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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 34.

Fetal megacystis as a prenatal challenge: megacystis‐microcolon‐intestinal hypoperistalsis syndrome in a male fetus
Abstract No. Abs
Source: Ultrasound in Obstetrics and Gynecology - December 1, 2012 Category: Radiology Authors: Luísa Machado, Alexandra Matias, Manuela Rodrigues, Carlos Mariz, Joaquim Monteiro, Nuno Montenegro Tags: Picture of the Month Source Type: research

Bladder emptying to an umbilical cord cyst: a prenatal sonographic sign of allantoic cyst with patent urachus
Abstract No. Abs
Source: Ultrasound in Obstetrics and Gynecology - December 1, 2012 Category: Radiology Authors: Cátia Rasteiro, Carla Ramalho, Teresa Loureiro, José Pereira, Alexandra Matias Tags: Letter to the Editor Source Type: research

Maternal‐fetal medicine fellowship obstetrical ultrasound experience: results from a fellowship survey
ConclusionMost fellows are trained in ultrasound during their first year of fellowship and feel comfortable performing routine exams. However, ultrasound mentorship, structured training and research in prenatal ultrasound are limited in some programs. © 2012 John Wiley & Sons, Ltd.
Source: Prenatal Diagnosis - December 1, 2012 Category: Perinatology & Neonatology Authors: Yair J. Blumenfeld, Amen Ness, Lawrence D. Platt Tags: Original Article Source Type: research

Prenatal diagnosis of chromosomal abnormalities in fetuses with cardiac ultrasound findings: evaluation of chromosomal microarray‐based analysis
CONCLUSIONS: The diagnostic yield may be increased by 2% in pregnancies with cardiac ultrasound findings if CMA was used as a complementary tool to conventional cytogenetics. Our results also suggest that CMA could be an appealing alternative to karyotyping in these pregnancies, preferably after excluding most common aneuploidies and triploidy by a rapid and inexpensive method. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Source: Ultrasound in Obstetrics and Gynecology - December 1, 2012 Category: Radiology Authors: Irene Mademont‐Soler, Carme Morales, Anna Soler, José María Martínez‐Crespo, Yiping Shen, Ester Margarit, Núria Clusellas, María Obón, Bai‐Lin Wu, Aurora Sánchez Tags: Original Paper Source Type: research

Image assessment of cervical dimensions after LLETZ: a prospective observational study
ConclusionsThe volume of tissue removed at LLETZ is related to the subsequent cervical volume, as well as the uterine length and volume, 6 months after the procedure.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: X Carcopino, JA Maycock, J Mancini, M Jeffers, K Farrar, M Martin, S Khalid, W Prendiville Tags: Original Article Source Type: research

Med Sci Monit 2012; 18(12):CR741-746 "Long-term follow-up for organic dysfunction in breech – presenting children"
Conclusions: Vaginal breech deliveries are safe in both primiparous and multiparous mothers.
Source: Medical Science Monitor - December 1, 2012 Category: Research Source Type: research

Self-assessment
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Alec McEwan Tags: Self-Assessment Source Type: research

Caesarean section on demand
Drafts of the NICE Caesarean Section guideline update (with details being overlooked) prompted a debate over whether women should be able to demand a Caesarean delivery without medical indication? Caesarean section “on-demand” has been hotly debated for many years.
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Mary Goodin, Malcolm Griffiths Tags: Ethics/Education Source Type: research

The implications of obesity on pregnancy
Abstract: Maternal obesity is defined as a body mass index of 30 or above. It is a common clinical problem and its incidence is increasing. It is associated with an increase in both maternal and perinatal mortality and morbidity. Super-obesity in particular poses unique challenges during the antenatal, intrapartum and postnatal periods and may require the involvement of specialists from a number of fields. Women who are obese are a high-risk group and must be carefully risk assessed in order to optimize their care.
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Hannah Kither, Melissa K. Whitworth Tags: Reviews Source Type: research

