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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,&nbsp;Jenna Edey,&nbsp;Leanne Hall,&nbsp;Kathleen Braniff,&nbsp;Clare Heal","doi":"10.1177/1753495X221094899","DOIUrl":"https://doi.org/10.1177/1753495X221094899","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>p</i> = 0.01) and shoulder dystocia (<i>p</i> = 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 (<i>p</i> = 0.02).</p><p><strong>Conclusions: </strong>Despite the change in guidelines, there was a non-significant increase in the incidence of diagnosis of gestational diabetes.</p>","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
Development of tonsil stones during pregnancy 怀孕期间扁桃体结石的发展
IF 0.7
Obstetric Medicine Pub Date : 2023-05-22 DOI: 10.1177/1753495x231174380
Drew H Smith, J. Gold, Y. Dundar, J. Cordero, Christine M. D’Aguillo
{"title":"Development of tonsil stones during pregnancy","authors":"Drew H Smith, J. Gold, Y. Dundar, J. Cordero, Christine M. D’Aguillo","doi":"10.1177/1753495x231174380","DOIUrl":"https://doi.org/10.1177/1753495x231174380","url":null,"abstract":"Despite widespread anecdotal evidence of an increase in tonsil stone formation during pregnancy, including messages on internet pregnancy forums, there is little published research on this topic. Here we present three patients who experienced new or worsening of existing tonsil stones during various points of their pregnancy. Additionally, common presentations of tonsil stones as well as the medical and surgical management options are discussed. Physiological changes during pregnancy could be a contributing factor to an increase in tonsil stones during this period. Since patients may voice complaints of tonsil stones to their obstetricians prior to establishing care with an otolaryngologist, it is important that obstetricians are aware of this disease process and its management.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48320030","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
Gestational gigantomastia: The sentinel event to systemic lupus erythematosus 妊娠期巨乳症:系统性红斑狼疮的前哨事件
IF 0.7
Obstetric Medicine Pub Date : 2023-05-17 DOI: 10.1177/1753495x231173822
V. Mohan, A. Singla, R. Agarwal
{"title":"Gestational gigantomastia: The sentinel event to systemic lupus erythematosus","authors":"V. Mohan, A. Singla, R. Agarwal","doi":"10.1177/1753495x231173822","DOIUrl":"https://doi.org/10.1177/1753495x231173822","url":null,"abstract":"Gestational gigantomastia or gravid macromastia is a rare condition presenting as incapacitating breast enlargement during pregnancy. It is physically and psychologically debilitating for the patient. Fewer than 100 cases have been published to date. The etiology of the condition is unknown, but various theories have been proposed. Here we report a case of a 27 year old woman in her second pregnancy, with an abnormal increase in the size of breasts. Her breast size increased from 34B to 52D brassiere size. Routine antenatal, hormone, and initial autoimmune investigations were within normal limits. The patient was managed conservatively with breast support and had a spontaneous resolution in the postpartum period. During follow up she was diagnosed with systemic lupus erythematosus, making the association of the two conditions a possibility. Good knowledge about this rare condition is necessary for all doctors, especially obstetricians.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48679891","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
A rare case of adult-onset Still's disease presenting in the early postpartum period 一例罕见的成人发病斯蒂尔氏病出现在产后早期
IF 0.7
Obstetric Medicine Pub Date : 2023-05-09 DOI: 10.1177/1753495x231172541
Anna Lieschke, Muhammad Haziq Hasnol, Annabel C. Martin, T. Tsai
{"title":"A rare case of adult-onset Still's disease presenting in the early postpartum period","authors":"Anna Lieschke, Muhammad Haziq Hasnol, Annabel C. Martin, T. Tsai","doi":"10.1177/1753495x231172541","DOIUrl":"https://doi.org/10.1177/1753495x231172541","url":null,"abstract":"The interplay of pregnancy, the immune system and its impact on autoimmune disease is an area of growing interest. Adult-onset Still's disease is a rare auto-inflammatory disorder characterised by fever, rash, arthralgia and leucocytosis. We describe a rare case of the disease presenting for the first time in the immediate postpartum period, highlighting pregnancy and birth as possible triggers for this condition.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44938821","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
Pregnancy-onset inflammatory bowel disease: A case report 妊娠期炎性肠病1例报告
IF 0.7
Obstetric Medicine Pub Date : 2023-05-08 DOI: 10.1177/1753495x231173061
Maya Deeb, P. Tandon, V. Huang, Z. Gallinger
{"title":"Pregnancy-onset inflammatory bowel disease: A case report","authors":"Maya Deeb, P. Tandon, V. Huang, Z. Gallinger","doi":"10.1177/1753495x231173061","DOIUrl":"https://doi.org/10.1177/1753495x231173061","url":null,"abstract":"Pregnancy-onset inflammatory bowel disease (POIBD) is a rare diagnosis that has been associated with diagnostic delay and increased risk of hospitalization compared with inflammatory bowel disease diagnosed outside of pregnancy. There is a paucity of data on the clinical presentation and risk factors associated with maternal and fetal outcomes of POIBD. We present a 29-year-old patient who presented with acute severe ulcerative colitis at 24 weeks gestational age whose course was complicated by delayed diagnosis and therapy, colonic perforation, colectomy, prolonged hospitalization, and neonatal prematurity. The case illustrates the high index for suspicion required for making this diagnosis and the prevention of maternal and neonatal morbidity, together with a growing need to advocate for timely investigations and in-patient management in unwell pregnant patients.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41803939","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
