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The Journal of maternal-fetal medicine最新文献

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Teenage pregnancy: risk factors for adverse perinatal outcome. 少女怀孕:不良围产期结局的危险因素。
The Journal of maternal-fetal medicine Pub Date : 2001-12-01 DOI: 10.1080/714904371
L. Gortzak-Uzan, M. Hallak, F. Press, M. Katz, I. Shoham-Vardi
{"title":"Teenage pregnancy: risk factors for adverse perinatal outcome.","authors":"L. Gortzak-Uzan, M. Hallak, F. Press, M. Katz, I. Shoham-Vardi","doi":"10.1080/714904371","DOIUrl":"https://doi.org/10.1080/714904371","url":null,"abstract":"Objectives: To assess the perinatal outcome of teenage pregnancy in a large cohort and to determine risk factors for low birth weight (LBW) in teenage pregnancy. Study design: All singleton first deliveries to mothers of age 16-24 years between 1990 and 1997 were included. The deliveries were subdivided into three maternal age groups (16-17 and 18-19 compared to 20-24 years) and parameters of perinatal outcomes were compared. To adjust for potential confounding effects on the association between young maternal age and birth weight, logistic regression analysis was performed for LBW with maternal ethnicity, pregnancy-induced hypertension, lack of prenatal care and malformations of the newborn. Results: Among a total of 11 496 patients, 600 (5.2%) were 16-17 years old, 2097 (18.2%) were 18-19 years old and the remaining 8799 (76.6%) were 20-24 years old. Bedouin ethnicity and lack of prenatal care were common in the youngest mothers. Rates of preterm delivery were 14.2%, 9.8% and 8.8% in the three age group...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"60 1","pages":"393-397"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83751504","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: 39
Fetal heart rate patterns in normal and ritodrine-treated pregnancies, detected by magnetocardiography. 通过心脏磁图检测正常妊娠和利托宁治疗妊娠的胎儿心率模式。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714052759
P. Anastasiadis, P. Anninos, E. Assimakopoulos, N. Koutlaki, A. Kotini, G. Galazios
{"title":"Fetal heart rate patterns in normal and ritodrine-treated pregnancies, detected by magnetocardiography.","authors":"P. Anastasiadis, P. Anninos, E. Assimakopoulos, N. Koutlaki, A. Kotini, G. Galazios","doi":"10.1080/714052759","DOIUrl":"https://doi.org/10.1080/714052759","url":null,"abstract":"Objective: The aim of the present study was to test the validity of magnetocardiography in the diagnosis of fetal heart rate arrhythmias in normal pregnancies, as compared to the number of arrhythmias reported in other series, which were detected by use of other diagnostic techniques. We also evaluated the influence of ritodrine on the fetal heart rhythm in pregnancies treated for the risk of preterm labor by means of magnetocardiography, in order to provide preliminary results that could be utilized in the future establishment of magnetocardiography as a screening procedure in the diagnosis and management of fetal arrhythmias. Methods: We performed a prospective study on two subgroups of pregnant women: one of 84 women with normal healthy singleton pregnancies and one of 68 pregnant women treated with ritodrine for the risk of preterm labor. Results: The prevalence of fetal arrhythmias in the first subgroup was 3.5% (3/84), while in the second subgroup the prevalence was 16% (11/68). Conclusions: The inc...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"66 1","pages":"350-354"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79532494","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: 5
Appropriateness of antibiotic use in the postpartum period. 产后抗生素使用的适宜性。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714904359
J. Smulian, S. Potash, Y. Lai, W. Scorza
{"title":"Appropriateness of antibiotic use in the postpartum period.","authors":"J. Smulian, S. Potash, Y. Lai, W. Scorza","doi":"10.1080/714904359","DOIUrl":"https://doi.org/10.1080/714904359","url":null,"abstract":"Objective: To determine the appropriateness of current postpartum antibiotic use in clinical practice. Methods: Medical records were reviewed for all patients delivering in a 3-month period who received postpartum antibiotics during the delivery hospitalization. Subjects were excluded if they received a single postpartum antibiotic dose as part of a mitral valve prolapse prophylaxis protocol, or if they received no more than one postpartum antibiotic dose for surgical prophylaxis. Characteristics of postpartum antibiotic use were abstracted. Results: Two hundred and eleven of 1537 (14%) delivering patients met the inclusion criteria. Seventy-four (35%) delivered vaginally and 137 (65%) delivered by Cesarean section. Postpartum fevers were found in 40 (54%) of vaginal delivery cases and 80 (58%) of women delivering by Cesarean section who received postpartum antibiotics ( p = 0.54). For vaginal deliveries there were no differences in the duration of antibiotic use or number of antibiotic doses based on fev...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"9 1","pages":"312-317"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88376325","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
Antenatal diagnosis of mirror-image dextrocardia in association with situs inversus and Turner's mosaicism. 镜像右心的产前诊断与逆位和特纳镶嵌。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714052761