Laparoscopy and laparoscopic surgery
Abstract: Today, laparoscopy is an alternative technique for carrying out many operations that have traditionally required an open approach. The benefits of minimal access surgery have been well recorded, including lower post-operative morbidity, shorter duration of hospital stay and a shorter return to work. Advances in technology, specifically in fibre optics and video imaging, have made the relatively recent rapid progress in laparoscopic surgery possible. Operative laparoscopy, however, requires a high degree of technical skill and training. The use of small instruments and imaging systems that provide magnification al...
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Alex Swanton, Nicolas Vulliemoz Tags: Reviews Source Type: research

Polycystic ovary syndrome: diagnosis and management of related infertility
Abstract: Polycystic ovary syndrome (PCOS) is one of the most common complex and heterogeneous endocrine disorder in women with uncertain aetiology. The syndrome is associated with a wide range of symptoms and the diagnosis is based on the Rotterdam criteria. This review describes the currently available evidence regarding the therapeutic challenges raised in these women. Before any intervention is initiated, pre-conceptional counselling should be provided emphasizing the importance of life style changes, especially weight reduction and exercise in overweight women. The recommended first-line treatment for ovulation induct...
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Suresh Kini Tags: Reviews Source Type: research

Bleeding disorders in pregnancy
Abstract: During pregnancy the physiological changes in the haemostatic system tend to improve the mild inherited bleeding disorders. However, thrombocytopenia and coagulation problems unique to pregnancy may occur. In this review, we discuss and provide recommendations for the management of bleeding problems seen in pregnancy, such as thrombocytopenia, von Willebrand disease, haemophilias and thrombotic microangiopathies. In the majority of cases complicated by haematological disease, pregnancy, delivery and the puerperium should be managed by a multidisciplinary team, which includes obstetricians, haematologists and obstetric anaesthetists.
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Authors: Eleftheria Lefkou, Beverley J. Hunt Tags: Reviews Source Type: research

Editorial Board
Source: Obstetrics, Gynaecology and Reproductive Medicine - December 1, 2012 Category: OBGYN Source Type: research

Primary repair of obstetric uterine rupture can be safely undertaken by non‐specialist clinicians in rural Ethiopia: a case series of 386 women
We report 386 consecutive cases of uterine rupture over a 10‐year period, revealing a case fatality rate of 4.8%, which is significantly less than the 16–37% fatality rate published in the literature. Primary uterine repair, which was carried out by non‐specialised doctors in 43% of cases, was the treatment for 98% of women, and appears to be simple and effective. The main predictor of death from uterine rupture was a treatment delay of more than 12 hours from the presumed time of rupture (OR 7.7; 95% CI 1.02–58.4).
Source: BJOG: An International Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: W Alemayehu, K Ballard, J Wright Tags: Short communication Source Type: research

Hospital versus outpatient care for preterm pre‐labour rupture of membranes
ConclusionsWomen with pPROM who remain undelivered after 72 h and are managed out of hospital do not appear to have significant differences in major adverse maternal or perinatal outcomes compared with those managed as inpatients.
Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology - December 1, 2012 Category: OBGYN Authors: Michael Beckmann, Glenn Gardener Tags: Original Article Source Type: research

Half a World Apart, But So Much the Same
It is 5:45 PM in Rochester, MN. If I were home, I would have read my last echo and would be digging into my E-mail. But I am in Beijing, China for the 23rd Great Wall International Congress of Cardiology-Asia Pacific Heart Congress 2012 meeting. It is 6:45 AM and we have taken a taxi from the convention center area, which is near the Olympic Village, to the west side of Beijing. As we depart from the taxi, we notice bright stickers cluttering the sidewalk. These offer a phone number for patients to call to sell unused prescription medications. We follow the throngs of people headed the same way: to the Peking University Th...
Source: Journal of the American Society of Echocardiography - December 1, 2012 Category: Cardiology Tags: President's Message Source Type: research

