Obstetric Medicine最新文献_第10页

Hypoglycaemia in non-diabetic pregnancy. 非糖尿病孕妇的低血糖症。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-08-14 DOI: 10.1177/1753495X211032787

Adam Morton

引用次数: 0

Therapeutic plasma exchange for Graves' disease in pregnancy. 妊娠期巴塞杜氏病的治疗性血浆置换。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-08-23 DOI: 10.1177/1753495X211031328

Matthew Lumchee, Mimi Yue, Josephine Laurie, Adam Morton

引用次数: 0

Survey of Australian clinicians' antenatal care and management practices in pregnant women with a history of bariatric surgery. 澳大利亚临床医生对有减肥手术史孕妇的产前护理和管理方法调查。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2022-07-06 DOI: 10.1177/1753495X221106085

Elaina C Elder-Robinson, Susan de Jersey, Helen Porteous, Shannon L Huxtable, Michelle A Palmer

{"title":"Survey of Australian clinicians' antenatal care and management practices in pregnant women with a history of bariatric surgery.","authors":"Elaina C Elder-Robinson, Susan de Jersey, Helen Porteous, Shannon L Huxtable, Michelle A Palmer","doi":"10.1177/1753495X221106085","DOIUrl":"10.1177/1753495X221106085","url":null,"abstract":"Background: Pregnancy following bariatric surgery requires tailored care. The current Australian care provision and its alignment with consensus guidelines is unclear.Methods: Antenatal care clinicians were invited to complete a web-based survey assessing multidisciplinary referral, gestational diabetes mellitus (GDM) and micronutrient management practices.Results: Respondents (n = 100) cared for pregnant women with a history of bariatric surgery at least monthly (63%) with most (54%) not using a specific guideline to direct care. GDM screening methods included one-week of home blood glucose monitoring (43%) or the oral glucose tolerance test (42%). Pregnancy multivitamin supplementation changes (59%) with bariatric surgery type were common. Half (54%) screened for micronutrient deficiencies every trimester and conducted additional growth ultrasounds (50%).Conclusion: The care clinicians report providing may not align with current international consensus guidelines. Further studies with increased obstetric clinician response may aid increased understanding of current practices. The development of workplace management guidelines for pregnancy in women with a history of bariatric surgery may assist with providing consistent evidence-based care.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"88-97"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10648354","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

Spontaneous pneumomediastinum: A report of two cases at a district general hospital. 自发性气胸：一家地区综合医院的两例病例报告。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-06-02 DOI: 10.1177/1753495X211019231

Nathanael Yong, Oladimeji Olowu

引用次数: 0

Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS). 产妇和新生儿在分娩过程中的并发症，根据有医疗条件的产妇在第二产程中的被动和主动情况（ComPActSS）。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2022-03-30 DOI: 10.1177/1753495X221089206

Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé

{"title":"Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS).","authors":"Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé","doi":"10.1177/1753495X221089206","DOIUrl":"10.1177/1753495X221089206","url":null,"abstract":"Background: The incidence of serious complications during vaginal delivery with a passive second stage in women with medical conditions is unknown.Methods: Our retrospective cohort study with matched groups (pairing 1 passive with 2 active second stage) included women who had a medical delivery plan from the high risk obstetric team at our center. The primary outcome was a composite of major maternal and neonatal complications.Results: The primary outcome occurred in 50% (12/24) of women in the passive group versus 35.4% (17/48) (p = 0.24) in the active group. In the passive group, we observed a longer passive second stage of labor (28 vs. 8 min, p < 0.001), a tendency towards more assisted vaginal births (29.2% vs. 12.5%, p = 0.08), and more traumatic deliveries (16.7% vs. 0%, p = 0.012).Conclusion: The higher proportion of complications in women who had a passive second stage should encourage physicians to make this recommendation only in selected cases.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"109-115"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10648355","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

Successful treatment with eculizumab in a patient with pregnancy-associated atypical hemolytic uremic syndrome. 使用依库珠单抗成功治疗一名妊娠相关非典型溶血性尿毒症综合征患者。

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2021-06-24 DOI: 10.1177/1753495X211019902

Mehmet Nuri Duran, Fatma Beyazit, Mesut Erbaş, Onur Özkavak, Celal Acar, Serkan Bakirdogen

{"title":"Successful treatment with eculizumab in a patient with pregnancy-associated atypical hemolytic uremic syndrome.","authors":"Mehmet Nuri Duran, Fatma Beyazit, Mesut Erbaş, Onur Özkavak, Celal Acar, Serkan Bakirdogen","doi":"10.1177/1753495X211019902","DOIUrl":"10.1177/1753495X211019902","url":null,"abstract":"Pregnancy-associated atypical haemolytic uraemic syndrome is a rare and potentially lethal complement-mediated disorder. It can mimic preeclampsia, gestational hypertension, thrombotic thrombocytopenic purpura and hemolysis, elevated liver enzymes and low platelets syndrome. Thus, it can be hard to distinguish pregnancy-associated atypical haemolytic uraemic syndrome from other causes in peri/post-partum women presenting with features of microangiopathic haemolytic anemia, thrombocytopenia and acute kidney injury. We present a case of a 35-year-old woman in her third pregnancy at 32 weeks' gestation who underwent caesarean section due to fetal distress. She developed severe renal impairment, thrombocytopenia and neurologic symptoms within 24 hours after delivery. A diagnosis of pregnancy-associated atypical haemolytic uraemic syndrome was provided, and treatment with plasma therapy followed by eculizumab was initiated. A rapid improvement of both clinical and laboratory parameters was observed. This case demonstrates the significance of early initiation of anti-complement therapy to prevent irreversible renal damage and possible death in women with pregnancy-associated atypical haemolytic uraemic syndrome.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"130-133"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9820544","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

