MedWorm: Cesarean Section

Study finds pregnant women with prior cesarean choose the delivery method preferred by their doctor

EurekAlert! - Medicine and Health — Thu, 09 Feb 2012 05:00:00 +0100

(Society for Maternal-Fetal Medicine) In a study to be presented today at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, in Dallas, Texas, researchers will report findings that women who have undergone one prior delivery via cesarean section appear to know little about the risks and benefits associated with undergoing either a second cesarean or trial of labor to attempt a vaginal delivery, and that the preference of their medical provider strongly affects their selection between the two options. (Source: EurekAlert! - Medicine and Health)

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Ascaris Lumbricoides

Diagnostic Imaging — Mon, 06 Feb 2012 12:00:00 +0100

A 36-year-old female, delivered by lower segment cesarean section two months back, with unremarkable postpartum period, presented with one-week history of pain in the right hypochondrium, fever (with rigors) and malaise. (Source: Diagnostic Imaging)

Pitfalls for diagnosis of uterine artery pseudoaneurysm after cesarean section

Ultrasound in Obstetrics and Gynecology — Fri, 03 Feb 2012 05:00:00 +0100

(Source: Ultrasound in Obstetrics and Gynecology)

Pitfalls for diagnosis of uterine artery pseudoaneurysm after cesarean section.

The Ultrasound Review of Obstetrics and Gynecology — Fri, 03 Feb 2012 05:00:00 +0100

Authors: Bouchet P, Chabrot P, Fontarensky M, Delabaere A, Bonnin M, Gallot D PMID: 22302777 [PubMed - as supplied by publisher] (Source: The Ultrasound Review of Obstetrics and Gynecology)

Prolonged propriospinal myoclonus following spinal anesthesia for cesarean section: case report and literature review

Archives of Gynecology and Obstetrics — Thu, 02 Feb 2012 17:57:19 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s00404-012-2246-1Authors Anna Lev, Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, POB 3235, 91031 Jerusalem, IsraelIsabell Korn-Lubezki, Department of Neurology, Shaare Zedek Medical Center, Jerusalem, IsraelBettina Steiner-Birmanns, Department of Neurology, Shaare Zedek Medical Center, Jerusalem, IsraelArnon Samueloff, Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, IsraelYaakov Gozal, Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, POB 3235, 91031 Jerusalem, IsraelAlexander Ioscovich, Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zede...

Don't blame C-sections for fat kids: study

Reuters: Health — Mon, 30 Jan 2012 16:14:42 +0100

NEW YORK (Reuters Health) - Kids born by Cesarean section are no more likely to become obese than if they are born vaginally, a new study concludes. (Source: Reuters: Health)

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Labor induction after first cesarean not linked to uterine rupture

MedWire News - Ob/Gyn — Mon, 30 Jan 2012 04:54:03 +0100

Labor induction is not associated with an increased risk for uterine rupture in women attempting trial of labor after cesarean section, US researchers say. (Source: MedWire News - Ob/Gyn)

Don't blame C-sections for fat children: study

Reuters: Health — Mon, 30 Jan 2012 02:34:16 +0100

(Reuters) - Children born by Cesarean section are no more likely to become obese than if they are born vaginally, according to a Brazilian study. (Source: Reuters: Health)

Don’t blame C-sections for fat kids: study

Reuters: Health — Sun, 29 Jan 2012 20:48:10 +0100

NEW YORK (Reuters Health) - Kids born by Cesarean section are no more likely to become obese than if they are born vaginally, a new study concludes. (Source: Reuters: Health)

Don’t Blame C-Sections for Fat Kids

MedlinePlus Health News — Sun, 29 Jan 2012 20:48:07 +0100

Kids born by Cesarean section are no more likely to become obese than if they are born vaginally, a new study concludes.Source: Reuters Health Related MedlinePlus Pages: Cesarean Section, Childbirth, Obesity in Children (Source: MedlinePlus Health News)

Myasthenia Gravis in Pregnancy: A Case Report

Clinical and Developmental Immunology — Thu, 26 Jan 2012 11:22:23 +0100

Conclusion. Myasthenia gravis especially when associated with pregnancy is a high-risk disease. As this disease predominantly occurs in women of reproductive age, it is important to be aware of this condition in obstetrics and its interdisciplinary diagnostic and therapeutic management. (Source: Clinical and Developmental Immunology)

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WITHDRAWN: Antibiotic prophylaxis regimens and drugs for cesarean section.

Cochrane Database of Systematic Reviews — Thu, 26 Jan 2012 08:18:08 +0100

CONCLUSIONS: Both ampicillin and first generation cephalosporins have similar efficacy in reducing postoperative endometritis. There does not appear to be added benefit in utilizing a more broad spectrum agent or a multiple dose regimen. There is a need for an appropriately designed randomized trial to test the optimal timing of administration (immediately after the cord is clamped versus pre-operative). PMID: 22258944 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

Lower reproductive tract fistula repairs in inpatient US women, 1979–2006

International Urogynecology Journal — Wed, 25 Jan 2012 18:12:16 +0100

Conclusions The AAR of inpatient LRTF repair declined between 1979 and 2006, perhaps reflecting a concurrent decrease in obstetric trauma, in the context of decreasing episiotomy and operative vaginal delivery and increasing cesarean section rates. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00192-011-1653-3Authors Heidi W. Brown, Division of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USALi Wang, Office of Clinical Research, University of Pittsburgh Clinical and Translational Science Institute (CTSI), Pittsburgh, PA, USAClareann H. Bunker, Office of Clinical Research, University of Pittsburgh Clinical and Translational Sc...

Some Progress on Curbing Early Elective Deliveries

RWJF News Digest - Public Health — Wed, 25 Jan 2012 05:00:00 +0100

A new report out today suggests that getting the word out has done some good, but that there’s still a ways to go on reducing the rate of elective early deliveries via induction or C-section. (Source: RWJF News Digest - Public Health)

Subcutaneous abdominal wall masses: radiological reasoning.

Pain Physician — Tue, 24 Jan 2012 19:48:22 +0100

CONCLUSION: Integrating salient imaging findings with clinical history is crucial when approaching the diagnosis of subcutaneous soft-tissue masses. The diagnosis of endometriosis should be entertained when soft-tissue masses are seen in the distribution of a cesarean section scar in a woman of reproductive age. Pain, particularly with a cyclic pattern, is highly suggestive of endometriosis. If endometriosis is suspected on CT or ultrasound, MRI can be performed for further evaluation. Definitive diagnosis is made with biopsy. Because subcutaneous nodules are so amenable percutaneous biopsy, imaging features, although of interest, are somewhat ancillary to the diagnostic workup. PMID: 22268204 [PubMed - in process] (Source: Pain Physician)

For Healthier Moms and Babies, X-Out Repeat C-Sections

RWJF News Digest - Quality/Equality — Mon, 23 Jan 2012 05:00:00 +0100

Preliminary figures from the Centers for Disease control include a promising bit of news for women's health: for the first time in a decade, the rate of cesarean section births dropped. (Source: RWJF News Digest - Quality/Equality)

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Subcutaneous Abdominal Wall Masses: Radiological Reasoning

American Journal of Roentgenology — Thu, 19 Jan 2012 05:00:00 +0100

CONCLUSION. Integrating salient imaging findings with clinical history is crucial when approaching the diagnosis of subcutaneous soft-tissue masses. The diagnosis of endometriosis should be entertained when soft-tissue masses are seen in the distribution of a cesarean section scar in a woman of reproductive age. Pain, particularly with a cyclic pattern, is highly suggestive of endometriosis. If endometriosis is suspected on CT or ultrasound, MRI can be performed for further evaluation. Definitive diagnosis is made with biopsy. Because subcutaneous nodules are so amenable percutaneous biopsy, imaging features, although of interest, are somewhat ancillary to the diagnostic workup. (Source: American Journal of Roentgenology)

Hitler reacts to SOPA [video] | GrrlScientist

Guardian Unlimited Science — Wed, 18 Jan 2012 10:00:00 +0100

It's a satirical meme video, but it actually does a decent job telling you about the USA's attempt to enact dumbass anti-freedom legislation next week"[T]he more freely information flows; the stronger that society becomes." Barack Obama, President of the United States.Since I postponed my morning science video this morning to share my thoughts on SOPA/PIPA, here is the morning video, a little later than usual and with one change: it's not a science video. Instead, it's one of my favourite YouTube meme videos, a video that has been adapted to comment on SOPA/PIPA legislation. It is wonderfully satirical and informative but at the same time, it is probably in some vague and not-yet-determined way in violation of SOPA/PIPA rules, should either of those dumbass bills pass next week: Visit Figh...

Giant congenital cervical teratoma: case report and review about therapeutic options

Revista Paulista de Pediatria — Wed, 18 Jan 2012 06:37:28 +0100

OBJETIVO:Relatar um caso de teratoma cervical congênito, destacando a gravidade e as dificuldades terapêuticas associadas. DESCRIÇÃO DO CASO: Mãe de 30 anos, com gestação por fertilização assistida. Com 23 semanas, diagnosticada malformação cervical fetal à direita. Parto cesáreo por indicação fetal com 31 semanas. Recém-nascido masculino, peso ao nascer de 1800g, Apgar 4 e 9, com volumoso processo expansivo à direita, ocupando toda a região cervical, comprometendo a mandíbula e estendendo-se para o terço superior do tórax. Com 40 horas de vida, apresentou insuficiência cardíaca congestiva de alto débito por roubo de fluxo pelo tumor. A partir de 54 horas de vida, houve progressiva deterioração hemodinâmica e respiratória, com hipotensão, anúria e labilidade d...

Role of antihypertensive therapy in mild to moderate pregnancy-induced hypertension: a prospective randomized study comparing labetalol with alpha methyldopa

Archives of Gynecology and Obstetrics — Tue, 17 Jan 2012 07:11:18 +0100

Abstract Background Pregnancy-induced hypertension (PIH) is associated with adverse fetal and maternal outcome. The role of medication to control blood pressure (BP) in mild to moderate PIH is controversial. Aims We conducted a prospective study to investigate whether pharmacological treatment of mild to moderate PIH is effective in improving maternal and fetal outcomes. Methods A total of 150 consecutive pregnant women without proteinuria and with physician-recorded systolic BP of 140–160 mmHg and/or diastolic BP of 90–105 mmHg on two occasions ≥6 h apart between 20 and 38 weeks of gestation were randomly allocated to receive either labetalol or methyldopa (50 patients each) plus standard care (treatment gro...

