Perinatal morbidity prediction utilizing ultrasonographic central adiposity measures compared to BMI in patients with BMI≥40

This article describes a clinical case of vaginal delivery in nulliparous women 24 years old delayed interval delivery of the second and third fetuses in spontaneous multiple pregnancy dichorionic triamniotic triplet in a tertiary perinatal center. After preterm delivery in 27+5 weeks of gestation the first fetus to reduce perinatal morbidity and mortality of two fetuses that are left in the uterus, with informed consent of the woman preterm delivery the second and third fetuses occurred at intervals of 38 days, in 33+1 weeks of gestation. Careful monitoring of the state of the mother and fetuses was conducted. To increase the interval between the birth of the first fetus and the second and the third fetuses, prevention of obstetric and perinatal complications used tocolysis, antibiotics, progesterone, the prevention of respiratory distress syndrome of the newborn by corticosteroids and bed rest. Three girls were born alive with a weight of 980, 1800 and 1950 grams correspondingly. Childbirth complicated second degree perineal laceration and retained portions of placenta and membranes, puerperal period was uneventful. After 1.5 months, all infants discharged with her mother in a satisfactory condition with a weight of more than 3000 grams. Key words: multiple pregnancy, triplet pregnancy, delayed interval delivery in triplet pregnancy, preterm delivery.

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BMI demonstrates poor validity against reference measures of proportional and central adiposity for classifying UK firefighter adiposity status

10.26226/morressier.5fb3ba674d4e91fe5c54bca5 ◽

2020 ◽

Author(s):

Greg Lessons

Keyword(s):

Central Adiposity

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Preterm Delivery; Who Is at Risk?

Journal of Clinical Medicine ◽

10.3390/jcm10112279 ◽

2021 ◽

Vol 10 (11) ◽

pp. 2279

Author(s):

Dvora Kluwgant ◽

Tamar Wainstock ◽

Eyal Sheiner ◽

Gali Pariente

Keyword(s):

Risk Factors ◽

Preterm Birth ◽

Prenatal Care ◽

Recurrent Pregnancy Loss ◽

Placental Abruption ◽

Placenta Previa ◽

Population Based ◽

Perinatal Morbidity ◽

Multiple Gestations ◽

Extremely Preterm

Preterm birth (PTB) is the leading cause of perinatal morbidity and mortality. Adverse effects of preterm birth have a direct correlation with the degree of prematurity, in which infants who are born extremely preterm (24–28 weeks gestation) have the worst outcomes. We sought to determine prominent risk factors for extreme PTB and whether these factors varied between various sub-populations with known risk factors such as previous PTB and multiple gestations. A population-based retrospective cohort study was conducted. Risk factors were examined in cases of extreme PTB in the general population, as well as various sub-groups: singleton and multiple gestations, women with a previous PTB, and women with indicated or induced PTB. A total of 334,415 deliveries were included, of which 1155 (0.35%) were in the extreme PTB group. Placenta previa (OR = 5.8, 95%CI 4.14–8.34, p < 0.001), multiple gestations (OR = 7.7, 95% CI 6.58–9.04, p < 0.001), and placental abruption (OR = 20.6, 95%CI 17.00–24.96, p < 0.001) were the strongest risk factors for extreme PTB. In sub-populations (multiple gestations, women with previous PTB and indicated PTBs), risk factors included placental abruption and previa, lack of prenatal care, and recurrent pregnancy loss. Singleton extreme PTB risk factors included nulliparity, lack of prenatal care, and placental abruption. Placental abruption was the strongest risk factor for extreme preterm birth in all groups, and risk factors did not differ significantly between sub-populations.

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Correction to: Combined resistance and aerobic exercise training reduces insulin resistance and central adiposity in adolescent girls who are obese: randomized clinical trial

European Journal of Applied Physiology ◽

10.1007/s00421-020-04579-z ◽

2021 ◽

Author(s):

Leena P. Bharath ◽

William W. Choi ◽

Jae-min Cho ◽

Alexus A. Skobodzinski ◽

Alexei Wong ◽

...

