Maternal-fetal medicine (Wolters Kluwer Health, Inc.)最新文献

{"title":"Expert Consensus on the Diagnosis and Management of Cervical Insufficiency in China (2026 Revision).","authors":"","doi":"10.1097/FM9.0000000000000343","DOIUrl":"10.1097/FM9.0000000000000343","url":null,"abstract":"<p><p>Cervical incompetence occurs when the cervix fails to maintain its normal morphology and function during second-trimester, leading to recurrent second-trimester miscarriages or preterm births. To standardize and guide the clinical diagnosis and treatment of cervical insufficiency in China, the Perinatal Medicine Branch of the Chinese Medical Association and the Obstetrics Group of the Chinese Society of Obstetrics and Gynecology developed this consensus by referencing related research evidence and so on. This consensus provides evidence-based analysis and recommendations on key clinical issues including the diagnosis of cervical incompetence, indications for cervical cerclage, surgical techniques, timing of intervention, perioperative management, and adjunctive therapies, offering evidence-based guidance for obstetric clinical practice.</p><p><strong>Practice guideline registration: </strong>International Practice Guidelines Registry and Transparency Platform (PREPARE-2024CN1155).</p>","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"104-116"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791314","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}

{"title":"Global Guidelines on Placenta Accreta Spectrum Disorders: A Commentary From the Chinese Perspective.","authors":"Yongdan Ma, Jingmei Ma","doi":"10.1097/FM9.0000000000000320","DOIUrl":"10.1097/FM9.0000000000000320","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"207-209"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791296","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}

{"title":"Prenatal Exposure to Organochlorine Compounds and Other Pesticides: A Systematic Review of Neonatal Health Outcomes.","authors":"Eyşan Hanzade Savaş, Sermin Dinç, Kafiye Eroğlu","doi":"10.1097/FM9.0000000000000328","DOIUrl":"10.1097/FM9.0000000000000328","url":null,"abstract":"<p><strong>Objective: </strong>To identify, evaluate, and summarize evidence on the effects of prenatal exposure to organochlorine compounds (OCCs) and other pesticides on neonatal growth parameters.</p><p><strong>Methods: </strong>Keywords were identified through systematic reviews and expert consultation, then finalized with an academic librarian. A comprehensive search was conducted in PubMed, Cochrane Library, MEDLINE (OVID), Scopus, Web of Science, and CINAHL from inception to February 26, 2024. Retrieved records were managed using EndNote 20. Two independent reviewers screened titles and abstracts based on predefined eligibility criteria. Full-text articles were further assessed for inclusion, with disagreements resolved by a third reviewer. A standardized process was followed during the full-text review. Studies were included if they involved pregnant women and their neonates, assessed prenatal exposure to OCCs, and reported at least one neonatal growth parameter. Data were extracted using Microsoft Excel^® and included study design, sample characteristics, exposure details (timing, route, and measurement), and neonatal growth outcomes. Methodological quality was assessed using the National Institutes of Health Quality Assessment Tool.</p><p><strong>Results: </strong>This systematic review included 16 studies conducted between 1997 and 2023 across various countries, with the majority from the United States (<i>n</i> = 6). The studies employed diverse designs, including cohort, case-control, longitudinal cohort, and cross-sectional studies, to investigate the impact of prenatal pesticide exposure on neonatal health outcomes. Key neonatal growth parameters assessed were birth weight, length, head circumference, and gestational age. The quality of the included studies varied, with overall scores ranging between 64.28%-91.66%.</p><p><strong>Conclusion: </strong>The findings demonstrate significant associations between prenatal exposure to OCCs and adverse neonatal growth outcomes. Frequently reported effects included reduced birth weight, smaller head circumference, shorter gestational age, and increased risk of growth restriction. These results underscore the importance of minimizing maternal exposure to persistent organic pollutants during pregnancy and highlight the need for targeted public health policies and preventive strategies.</p><p><strong>Registration no: </strong>CRD42024621439.</p>","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"151-159"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791402","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}