Children Born by C-Section at Slightly Higher Asthma Risk

Pulmonary Medicine News - Doctors Lounge — Mon, 16 Jan 2012 20:00:00 +0100

Large Norwegian study found likelihood greater when mothers had no allergies (Source: Pulmonary Medicine News - Doctors Lounge)

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Enteric Neuronal Stem Cell Transplantation Restores Intestinal Motility in Rat Pups Subjected to Necrotizing Enterocolitis

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:59 +0100

Conclusions: Our results show that NSC transplantion replaces injured intestinal neurons and improves intestinal motility after NEC-induced intestinal injury, supporting a role for neurotransplantation as a potential therapeutic treatment for post-injury intestinal dysmotility in the future. (Source: Journal of Surgical Research)

Risk factors for mother‐to‐child transmission of hepatitis C virus: Maternal high viral load and fetal exposure in the birth canal

Hepatology Research — Thu, 12 Jan 2012 05:00:00 +0100

Conclusions: Our data suggest that contamination of the fetus in the birth canal with infected maternal blood is a major risk factor for HCV MTCT, in addition to maternal HVL. To rationalize intervention by elective cesarean section, the natural history of infected children should be carefully evaluated. (Source: Hepatology Research)

PTHrP-associated hypercalcemia of pregnancy, resolved after delivery: a case report.

European Journal of Endocrinology — Thu, 12 Jan 2012 05:00:00 +0100

In conclusion, this pregnant patient presented with PTHrP-associated hypercalcemia, presumably of placental origin. Delivery resulted in prompt reduction of serum calcium levels and a transient "hungry bone" syndrome. PMID: 22247017 [PubMed - as supplied by publisher] (Source: European Journal of Endocrinology)

Cesarean delivery and respiratory distress in late preterm and term infants

Central European Journal of Medicine — Wed, 11 Jan 2012 17:53:16 +0100

Conclusion cesarean delivery increases infants’ respiratory distress syndrome in late preterm and term infants Content Type Journal ArticleCategory Research ArticlePages 1-5DOI 10.2478/s11536-011-0139-5Authors Małgorzata Baumert, Department of Neonatology Silesian Medical University, ul. Medyków 14, 40-752 Katowice, PolandMałgorzata Fiala, Department of Neonatology Silesian Medical University, ul. Medyków 14, 40-752 Katowice, PolandZofia Walencka, Department of Neonatology Silesian Medical University, ul. Medyków 14, 40-752 Katowice, PolandMagdalena Paprotny, Department of Neonatology Silesian Medical University, ul. Medyków 14, 40-752 Katowice, PolandKinga Sypniewska, Department of Neonatology Silesian Medical University, ul. Medyków 14, 40-752 Katowice, Polan...

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Cesarean section and risk of obesity in childhood, adolescence, and early adulthood: evidence from 3 Brazilian birth cohorts.

The American Journal of Clinical Nutrition — Wed, 11 Jan 2012 05:00:00 +0100

CONCLUSION: In these 3 birth cohorts, CSs do not seem to lead to an important increased risk of obesity during childhood, adolescence, or early adulthood. PMID: 22237058 [PubMed - as supplied by publisher] (Source: The American Journal of Clinical Nutrition)

Increased risk of developing asthma by age of 3 after cesarean

EurekAlert! - Medicine and Health — Tue, 10 Jan 2012 05:00:00 +0100

(Norwegian Institute of Public Health) A new study supports previous findings that children delivered by cesarean section have an increased risk of developing asthma. (Source: EurekAlert! - Medicine and Health)

Rapidly grown congenital fetal immature gastric teratoma causing severe neonatal respiratory distress

Journal of Obstetrics and Gynaecology Research — Tue, 10 Jan 2012 05:00:00 +0100

AbstractA pregnant woman in the mid‐third trimester developed complications with enlarged fetal abdomen and polyhydramnios. Prenatal ultrasound visualized dilated bowel, intraperitoneal calcifications, ascites, hydroceles and polyhydramnios, giving the impression of meconium peritonitis. The fetal abdomen continued to increased in size, and maternal dyspnea due to polyhydramnios was aggravated. She underwent a cesarean section at 36 + 1 weeks' gestation. The delivery was followed by severe neonatal respiratory distress due to the huge mass in the abdomen. The tumor was successfully removed by emergency surgery and diagnosed as immature gastric teratoma. No other associated anomaly was found. The infant made a good progress after the operation. (Source: Journal of Obstetrics and Gyn...

The Term Breech Trial Ten Years On: Primum Non Nocere?

Birth — Mon, 09 Jan 2012 05:00:00 +0100

Abstract: In 2000, the Term Breech Trial was published, and its authors recommended cesarean section as the safest mode of delivery for breech‐presenting babies. Criticisms of the trial were raised at the time, which the authors dismissed. Since then, maternal deaths have been recorded among women undergoing cesarean sections for breech presentations. Accordingly, those initial criticisms deserve to be revisited. (BIRTH 39:1 March 2012) (Source: Birth)

A case with vesicouterine fistula: mini review

Archives of Gynecology and Obstetrics — Sat, 07 Jan 2012 16:54:28 +0100

Conclusion Increasing cesarean section rates concomitantly carries increasing maternal and neonatal adverse outcomes including operative complications as genitourinary fistulae. Content Type Journal ArticleCategory General GynecologyPages 1-4DOI 10.1007/s00404-011-2188-zAuthors Mehmet Onur Karaltı, Köyceğiz State Hospital, Gelişim Mah. Köyceğiz, 48800 Muğla, TurkeyŞivekar Tınar, Eagen Maternity and Health Teaching Hospital, İzmir, TurkeyNilgün Turhan Öztürk, Department of Obstetrics and Gynecology, Faculty of Medicine, Muğla University, Muğla, TurkeyDeniz Can Öztürk, Eagen Maternity and Health Teaching Hospital, İzmir, Turkey Journal Archives of Gynecology and ObstetricsOnline ISSN 1432-0711Print ISSN 0932-0067 (Source: Archives of Gynecology...

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[Pheochromocytoma: Rare lethal challenging diagnosis that may be encountered by gynecologists and obstetricians.]

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Fri, 06 Jan 2012 05:00:00 +0100

We report two cases highlighting clinical clues such as labile hypertension, headache, sweating, palpitations and failure to respond to conventional treatment should prompt physicians to screen patients for pheochromocytoma by measuring the 24-hour urinary catecholamines. The surgery must be performed after using an appropriate preoperative treatment, in order not to trigger lethal outcome. During pregnancy, C-section is recommended. PMID: 22227233 [PubMed - as supplied by publisher] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)

Ultrasonography of the uterus within 6 weeks following Cesarean section

Central European Journal of Medicine — Thu, 05 Jan 2012 06:52:36 +0100

Conclusions Dehiscence risk coefficient measurement six weeks after delivery allows for precise quantitative description of the CS scar. Urgent CS has a higher risk for a severe scar defect. Content Type Journal ArticleCategory Research ArticlePages 1-6DOI 10.2478/s11536-011-0134-xAuthors Erik Dosedla, Slovak Medical University, Faculty of Medicine, Bratislava, III. Department of Gynecology and Obstetrics, 1st Private Hospital Košice-Šaca Inc., Košice-Šaca, Slovak RepublicTomáš Kvasnička, First Faculty of Medicine and General Teaching Hospital, Thrombosis Centre of Institute of Clinical Biochemistry and Laboratory Diagnostics, Charles University, Prague, U Nemocnice 2, 128 08 Praha 2, Czech RepublicPavel Calda, First Faculty of Medicine and General Teaching Ho...

Kenya: City Clerk's New Year Gift for 48 Pumwani Mothers

AllAfrica News: Pregnancy and Childbirth — Tue, 03 Jan 2012 17:02:26 +0100

Nairobi Star (Nairobi)-Nairobi town clerk Philip Kisia yesterday bailed out 48 patients from the Pumwani Maternity Hospital, who had given birth on Januray 1. Kisia, who was born at the facility, gave a waiver of Sh336, 000 to the mothers, most of who were excited by the gesture extended by the town clerk. sixteen of the mothers had undergone cesarean section while 32 had given birth normally at the institution, the largest maternity hospital in East and Central Africa. A normal delivery is charged at Sh6 000 while cesarean sect (Source: AllAfrica News: Pregnancy and Childbirth)

August 11th.

Families, Systems, and Health — Mon, 02 Jan 2012 05:00:00 +0100

In this poem, the author shares his experience of being a medical student and having to perform an emergency c-section. The poem's title refers to the birth date of the author and the baby he helped deliver. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Families, Systems, and Health)

Appropriateness of Cesarean Sections using the RAND Appropriateness Method Criteria.

Archives of Iranian Medicine — Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSION: This study shows that as with many other health services, cesarean section has many scenarios that there are different opinions about them and no decision about presenting these scenarios as yet. Moreover the result of study showed the rate of inappropriate cesarean sections in this study is one of the highest reported rates from different communities. PMID: 22208436 [PubMed - in process] (Source: Archives of Iranian Medicine)

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Rise in cesarean section rate over a 30-year period in a public hospital in tehran, iran.

Archives of Iranian Medicine — Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSION: Immediate strategies should be adopted to prevent the rising trend and increasing number of unnecessary CS in Iran. PMID: 22208435 [PubMed - in process] (Source: Archives of Iranian Medicine)

Growing rate of cesarean section in iran: dimensions and concerns.

Archives of Iranian Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Sepanlou SG, Akbarian A PMID: 22208434 [PubMed - in process] (Source: Archives of Iranian Medicine)

Anaesthetic management of peripartum cardiomyopathy using "epidural volume extension" technique: A case series.

Annals of Cardiac Anaesthesia — Sun, 01 Jan 2012 05:00:00 +0100

We present a case series of five parturients that were posted for elective cesarean section and managed successfully by the epidural volume extension technique. PMID: 22234021 [PubMed - in process] (Source: Annals of Cardiac Anaesthesia)

The mediating effect of microbial colonization on the effect of cesarean section delivery

Journal of Allergy and Clinical Immunology — Fri, 30 Dec 2011 05:00:00 +0100

van Nimwegen et al report an intriguing set of results concerning the role of intestinal microbiota colonization in the relationship between mode and place of delivery on childhood risk of allergic disease. The possibility of cesarean section being a potential cause of asthma has received considerable attention, and although other hypotheses have been posed, the most often cited explanation for this association is reduced colonization with microbiota from the maternal gut and vagina. The authors observed that, of the measured microbiota, only colonization by Clostridium difficile was related to the risk of allergic disease. It is worth noting that this observation is slightly different from the initial interpretation of the hygiene hypothesis, which suggested that lack of colonization rat...