Keyword(s):

Insulin Resistance ◽

Clinical Trial ◽

Exercise Training ◽

Aerobic Exercise ◽

Randomized Clinical Trial ◽

Adolescent Girls ◽

Aerobic Exercise Training ◽

Central Adiposity

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Medically indicated late preterm delivery and its impact on perinatal morbidity and mortality: a retrospective population-based cohort study

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.1080/14767058.2018.1462325 ◽

2018 ◽

Vol 32 (19) ◽

pp. 3278-3287 ◽

Cited By ~ 2

Author(s):

Limor Besser ◽

Liat Sabag-Shaviv ◽

Maayan Yitshak-Sade ◽

Salvatore Andrea Mastrolia ◽

Danielle Landau ◽

...

Keyword(s):

Cohort Study ◽

Preterm Delivery ◽

Population Based ◽

Late Preterm ◽

Morbidity And Mortality ◽

Perinatal Morbidity

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Consequences of antepartum hemorrhage and its maternal and perinatal outcome

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191203 ◽

2019 ◽

Vol 8 (4) ◽

pp. 1480

Author(s):

Himang Jharaik ◽

Bishan Dhiman ◽

S. K. Verma ◽

Aditi Sharma

Keyword(s):

Perinatal Outcome ◽

Placenta Previa ◽

Developed Countries ◽

Perinatal Morbidity ◽

Antepartum Haemorrhage ◽

High Risk Factors ◽

Fetal Complications ◽

Life Threatening ◽

One Year ◽

Life Threatening Event

Background: Antepartum haemorrhage, a life-threatening event, is defined as bleeding per vaginum occurring after the fetus has reached the period of viability, considered to be 20 weeks in developed countries and 28 weeks in countries with low resource settings. We evaluated the consequences of antepartum haemorrhage, their maternal and perinatal outcome so as to outline the proper management of patient in order to improve both maternal and perinatal morbidity and mortality.Methods: This one-year prospective study totaled 133 cases of APH fulfilling the inclusion criteria were studied. Data was recorded on the MS excel sheet for further analysis and processing.Results: Total 6693 deliveries were conducted out of which 133 presented as APH and incidence of APH was found out to be 1.98%. Placenta previa was most common. APH was commonly associated with multigravida and most cases were in age group of 26-30 years. Most of the PP and abruption cases were admitted at 34-37 weeks and 31-33 weeks respectively. High risk factors included previous LSCS and D and C, hypertension, multiple pregnancies and malpresentations. Most of the patients underwent preterm LSCS. Most fetal complications were due to prematurity. 58.6% patients were transfused blood. Overall perinatal mortality was 20.1% and maternal mortality was zero.Conclusions: Early diagnoses, timely referrals and transfusion facilities along with trained team of doctors with well-equipped ICU facility goes a long way in avoiding APH related maternak and fetal complications.

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Obesity and diabetes: lipids, ‘nowhere to run to'

Clinical Science ◽

10.1042/cs20080050 ◽

2008 ◽

Vol 116 (2) ◽

pp. 113-123 ◽

Cited By ~ 46

Author(s):

Margaret J. Hill ◽

David Metcalfe ◽

Philip G. McTernan

Keyword(s):

Short Review ◽

Therapeutic Strategies ◽

Cellular Systems ◽

Ectopic Fat ◽

Central Adiposity ◽

Disease Pathogenesis ◽

Fat Accumulation ◽

Obesity And Diabetes

Although specific pathogenic entities contributing to diabetic risk, such as central adiposity, ectopic fat accumulation, hyperlipidaemia and inflammation, are well-characterized, the response of cellular systems to such insults are less well understood. This short review highlights the effect of increasing fat mass on ectopic fat accumulation, the role of triacylglycerols (triglycerides) in Type 2 diabetes mellitus and cardiovascular disease pathogenesis, and selected current therapeutic strategies used to ameliorate these risk factors.

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