Circumferential Avulsion of the Uterine Body from the Lower Segment During Cesarean Section: Complication of a Wedged Fetal Head
Journal of Gynecologic Surgery Dec 2012, Vol. 28, No. 6: 441-442.
Source: Journal of Gynecologic Surgery - November 30, 2012 Category: OBGYN Tags: article Source Type: research

Massive Ovarian Edema Masquerading as Ovarian Neoplasm: Report of Two Cases
Journal of Gynecologic Surgery Dec 2012, Vol. 28, No. 6: 431-433.
Source: Journal of Gynecologic Surgery - November 30, 2012 Category: OBGYN Tags: article Source Type: research

Inner Myometrial Laceration: A Newer Entity Causing Postpartum Hemorrhage
Journal of Gynecologic Surgery Dec 2012, Vol. 28, No. 6: 439-440.
Source: Journal of Gynecologic Surgery - November 30, 2012 Category: OBGYN Tags: article Source Type: research

I am very nervous about having a hysterectomy, is this normal?
Question: I’m feeling very nervous about my forthcoming hysterectomy and I wonder if this is normal or if I’m just a wimp, can you help? Our Answer: It is perfectly normal to be nervous about having a major operation such as a hysterectomy. In fact it can be helpful, as it will help you to make sure you have enough information about what can, and may, happen to help you feel prepared.
Source: The Hysterectomy Association - November 30, 2012 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: FAQ Latest News fear Source Type: news

Human epididymis protein 4 for differential diagnosis between benign gynecologic disease and ovarian cancer: a systematic review and meta-analysis
Conclusions: The measurement of serum HE4 is a useful method for differential diagnosis between benign gynecologic disease and ovarian cancer.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - November 30, 2012 Category: OBGYN Authors: JiaYing Lin, JinBao Qin, Voramon Sangvatanakul Tags: Gynecology and Gynecological Oncology Source Type: research

Comparison of 2 stitches vs 1 stitch for transvaginal cervical cerclage for preterm birth prevention
Conclusion: Two stitches at the time of cerclage do not appear to improve pregnancy outcome either in the history- or the ultrasound-indicated procedures, compared with 1 stitch.
Source: American Journal of Obstetrics and Gynecology - November 30, 2012 Category: OBGYN Authors: Maria A. Giraldo-Isaza, Grace P. Fried, Sarah E. Hegarty, Maria A. Suescum-Diaz, Arnold W. Cohen, Vincenzo Berghella Tags: Obstetrics Source Type: research

Expanding the gestational age limits for laser treatment for twin-twin transfusion
Approximately 10-15% of monochorionic/diamniotic twin gestations are complicated by twin-twin transfusion syndrome (TTTS). Placental intertwin vascular anastomoses are present in essentially all monochorionic twins; it is thought that unbalanced blood flow through arteriovenous anastomoses leads to TTTS in some cases. Although several therapeutic options have been described for TTTS, most experts consider fetoscopic laser photocoagulation of placental anastomoses to be the best approach.
Source: American Journal of Obstetrics and Gynecology - November 30, 2012 Category: OBGYN Authors: Jeffrey A. Kuller, Mary E. Norton Tags: Editorials Source Type: research

Development and comparison of prognostic scoring systems for surgical closure of genitourinary fistula
Conclusion: The prognostic values of existing urinary fistula classification systems and the empirically derived score were poor to fair. Further evaluation of the validity and reliability of existing classification systems to predict fistula closure is warranted; consideration should be given to a prognostic score that is evidence-based, simple, and easy to use.
Source: American Journal of Obstetrics and Gynecology - November 30, 2012 Category: OBGYN Authors: Vera Frajzyngier, Guohua Li, Elaine Larson, Joseph Ruminjo, Mark A. Barone Tags: General Gynecology Source Type: research