Fertility Performance and Obstetrical Outcomes Among Women With Previous Cesarean Scar Pregnancies

The Journal of Minimally Invasive Gynecology — Wed, 28 Dec 2011 19:53:00 +0100

This report form the Sachler Faculty of Medicine, Tel-Aviv University, on the fertility performance and obstetrical outcome in women with a history of previous cesarean scar ectopic pregnancy is important. (Source: The Journal of Minimally Invasive Gynecology)

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Intrauterine myelomeningocele repair Postnatal results and follow-up at 3.5 years of age — initial experience from a single reference service in Brazil

Child's Nervous System — Wed, 28 Dec 2011 16:44:40 +0100

Conclusion Antenatal surgical repair of MMC reduced the need for postnatal shunt placements. Despite preterm delivery, the cognitive development of most children at 3.5 years was normal. Antenatal surgery seemed to improve lower limb motor function in these cases. Content Type Journal ArticleCategory Original PaperPages 1-7DOI 10.1007/s00381-011-1662-zAuthors Wagner Jou Hisaba, Department of Obstetrics, Federal University of São Paulo (UNIFESP), São Paulo, SP, BrazilSérgio Cavalheiro, Department of Neurosurgery, Federal University of São Paulo (UNIFESP), São Paulo, SP, BrazilCarlos Gilberto Almodim, Department of Obstetrics, Federal University of São Paulo (UNIFESP), São Paulo, SP, BrazilCarolina Peixoto Borges, Department of Obstetrics, Federal Universi...

Reversible posterior leukoencephalopathy syndrome accompanying eclampsia: correct diagnosis using preoperative MRI.

The Tohoku Journal of Experimental Medicine — Tue, 27 Dec 2011 09:36:23 +0100

This report describes a patient with RPLS that occurred secondary to eclampsia. A 26-year-old female, gravida 0 para 0, developed weakness and pain in her upper and lower extremities and gait disturbance during the 34th week of pregnancy, and severe pregnancy-induced hypertension near the end of the 37th week. On the first day of the 38th week, she developed constricted visual fields and complained of visual illusions. MRI revealed a high-signal-intensity area in the right occipital lobe. Immediately after MRI, the patient had a 10-sec tonic convulsion. Diagnosed with eclampsia, she underwent emergency cesarean section. MRI on the 2nd postoperative day showed that the high-signal-intensity area was slightly improved. Her visual illusions were diminished by the 4th postoperative day, and al...

International consensus and practical guidelines on the gynecologic and obstetric management of female patients with hereditary angioedema caused by C1 inhibitor deficiency

Journal of Allergy and Clinical Immunology — Mon, 26 Dec 2011 05:00:00 +0100

Conclusions: A consensus for the management of female patients with HAE-C1-INH is presented. (Source: Journal of Allergy and Clinical Immunology)

Why are C-section deliveries linked to childhood type 1 diabetes?

Diabetes — Sun, 25 Dec 2011 06:08:39 +0100

Authors: Vehik K, Dabelea D PMID: 22187373 [PubMed - in process] (Source: Diabetes)

Antibiotics curb infections in elective C-section

Modern Medicine — Fri, 23 Dec 2011 05:00:00 +0100

NEW YORK (Reuters Health) - Maternal infections after elective cesarean section were reduced by two-thirds when cefazolin was given either before skin incision or after umbilical cord clamping, in a randomized, double-blind, placebo-controlled trial. (Source: Modern Medicine)

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Carotid‐cavernous fistula in term pregnancy due to spontaneous rupture of carotid‐cavernous aneurysm

Journal of Obstetrics and Gynaecology Research — Mon, 19 Dec 2011 05:00:00 +0100

AbstractCarotid‐cavernous aneurysm accounts for 2–9% of all intracranial aneurysms. The rupture of carotid‐cavernous aneurysm is usually caused by a trauma. Nevertheless, spontaneous rupture may rarely be encountered. Here, we report a term pregnant woman who was diagnosed to have a spontaneous carotid‐cavernous fistula due to carotid‐cavernous aneurysm rupture and was managed with detachable balloon and coils immediately after cesarean section. (Source: Journal of Obstetrics and Gynaecology Research)

Fetoscopic management of gastroschisis in a lamb model

Surgical Endoscopy — Sat, 17 Dec 2011 06:43:34 +0100

Conclusions Although technically demanding, we were able to produce and reassess six cases of gastroschisis by fetoscopy. As primary repositioning appears unfavorable, fetoscopic prosthetic bag placement may become an alternative. Content Type Journal ArticlePages 1-5DOI 10.1007/s00464-011-2048-8Authors Robert Bergholz, Department of Pediatric Surgery, UKE: University Hospital Eppendorf, Altona Children’s Hospital, Bleickenallee 38, 22767 Hamburg, GermanyThomas Krebs, Department of Pediatric Surgery, UKE: University Hospital Eppendorf, Altona Children’s Hospital, Bleickenallee 38, 22767 Hamburg, GermanyKatharina Wenke, Department of Pediatric Surgery, UKE: University Hospital Eppendorf, Altona Children’s Hospital, Bleickenallee 38, 22767 Hamburg, GermanyThomas ...

Sacrohysteropexy followed by successful pregnancy and eventual reoperation for prolapse

International Urogynecology Journal — Fri, 16 Dec 2011 16:57:08 +0100

Abstract A multitude of uterine-sparing prolapse repairs exist in the literature, but little is published on subsequent pregnancy and long-term success following a repair. A 35-year-old gravida 2 para 2 underwent laparoscopic sacrohysteropexy and suburethral sling for stage III prolapse and stress urinary incontinence. She conceived 6 months postprocedure. Her antepartum course was complicated by third trimester pelvic pressure—successfully managed with a pessary. She delivered via cesarean section at term. At 12 months postpartum she had no signs of prolapse. Two years postpartum, she reprolapsed and underwent robotic assisted laparoscopic supracervical hysterectomy, sacrocolpopexy, and perineorrhaphy. Two years postoperatively she remained without any prolaps...

Spinal anesthesia for cesarean section in a patient with chronic inflammatory demyelinating polyradiculoneuropathy

Journal of Anesthesia — Fri, 16 Dec 2011 16:54:59 +0100

This report features a 19-year-old woman with CIDP scheduled for an elective cesarean section who had prolonged recovery of motor function after the administration of spinal anesthesia. Although a partial neural block in both feet persisted for 1 day, we conclude that spinal anesthesia is acceptable for cesarean delivery in CIDP-patients when reasonable precautions have been taken. Content Type Journal ArticleCategory Clinical ReportPages 1-3DOI 10.1007/s00540-011-1296-zAuthors Torsten Richter, Department of Anesthesiology and Intensive Care Medicine, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, GermanyKarl-Anton Langer, Department of Anesthesiology, Mafraq Hospital, Abu Dhabi, United Arab EmiratesThea Koch, Department of Anesthesiology and I...

The D-Lightful Vitamin D for Child Health.

JPEN Journal Of Parenteral And Enteral Nutrition — Fri, 16 Dec 2011 05:00:00 +0100

Authors: Holick MF Abstract Vitamin D deficiency and insufficiency is common in children. Vitamin D deficiency is defined as a 25-hydroxyvitamin D <20 ng/mL and insufficiency as 21-29 ng/mL. The major sources of vitamin D are sun exposure, diet, and supplements. In young children, vitamin D deficiency causes a mineralization defect of the skeleton, resulting in rickets. Vitamin D deficiency has been linked to many chronic diseases, including multiple sclerosis, type 1 diabetes, infectious diseases, heart disease, and type 2 diabetes. In utero vitamin D deficiency increases risk for preeclampsia and the need for a cesarean section. Children living at higher latitudes and who are presumed to be at increased risk for vitamin D deficiency are at higher risk for developing type 1 dia...

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Clinical Indications and Determinants of the Rise of Cesarean Section in Three Hospitals in Rural China

Maternal and Child Health Journal — Mon, 12 Dec 2011 17:13:59 +0100

This study investigated changes in cesarean delivery rate and cesarean indications in 3 county-level hospitals in rural China. Hospital delivery records in 1997 and 2003 were used to examine the reasons behind the changes. In Chengde County Hospital, the cesarean delivery rate increased from 28% in 1997 to 54% in 2003. The rate increased from 43% in 1997 to 65% in 2003 in Anxian County Hospital and Anxian Maternal and Child Health Hospital. The dramatic increase in cesarean delivery in the study hospitals was associated with a shift from more severe to mild or no clinical indications. The ratio of mild to moderate to severe hypertension increased substantially. More than half of the cephalopelvic disproportion cases were diagnosed prior to labor. The majority of nuchal cord cases wer...

Remifentanil use for cesarean section in a patient with intracranial re-ruptured arteriovenous malformation

Journal of Anesthesia — Sat, 10 Dec 2011 06:42:08 +0100

We describe the successful administration of remifentanil as part of the anesthetic technique used for cesarean section performed under general anesthesia in a 24-year-old woman with intracranial re-hemorrhage caused by re-ruptured arteriovenous malformation. A low dose of remifentanil was useful to obtund the hypertensive response during induction and maintenance of anesthesia without neonatal respiratory depression. Content Type Journal ArticleCategory Clinical ReportPages 1-5DOI 10.1007/s00540-011-1295-0Authors Eiko Onishi, Department of Anesthesiology, South Miyagi Medical Center, Ohgawara, Miyagi, JapanAkiko Kojima, Department of Anesthesiology, South Miyagi Medical Center, Ohgawara, Miyagi, JapanToshio Saishu, Department of Anesthesiology, South Miyagi Medical Center, Ohgaw...

Effectiveness of an integrated approach to reduce perinatal mortality: recent experiences from Matlab, Bangladesh

BMC Public Health - Latest articles — Sat, 10 Dec 2011 05:00:00 +0100

Conclusion: The continuum of care approach provided through the integration of service delivery modes decreased the perinatal mortality rate within a short period of time. Further testing of this model is warranted within the government health system in Bangladesh and other low-income countries. (Source: BMC Public Health - Latest articles)

Mode of delivery doesn't affect later maternal stress

Modern Medicine — Fri, 09 Dec 2011 05:00:00 +0100

NEW YORK (Reuters Health) - Whether a woman gives birth by elective cesarean section or vaginal delivery may not affect her anxiety or stress levels afterward, suggests a new study that questions the idea of doing C-sections just for the sake of a mother's mental well-being. (Source: Modern Medicine)

Previous cesarean section, gestational age at first delivery and subsequent risk of pre-eclampsia in obese mothers

Archives of Gynecology and Obstetrics — Thu, 08 Dec 2011 18:10:50 +0100

Conclusion Preterm C-section in the first pregnancy may be associated with subsequent pre-eclampsia regardless of prior pre-eclampsia status. Content Type Journal ArticleCategory General GynecologyPages 1-7DOI 10.1007/s00404-011-2161-xAuthors Alfred K. Mbah, Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd, Tampa, FL 33612, USAPuza P. Sharma, US Health Outcomes (Cardiovascular/Oncology), GlaxoSmithKline, Philadelphia, USAAmina P. Alio, Department of Community and Preventive Medicine, University of Rochester, Rochester, USADoris W. Fombo, Department of Nursing, University of South Florida, Tampa, FL 33612, USAKaren Bruder, Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL 33612, USAHamis...

