, Şükran Doğru, Fatih Akkuş, Delal Akıncı, A. Acar","doi":"10.2399/prn.23.0311010","DOIUrl":"https://doi.org/10.2399/prn.23.0311010","url":null,"abstract":"Objective: The aim of this study was to evaluate the maternal and neonatal outcomes of patients who underwent ultrasonography (USG) and emergency-indicated cerclage in the mid-trimester in singleton and twin pregnancies. Methods: A total of 55 patients, 43 with singleton and 12 with twin pregnancies who underwent cerclage for short cervix (<25 mm) or cervical dilation between January 2015 and December 2021 were included in the study. The primary outcome was gestational age at birth, and secondary outcomes were neonatal birth weight, the status of admission to neonatal intensive care unit, neonatal survival, and the neonatal birth rates at <24 weeks, 24–27⁺⁶ weeks, 28–33⁺⁶ weeks, 34–36⁺⁶ weeks and >37 weeks. Results: In singleton pregnancies, delivery interval was 15.05 (±2.9) weeks in the USG indication group and 2.8 (±2.5) weeks in the emergency indication group (p<0.001). The rate of pregnant women in the USG indication group who gave birth between 24–27⁺⁶ weeks of gestation was 4.9% (n=2), and the rate of pregnant women in the emergency indication group was 55.6% (n=5) (p<0.001). In total, in singleton pregnancies the rate of take-home baby was 85.7%, and neonatal mortality was 14.3%. In twin pregnancies, delivery interval was 12±1.41 weeks in the USG indication group, and it was 1.8±0.83 weeks in the emergency indication group (p<0.003). In twin pregnancies, the take-home baby rate was 94% and neonatal mortality was 6%. Conclusion: Cervical cerclage reduces the possible risks of preterm delivery by prolonging the interval until delivery, especially in patients with singleton and twin pregnancies for whom USG is indicated, and promising neonatal outcomes are achieved.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"34 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91161266","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

Prenatal diagnosis of tetralogy of Fallot with an absent pulmonary valve: is this malformation still associated with a poor prognosis? A 5-year single-center experience 法洛四联症伴肺瓣膜缺失的产前诊断:这种畸形是否仍与预后不良有关?5年的单中心体验

IF 0.6

Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311003

Gökhan Bolluk, Süleyman Cemil Oğlak, Ö. Özdemir, H. Bornaun

{"title":"Prenatal diagnosis of tetralogy of Fallot with an absent pulmonary valve: is this malformation still associated with a poor prognosis? A 5-year single-center experience","authors":"Gökhan Bolluk, Süleyman Cemil Oğlak, Ö. Özdemir, H. Bornaun","doi":"10.2399/prn.23.0311003","DOIUrl":"https://doi.org/10.2399/prn.23.0311003","url":null,"abstract":"Objective: This study sought to assess the prenatal features and clinical outcomes of cases with a fetal diagnosis of tetralogy of Fallot (TOF) with an absent pulmonary valve (APV) at our maternal-fetal medicine unit. Methods: Twelve cases of TOF and APV prenatally diagnosed at Kanuni Sultan Süleyman Training and Research Hospital between 2015 and 2020 were retrospectively reviewed. Prenatal characteristics, additional cardiac and extracardiac anomalies, and postnatal outcomes of the cases were examined. Results: The median gestational age at diagnosis was 22 weeks (range: 18–24 weeks). The absence of ductus arteriosus was found in all cases (100%). Karyotype analysis was performed in 5 cases. A chromosomal abnormality was detected in 3 of these cases (60%); 2 cases with 22q11 microdeletion, and 1 case with trisomy 21. Parents opted for termination of pregnancy in two of these cases; 1 case with 22q11 microdeletion, and 1 case with trisomy 21. Two patients experienced spontaneous intrauterine fetal demise. Finally, 8 live-born fetuses underwent total correction surgery during the postnatal period. Four (33.3%) out of 12 cases survived at the end of the 4-years follow-up period. Conclusion: While TOF with APV cases were predominantly associated with poor prognoses in the past, more promising results have been obtained in recent years in parallel with the developments in surgery and postnatal care. For this reason, we think that the prognosis will be even better in the coming years as the developments in surgical technique and care continue.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"26 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74055796","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