Fetal and maternal leptin in pre-gestational diabetic pregnancy
Abstract: Objective: To compare maternal and fetal leptin among women without diabetes, women with type 1 diabetes, and women with type 2 diabetes.Methods: In a prospective study at the National Maternity Hospital, Dublin, 40 women with type 1 diabetes, 10 with type 2 diabetes, and 30 without diabetes were enrolled between July 2006 and July 2008. Maternal (36-week) and cord blood leptin was measured by enzyme-linked immunoassay.Results: No difference was found in maternal leptin among the groups: without diabetes (mean, range): 325pg/mL, 36–1492pg/mL; type 1 diabetes: 343.2pg/mL, 55.5–1108.2pg/mL; type 2 diabetes: 202...
Source: International Journal of Gynaecology and Obstetrics - November 30, 2012 Category: OBGYN Authors: Mary F. Higgins, Noirin M. Russell, Derek P. Brazil, Richard G. Firth, Fionnuala M. McAuliffe Tags: Clinical articles Source Type: research

A case–control study of placental lesions associated with pre-eclampsia
Abstract: Objective: To investigate gross and microscopic placental lesions associated with pre-eclampsia and to determine which lesions are most strongly linked to serious pregnancy complications.Methods: A retrospective case–control study of 173 placentas from women with pre-eclampsia and 173 placentas from healthy normotensive women was conducted.Results: The mean placental weight in the pre-eclampsia group was lower than that recorded for the control group (280g vs 360g; P
Source: International Journal of Gynaecology and Obstetrics - November 30, 2012 Category: OBGYN Authors: Louise Devisme, Benjamin Merlot, Anne Ego, Veronique Houfflin-Debarge, Philippe Deruelle, Damien Subtil Tags: Clinical articles Source Type: research

Pregnancy outcome following maternal exposure to statins: a multicentre prospective study.
CONCLUSIONS: This study did not detect a teratogenic effect of statins. Its statistical power remains insufficient to challenge current recommendations of treatment discontinuation during pregnancy. PMID: 23194157 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: Winterfeld U, Allignol A, Panchaud A, Rothuizen L, Merlob P, Cuppers-Maarschalkerweerd B, Vial T, Stephens S, Clementi M, De Santis M, Pistelli A, Berlin M, Eleftheriou G, Maňáková E, Buclin T Tags: BJOG Source Type: research

Effects of metformin in women with polycystic ovary syndrome treated with gonadotrophins for in vitro fertilisation and intracytoplasmic sperm injection cycles: a systematic review and meta-analysis of randomised controlled trials.
CONCLUSIONS: In infertile patients with PCOS treated with gonadotrophins for IVF/ICSI cycles, metformin exerts no clinical effect on rates of pregnancy or live birth, but it reduces the risk of OHSS, and improves the rates of miscarriage and implantation. Further RCTs are needed to assess the reproductive effect of metformin in young well-selected patients with PCOS and specific phenotypes and features. PMID: 23194199 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: Palomba S, Falbo A, La Sala G Tags: BJOG Source Type: research

Are prenatal, obstetric, and infant complications associated with postpartum psychosis among women with pre-conception psychiatric hospitalisations?
CONCLUSIONS: We found no prenatal indicators of postpartum risk for psychiatric hospitalisation among high-risk women, but they had higher odds of postpartum pregnancy-related medical problems and, rarely, offspring death. PMID: 23194279 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: Hellerstedt W, Phelan S, Cnattingius S, Hultman C, Harlow B Tags: BJOG Source Type: research

A periconceptional energy-rich dietary pattern is associated with early fetal growth: the Generation R study.
CONCLUSION: This study suggests that increasing adherence to an energy-rich dietary pattern is associated with increased CRL in the first trimester. PMID: 23194298 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: Bouwland-Both M, Steegers-Theunissen R, Vujkovic M, Lesaffre E, Mook-Kanamori D, Hofman A, Lindemans J, Russcher H, Jaddoe V, Steegers E Tags: BJOG Source Type: research