D. J. Ortiga, Y. Chiba, H. Kanai, T. Hosono
{"title":"Antenatal diagnosis of mirror-image dextrocardia in association with situs inversus and Turner's mosaicism.","authors":"D. J. Ortiga, Y. Chiba, H. Kanai, T. Hosono","doi":"10.1080/714052761","DOIUrl":"https://doi.org/10.1080/714052761","url":null,"abstract":"We describe the antenatal diagnosis of a fetus with mirror-image dextrocardia, complete situs inversus and Turner's mosaicism (45,XO/46,XY) that was artificially terminated at 19 weeks. Autopsy confirmed our initial findings. This case represents an unusual combination of anomalies rarely encountered in clinical practice.","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"42 1","pages":"357-359"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76481338","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
Outcome of infants delivered between 24 and 28 weeks' gestation in women with severe pre-eclampsia. 重度先兆子痫妇女妊娠24 ~ 28周分娩婴儿的结局。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714904350
A. Hiett, H. Brown, K. Britton
{"title":"Outcome of infants delivered between 24 and 28 weeks' gestation in women with severe pre-eclampsia.","authors":"A. Hiett, H. Brown, K. Britton","doi":"10.1080/714904350","DOIUrl":"https://doi.org/10.1080/714904350","url":null,"abstract":"Objective: To determine whether there are differences in neonatal outcome between infants born to mothers with severe pre-eclampsia and those born to normotensive mothers with preterm labor and intact membranes between 24 and 28 weeks' gestation. Materials and methods: Over a 4-year period between 1991 and 1995, neonates of women with severe pre-eclampsia delivering between 24 and 28 weeks were matched for maternal age, antenatally assigned gestational age and mode of delivery to normotensive women delivering during the same period. Results: Fifty-eight women with severe pre-eclampsia were matched to 58 normotensive controls who delivered as a result of preterm labor. Antenatal steroids were used more often in pre-eclamptic women (75% vs. 47%, p < 0.01). The mean birth weight of pre-eclamptic neonates was significantly lower than that of controls, 767 g vs. 989 g, respectively. Other neonatal complications were similar for both groups. Neonates of pre-eclamptics required longer ventilator support (21 vs. ...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"26 1","pages":"301-304"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73498058","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: 19
The effect of a pill inserter on vaginal misoprostol dosing. 避孕药插入器对阴道米索前列醇剂量的影响。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714052771
L. Politz, R. Chez, M. Parsons, K. Huffman
{"title":"The effect of a pill inserter on vaginal misoprostol dosing.","authors":"L. Politz, R. Chez, M. Parsons, K. Huffman","doi":"10.1080/714052771","DOIUrl":"https://doi.org/10.1080/714052771","url":null,"abstract":"Objective: To determine whether the method of placing a 25- w g misoprostol chip into the posterior fornix to achieve cervical ripening affects the drug's efficacy. Methods: A pill inserter was used to place a misoprostol chip into the posterior fornix for the purpose of cervical ripening prior to induction of labor. Data from a control group were obtained by retrospective chart review. Results: The control and study groups contained 49 patients each. Compared to placing the misoprostol chip with a lubricated finger, the use of the pill inserter resulted in statistically significantly more patients receiving only one dose. This occurred either because a Bishop score of 8 or greater was achieved or because repeat dosing was disallowed secondary to the onset of uterine contractions. Although the total number of patients subsequently requiring oxytocin was significantly increased, there was no difference in the use of oxytocin for either induction or augmentation of labor. The lengths of the latent and a...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"19 1","pages":"332-334"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75671794","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
Contraindication of magnesium sulfate in a pregnancy complicated with late-onset diabetes mellitus and sensory deafness due to mitochondrial myopathy. 妊娠合并迟发性糖尿病及线粒体肌病所致感觉耳聋的硫酸镁禁忌症。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714052760
T. Hosono, M. Suzuki, Y. Chiba
{"title":"Contraindication of magnesium sulfate in a pregnancy complicated with late-onset diabetes mellitus and sensory deafness due to mitochondrial myopathy.","authors":"T. Hosono, M. Suzuki, Y. Chiba","doi":"10.1080/714052760","DOIUrl":"https://doi.org/10.1080/714052760","url":null,"abstract":"A primipara affected by late-onset diabetes and sensory deafness because of mitochondrial myopathy was hospitalized for threatened preterm delivery. Magnesium sulfate was started for tocolysis, resulting in general muscle damage, although the mitochondrial myopathy did not deteriorate during pregnancy. Magnesium sulfate may be contraindicated in pregnancy with mitochondrial myopathy.","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"1 1","pages":"355-356"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82805354","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: 8
