scholarly journals Prevalence of defined ultrasound findings of unknown significance at the second trimester fetal anomaly scan and their association with adverse pregnancy outcomes: the Welsh study of mothers and babies population‐based cohort

2015 ◽  
Vol 36 (1) ◽  
pp. 40-48 ◽  
Author(s):  
Lisa Hurt ◽  
Melissa Wright ◽  
Frank Dunstan ◽  
Susan Thomas ◽  
Fiona Brook ◽  
...  

Author(s):  
Shamil D. Cooray ◽  
Jacqueline A. Boyle ◽  
Georgia Soldatos ◽  
Shakila Thangaratinam ◽  
Helena J. Teede

AbstractGestational diabetes mellitus (GDM) is common and is associated with an increased risk of adverse pregnancy outcomes. However, the prevailing one-size-fits-all approach that treats all women with GDM as having equivalent risk needs revision, given the clinical heterogeneity of GDM, the limitations of a population-based approach to risk, and the need to move beyond a glucocentric focus to address other intersecting risk factors. To address these challenges, we propose using a clinical prediction model for adverse pregnancy outcomes to guide risk-stratified approaches to treatment tailored to the individual needs of women with GDM. This will allow preventative and therapeutic interventions to be delivered to those who will maximally benefit, sparing expense, and harm for those at a lower risk.



2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Tanapak Wisetmongkolchai ◽  
Fuanglada Tongprasert ◽  
Kasemsri Srisupundit ◽  
Suchaya Luewan ◽  
Kuntharee Traisrisilp ◽  
...  

AbstractObjectivesTo compare the rate of fetal loss in pregnancy after second trimester amniocentesis between procedures performed by experts and non-experts and to assess other pregnancy complications as secondary outcomes.MethodsA retrospective cohort study was performed on singleton pregnancies that underwent mid-trimester amniocenteses in a single institution. The fetal loss rates of procedures performed by experts and non-experts were collected and analyzed. Other adverse pregnancy outcomes were also examined.ResultsIn total, 14,450 amniocenteses were performed during the study period. These included 11,357 (78.6%) procedures in the group expert operators and 3,093 (21.4%) procedures in the group non-expert operators. In the non-expert group, the fetal loss rate was slightly increased but not significantly (p=0.24).In addition, the higher number of spontaneous abortions was associated with blood-stained amniotic fluid sample (p<0.001; RR=9.28). Multiple needle insertions also increased in the non-expert group significantly. However, no difference in pregnancy outcomes was found between in single and multiple needle insertions.ConclusionsThe amniocentesis procedures performed by the non-experts was not increase the fetal loss rate. However, the other adverse pregnancy outcomes, including preterm birth, low birth weight and fetal growth restriction were significantly increased in the non-expert group.



2011 ◽  
Vol 31 (10) ◽  
pp. 995-998 ◽  
Author(s):  
Vajiheh Marsoosi ◽  
Reihaneh Pirjani ◽  
Ashraf Jamal ◽  
Laleh Eslamian ◽  
Abbas Rahimi-Foroushani


2018 ◽  
Vol 6 (3) ◽  
pp. 916-922.e6 ◽  
Author(s):  
Gustaf Rejnö ◽  
Cecilia Lundholm ◽  
Kjell Larsson ◽  
Henrik Larsson ◽  
Paul Lichtenstein ◽  
...  


2012 ◽  
Vol 16 (6) ◽  
pp. 1204-1211 ◽  
Author(s):  
Po-Li Wei ◽  
Joseph J. Keller ◽  
Hung-Hua Liang ◽  
Herng-Ching Lin


2015 ◽  
Vol 29 (13) ◽  
pp. 2093-2097 ◽  
Author(s):  
Thaniyaporn Settiyanan ◽  
Chanane Wanapirak ◽  
Supatra Sirichotiyakul ◽  
Fuanglada Tongprasert ◽  
Kasemsri Srisupundit ◽  
...  


PLoS Medicine ◽  
2019 ◽  
Vol 16 (10) ◽  
pp. e1002926 ◽  
Author(s):  
Yumei Wei ◽  
Qin Xu ◽  
Huixia Yang ◽  
Ying Yang ◽  
Long Wang ◽  
...  


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