First trimester serum analytes, maternal characteristics and ultrasound markers to predict pregnancies at risk for preterm birth
Abstract: Introduction: Markers of placental dysfunction are used for risk prediction of adverse obstetric outcomes including preeclampsia and growth restriction. Although medically indicated preterm birth is often distinguished from spontaneous preterm birth, we hypothesize that similar placental dysfunction may underlay all preterm birth. We aimed to investigate whether first trimester placental protein 13 (PP-13), pregnancy associated plasma protein A (PAPP-A) and uterine artery pulsatility index, with maternal characteristics could be used to predict all preterm birth.Methods: Prospective cohort study of singleton gest...
Source: Placenta - November 30, 2012 Category: Reproduction Medicine Authors: M.J. Stout, K.R. Goetzinger, M.G. Tuuli, A.G. Cahill, G.A. Macones, A.O. Odibo Tags: Biomarkers Source Type: research

Hearing and speech impairment at age 4 and risk of later non-affective psychosis.
CONCLUSIONS: These results support the hypothesis that psychosis has a developmental aspect with presentation of antecedent markers early in childhood, long before the disease becomes manifest. Our findings add to the growing evidence that early hearing impairment and speech impairment are risk indicators for later non-affective psychosis and possibly represent aetiological clues and potentially modifiable risk factors. Notably, speech impairment and language impairment are both detectable with inexpensive, easily accessible screening. PMID: 23194459 [PubMed - as supplied by publisher]
Source: Psychological Medicine - November 30, 2012 Category: Psychiatry Authors: Fors A, Abel KM, Wicks S, Magnusson C, Dalman C Tags: Psychol Med Source Type: research

Predictive factors for preeclampsia in pregnant women: a unvariate and multivariate logistic regression analysis.
Conclusion: The history of preeclampsia, hypertension and infertility predict preeclampsia with an increased odds ratio. Using such variables in regression analysis can help to diagnose preeclampsia beforehand and hence allow timely intervention. PMID: 23198281 [PubMed - as supplied by publisher]
Source: Acta Biochim Pol - November 30, 2012 Category: Biochemistry Authors: Direkvand-Moghadam A, Khosravi A, Sayehmiri K Tags: Acta Biochim Pol Source Type: research

Differing Attitudes Toward Fetal Care by Pediatric and Maternal-Fetal Medicine Specialists
CONCLUSIONS: Pediatric and obstetric specialists differ considerably regarding pediatric specialists’ role in prenatal care for maternal conditions, and regarding whether to seek judicial intervention for maternal refusal of recommended treatment.
Source: PEDIATRICS - November 30, 2012 Category: Pediatrics Authors: Brown, S. D., Donelan, K., Martins, Y., Burmeister, K., Buchmiller, T. L., Sayeed, S. A., Mitchell, C., Ecker, J. L. Tags: Article Source Type: research

Pregnancy outcome following maternal exposure to statins: a multicentre prospective study
ConclusionsThis study did not detect a teratogenic effect of statins. Its statistical power remains insufficient to challenge current recommendations of treatment discontinuation during pregnancy.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: U Winterfeld, A Allignol, A Panchaud, LE Rothuizen, P Merlob, B Cuppers‐Maarschalkerweerd, T Vial, S Stephens, M Clementi, M Santis, A Pistelli, M Berlin, G Eleftheriou, E Maňáková, T Buclin Tags: Original Article Source Type: research