Vitamin D levels in pregnancies and neonatal outcomes 妊娠期和新生儿结局中的维生素D水平

IF 0.6

Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311005

Bilge Keskinsoy, Bengü Mutlu Sütçüoğlu, Halis Özdemir, M. Bayram

{"title":"Vitamin D levels in pregnancies and neonatal outcomes","authors":"Bilge Keskinsoy, Bengü Mutlu Sütçüoğlu, Halis Özdemir, M. Bayram","doi":"10.2399/prn.23.0311005","DOIUrl":"https://doi.org/10.2399/prn.23.0311005","url":null,"abstract":"Objective: We aimed to evaluate the differences in obstetrics and neonatal outcomes, such as mode of delivery, gestational diabetes mellitus, preeclampsia, and infant birth weight between pregnancies with normal and insufficient vitamin D levels. Methods: The study was designed as a retrospective study. One hundred and seventy-nine pregnant women who were followed up at our clinic and whose vitamin D levels were evaluated in each trimester were included. All patients were administered 1200 IU/day beginning from the 12 weeks of gestation in accordance with the national guidelines. Vitamin D levels above 20 ng/ml were defined as sufficient, and those below 20 ng/ml were defined as insufficient. Results: The median vitamin D level in the third trimester was significantly higher than that in the first and second trimesters (p<0.001). There was a moderate positive correlation between vitamin D levels in infant cord blood at the time of birth and vitamin D levels in the third trimester (p<0.001, R=0.496). Birth weights of the patients with insufficient vitamin D levels in the first trimester but with sufficient neonatal cord blood levels as a result of treatment were significantly higher compared to those in patients with insufficient cord blood vitamin D levels (3327 g vs. 3133 g, p=0.030). Conclusion: This study observed that neonatal cord blood vitamin D level is a better indicator than antenatal vitamin D levels. Regardless of first-trimester vitamin D levels, infant birth weights were significantly higher in the group with sufficient neonatal cord blood levels.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"65 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87069749","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

Management of a pregnancy with Crigler-Najjar syndrome type 2: a case report 2型克里格勒-纳贾尔综合征妊娠的处理:1例报告

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Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311007

E. Çağlıyan, S. Özmen, Ezgi Bilicen, Aslı Akdöner, O. Yavuz, M. Soytürk

引用次数: 0

The effect of cord clamping time on cord blood gas in term newborn babies delivered by cesarean section 脐带夹紧时间对剖宫产足月新生儿脐带血气的影响

IF 0.6

Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311001

S. Tanrıverdi, Burak Pelit, İbrahim Tekinli

{"title":"The effect of cord clamping time on cord blood gas in term newborn babies delivered by cesarean section","authors":"S. Tanrıverdi, Burak Pelit, İbrahim Tekinli","doi":"10.2399/prn.23.0311001","DOIUrl":"https://doi.org/10.2399/prn.23.0311001","url":null,"abstract":"Objective: Umbilical cord clamping time is a situation that should be planned before delivery. It is recommended that the umbilical cord be clamped for at least 30–60 seconds after birth in healthy preterm and term newborns. There are few studies investigating the effect of umbilical cord clamping time on cord blood gas. If the umbilical cord is clamped before 30 seconds after birth, it is considered early clamping, and if it is clamped after 30 seconds, it is considered late clamping. In this study, we aimed to compare the early or late clamping time of the umbilical cord with the acid-base parameters and lactate values of babies. Methods: A total of 217 term newborn infants who were delivered by cesarean section between December 2020 and December 2021 in our hospital, whose umbilical cord clamping times were recorded and who had cord blood samples, were included in our study retrospectively. pH, pCO2, pO2, HCO3, BE, lactate, Hb and bilirubin values in cord blood gas samples were compared between the two groups. Results: Two hundred seventeen term newborn babies were included in the study. Cord clamping time of infants was delayed in 125 (57.6%) and early in 92 (42.4%) infants. The mean pH in cord blood gas was 7.37±0.07 (7.16–7.57), pCO2 was 39.73 ±8.97 (20.3–65.4) mmHg, pO2 was 53.42±41.95 (14.8–198) mmHg, BE was -2.18±2.90 (-11.9–13.6) mmol/L, lactate was 2.12±0.88 (0.50–5.90) mmol/L, Hb was 14.57± 2.54 (10–23.7) g/dl, and bilirubin was 1.71±1.33 (0–3.7) mg/dl. Conclusion: There was no significant relationship between early and late clamping of the umbilical cord and acid-base parameters, and hemoglobin values in cord blood gas in term newborn babies delivered by cesarean section.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"39 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73352154","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

