Obstetric Medicine最新文献

Pregnancy in solid organ transplant recipients: An Australian quaternary hospital experience and literature review. 实体器官移植受者的妊娠：澳大利亚第四医院的经验和文献综述。

IF 0.7

Obstetric Medicine Pub Date : 2026-10-14 DOI: 10.1177/1753495X261499127

Monique Kowitz, Ann-Maree Craven, Karin Lust, Renuka Sekar, Penny Wolski, Leonie Callaway

{"title":"Pregnancy in solid organ transplant recipients: An Australian quaternary hospital experience and literature review.","authors":"Monique Kowitz, Ann-Maree Craven, Karin Lust, Renuka Sekar, Penny Wolski, Leonie Callaway","doi":"10.1177/1753495X261499127","DOIUrl":"10.1177/1753495X261499127","url":null,"abstract":"Background: Pregnancies in solid organ transplant recipients are increasing.Method: This retrospective observational study aims to evaluate the management and outcomes of pregnancies in heart, lung, liver and kidney transplant recipients at the Royal Brisbane and Women's Hospital from January 2009 to December 2024.Results: Thirty-four pregnancies in 25 women resulted in 29 live births, two terminations and three miscarriages. Median maternal age was 31 years. Median time from transplantation to conception was 6 years. Preconception comorbidities included hypertension (36%), chronic kidney disease (72%) and diabetes mellitus (24%). Maternal complications included pre-eclampsia (35.3%), gestational diabetes mellitus (11.5%), acute kidney injury (55.9%), permanent renal dysfunction (20.6%), infection (35.3%), caesarean section (72.4%), graft rejection (5.9%), graft failure (8.8%) and death (2.9%). Neonatal complications included preterm birth (75.9%), extreme preterm birth (10.3%), low birth weight (64.5%), small for gestational age (9.7%) and neonatal care (87.1%).Conclusion: Pregnancy following solid organ transplantation remains challenging.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X261499127"},"PeriodicalIF":0.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217350","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}

引用次数: 0

Biphasic hypertriglyceridemia in pregnancy with apolipoprotein C-II deficiency. 伴载脂蛋白C-II缺乏的妊娠期双期高甘油三酯血症。

IF 0.7

Obstetric Medicine Pub Date : 2026-10-10 DOI: 10.1177/1753495X261492750

Yukina Murai, Koutarou Doi, Chihiro Tose, Tetsuo Nakayama, Kayo Tomimori, Nozomi Yoshimoto, Satoshi Matsuzawa, Yuki Kodama, Shinji Katsuragi

引用次数: 0

Preconceptual counselling for women with epilepsy - is it happening? A retrospective observational medical records review. 为患有癫痫的妇女提供孕前咨询——这种情况正在发生吗？回顾性观察性医疗记录综述。

IF 0.7

Obstetric Medicine Pub Date : 2026-09-28 DOI: 10.1177/1753495X261490376

Alanna Downey-Orr, Mary Guirguis, Ruth Mason, Suneeta Kochhar

引用次数: 0

The safety of radiological examinations and radiological interventional procedures in pregnancy - a structured narrative review. 妊娠期放射检查和放射介入程序的安全性-一篇结构化的叙述综述。

IF 0.7

Obstetric Medicine Pub Date : 2026-09-19 DOI: 10.1177/1753495X261488725

Adam Morton

引用次数: 0

Severe factor XIII deficiency in pregnancy: A case report. 妊娠期严重因子十三缺乏1例。

IF 0.7

Obstetric Medicine Pub Date : 2026-09-16 DOI: 10.1177/1753495X261489465

Kamakshi Mam, Avantika Gupta, Ayushi Sethi, Gaurav Dhingra, Arun Kumar Dora

引用次数: 0

Neo-Aortic Root Dilation in Pregnancy After Arterial Switch for Complete Transposition of the Great Arteries. 大动脉完全转位后妊娠期新主动脉根扩张。

IF 0.7

Obstetric Medicine Pub Date : 2026-09-14 DOI: 10.1177/1753495X261484223

Ariane Hébert Métellus, François-Pierre Mongeon, Doan Hoa Do, Évelyne Raîche, Mandy Malick, Nadine Sauvé

{"title":"Neo-Aortic Root Dilation in Pregnancy After Arterial Switch for Complete Transposition of the Great Arteries.","authors":"Ariane Hébert Métellus, François-Pierre Mongeon, Doan Hoa Do, Évelyne Raîche, Mandy Malick, Nadine Sauvé","doi":"10.1177/1753495X261484223","DOIUrl":"10.1177/1753495X261484223","url":null,"abstract":"Background: The arterial switch operation (ASO) is standard treatment for D-transposition of the great arteries, and neo-aortic dilation is common afterward. Its behavior during pregnancy remains uncertain, especially the risk of dissection.Case: We describe a 30-year-old woman (G6P0A5) with neo-aortic dilation (44 mm) during her first pregnancy, which remained stable on beta blockers until an uncomplicated caesarean delivery. In her subsequent pregnancy, an initial measurement of 47 mm raised concern. Expert review highlighted the challenges of accurately measuring asymmetric neo-aortas post-ASO and confirmed that the neo-aorta was stable (43 mm). The pregnancy continued without complications under beta-blocker therapy.Discussion: No neo-aortic dissections have been reported after ASO, and progression above 2 mm was reported only in a few (2/131). Preconception evaluation, standardized measurement techniques, and trimester-based surveillance are essential. Mode of delivery should be individualized; caesarean delivery may be reasonable when dilation exceeds 45 mm.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X261484223"},"PeriodicalIF":0.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978686","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}