Effects of metformin in women with polycystic ovary syndrome treated with gonadotrophins for in vitro fertilisation and intracytoplasmic sperm injection cycles: a systematic review and meta‐analysis of randomised controlled trials
BackgroundMetformin is widely used for treating women with polycystic ovary syndrome (PCOS), and many patients with PCOS who are infertile receive gonadotrophins while being treated with metformin. ObjectivesTo assess the effects of metformin administration in infertile patients with PCOS who receive gonadotrophins for in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI) cycles. Search strategyWe searched international scientific databases, websites for the registration of trials, and bibliographies of retrieved articles, books, and review articles up to August 2012. Selection criteriaRandomised control...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: S Palomba, A Falbo, GB La Sala Tags: Systematic review Source Type: research

Are prenatal, obstetric, and infant complications associated with postpartum psychosis among women with pre‐conception psychiatric hospitalisations?
ConclusionsWe found no prenatal indicators of postpartum risk for psychiatric hospitalisation among high‐risk women, but they had higher odds of postpartum pregnancy‐related medical problems and, rarely, offspring death.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: WL Hellerstedt, SM Phelan, S Cnattingius, CM Hultman, BL Harlow Tags: Original Article Source Type: research

A periconceptional energy‐rich dietary pattern is associated with early fetal growth: the Generation R study
ConclusionThis study suggests that increasing adherence to an energy‐rich dietary pattern is associated with increased CRL in the first trimester.
Source: BJOG: An International Journal of Obstetrics and Gynaecology - November 30, 2012 Category: OBGYN Authors: MI Bouwland‐Both, RPM Steegers‐Theunissen, M Vujkovic, EMEH Lesaffre, DO Mook‐Kanamori, A Hofman, J Lindemans, H Russcher, VWV Jaddoe, EAP Steegers Tags: Original Article Source Type: research

Reply
We thank Dr Kreitzer for his continuing communications on shoulder dystocia and comments on our work. We agree that subjective definitions and imperfect record keeping are limitations with most studies on shoulder dystocia; however, we would like to point out an incorrect assumption in the letter. In our study, incidences of shoulder dystocia were not determined by retrospective chart review, which would potentially add recorder bias issues. The diagnosis was recorded prospectively in the delivery record by the delivering clinicians at the time of the birth.
Source: American Journal of Obstetrics and Gynecology - November 29, 2012 Category: OBGYN Authors: Emily F. Hamilton, Mary Veronica Daly, Kathryn Townsend Tags: Letters to the Editors Source Type: research

Shoulder dystocia outcomes associated with structured prenatal counseling
I commend the efforts of my New Jersey colleagues undertaking quantitative risk assessment for shoulder dystocia, and applying it prospectively. It is likely, however, that the commonly used but somewhat restrictive definition of shoulder dystocia chosen by the authors (use of maneuvers following a failure of downward traction) is, to a great extent, responsible for the decline in shoulder dystocia incidence each year, and when compared to the group without enhanced assessment and counseling. It also appears that documentation of shoulder dystocia was based on retrospective chart review. Their definition of shoulder dysto...
Source: American Journal of Obstetrics and Gynecology - November 29, 2012 Category: OBGYN Authors: Michael S. Kreitzer Tags: Letters to the Editors Source Type: research

Reply
On behalf of all the authors and organizations involved in this editorial, we thank you for your letter of support for this call to action. Congratulations on your program and success with the MOREOB program at Syracuse and thank you for sharing what you have done. It is important to share successes and programs that have been shown to work with our colleagues. Please continue to be a strong supporter of these concepts so we all can keep moving forward to improve the quality and safety for all women.
Source: American Journal of Obstetrics and Gynecology - November 29, 2012 Category: OBGYN Authors: Dan F. O'Keeffe Tags: Letters to the Editors Source Type: research

A response to “a call to action”
Upon reading your journal editorial, titled “Quality patient care in labor and delivery: a call to action,” I was reminded of the successes our unit in Syracuse (NY) has had implementing the MOREOB program, an international safety program designed to place patient safety first, as the priority, at all times, for everyone involved in patient care.
Source: American Journal of Obstetrics and Gynecology - November 29, 2012 Category: OBGYN Authors: James E. Brown Tags: Letters to the Editors Source Type: research