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Mode of delivery doesn't affect later maternal stress

L.A. Times - Health — Wed, 07 Dec 2011 22:15:00 +0100

Whether a woman gives birth by elective C-section or vaginal delivery may not affect her anxiety or stress levels afterward, suggests a new study that questions the idea of using C-sections just for the sake of a mother's mental well-being. (Source: L.A. Times - Health)

Mode of Delivery Doesn't Affect Later Maternal Stress

MedlinePlus Health News — Wed, 07 Dec 2011 22:14:13 +0100

Screening for postpartum depression using Kurdish version of Edinburgh postnatal depression scale

Archives of Gynecology and Obstetrics — Wed, 07 Dec 2011 10:52:23 +0100

Conclusion The Kurdish version of the EPDS can be successfully used to screen depression in a Kurdish population of puerperal women. Content Type Journal ArticleCategory Maternal-Fetal MedicinePages 1-7DOI 10.1007/s00404-011-2165-6Authors Hamdia Mirkhan Ahmed, Maternity Nursing Unit, Hawler Medical University, College of Nursing, Kurdistan Region, Erbil, IraqShahla Kareem Alalaf, Department of Obstetrics and Gynecology, Hawler Medical University, College of Medicine, Kurdistan Region, Erbil, IraqNamir Ghanim Al-Tawil, Department of Community Medicine, Hawler Medical University, College of Medicine, Kurdistan Region, Erbil, Iraq Journal Archives of Gynecology and ObstetricsOnline ISSN 1432-0711Print ISSN 0932-0067 (Source: Archives of Gynecology and Obstetrics)

The Roles of Prostaglandin EP 1 and 3 Receptors in the Control of Human Myometrial Contractility.

The Journal of Clinical Endocrinology and Metabolism — Wed, 07 Dec 2011 05:00:00 +0100

Conclusions:EP3 is the primary receptor subtype that mediates PGE(2) induced contractility in human pregnant myometrium at term and represents a possible therapeutic target. PMID: 22162473 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)

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Geographic Variation in Trends and Characteristics of Teen Childbearing among American Indians and Alaska Natives, 1990–2007

Maternal and Child Health Journal — Mon, 05 Dec 2011 17:35:26 +0100

Abstract To study teen birth rates, trends, and socio-demographic and pregnancy characteristics of AI/AN across geographic regions in the US. The birth rate for US teenagers 15–19 years reached a historic low in 2009 (39.1 per 1,000) and yet remains one of the highest teen birth rates among industrialized nations. In the US, teen birth rates among Hispanic, non-Hispanic black, and American Indian/Alaska Native (AI/AN) youth are consistently two to three times the rate among non-Hispanic white teens. Birth certificate data for females younger than age 20 were used to calculate birth rates (live births per 1,000 women) and joinpoint regression to describe trends in teen birth rates by age (<15, 15–17, 18–19) and region (Aberdeen, Alaska, Bemidji, Billings, Cali...

Combination of B‐Lynch brace suture and uterine artery embolization for atonic bleeding after cesarean section in a patient with placenta previa accreta

Journal of Obstetrics and Gynaecology Research — Mon, 05 Dec 2011 05:00:00 +0100

We report the case of a patient with placenta previa accreta. A 29‐year‐old multipara, who had previously undergone a cesarean section, was admitted to our hospital for vaginal bleeding. An emergency cesarean section was carried out at the 33rd week of gestation. Uterine bleeding was uncontrollable, and hence, hysterectomy was planned. However, before hysterectomy, B‐Lynch brace suture was carried out to control the massive bleeding; moreover, the suturing technique enabled uterine artery embolization to be carried out as an interventional radiological technique. A good postoperative course was observed, and thus, a secondary hysterectomy was not required. A combination of the B‐Lynch brace suture technique and uterine artery embolization may be an alternative treatment for emergen...

Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions

Arquivos de Gastroenterologia — Sun, 04 Dec 2011 09:45:50 +0100

CONTEXT: The correlation between vaginal delivery, age and pelvic floor dysfunctions involving obstructed defecation is still a matter of controversy. OBJECTIVES: To determine the influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions in women with obstructed defecation syndrome. METHODS: Four hundred sixty-nine females with obstructed defecation syndrome were retrospectively evaluated using dynamic 3D ultrasonography to quantify posterior pelvic floor dysfunctions (rectocele grade II or III, rectal intussusception, paradoxical contraction/non-relaxation of the puborectalis and entero/ sigmoidocele grade III). In addition, sphincter damage was evaluated. Patients were grouped according to age (

Addition of Alkynes to a Gallium Bis-Amido Complex: Imitation of Transition-Metal-Based Catalytic Systems.

Chemistry — Fri, 02 Dec 2011 05:00:00 +0100

Authors: Fedushkin IL, Nikipelov AS, Morozov AG, Skatova AA, Cherkasov AV, Abakumov GA Abstract Acetylene, phenylacetylene, and alkylbutynoates add reversibly to (dpp-bian)Ga-Ga(dpp-bian) (dpp-bian=1,2-bis[(2,6-diisopropylphenyl)-imino]acenaphthene) to give addition products [dpp-bian(R(1) CCR(2) )]Ga-Ga[(R(2) CCR(1) )dpp-bian]. The alkyne adds across the GaNC section, which results in new carbon-carbon and carbon-gallium bonds. The adducts were characterized by electron absorption, IR, and (1) H NMR spectroscopy and their molecular structures have been determined by single-crystal X-ray analysis. According to the X-ray data, a change in the coordination number of gallium from three [in (dpp-bian)Ga-Ga(dpp-bian)] to four (in the adducts) results in elongation of the m...

Forceps Delivery Tied to Lower Brain Injury RiskForceps Delivery Tied to Lower Brain Injury Risk

Medscape Medical News Headlines — Thu, 01 Dec 2011 19:03:47 +0100

Forceps deliveries may lead to fewer newborn seizures compared with vacuum deliveries or Cesarean section, a new study suggests. Reuters Health Information (Source: Medscape Medical News Headlines)

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Forceps delivery tied to lower brain injury risk

Modern Medicine — Thu, 01 Dec 2011 05:00:00 +0100

NEW YORK (Reuters Health) - Forceps deliveries may lead to fewer newborn seizures compared with vacuum deliveries or Cesarean section, a new study suggests. (Source: Modern Medicine)

Fibroids Foretell Worse Maternal and Fetal Outcomes

Ob.Gyn. News — Thu, 01 Dec 2011 05:00:00 +0100

ORLANDO – Uterine fibroids are bad for pregnancy and neonatal outcomes, and a new study shows just how bad. Women diagnosed with fibroids on their first obstetric ultrasound examination, for example, were significantly more likely to experience preterm labor or preterm premature rupture of the membranes (pPROM). Also, significantly more deliver before 37 weeks' gestation or via cesarean section, compared with a group of women without these noncancerous growths of the uterus. (Source: Ob.Gyn. News)

Foley Catheter Bests Prostaglandin E2 Gel

Ob.Gyn. News — Thu, 01 Dec 2011 05:00:00 +0100

Major Finding: Cesarean section, most often done for failure to progress during the first stage of labor, was performed in 23% of 411 women induced using a Foley catheter, and in 20% of 408 women induced using vaginal prostaglandin E2 gel (relative risk, 1.13). Two serious maternal adverse events occurred, both in the prostaglandin group. (Source: Ob.Gyn. News)

Cesarean section and interferon-induced helicase gene polymorphisms combine to increase childhood type 1 diabetes risk.

Diabetes — Thu, 01 Dec 2011 05:00:00 +0100

CONCLUSIONS These findings suggest that type 1 diabetes risk modification by cesarean section may be linked to viral responses in the preclinical autoantibody-positive disease phase. PMID: 22110093 [PubMed - in process] (Source: Diabetes)

Rheumatoid arthritis and pregnancy: Disease activity, pregnancy outcomes, and treatment options during pregnancy and lactation

Drug Development Research — Thu, 01 Dec 2011 05:00:00 +0100

AbstractThe present work reviews the available data on rheumatoid arthritis (RA) during pregnancy and the postpartum period. The data generally support some improvement in RA during pregnancy, but these data are not consistent, and a subgroup of patients may have significant disability and flares. The literature supports a tendency toward postpartum flares. Babies born to mothers with RA are found to have lower birth weight, intrauterine growth restriction, and an increased risk of delivery by cesarean section. Limited safety information is available for medications used for treatment during pregnancy and lactation. There are many options for treatment during the first trimester and throughout pregnancy, but each decision must be made on an individual basis. Whereas methotrexate and leflun...

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The Patient Observer: Eye‐Movement Desensitization and Reprocessing for the Treatment of Posttraumatic Stress following Childbirth

Birth — Thu, 01 Dec 2011 05:00:00 +0100

Conclusions: Treatment with eye‐movement desensitization and reprocessing reduced posttraumatic stress symptoms in these three women. They were all sufficiently confident to attempt vaginal birth rather than demanding an elective cesarean section. We advocate a large‐scale, randomized controlled trial involving women with postpartum posttraumatic stress disorder to evaluate the effect of eye‐movement desensitization and reprocessing in this patient group. (BIRTH 39: March 2012) (Source: Birth)

Progesterone Modulates the Expression of Interleukin‐6 in Cultured Term Human Uterine Cervical Fibroblasts

American Journal of Reproductive Immunology — Wed, 30 Nov 2011 23:42:04 +0100

Conclusion Our preliminary results suggest that vaginal progesterone might prevent spontaneous preterm labor through a mechanism involving anti‐inflammatory effects on UCFs, particularly suppression of IL‐6 production. (Source: American Journal of Reproductive Immunology)

Forceps delivery tied to lower brain injury risk

Reuters: Health — Wed, 30 Nov 2011 20:15:00 +0100

NEW YORK (Reuters Health) - When babies need help coming into the world, forceps may carry less risk of newborn seizures compared with vacuum deliveries or Cesarean section, a new study suggests. (Source: Reuters: Health)

Annuloaortic ectasia treated successfully in a pregnant woman with Marfan syndrome: report of a case

Surgery Today — Wed, 30 Nov 2011 04:41:04 +0100

Abstract A 31-year-old woman with Marfan syndrome required aortic root repair for annuloaortic ectasia in the 16th week of her first pregnancy. Aortic root reimplantation was successfully performed with a higher-flow-rate cardiopulmonary bypass of 3.4–3.6 l/min/m2 at normothermia for fetal survival. During the surgery, a cardiotocography and transesophageal echo probe attached on the patient’s abdomen allowed adequate monitoring of the fetal heartbeat. The postoperative course was uneventful, and a healthy baby was delivered by cesarean section at 37 weeks’ gestation. Content Type Journal ArticleCategory Case ReportPages 1-3DOI 10.1007/s00595-011-0069-5Authors Shunsuke Sato, Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Cent...