Impact of new diagnostic pathway for gestational diabetes in time of COVID-19. 新诊断途径对妊娠期糖尿病的影响

IF 0.7

Obstetric Medicine Pub Date : 2023-06-01 DOI: 10.1177/1753495X221094899

Betrice Walker, Jenna Edey, Leanne Hall, Kathleen Braniff, Clare Heal

{"title":"Impact of new diagnostic pathway for gestational diabetes in time of COVID-19.","authors":"Betrice Walker, Jenna Edey, Leanne Hall, Kathleen Braniff, Clare Heal","doi":"10.1177/1753495X221094899","DOIUrl":"https://doi.org/10.1177/1753495X221094899","url":null,"abstract":"Background: In April 2020, the diagnostic criteria for gestational diabetes mellitus (GDM) changed in Queensland, with the goal of reducing exposure of pregnant women to COVID-19.Methods: A retrospective clinical audit was conducted at a regional hospital to compare the incidence of GDM, and specific maternal and neonatal outcomes four months before and after the change in guidelines was implemented.Results: Less than 50% of diagnostic tests were performed according to new guidelines. There was a non-significant increase in the incidence of GDM (13.3% to 15.3%), and pharmacological treatments. Instrumental deliveries (p = 0.01) and shoulder dystocia (p = 0.04) increased following the change in guidelines. There were no differences in the incidence of elective and emergency caesarean delivery, macrosomia and fetal weight. Maternal pre-pregnancy body mass index (BMI) was higher in the COVID-19 GDM cohort (p = 0.02).Conclusions: Despite the change in guidelines, there was a non-significant increase in the incidence of diagnosis of gestational diabetes.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"104-108"},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021731/pdf/10.1177_1753495X221094899.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10172592","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: 1

Acute kidney injury and it's outcome following maternal near miss event: A prospective observational study from a tertiary care hospital. 产妇险些失手后的急性肾损伤及其后果：一家三级医院的前瞻性观察研究。

IF 0.7

Obstetric Medicine Pub Date : 2023-03-01 Epub Date: 2021-12-21 DOI: 10.1177/1753495X211069020

Geetika Thakur, Aruna Singh, Vanita Jain, Pooja Sikka, Aashima Arora, Vanita Suri

{"title":"Acute kidney injury and it's outcome following maternal near miss event: A prospective observational study from a tertiary care hospital.","authors":"Geetika Thakur, Aruna Singh, Vanita Jain, Pooja Sikka, Aashima Arora, Vanita Suri","doi":"10.1177/1753495X211069020","DOIUrl":"10.1177/1753495X211069020","url":null,"abstract":"Purpose: Haemorrhage, preeclampsia and sepsis are the leading causes of renal dysfunction in women with a maternal nearmiss(MNM) complication. The study aimed to assess the prevalence, pattern and follow up of these women.Methods: This was a hospital based prospective observational study, conducted over one year. All women with a MNM leading to acute kidney injury (AKI) were analysed for fetomaternal outcomes and renal function at 1 year of followup.Results: The incidence of MNM was 43.04 per 1000 livebirths. 18.2% women developed AKI. 51.1% women developed AKI in the puerperal period. Most common cause of AKI was haemorrhage seen in 38.3% women. The majority of women had s.creatinine between 2.1 to 5 mg/dl and 44.68% required dialysis. 80.8% women recovered fully when the treatment was initiated within 24 h. One patient underwent renal transplant.Conclusion: Early diagnosis and treatment of AKI results in full recovery.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 1","pages":"48-51"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9763523","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

VTE prophylaxis in pregnant people with chronic physical disability: Data from a physicians survey and the need for guidance. 慢性肢体残疾孕妇的 VTE 预防：医生调查数据与指导需求。

IF 0.7

Obstetric Medicine Pub Date : 2023-03-01 Epub Date: 2022-01-27 DOI: 10.1177/1753495X221074616

Sajida Kazi, Anne McLeod, Anne Berndl

{"title":"VTE prophylaxis in pregnant people with chronic physical disability: Data from a physicians survey and the need for guidance.","authors":"Sajida Kazi, Anne McLeod, Anne Berndl","doi":"10.1177/1753495X221074616","DOIUrl":"10.1177/1753495X221074616","url":null,"abstract":"Background: International guidelines recommend risk assessment during the antepartum and postpartum period to inform VTE prophylaxis. We aimed to evaluate physicians' approach to VTE prophylaxis of women with chronic physical disability (CPD) during pregnancy.Methods: A cross-sectional study consisting of a self-administered electronic questionnaire was sent to specialists across Canada.Results: Seventy-three participants responded to the survey, and 55 (75.3%) completed the survey including 33 (60%) Maternal Fetal Medicine (MFM) specialists and 22 (40%) Internal Medicine (IM) specialists including physicians with an interest in Obstetric Medicine. Our study shows considerable variation in VTE thromboprophylaxis during pregnancy with CPD. Most respondents favoured antepartum (67.3%) and postpartum (65.5%) VTE prophylaxis for pregnancies within a year of spinal cord injury.Conclusions: In order to better manage this complex population, CPD should be considered as a risk factor for development of VTE.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 1","pages":"35-39"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9779816","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

Management of giant adrenal pseudocyst in pregnancy - A unique approach and review of literature. 妊娠期巨大肾上腺假性囊肿的治疗--一种独特的方法和文献综述。

IF 0.7

Obstetric Medicine Pub Date : 2023-03-01 Epub Date: 2022-04-07 DOI: 10.1177/1753495X221089210

Tazeen Khan, Brinda Sabu, Vidyalekshmy Ranganayaki, P Rafeekha, Renu Thomas

引用次数: 0