Pregnancy Outcomes of Women With Physical Disabilities: A Matched Cohort Study
Conclusion: Our study describes a cohort of women who had moderate-to-severe physical disabilities who historically have been discouraged from pregnancy. Women with physical disabilities experienced higher rates of preterm deliveries, low birthweight infants, and pregnancy complications. The pregnancy complications in most cases were not severe and were readily managed. Although it was common to experience functional changes during pregnancy, these changes had largely resolved by 6 weeks postpartum. Larger observational studies are needed to better understand the etiology and prevention of preterm labor and low-birthweigh...
Source: PM and R - November 29, 2012 Category: Rehabilitation Authors: Christina Morton, Joan T. Le, Lena Shahbandar, Cassing Hammond, Eileen A. Murphy, Kristi L. Kirschner Tags: Original Research Source Type: research

Safe motherhood
The FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health considers the ethical aspects of issues that impact the discipline of obstetrics, gynecology, and women's health. The following document represents the result of that carefully researched and considered discussion. This document is intended to provide material for consideration and debate about these ethical aspects of our discipline for member organizations and their constituent membership.
Source: International Journal of Gynaecology and Obstetrics - November 29, 2012 Category: OBGYN Authors: FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health Tags: FIGO Committee Reports Source Type: research

HIV and fertility treatment
The FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health considers the ethical aspects of issues that impact the discipline of obstetrics, gynecology, and women's health. The following document represents the result of that carefully researched and considered discussion. This document is intended to provide material for consideration and debate about these ethical aspects of our discipline for member organizations and their constituent membership.
Source: International Journal of Gynaecology and Obstetrics - November 29, 2012 Category: OBGYN Authors: FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health Tags: FIGO Committee Reports Source Type: research

Ethical aspects of HIV infection and reproduction
The FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health considers the ethical aspects of issues that impact the discipline of obstetrics, gynecology, and women's health. The following document represents the result of that carefully researched and considered discussion. This document is intended to provide material for consideration and debate about these ethical aspects of our discipline for member organizations and their constituent membership.
Source: International Journal of Gynaecology and Obstetrics - November 29, 2012 Category: OBGYN Authors: FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health Tags: FIGO Committee Reports Source Type: research

Ethical issues in the management of severe congenital anomalies
The FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health considers the ethical aspects of issues that impact the discipline of obstetrics, gynecology, and women's health. The following document represents the result of that carefully researched and considered discussion. The document is intended to provide material for consideration and debate about these ethical aspects of our discipline for member organizations and their constituent membership.
Source: International Journal of Gynaecology and Obstetrics - November 29, 2012 Category: OBGYN Authors: FIGO Committee for the Ethical Aspects of Human Reproduction and Women's Health Tags: FIGO Committee Reports Source Type: research

Successful management of aortic dissection in a patient with Marfan syndrome during pregnancy
We report the successful treatment of an aortic dissection with pharmacologic therapy and the birth of a healthy infant.
Source: American Journal of Obstetrics and Gynecology - November 29, 2012 Category: OBGYN Authors: Chuan-Yaw Chang, Jean-Ming Yang, Chon-Wa Lam, Pi-Hua Chen Tags: Case Report Source Type: research

Maternal psychosocial stress during pregnancy is associated with newborn leukocyte telomere length
Conclusion: Our finding provides the first preliminary evidence in human beings that maternal psychological stress during pregnancy may exert a “programming” effect on the developing telomere biology system that is already apparent at birth, as reflected by the setting of newborn LTL.
Source: American Journal of Obstetrics and Gynecology - November 29, 2012 Category: OBGYN Authors: Sonja Entringer, Elissa S. Epel, Jue Lin, Claudia Buss, Babak Shahbaba, Elizabeth H. Blackburn, Hyagriv N. Simhan, Pathik D. Wadhwa Tags: Obstetrics Source Type: research