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":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Early diagnosis and treatment of AKI results in full recovery.</p>","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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>A cross-sectional study consisting of a self-administered electronic questionnaire was sent to specialists across Canada.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>In order to better manage this complex population, CPD should be considered as a risk factor for development of VTE.</p>","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
{"title":"Management of giant adrenal pseudocyst in pregnancy - A unique approach and review of literature.","authors":"Tazeen Khan, Brinda Sabu, Vidyalekshmy Ranganayaki, P Rafeekha, Renu Thomas","doi":"10.1177/1753495X221089210","DOIUrl":"10.1177/1753495X221089210","url":null,"abstract":"<p><p>Pseudocysts of the adrenal gland are rare and in the majority of cases are non- functioning. They become symptomatic only when they are complicated by hormonal excess, rupture, haemorrhage or infection. Described here is a 26-year-old woman who developed an acute abdomen at 28 weeks of gestation due to a left adrenal haemorrhagic pseudocyst. A conservative approach was adopted, which was followed by elective term caesarean delivery with surgical intervention at the same time. The described case is unique in terms of strategizing timing and mode of management and thus minimizing the risk of prematurity and maternal morbidity associated with interval surgery.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 1","pages":"52-55"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9779821","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
Monitoring the safety of COVID-19 vaccination in pregnancy in the UK: A national study using the UK Obstetric Surveillance System (UKOSS), UK Teratology Information Service (UKTIS) and Vaccination in Pregnancy (VIP) safety monitoring systems. 监测英国妊娠期COVID-19疫苗接种的安全性:一项使用英国产科监测系统(ukss)、英国畸形学信息服务(UKTIS)和妊娠期疫苗接种(VIP)安全监测系统的全国性研究。
IF 0.7
Obstetric Medicine Pub Date : 2023-03-01 DOI: 10.1177/1753495X221076713
Jonathan L Richardson, Sally Stephens, Lucy C Chappell, Helen Campbell, Gayatri Amirthalingam, Shennae O'Boyle, Antoaneta Bukasa, Marian Knight, Kenneth K Hodson
{"title":"Monitoring the safety of COVID-19 vaccination in pregnancy in the UK: A national study using the UK Obstetric Surveillance System (UKOSS), UK Teratology Information Service (UKTIS) and Vaccination in Pregnancy (VIP) safety monitoring systems.","authors":"Jonathan L Richardson,&nbsp;Sally Stephens,&nbsp;Lucy C Chappell,&nbsp;Helen Campbell,&nbsp;Gayatri Amirthalingam,&nbsp;Shennae O'Boyle,&nbsp;Antoaneta Bukasa,&nbsp;Marian Knight,&nbsp;Kenneth K Hodson","doi":"10.1177/1753495X221076713","DOIUrl":"https://doi.org/10.1177/1753495X221076713","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 vaccines are protective against disease. Pregnant women benefit from vaccination as they are at higher risk of poor maternal and neonatal outcomes following infection.</p><p><strong>Methods: </strong>Following regulatory approval of two COVID-19 vaccines in the United Kingdom, a rapid national study of vaccination in pregnancy was instituted using three existing safety surveillance platforms: UKOSS, UKTIS and VIP. This preliminary report describes the data collected up to the 15<sup>th</sup> June 2021.</p><p><strong>Results: </strong>There were 971 reports of COVID-19 vaccination in the UKOSS/UKTIS (<i>n</i> = 493) and VIP (<i>n</i> = 478) monitoring systems describing 908 individual pregnancies. Pfizer-BioNTech mRNA vaccination was most common (<i>n</i> = 501, 55.2%), most women were vaccinated in their second or third trimester (<i>n</i> = 566, 62.3%), and were mainly vaccinated due to occupational infection risk (<i>n</i> = 577, 63.5%).</p><p><strong>Conclusion: </strong>Obstetric outcome data will be obtained by December 2021. However, women should not delay vaccination whilst awaiting further safety data to emerge.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 1","pages":"40-47"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126751/pdf/10.1177_1753495X221076713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9747148","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
Impetigo herpetiformis: A rare pregnancy-specific dermatosis. 疱疹性荨麻疹：一种罕见的妊娠特异性皮肤病。
IF 0.7
Obstetric Medicine Pub Date : 2023-03-01 Epub Date: 2022-01-28 DOI: 10.1177/1753495X221074610
Mohsen M A Abdelhafez, Karim A M Ahmed, Mohd Nazri Bin Mohd Daud, Mohammad Saffree Jeffree, Fairrul Kadir, Dg Marshitah Pg Baharuddin, Win Win Than, Firdaus Hayatti, Kai Xin Tay, Aya M Eldiastey
{"title":"Impetigo herpetiformis: A rare pregnancy-specific dermatosis.","authors":"Mohsen M A Abdelhafez, Karim A M Ahmed, Mohd Nazri Bin Mohd Daud, Mohammad Saffree Jeffree, Fairrul Kadir, Dg Marshitah Pg Baharuddin, Win Win Than, Firdaus Hayatti, Kai Xin Tay, Aya M Eldiastey","doi":"10.1177/1753495X221074610","DOIUrl":"10.1177/1753495X221074610","url":null,"abstract":"<p><p>Impetigo herpetiformis (IH) is a pregnancy-specific dermatosis that is currently considered a form of generalised pustular psoriasis and mainly occurs in late pregnancy during the third trimester. IH presents as erythematous patches and pustules and might have systemic involvement. The disease may be associated with severe maternal, fetal, and neonatal complications. IH treatment is very challenging, however, various therapeutic options are available and effective for disease treatment.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 1","pages":"5-8"},"PeriodicalIF":0.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9779814","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
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