NICE releases updated guidelines on cesarean section

MedWire News - Ob/Gyn — Mon, 28 Nov 2011 16:09:08 +0100

The UK’s National Institute for Health and Clinical Excellence has released updated guidelines on cesarean section. (Source: MedWire News - Ob/Gyn)

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Retrospective evaluation of intravenous fentanyl patient-controlled analgesia during labor

Journal of Anesthesia — Sat, 26 Nov 2011 16:48:08 +0100

Conclusions As compared to no analgesia, fentanyl iv-PCA appears to be safe and clinically acceptable as analgesia during labor, particularly in nulliparous women. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00540-011-1292-3Authors Yuki Hosokawa, Department of Anesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 JapanHiroshi Morisaki, Department of Anesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 JapanItsuo Nakatsuka, Department of Anesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 JapanSaori Hashiguchi, Department of Anesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku,...

Delivery by Cesarean Section and Early Childhood Respiratory Symptoms and Disorders: The Norwegian Mother and Child Cohort Study

American Journal of Epidemiology — Fri, 25 Nov 2011 05:00:00 +0100

In conclusion, children delivered by cesarean section may have an increased risk of current asthma at 36 months, but residual confounding cannot be excluded. In future prospective studies, investigators should reexamine this association in different age groups. (Source: American Journal of Epidemiology)

Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia

Clinical and Developmental Immunology — Thu, 24 Nov 2011 23:55:40 +0100

Conclusion. As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients. (Source: Clinical and Developmental Immunology)

[Twin delivery with the first twin in breech position. A study of 137 continuous cases.]

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Thu, 24 Nov 2011 05:00:00 +0100

CONCLUSION: Our study is the first one that clearly shows that the success rate of the trial of labor is closely related to a history of vaginal birth. Following these results and because of more than two-third of cesarean section during labor in nulliparas, we subsequently plan an elective cesarean section at the 38th GW for nulliparas with twin pregnancies and T1 in breech position. Nevertheless, if any of these patients go in labor before the cesearean section, a careful trial of labor is offered. PMID: 22118807 [PubMed - as supplied by publisher] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)

Anesthesia Considerations in the Obese Gravida

Seminars in Perinatology — Wed, 23 Nov 2011 10:51:00 +0100

Obesity is associated with serious morbidity during pregnancy, and obese women also are at a high risk of developing complications during labor, leading to an increased risk for instrumental and Cesarean deliveries. The engagement of the obstetrical anesthetist in the management of this group of high-risk patients should be performed antenatally so that an appropriate management strategy can be planned in advance to prevent an adverse outcome. Good communication between all care providers is essential. The obese patient in labor should be encouraged to have a functioning epidural catheter placed early in labor. Apart from providing analgesia and alleviating physiological derangements during labor, the presence of a functioning epidural catheter can also be used to induce anesthesia quickly...

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The safe motherhood referral system to reduce cesarean sections and perinatal mortality - a cross-sectional study [1995-2006]

Reproductive Health — Wed, 23 Nov 2011 05:00:00 +0100

Conclusions - This safe motherhood referral system was a good strategy in reducing perinatal mortality and direct causes of maternal mortality and decreasing the overall rate of C-sections. (Source: Reproductive Health)

Neonatal hypoparathyroidism secondary to maternal hypercalcemia

Bone — Tue, 22 Nov 2011 16:58:00 +0100

In conclusion, this entity should be suspected and identified in every child born from a mother with hyperparathyroidism. (Source: Bone)

General anesthesia increases risk for hemorrhage after cesarean section

MedWire News - Ob/Gyn — Tue, 22 Nov 2011 15:56:45 +0100

Women who undergo cesarean section with general anesthesia are significantly more likely to experience postpartum hemorrhage than those who undergo CS with epidural anesthesia, an analysis suggests. (Source: MedWire News - Ob/Gyn)

Women who elect to have Caesarean 'risk having fatter babies'

the Mail online | Health — Tue, 22 Nov 2011 13:09:43 +0100

The NHS watchdog is expected to publish guidance tomorrow saying all woman should be allowed elective caesareans. It comes as a study from Imperial College London suggests babies delivered by C-section have fattier livers. (Source: the Mail online | Health)

Risk of placenta previa in second birth after first birth cesarean section: a population-based study and meta-analysis

BMC Pregnancy and Childbirth - Latest articles — Mon, 21 Nov 2011 05:00:00 +0100

Conclusions: There is an increased risk of placenta previa in the subsequent pregnancy after CS delivery at first birth, but the risk is lower than previously estimated. Given the placenta previa rate in England and the adjusted effect of previous CS, 359 deliveries by CS at first birth would result in one additional case of placenta previa in the next pregnancy. (Source: BMC Pregnancy and Childbirth - Latest articles)

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A Case of Torsion of Gravid Uterus Caused by Leiomyoma

Journal of Biophysics — Sun, 20 Nov 2011 13:58:01 +0100

Uterine torsion during pregnancy is only sporadically reported in the literature. Here we present a case of leiomyoma causing uterine torsion in pregnancy and review the literature on etiology, diagnosis, and management. A 25-years-old primigravida with leiomyoma complicating pregnancy was admitted in our hospital with abdominal pain and uterine tenderness. She underwent emergency LSCS (lower segment cesarean section) for fetal bradycardia. Intraoperatively, the uterus was rotated 180 degrees left to right. Inadvertent incision on the posterior wall was avoided by proper delineation of anatomy. Torsion was corrected by exteriorization of leiomyoma and uterus, and lower segment cesarean was carried out safely. Prompt recognition and management of this condition is necessary for better mate...

C-Section Rate Drops for First Time in a Decade in U.S.

MedlinePlus Health News — Thu, 17 Nov 2011 17:00:00 +0100

And teen birth rate falls to a record low, CDC says Source: HealthDay Related MedlinePlus Pages: Cesarean Section, Health Statistics, Teenage Pregnancy (Source: MedlinePlus Health News)

Umbilical cord milking in term infants delivered by cesarean section: a randomized controlled trial

Journal of Perinatology — Thu, 17 Nov 2011 05:00:00 +0100

Authors: D A Erickson-Owens, J S Mercer & W Oh (Source: Journal of Perinatology)

The Best Tubal Reversal Experts

Tubal Ligation Reversal News — Thu, 17 Nov 2011 00:00:00 +0100

After undergoing tubal reversal surgery at Chapel Hill Tubal Reversal Center, a member of the Tubal Reversal Message Board shares the news of her daughter's birth. Dr. Monteith untied her tubes in October of 2009 and after 14 months of trying to conceive they were pregnant. This month the couple gave birth to a beautiful and healthy baby girl. During the c-section, the surgeon and the surgical team admired Dr. Monteith's tube reversing work. The doctors were impressed and commented the patient's tubes looked as though they had been untouched. The couple thanks Dr. Monteith for allowing them to complete their family with another baby. Tubal reversal surgery is a true specialty and choosing Dr. Monteith and Dr. Berger is the right choice for many women who have their tubes tied. They have pe...

[Correcting occiput posterior position during labor: The role of maternal positions.]

Gynecologie, Obstetrique et Fertilite — Wed, 16 Nov 2011 05:00:00 +0100

Authors: Guittier MJ, Othenin-Girard V Abstract Occipito-posterior presentation represents 10 to 34% of cephalic presentations in early labor. Spontaneous rotation during labor to occipito-anterior mode occurs in most cases, but 5 to 8% of fetuses will persist in posterior position for the expulsive phase of delivery. Previous research has shown that this presentation carries an increased risk of unusually long labor, maternal and fetal exhaustion, instrument-assisted delivery, severe perineal injury, and cesarean section. The diagnosis of posterior variety is usually made quite late at the end of dilation. Several researchers have reported the benefits of determining presentation during labor by transabdominal ultrasonography. Some obstetrical techniques to correct these present...

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[Role of embolization in the management of uterine fibroids.]

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Tue, 15 Nov 2011 05:00:00 +0100

Authors: Kahn V, Fohlen A, Pelage JP Abstract Uterine artery embolization using non spherical PVA particles or calibrated tris-acryl microspheres above 500μm is effective to treat menorrhagia, bulk-related symptoms and pelvic pain in more than 90% of cases in the short-term. In the long-term, embolization is effective in 75% of cases at 5-7 years. At 6 months, uterine volume reduction and dominant fibroid volume reduction varies between 30-60% and 50-80% respectively. During hospital stay, the complication rate is 3%. Secondary hysterectomy for complication is less than 2% at 3 months. Definitive amenorrhea is reported in less than 5% of cases in women of less than 45 years of age. No significant impact of embolization on hormonal function has been reported in women less than 45 y...

Primary cesarean delivery tied to adverse outcomes in later pregnancies

Modern Medicine — Wed, 09 Nov 2011 05:00:00 +0100

NEW YORK (Reuters Health) - Women who deliver their first baby via cesarean section face an increased risk of adverse outcomes in subsequent pregnancies, new findings show. (Source: Modern Medicine)

Skin closure with subcuticular absorbable staples after cesarean section is associated with decreased analgesic use

Archives of Gynecology and Obstetrics — Tue, 08 Nov 2011 19:13:10 +0100

Conclusions Our results suggest that the use of subcuticular absorbable staples for skin closure at the time of cesarean section may lead to less in-hospital analgesic use, and thereby positively impact a patient’s post-operative course. In addition, while reduced analgesic use may represent a small cost savings for each individual patient, there is the potential for significant savings when one considers the large number of cesarean sections performed in the US annually. Prospective studies will be required to assess the full impact of the use of this new skin closure technology. Content Type Journal ArticleCategory Maternal-Fetal MedicinePages 1-5DOI 10.1007/s00404-011-2121-5Authors Joshua Nitsche, Division of Maternal Fetal Medicine, Department of OB/GYN, May...