{"title":"Breech Presentation: Delivery Management and Future Perspectives.","authors":"Marta Fiorentini, Bianca Nedu, Fabrizio Dapoto, Silvia Brognoli, Elena Brunelli, Aly Youssef","doi":"10.1097/FM9.0000000000000254","DOIUrl":"10.1097/FM9.0000000000000254","url":null,"abstract":"<p><p>Breech presentation is a relatively common fetal malposition, affecting 3% to 5% of fetuses at term. Although various clinical conditions are associated with breech presentation, its prevalence decreases as gestational age progresses toward term. Despite ongoing global academic and clinical debates on the management of breech presentation, there is a growing recognition that the decision on the mode of delivery should consider the patient's preferences. Adequate counseling on available options is crucial. For patients with a term singleton fetus in a breech position who prefer a planned vaginal delivery, the external cephalic version (ECV) serves as an alternative to planned cesarean section (CS). ECV involves gently manipulating the fetus on the mother's abdomen to achieve a cephalic presentation, with a reported success rate of 58%. The procedure is typically performed at or after 37 weeks, and a thorough assessment of fetal well-being is mandatory. While short-term benefits of planned CS for term breech presentation have been demonstrated in neonatal and maternal outcomes, a trial of breech vaginal delivery can be considered in the absence of contraindications and based on the patient's preference. It is crucial for an experienced healthcare provider to offer appropriate assistance to ensure maternal and child well-being and minimize complications, whether attempting a vaginal birth or opting for a CS for breech presentation. Ultrasonography plays a crucial role in diagnosing breech presentation, and transabdominal ultrasound can offer valuable information for predicting ECV success, including placental location and amniotic fluid quantity. Emerging techniques in ultrasonography, such as transperineal ultrasound to assess fetal presenting part engagement and transabdominal ultrasound to evaluate fetal head flexion and position, are increasingly employed in labor ward evaluations. The recently introduced breech progression angle, a transperineal sonographic parameter, holds promise as a reliable tool not only for predicting ECV success but also for assessing the risk of cesarean delivery in patients who will undergo a trial of breech vaginal delivery.</p>","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"182-188"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791173","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}

{"title":"A Robust Artificial Intelligence Method for Detecting Near-Non-Reactive Non-Stress Test Patterns: What Should We Expect?","authors":"Haitian Chen, Caixia Zhu, Zhuyu Li, Xietong Wang, Bin Xu, Xiaohui Guo, Jingwan Huang, Bin Liu, Hongyan Li, Yan Kong, Xiaobo Yang, Jingyu Du, Zilian Wang","doi":"10.1097/FM9.0000000000000347","DOIUrl":"10.1097/FM9.0000000000000347","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"210-212"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791120","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}

{"title":"Maternal-Child Blood Group Discordance and Severity of Congenital Heart Disease: Insights From a Tertiary Referral Study.","authors":"Shadab Ahamad, Anagha Tulsi, Amita Sharma, Prachi Kukshal","doi":"10.1097/FM9.0000000000000340","DOIUrl":"10.1097/FM9.0000000000000340","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"204-206"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791328","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}

{"title":"Uterine Preservation in Systemic Lupus Erythematosus Complicated by Pregnancy With Diffuse Thin Myometrium: A Clinical Observation.","authors":"Linyan Zhang, Jinfang Wang, Kunkun Sun, Yuntao Li, Guoli Liu","doi":"10.1097/FM9.0000000000000338","DOIUrl":"10.1097/FM9.0000000000000338","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"195-197"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791418","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}

{"title":"Era of Evidence-Based Medicine and the Artificial Intelligence: The Transition of Obstetric Decision-Making From Empirical to Precision-Based Approaches.","authors":"Ye Feng, Huixia Yang","doi":"10.1097/FM9.0000000000000348","DOIUrl":"10.1097/FM9.0000000000000348","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"95-97"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791210","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}

{"title":"From Retrospective to Prospective: The Contribution of Artificial Intelligence Dystocia Algorithm in Understanding and Preventing Dystocia in Intrapartum Cesarean Delivery.","authors":"Andrea Tinelli, Lorenzo E Malgieri, Michael Stark, Giovanni Pecorella, Antonio Malvasi","doi":"10.1097/FM9.0000000000000334","DOIUrl":"10.1097/FM9.0000000000000334","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"98-101"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791285","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}

{"title":"Clinical Observation on Selective Fetocide for Severe Preeclampsia Treatment in Multifetal Pregnancy.","authors":"Li Lin, Ruilin Guo, Huixia Yang","doi":"10.1097/FM9.0000000000000308","DOIUrl":"10.1097/FM9.0000000000000308","url":null,"abstract":"","PeriodicalId":74121,"journal":{"name":"Maternal-fetal medicine (Wolters Kluwer Health, Inc.)","volume":"8 2","pages":"192-194"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791239","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}