引用次数: 0

Connection and collaboration in obstetric medicine. 产科医学的联系与合作。

IF 0.7

Obstetric Medicine Pub Date : 2026-09-03 DOI: 10.1177/1753495X261482081

Shital Gandhi

引用次数: 0

Use of amlodipine to treat postpartum hypertension. 氨氯地平治疗产后高血压。

IF 0.7

Obstetric Medicine Pub Date : 2026-09-01 DOI: 10.1177/1753495X261478144

Hannah Gerretsen, Melanie Nana, Catherine Nelson-Piercy

{"title":"Use of amlodipine to treat postpartum hypertension.","authors":"Hannah Gerretsen, Melanie Nana, Catherine Nelson-Piercy","doi":"10.1177/1753495X261478144","DOIUrl":"10.1177/1753495X261478144","url":null,"abstract":"Background: Hypertension can arise de novo or persist in the postnatal period. Limited data exist regarding the use of amlodipine in the postpartum period.Materials and methods: A service evaluation of women prescribed amlodipine postnatally in the maternity department at Guy's and St Thomas' NHS Foundation Trust from April to November 2020 was conducted. Data were obtained by reviewing hospital records and conducting a telephone survey.Results: Of the 100 women who were prescribed postnatal amlodipine, 43 completed the telephone survey and were included in the analysis. There were no stillbirths, neonatal deaths or significant congenital malformations. Duration of treatment varied from less than 1 week to 1 year postpartum. None of the women taking amlodipine during breastfeeding reported any problems: 23/43 (53.5%) exclusively breastfed and 10/43 (23.3%) mixed-fed.Discussion: We report the largest case series of postpartum amlodipine use, providing reassuring data regarding its safety and efficacy in this population.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X261478144"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882657","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}

引用次数: 0

Sitosterolemia in pregnancy: A rare lipid disorder and its obstetric management. 妊娠期谷固醇血症：一种罕见的脂质疾病及其产科管理。

IF 0.7

Obstetric Medicine Pub Date : 2026-09-01 DOI: 10.1177/1753495X261474609

Kanagavarshani Murali, Sai Vidya Muthineni, Sasirekha Rengaraj, Veena Pampapati, Sanjay Sriram

{"title":"Sitosterolemia in pregnancy: A rare lipid disorder and its obstetric management.","authors":"Kanagavarshani Murali, Sai Vidya Muthineni, Sasirekha Rengaraj, Veena Pampapati, Sanjay Sriram","doi":"10.1177/1753495X261474609","DOIUrl":"10.1177/1753495X261474609","url":null,"abstract":"Sitosterolemia is an autosomal recessive condition leading to increased absorption of plant sterols from the intestine. A woman in her first pregnancy presented with thrombocytopenia and a family history of sitosterolaemia. Genetic analysis confirmed an ABCG8 (G-ATP binding cassette transporters) mutation. She was started on ezetimibe and had no complications other than thrombocytopenia. She underwent an emergency cesarean delivery at 37 weeks of gestation. Post-operatively both the mother and the baby did well. While sitosterolaemia is not directly linked to pregnancy complications such as diabetes and pre-eclampsia, its impact on lipid metabolism can indirectly increase the risk. It is important to distinguish it from familial hypercholesterolemia as sitosterolemia responds better to ezetimibe and is relatively non-responsive to statins. This case report shows that sitosterolemia, though an uncommon diagnosis, can manifest in many ways, in this case being thrombocytopenia. With dietary modifications and appropriate therapy, these patients can have a normal pregnancy.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X261474609"},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882569","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}

引用次数: 0

Pregnancy outcomes among women with systemic lupus erythematosus in Aotearoa/New Zealand. 澳大利亚/新西兰系统性红斑狼疮妇女的妊娠结局

IF 0.7

Obstetric Medicine Pub Date : 2026-08-20 DOI: 10.1177/1753495X261474606

Douglas White, Zhaochu Geng, Nikki Tugnet, May Ching Soh, Chunhuan Lao

{"title":"Pregnancy outcomes among women with systemic lupus erythematosus in Aotearoa/New Zealand.","authors":"Douglas White, Zhaochu Geng, Nikki Tugnet, May Ching Soh, Chunhuan Lao","doi":"10.1177/1753495X261474606","DOIUrl":"10.1177/1753495X261474606","url":null,"abstract":"Aims: To describe pregnancy outcomes in those with systemic lupus erythematosus (SLE) in Aotearoa/New Zealand.Methods: We conducted a retrospective population-based cohort study using linked national datasets from 2005 to 2022. Multivariable logistic regression estimated associations between birth outcomes and timing of SLE diagnosis, end-stage kidney disease (ESKD), ethnicity, maternal age, deprivation quintile and year of parturition.Results: Among 2450 females with SLE, 1532 were aged 18-45 years. There were 971 births, with a live birth rate of 96.1%. Preterm birth occurred in 19.3%, caesarean section in 36.6%, and induction in 48.1%. Births occurring after the diagnosis of SLE were associated with higher odds of preterm birth (OR 1.77, 95%CI 1.17-2.71), induction (OR 2.21, 95%CI 1.58-3.11) and ESKD (OR 23.7, 95%CI 4.05-450).Conclusions: SLE is associated with increased obstetric risk in New Zealand, particularly for pregnancies after diagnosis, and among those with ESKD, with trends toward higher risk in Māori and Pacific ethnicities.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X261474606"},"PeriodicalIF":0.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801488","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}

引用次数: 0