[Assessment of the benefit-harm balance depending on gestationnal age to induce delivery for post-term pregnancies.]

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Mon, 07 Nov 2011 05:00:00 +0100

CONCLUSIONS: Induction of labor at 41(+0) to 42(+6)weeks should be proposed to women with uncomplicated post-term pregnancies (EL2). The optimal age gestionnal for induction will depend mainly on maternal characteristics (EL4), but also on women's preferences and organization of maternity cares, after having delivered information regarding the benefits and harms of both labor induction and expectant management (expert opinion). After 42(+0)weeks, expectant management is a possible option (expert opinion). Nevertheless, it may be associated with an increase of risks for the fetus, that must be explained to the patient and be weighed against the possible disadvantages of an induction of labor (expert opinion). PMID: 22071017 [PubMed - as supplied by publisher] (Source: Journal de Gynecol...

Impact of prior bariatric surgery on maternal and fetal outcomes among obese and non-obese mothers

Archives of Gynecology and Obstetrics — Sat, 05 Nov 2011 17:10:34 +0100

Conclusions Although prior bariatric surgery is associated with multiple negative maternal and fetal outcomes, it is protective against infant macrosomia in obese mothers. Our findings support the need for preconception/interconception services tailored for former bariatric surgery patients to improve maternal and feto-infant health outcomes. Content Type Journal ArticleCategory Maternal-Fetal MedicinePages 1-8DOI 10.1007/s00404-011-2134-0Authors Victoria Belogolovkin, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, College of Medicine, University of South Florida, Tampa, FL, USAHamisu M. Salihu, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, College of Medicine, University of South Florida, Tampa, FL, USA...

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Too posh to push? More C-sections on demand in U.K.

USATODAY.com Health — Fri, 04 Nov 2011 14:49:10 +0100

Pregnant women in Britain, where the government provides free health care, may soon be able to get a cesarean section on demand. (Source: USATODAY.com Health)

Too posh to push? More C-sections on demand in UK

USATODAY.com Health — Fri, 04 Nov 2011 13:18:54 +0100

Pregnant women in Britain, where the government provides free health care, may soon be able to get a cesarean section on demand. (Source: USATODAY.com Health)

U.K. set to offer free C-sections upon request

CTV Health — Fri, 04 Nov 2011 12:24:46 +0100

Pregnant women in Britain, where the government provides free health care, may soon be able to get a cesarean section on demand thanks to a rule change that critics describe as the health system caving into the "too posh to push" crowd. (Source: CTV Health)

[Epidemiology of prolonged pregnancy: Incidence and maternal morbidity.]

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Fri, 04 Nov 2011 04:00:00 +0100

CONCLUSION: Prolonged pregnancy is associated with an excess of maternal morbidity. PMID: 22056182 [PubMed - as supplied by publisher] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)

Interaction of maternal age and mode of delivery in the development of postpartum depression in Yerevan, Armenia

Journal of Affective Disorders — Thu, 03 Nov 2011 23:29:29 +0100

Conclusion: The study suggested that the effect of younger age at last childbirth on the risk of possible postpartum depression development was higher for women who gave birth through C-section compared to those with vaginal delivery. Despite the stressful and crisis conditions existing in Armenia over the past 2 decades the prevalence of possible postpartum depression does not differ much from that in other societies. (Source: Journal of Affective Disorders)

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Rwanda: Women Fear Pushing Babies, Go for Caesarean Birth

AllAfrica News: Pregnancy and Childbirth — Tue, 01 Nov 2011 08:09:06 +0100

Dr Bosco Mugabo Mtsatswe of Kibagabaga Hospital is a busy man. About 28 out of every 100 women who report at this hospital to give birth prefer to deliver their babies through caesarean, a surgical operation commonly known as C-section. (Source: AllAfrica News: Pregnancy and Childbirth)

Prevalence of levator ani muscle injury in Chinese primiparous women after first delivery.

The Ultrasound Review of Obstetrics and Gynecology — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: The prevalence of levator ani muscle injury in Chinese primiparous women after their first vaginal delivery was 21.7% (95% CI 16.7% to 26.7%). Operative vaginal delivery was found to increase the likelihood of women suffering the injury. A longer follow-up of these women and future studies on effect of episiotomy are proposed. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd. PMID: 22045587 [PubMed - as supplied by publisher] (Source: The Ultrasound Review of Obstetrics and Gynecology)

Prevalence of levator ani muscle injury in Chinese primiparous women after first delivery

Ultrasound in Obstetrics and Gynecology — Tue, 01 Nov 2011 04:00:00 +0100

Conclusions:The prevalence of levator ani muscle injury in Chinese primiparous women after their first vaginal delivery was 21.7% (95% CI 16.7% to 26.7%). Operative vaginal delivery was found to increase the likelihood of women suffering the injury. A longer follow‐up of these women and future studies on effect of episiotomy are proposed. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd. (Source: Ultrasound in Obstetrics and Gynecology)

mTOR kinase inhibition results in oocyte loss characterized by empty follicles in human ovarian cortical strips cultured in vitro

Fertility and Sterility — Tue, 01 Nov 2011 04:00:00 +0100

Conclusion(s): mTOR inhibition results in a conserved destruction of the oocyte by adjacent granulosa cells (GC) in the absence of increased caspase activity. This model of oocyte loss is not consistent with classic apoptosis/atresia. (Source: Fertility and Sterility)

Therapeutic Hypothermia: Treatment for Hypoxic-Ischemic Encephalopathy in the NICU.

Neonatal Network — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Casey DM, Tella N, Turesky R, Labrecque M Abstract Baby M was born limp, blue, and without respiratory effort at 38 weeks gestation to a 38-year-old, gravida 5, para 1, woman. Delivery was vaginal after a rapid progression of labor leaving no opportunity for a cesarean section. No other complications were noted during labor but a large surge at delivery, later diagnosed as uterine rupture, initially raised concerns about placental abruption. Apgar scores were 1, 2, and 4 at one, five, and ten minutes, respectively. She was resuscitated in the delivery room, intubated, and transferred in critical condition to the neonatal intensive care unit (NICU) at the birth hospital. Her initial cord pH was 6.7 and was slightly improved at 7.17 on arterial blood gas after resuscitation....

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Cesarean section on demand: Is it a fad or an advance in medical practice?

Canadian Family Physician Medecin de Famille Canadien — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Billard M PMID: 22084470 [PubMed - in process] (Source: Canadian Family Physician Medecin de Famille Canadien)

Should patients be entitled to cesarean section on demand?: NO.

Canadian Family Physician Medecin de Famille Canadien — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Demers A PMID: 22084453 [PubMed - in process] (Source: Canadian Family Physician Medecin de Famille Canadien)

Should patients be entitled to cesarean section on demand?: YES.

Canadian Family Physician Medecin de Famille Canadien — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Duperron L PMID: 22084452 [PubMed - in process] (Source: Canadian Family Physician Medecin de Famille Canadien)

Evaluation of a Group Prenatal Care-based Curriculum in a Family Medicine Residency.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: The ultimate measure of how well we train our residents is how well they care for their patients. Our evaluation of teaching residents maternity care through group prenatal visits and the IMPLICIT quality improvement initiative found that we improved not only several processes of care outcomes but most importantly the key maternity care outcomes of cesarean section and preterm birth rates. PMID: 22076713 [PubMed - in process] (Source: Famly Medicine)

More and more twins delivered by C-section

Reuters: Health — Fri, 28 Oct 2011 22:25:35 +0100

NEW YORK (Reuters Health) - The proportion of twins who are delivered by cesarean section in the U.S. has shot up "dramatically" since the mid-1990s, according to a new study. (Source: Reuters: Health)

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More and More Twins Delivered by C-Section

MedlinePlus Health News — Fri, 28 Oct 2011 21:25:35 +0100

The proportion of twins who are delivered by cesarean section in the U.S. has shot up "dramatically" since the mid-1990s, according to a new study.Source: Reuters Health Related MedlinePlus Pages: Cesarean Section, Twins, Triplets, Multiple Births (Source: MedlinePlus Health News)

New Study Finds Fetal Heart Rate Not A Good Indicator Of A Baby's Health

Health News from Medical News Today — Fri, 28 Oct 2011 07:00:00 +0100

Physicians preparing to deliver a baby look at fetal heart rate patterns to guide them in deciding whether or not to perform a C- section. But a new study by maternal-fetal medicine specialists at Intermountain Medical Center shows that those heart rate patterns may not be a good indicator of a baby's health, and in fact may lead to unnecessary interventions and higher costs... (Source: Health News from Medical News Today)

At times, myomectomy is mandatory to effect delivery

Annals of Surgical Innovation and Research — Fri, 28 Oct 2011 04:00:00 +0100

Conclusion: : Leiomyoma in pregnancy is not an unknown entity and is a cause of concern for being a source of excruciating pain, at times, during the ongoing gestation. Although performed rarely, it is sometimes necessary to remove a large myoma to effect delivery of the baby during Cesarean section as is depicted in the case being presented hereunder. (Source: Annals of Surgical Innovation and Research)

Successful Management of Pregnancy Complicated by Klippel-Trenaunay Syndrome Using MR Angiography-Based Evaluation

Journal of Cancer Epidemiology — Thu, 27 Oct 2011 20:38:05 +0100

Klippel-Trenaunay syndrome (KTS) is a rare congenital disease, and extensive cutaneous hemangiomas and abnormal venous vessels are characteristic. In our case, to manage her pregnancy with KTS, whole-body MRA was performed before delivery. A 29-year-old woman was referred at 28 weeks because of prominent vulvovaginal varicosities due to KTS. At 35 weeks, hypertrophy and multiple venous varicosities of her leg as well as massive vulvovaginal varicosities became prominent with a normal coagulation profile. Systematic MRAs revealed hemangiomas and varicosities in the right leg, the lower abdomen, and the pubic region, while no obvious AVM was detected around the bronchial tube and spine. We decided to deliver her baby by cesarean section at 37 weeks under general anesthesia, and a healthy bab...