Analysis of the process leading to termination of pregnancy in the third trimester 妊娠晚期终止妊娠的过程分析

IF 0.6

Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311011

Ömer Gökhan Eyisoy, L. Uygur, Ü. Taşdemir, Ç. Özgökçe, Büşra Cambaztepe, O. Demirci

{"title":"Analysis of the process leading to termination of pregnancy in the third trimester","authors":"Ömer Gökhan Eyisoy, L. Uygur, Ü. Taşdemir, Ç. Özgökçe, Büşra Cambaztepe, O. Demirci","doi":"10.2399/prn.23.0311011","DOIUrl":"https://doi.org/10.2399/prn.23.0311011","url":null,"abstract":"Objective: To evaluate fetal anomalies and processes leading to termination of pregnancy in the third trimester. Methods: The study includes all cases who underwent termination of pregnancy after 28 weeks of gestation due to fetal anomalies between 2017 and 2022. Results: Forty four of third trimester terminations were carried out in our clinic due to fetal anomalies incompatible with life or associated with severe sequelae. Structural anomalies including 35 (79.5%) cases were the most common reason of terminations followed by chromosomal or genetic abnormalities in 8 (18.2%) cases and intrauterine cytomegalovirus infection in 1 (2.3%) case. The processes leading to the third trimester termination were evaluated by dividing 44 patients into 5 groups. (1) Delayed diagnosis due to inadequate prenatal care (25 patients, 56.8%); (2) patients diagnosed with late-onset findings (5 patients, 11.4%); (3) patients with abnormal findings in prenatal care or history but delayed diagnosis (5 patients, 11.4%); (4) patients with abnormal findings requiring further evaluation (4 patients, 9.0%); (5) patients with a definitive diagnosis but latency in the decision of family for termination of pregnancy (5 patients, 11.4%). Conclusion: Termination of pregnancy in the third trimester has an important role in countries where unfollowed pregnancies are common and access to health services is poor due to low socio-economic status.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"4 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75238093","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

Comparison of proteinuria diagnostic methods in pregnant patients 妊娠期蛋白尿诊断方法的比较

IF 0.6

Journal of Perinatal Education Pub Date : 2023-04-01 DOI: 10.2399/prn.23.0311012

Ö. Özdemir, Gökhan Bolluk, U. Çoban

{"title":"Comparison of proteinuria diagnostic methods in pregnant patients","authors":"Ö. Özdemir, Gökhan Bolluk, U. Çoban","doi":"10.2399/prn.23.0311012","DOIUrl":"https://doi.org/10.2399/prn.23.0311012","url":null,"abstract":"Objective: This study aimed to compare spot urine protein-to-creatinine ratio and 24-hour urine methods in pregnant patients and to evaluate the accuracy of spot urine protein-to-creatinine ratio against the reference standard 24-hour urine method. Methods: This retrospective study included 399 pregnant patients diagnosed with proteinuria, gestational hypertension, or preeclampsia. Urinary protein concentrations were measured by spot dipstick urine analysis, spot urinary protein-to-creatinine, and 24-hour total proteinuria via 24-hour urine collection. The 24-hour total proteinuria measurement was accepted as the reference standard for diagnosis of proteinuria, and significant proteinuria was defined ≥300 mg of protein in the 24-hour urine collection. Results: According to the receiver operating characteristics analysis of the spot urinary protein-to-creatinine ratio measurements, the cut-off value of the protein-to-creatinine ratio method was ≥0.443 mg protein/mg creatinine, the area under the curve was 0.887, the sensitivity was 77.14%, the specificity was 87.76%, and the accuracy was 84.96%. According to the receiver operating characteristics analysis of the 24-hour total proteinuria measurements, these values were >0.405 mg/day, 0.874, 82.86%, 84.64%, and 84.17%, respectively. No difference was observed between these two proteinuria methods regarding the receiver operating characteristics analysis (p=0.475). There was a strong and significant correlation between the spot urine protein-to-creatinine ratio and the 24-hour total proteinuria (r=0.842, p<0.001). Conclusion: Our findings revealed that there was a strong and significant correlation between the spot urine protein-to-creatinine ratio and the 24-hour total proteinuria, and it may be used as an alternative to the 24-hour total proteinuria. In addition, the spot urine protein-to-creatinine ratio is noteworthy, especially in an emergency situation in pregnant women for whom the time is limited to make a rapid clinical decision.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"48 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73807941","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