Plasma levels of thrombin-antithrombin complexes predict preterm premature rupture of the fetal membranes. 血浆凝血酶-抗凝血酶复合物水平预测早产胎膜早破。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714904361
T. Rosen, E. Kuczynski, L. O’Neill, E. Funai, C. Lockwood
{"title":"Plasma levels of thrombin-antithrombin complexes predict preterm premature rupture of the fetal membranes.","authors":"T. Rosen, E. Kuczynski, L. O’Neill, E. Funai, C. Lockwood","doi":"10.1080/714904361","DOIUrl":"https://doi.org/10.1080/714904361","url":null,"abstract":"Objective: Decidual hemorrhage (abruption) is strongly associated with preterm premature rupture of fetal membranes (PPROM). Moreover, thrombin enhances decidual matrix metalloproteinase (MMP) expression, and MMP has been strongly linked to PPROM. The current study sought to determine whether increased thrombin activation, as assessed by circulating maternal plasma thrombin-antithrombin (TAT) complexes, predicted subsequent PPROM. Study design: We conducted a nested, case-control study of plasma TAT levels, measured by sensitive immunoassay, among 27 women with a singleton preterm birth preceded by PPROM and 54 matched, term controls. Receiver operating characteristic curve analysis was performed to identify the optimal TAT cut-off level predicting PPROM. Results: Mean gestational age at delivery in cases was 33.3 weeks, compared to 39.7 weeks in controls (p < 0.001). Compared with controls, women with PPROM had increased median plasma TAT levels in both the second trimester (5.1μg/l (range 2.2-26.3 μg/l)...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"7 1","pages":"297-300"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91149297","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: 40
Absence of physiological tolerance to cocaine in pregnant sheep. 妊娠羊对可卡因缺乏生理耐受性。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714052758
D. Burchfield, N. Hargrove, K. Anderson
{"title":"Absence of physiological tolerance to cocaine in pregnant sheep.","authors":"D. Burchfield, N. Hargrove, K. Anderson","doi":"10.1080/714052758","DOIUrl":"https://doi.org/10.1080/714052758","url":null,"abstract":"Objective: To determine whether repetitive administration of cocaine to sheep during pregnancy altered basal hemodynamic states in the mother and fetus, and to determine whether this cocaine exposure would alter subsequent hemodynamic responses to cocaine. Methods: Cocaine or saline was administered to 16 pregnant sheep daily from day 75 to day 128 of gestation (term = 145 days). At 128 days' gestation, maternal and fetal basal physiological measurements, including organ-specific blood flow in the fetus, were determined. Each experimental and control ewe then received cocaine 2 mg/kg and these physiological parameters were again measured over the next 30 min to determine whether the experimental animals had developed tolerance to the effects of cocaine. Results: No differences were seen in basal physiological parameters between treatment groups. Likewise, following an acute administration of cocaine, physiological parameters in both groups responded in a similar fashion. Fetal hypoxemia occurred in both g...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"13 1","pages":"341-349"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76258208","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 combination of computerized cardiotocography and amniotic fluid index for the prediction of neonatal acidemia at birth: a modified biophysical profile. 结合计算机心电图和羊水指数预测新生儿出生时酸血症:一种改良的生物物理剖面。
The Journal of maternal-fetal medicine Pub Date : 2001-10-01 DOI: 10.1080/714052769
J. Piazze, M. Anceschi, A. Berretta, S. Vitali, L. Maranghi, F. Amici, E. Cosmi
{"title":"The combination of computerized cardiotocography and amniotic fluid index for the prediction of neonatal acidemia at birth: a modified biophysical profile.","authors":"J. Piazze, M. Anceschi, A. Berretta, S. Vitali, L. Maranghi, F. Amici, E. Cosmi","doi":"10.1080/714052769","DOIUrl":"https://doi.org/10.1080/714052769","url":null,"abstract":"Objective: To study the combination of computerized cardiotocography (cCTG) and the amniotic fluid index (AFI) in the prediction of neonatal acidemia at birth. Methods: A total of 89 singleton third-trimester high-risk pregnancies delivered by Cesarean section, with an AFI evaluated within 24 h from birth, and an antepartum cCTG performed within 6 h from delivery, were studied. The score was the sum of values for AFI (oligo/anhydramnios = 1, normal = 0) and cCTG (Dawes-Redman criteria, not met = 1, met = 0). The endpoint was to predict an abnormal neonatal outcome as defined by an umbilical artery pH of h 7.2. Results: Fifteen neonates had an umbilical artery pH of < 7.2. The combination of cCTG + AFI score was able to predict pH values ( h 7.20) with an OR = 2.83 ( p < 0.02). The diagnostic accuracy of the combination of cCTG + AFI was as follows: sensitivity 80%, specificity 58%, positive predictive value 28%, negative predictive value 83%. Comment: We suggest that the cCTG + AFI score may be of...","PeriodicalId":79464,"journal":{"name":"The Journal of maternal-fetal medicine","volume":"1 1","pages":"323-327"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83394907","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: 2
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