New study finds fetal heart rate not a good indicator of a baby's health

EurekAlert! - Social and Behavioral Science — Wed, 26 Oct 2011 04:00:00 +0100

(Intermountain Medical Center) Physicians preparing to deliver a baby look at fetal heart rate patterns to guide them in deciding whether or not to perform a C- section. But a new study by maternal-fetal medicine specialists at Intermountain Medical Center in Salt Lake City shows that those heart rate patterns may not be a good indicator of a baby's health, and in fact may lead to unnecessary interventions and higher costs. (Source: EurekAlert! - Social and Behavioral Science)

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Systematic review of clinical trials on dietary interventions to prevent excessive weight gain during pregnancy among normal weight, overweight and obese women

BMC Pregnancy and Childbirth - Latest articles — Wed, 26 Oct 2011 04:00:00 +0100

Conclusion: Dietary advice during pregnancy appears effective in decreasing total GWG and long-term postpartum weight retention, but so far there is limited evidence for further benefits on infant and maternal health. (Source: BMC Pregnancy and Childbirth - Latest articles)

Severe cervical scoliosis in the fetus

Prenatal Diagnosis — Wed, 26 Oct 2011 04:00:00 +0100

ConclusionOur patients suggest that connective tissue diseases or heterotaxy may be important risk factors for the development of severe cervical scoliosis. There were no significant long‐term complications directly related to cervical scoliosis. Copyright © 2011 John Wiley & Sons, Ltd. (Source: Prenatal Diagnosis)

Postpartum Group A Streptococcus Sepsis and Maternal Immunology

American Journal of Reproductive Immunology — Mon, 24 Oct 2011 04:00:00 +0100

Citation Mason KL, Aronoff DM. Postpartum group A Streptococcus sepsis and maternal immunology. Am J Reprod Immunol 2011Group A Streptococcus (GAS) is an historically important agent of puerperal infections and sepsis. The inception of hand‐washing and improved hospital hygiene drastically reduced the incidence of puerperal sepsis, but recently the incidence and severity of postpartum GAS infections has been rising for uncertain reasons. Several epidemiological, host, and microbial factors contribute to the risk for GAS infection and mortality in postpartum women. These include the mode of delivery (vaginal versus cesarean section), the location where labor and delivery occurred, exposure to GAS carriers, the altered immune status associated with pregnancy, the genetic background of the ...

Seeking Answers To Treat The Fear Of Childbirth

Health News from Medical News Today — Sat, 22 Oct 2011 07:00:00 +0100

A few women are so afraid of giving birth that they avoid becoming pregnant or seek an abortion, even though they want to have children. This fear is related to several serious conditions such as prolonged labour, a greater need for pain relief during labour and an increased risk of an emergency C-section. In some cases, the fear of childbirth is so serious that it can be classified as a specific phobia, such as a fear of dentists or a fear of heights, and leads to avoidance behaviour. In Oslo, 5-10 per cent of all pregnant women are treated for fear of childbirth... (Source: Health News from Medical News Today)

[Single-shot ropivacaine wound infiltration during cesarean section for postoperative pain relief.]

Gynecologie, Obstetrique et Fertilite — Sat, 22 Oct 2011 04:00:00 +0100

CONCLUSION: Single-shot ropivacaine wound infiltration during planned cesarean section is a simple and safe procedure that provides effective reduction of post-partum pain within the first 4hours. PMID: 22024157 [PubMed - as supplied by publisher] (Source: Gynecologie, Obstetrique et Fertilite)

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Pregnancy following liver transplantation during childhood and adolescence

Pediatric Transplantation — Thu, 20 Oct 2011 04:20:10 +0100

We report on outcomes and management of five pregnancies in four women undergoing orthotopic liver transplantation during childhood or adolescence and followed up at our Transplant Center. A retrospective clinical folder audit was performed. Mean age at transplantation was 13.3 ± 3.4 yr (range, 10–18 yr). Mean interval between transplantation and pregnancy was 15.4 ± 4.9 yr (range, 10–22 yr). Mean maternal age at conception was 28 ± 3.5 yr (range, 23–32 yr). Mean gestational age was 36.6 ± 1.7 wk. Mean birth weight was 2672 ± 249 g. Immunosuppression was cyclosporin based in three women and tacrolimus based in one woman. Pregnancy complications necessitating the induction of labor included fetal distress and rising maternal liver enzymes in tw...

Canadian Pregnancy Outcomes in Rheumatoid Arthritis and Systemic Lupus Erythematosus

Diagnostic and Therapeutic Endoscopy — Wed, 19 Oct 2011 09:39:44 +0100

Conclusions. There is increased obstetrical and neonatal morbidity in Canadian women with RA or SLE. (Source: Diagnostic and Therapeutic Endoscopy)

The Association of Mode of Delivery and Common Childhood Illnesses

Clinical Pediatrics — Tue, 18 Oct 2011 04:00:00 +0100

Participants enrolled in a randomized control trial (RCT) were eligible for this cross-sectional study to determine if children born via cesarean (C)-section had higher rates of common infectious diseases and change in normal daily activities due to illness than children born vaginally. The RCT collected parent-reported health information and mode of delivery was assessed during follow-up calls. Parent-reported rates of infectious sequelae and changes in daily activities were compared between C-section and vaginally delivered children. In total, 72.4% of the 522 children were delivered vaginally. After accounting for age, siblings, breast-feeding as an infant, and clustering within families, C-section delivered children had significantly higher rates of cumulative infectious diseases, lowe...

Handheld articulating laparoscopic instruments driven by robotic technology. First clinical experience in gynecological surgery

Gynecological Surgery — Mon, 17 Oct 2011 16:01:58 +0100

We describe a case in which KYMERAX was successfully used during a total laparoscopic hysterectomy. A 42-year-old patient (IIG/IIP) presented with a history of hypermenorrhagia and dysmenorrhagia. Because of a prior cesarean section and to rule out further pathologies possibly associated to dysmenorrhagia, the patient was prepared for a total laparoscopic hysterectomy in our department. The world’s first human use of the KYMERAX System was discussed in details with the patient prior to the procedure. The first clinical use in gynecologic laparoscopy proved to be feasible with the new robotic-driven, articulating, handheld surgical system. KYMERAX may offer benefits in advanced laparoscopy, NOTES, and single-port surgery. Content Type Journal ArticleCategory Clinical PracticePag...

Advantage Picked for State Health Education Campaign

Arkansas Business - Health Care — Mon, 17 Oct 2011 06:00:00 +0100

The Arkansas Department of Health hired ad agency Advantage Communications of Little Rock to develop a public education campaign for the ADH's HIV/STD/Hepatitis C Section. (Source: Arkansas Business - Health Care)

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Identification of a Myometrial Molecular Profile for Dystocic Labor

BMC Pregnancy and Childbirth - Latest articles — Sun, 16 Oct 2011 04:00:00 +0100

Conclusion: These findings suggest an underlying molecular basis for dystocia in nulliparous women in spontaneous labor. Differentially expressed genes suggest an important role for the immune response in dystocic labor and may provide important indicators for new diagnostic assays and potential intrapartum therapeutic targets. (Source: BMC Pregnancy and Childbirth - Latest articles)

Successful Treatment for Acute Aortic Dissection in Pregnancy---Bentall Procedure Concomitant with Cesarean Section

BioMed Central — Sat, 15 Oct 2011 04:00:00 +0100

In this study, we reported two cases of acute aortic dissection in late pregnancy at 28 weeks and 32 weeks of gestation respectively. After the two patients underwent a cesarean section and delivered a baby, we performed composite graft replacement of the aortic valve, aortic root and ascending aorta, with re-implantation of the coronary arteries into the graft (Bentall procedure) instead of repairing the arch with deep hypothermia and circulation arrest. Both mothers and children survived and recovered well. (Source: BioMed Central)

Stillbirths in a referral medical college hospital, West Bengal, India: A ten‐year review

Journal of Obstetrics and Gynaecology Research — Fri, 14 Oct 2011 04:00:00 +0100

Conclusion: Poor antenatal check‐up, lower socioeconomic status and weak referral facilities were the major factors responsible for stillbirths. Most of the stillbirths were preventable by improving women's education and compliance to antenatal care. So proper antenatal care, prompt referral services and availability of emergency obstetric care will provide a pivotal role for reduction of stillbirths. (Source: Journal of Obstetrics and Gynaecology Research)

Cervical length predicts placental adherence and massive hemorrhage in placenta previa

Journal of Obstetrics and Gynaecology Research — Fri, 14 Oct 2011 04:00:00 +0100

Conclusion: CL should be included in the assessment of a placenta previa given its relationship to emergent CS, cesarean hysterectomy, intraoperative blood loss and placental adherence. (Source: Journal of Obstetrics and Gynaecology Research)

Gestational diabetes mellitus: A risk factor for non‐elective cesarean section

Journal of Obstetrics and Gynaecology Research — Fri, 14 Oct 2011 04:00:00 +0100

Conclusion: GDM was disclosed as a risk factor for non‐elective cesarean section. Knowledge of the condition may have influenced obstetrical practice, favoring cesarean delivery. (Source: Journal of Obstetrics and Gynaecology Research)

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Small-Wave Incision Method for Linear Hypertrophic Scar Reconstruction: A Parallel-Group Randomized Controlled Study

Aesthetic Plastic Surgery — Thu, 13 Oct 2011 05:49:11 +0100

Conclusion The small-wave method can meet both the functional and the cosmetic requirements of long linear hypertrophic scar reconstruction while reducing complication risks. Content Type Journal ArticleCategory Original ArticlePages 1-9DOI 10.1007/s00266-011-9821-xAuthors Chenyu Huang, Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi Bunkyo-ku, Tokyo, 113-8603 JapanShimpei Ono, Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi Bunkyo-ku, Tokyo, 113-8603 JapanHiko Hyakusoku, Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi Bunkyo-ku, Tokyo, 113-8603 JapanRei Ogawa, Department of Plastic, Reconstructive and Aesthetic Surgery...

Upregulation of fibroblast growth factor receptor 2 and 3 in the late stages of fetal lung development in the nitrofen rat model

Pediatric Surgery International — Thu, 13 Oct 2011 05:48:19 +0100

Conclusion Upregulation of FGFR2 and FGFR3 pulmonary gene expression in the late stages of fetal lung development may disrupt FGFR-mediated alveologenesis resulting in PH in the CDH model. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00383-011-2985-2Authors Florian Friedmacher, National Children’s Research Centre, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, IrelandTakashi Doi, National Children’s Research Centre, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, IrelandJan-Hendrik Gosemann, National Children’s Research Centre, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, IrelandNaho Fujiwara, National Children’s Research Centre, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, IrelandBalazs Kut...

Cesarean Delivery and Colon Resection in a Patient With Type III Osteogenesis Imperfecta

Seminars in Cardiothoracic and Vascular Anesthesia — Wed, 12 Oct 2011 04:00:00 +0100

Conclusions. This case report illustrates that, with proper knowledge of this disease state, osteogenesis imperfecta patients can undergo a safe anesthetic during a potentially challenging combined cesarean section/colonic resection. (Source: Seminars in Cardiothoracic and Vascular Anesthesia)

Measurement of plasma concentration of high mobility group box1 (HMGB1) in early neonates and evaluation of its usefulness.

International Journal of Clinical Chemistry — Wed, 12 Oct 2011 04:00:00 +0100

CONCLUSIONS: To our knowledge, this study is the first to determine a reference value for HMGB1 concentrations in neonates. We also revealed significantly elevated HMGB1 concentrations in association with ischemic reperfusion injury caused by certain delivery modes. PMID: 22020142 [PubMed - as supplied by publisher] (Source: International Journal of Clinical Chemistry)

[The 10 commandments for cesarean section.]

Gynecologie, Obstetrique et Fertilite — Tue, 11 Oct 2011 04:00:00 +0100

Authors: Lopes P, Misbert E PMID: 21996328 [PubMed - as supplied by publisher] (Source: Gynecologie, Obstetrique et Fertilite)

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Pathological characteristics and clinical outcome of uterine leiomyomas associated with pregnancy.

Pathology, Research and Practice — Mon, 10 Oct 2011 04:00:00 +0100

In this study, we examined the histological features, clinical behavior and proliferatively related markers in gestational leiomyomas removed during cesarean section. From 2005 to 2008, 53 pregnant patients with leiomyomas were submitted to cesarean section in our institute. Degenerative and atypical changes were detected in 42 leiomyomas (61.7%). Seven leiomyomas had extensive areas of necrosis. All necrotic foci appeared in the form of hyaline type or infarct type necrosis. Cellular atypia was mild and focal in 18 leiomyomas. Atypia was associated with hyaline type necrosis in 3 cases. Mitotic activity was very low (<5/10HPF) in one but all of the cases. Within a median follow-up of 38 months, none of the patients in our study with follow-up information had any evidence of residual di...

Perinatal morbidity and risk of hypoxic-ischemic encephalopathy associated with intrapartum sentinel events

American Journal of Obstetrics and Gynecology — Fri, 07 Oct 2011 04:00:00 +0100

Conclusion: Intrapartum sentinel events are associated with a high incidence of perinatal morbidity and hypoxic-ischemic encephalopathy. (Source: American Journal of Obstetrics and Gynecology)

Increased rate of cesarean section in primiparous women aged 40 years or more: a single-center study in Japan

Archives of Gynecology and Obstetrics — Wed, 05 Oct 2011 05:49:40 +0100

Conclusions CS rate was 50.0% in primiparous women aged ≥40 years. In addition, CS caused by dystocia was almost twice as frequent in primiparous women aged ≥40 years as in women aged 35–39 years. Among late pregnancies, primiparous women aged 40 years and older had higher risk of CS. Content Type Journal ArticleCategory Maternal-Fetal MedicinePages 1-5DOI 10.1007/s00404-011-2099-zAuthors Hironori Takahashi, Department of Maternal-Fetal and Neonatal Medicine, National Center for Child Health and Development, 2-10-1, Okura, Setagaya-ku, Tokyo, 157-8535 JapanNoriyoshi Watanabe, Department of Maternal-Fetal and Neonatal Medicine, National Center for Child Health and Development, 2-10-1, Okura, Setagaya-ku, Tokyo, 157-8535 JapanRika Sugibayashi...

Fontan conversion with novel direct ablation after childbirth: Report of a case

Surgery Today — Tue, 04 Oct 2011 05:59:14 +0100

Abstract A 38-year-old woman underwent atriopulmonary Fontan surgery at age 18 years and subsequently successfully delivered a girl by cesarean section at age 34. Her condition later deteriorated due to atrial tachyarrhythmia and progressed to New York Heart Association (NYHA) class IV heart failure. Her treatment, at age 36, comprised total cavopulmonary connection conversion, direct right atrial ablation with bipolar radiofrequency devices, the creation of an atrial septal defect, and placement of a dual-chamber permanent pacemaker. Three years after the conversion, her condition has improved to NYHA class I. Content Type Journal ArticleCategory Case ReportPages 1684-1688DOI 10.1007/s00595-011-4560-9Authors Tsukasa Ozawa, Department of Cardiovascular Surgery, Toho U...

Coexisting peritoneal tuberculosis and endometriosis masquerading as advanced stage ovarian cancer in a postpartum woman: a case report and review of literature

European Journal of Obstetrics, Gynecology, and Reproductive Biology — Mon, 03 Oct 2011 04:00:00 +0100

We report a case of a 39-year-old Chinese woman, gravida 2 para 2, presenting at 8 months postpartum with a 2-month history of abdominal pain and distention and a 1-month history of fatigue. Her past medical, gynecologic, and surgical histories were unremarkable except for a cesarean section 8 months previously. Physical examination revealed flat percussion resonance in the right inferior lung and a horizontal surgical scar in the lower abdomen. No positive signs were found during gynecological physical examination. She was afebrile on admission. Profiling of serum tumor markers revealed a high level of CA-125 (590.60U/mL), with normal levels of β-HCG and other tumor markers. CT scan of the chest, abdomen, and pelvis showed right pleural effusions, ascites, right adnexal mass, increased n...

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Conservative management of nontubal ectopic pregnancies

Fertility and Sterility — Mon, 03 Oct 2011 04:00:00 +0100

Conclusion(s): Conservative management and fertility preservation is feasible in most nontubal ectopic pregnancies. (Source: Fertility and Sterility)

Glucocorticosteroid‐resistant pemphigoid gestationis: Successful treatment with adjuvant immunoadsorption

The Journal of Dermatology — Sun, 02 Oct 2011 04:00:00 +0100

AbstractA 40‐year old prima para presented with multiple urticaria‐like plaques and severe pruritus 2 weeks prior to giving birth by cesarean section. Three days after birth, the disease flared up and tense blisters appeared on hands, lower arms and feet. Based on the clinical presentation, direct immunofluorescence microscopy, complement binding test and detection of high levels of circulating anti‐BP180 antibodies, the diagnosis of pemphigoid gestationis was established. Despite treatment with class IV topical corticosteroid and prednisolone p.o. up to 60 mg/day, both skin lesions and severe pruritus progressed accompanied by increasing anti‐BP180 antibody serum levels. In order to continue breast feeding, the prednisolone dose could not be further increased and 10 immunoadso...

[Towards a simplification of caesarean section technique: Non-closure of peritoneum?].

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Sat, 01 Oct 2011 04:00:00 +0100

CONCLUSION: The absence of visceral and parietal peritoneum shortens the operative time and favors an earlier resumption of transit. It also decreases pain symptoms. We therefore recommend not to suture the parietal and visceral peritoneum during cesarean section. PMID: 21764225 [PubMed - in process] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)

[Ogilvie's syndrome following cesarean section: Just think! Report of two cases and review of the literature].

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Sat, 01 Oct 2011 04:00:00 +0100

CONCLUSION: Ogilvie's syndrome after cesarean section is uncommon. Diagnosis must be fast in order to avoid the caecum to burst causing faecal peritonitis, which carries slight mortality rate. PMID: 21257272 [PubMed - in process] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)

[Manual rotation of occiput posterior presentation].

Gynecologie, Obstetrique et Fertilite — Sat, 01 Oct 2011 04:00:00 +0100

We report the technic of manual rotation described by Tarnier and Chantreuil and used daily in our maternity center. Only five studies were published on this topic; all of them demonstrate that manual rotation decreases the risk of cesarean section. Moreover, it could decrease the risk of prolonged second stage, chorioamnionitis and third and fourth degree tears in comparison with expectant management. However, manual rotation is associated with a two-fold higher risk of cervical and vaginal lacerations. Manual rotation performed with an adequate technic is an efficient and safe manœuvre to avoid complications associated with occiput posterior vaginal delivery. PMID: 21924659 [PubMed - in process] (Source: Gynecologie, Obstetrique et Fertilite)

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[Acute paracetamol overdose during pregnancy: A case report].

Archives de Pediatrie — Sat, 01 Oct 2011 04:00:00 +0100

Authors: Payen C, Cossa S, Riethmuller D, Picod G, Clair D, Descotes J Abstract Severe but regressive toxic liver damage was observed in a 30-week pregnant woman due to acetaminophen poisoning. A cesarean section was performed 1 week later for suspected chorioamniotitis and the patient gave birth to an infant who only experienced complications of preterm birth. The lack of fetal liver damage following acute maternal paracetamol poisoning seems to be the rule, as shown by a review of the literature. PMID: 21924591 [PubMed - in process] (Source: Archives de Pediatrie)

Pelvic Floor Disorders Higher After Vaginal Delivery vs. C-Section

Ob.Gyn. News — Sat, 01 Oct 2011 04:00:00 +0100

PROVIDENCE, R.I. – Compared with cesarean birth without labor, undergoing vaginal birth increased the risk of stress incontinence and prolapse in women who were examined 5–10 years after childbirth, Dr. Victoria L. Handa reported. (Source: Ob.Gyn. News)

Aortic dissection in the second trimester of pregnancy: is it possible to save both lives?

The Heart Surgery Forum — Sat, 01 Oct 2011 04:00:00 +0100

We report a case of acute aortic dissection in a 30-year-old female patient in her 26th week of gestation. Ascending aorta resection and interposition of a 26-mm Dacron graft was carried out without circulatory arrest by means of a double-felt "sandwich" technique on both anastomoses. The patient was discharged from the hospital 10 days after her initial admission. At the 34th week of gestation, the patient delivered a healthy baby by cesarean section. Because our patient was hemodynamically unstable, our aim at the 26th week of gestation was to perform a simplified surgical procedure, to avoid circulatory arrest, and to maintain a high perfusion pressure, in order to save the patient's life and to decrease the potential risk of damage to the fetus. PMID: 21997653 [PubMed - in process]...

[Myocardial infarction in the 34th week of gestation: case report].

Zeitschrift fur Geburtshilfe und Neonatologie — Sat, 01 Oct 2011 04:00:00 +0100

We present a case where a 37-year-old gravida was admitted to hospital with diffuse thoracic pain. In the patient's history, we found several putative reasons for the thoracic pain that pointed to a musculoskeletal cause. Based on an elevation of ischaemic heart markers and continuous non-specific thoracic pain we performed a primary Cesarean section. In the coronary angiography procedure that followed, a thrombotic occlusion of the ramus diagonalis was diagnosed. We here describe the differential diagnosis as well as the problems associated with diagnosing myocardial infarction in the third trimester of pregnancy . PMID: 22028062 [PubMed - in process] (Source: Zeitschrift fur Geburtshilfe und Neonatologie)