The impact on obstetric outcomes following complete amputation of the cervix uteri in fertility preservation surgery for cervical neoplasm

2021 ◽  
Author(s):  
Danielle O’Neill ◽  
Rachel Pounds ◽  
Niall Scully ◽  
Natalie Marriott ◽  
Janos Balega ◽  
...  
Keyword(s):  
Fertility Preservation ◽  
Cervix Uteri ◽  
Obstetric Outcomes ◽  
Cervical Neoplasm ◽  
The Impact

scholarly journals COVID-19: Uncertainties from Conception to Birth

2021 ◽  
Vol 43 (01) ◽  
pp. 054-060
Author(s):  
Bruno Ramalho de Carvalho ◽  
Karina de Sá Adami ◽  
Walusa Assad Gonçalves-Ferri ◽  
Marise Samama ◽  
Rui Alberto Ferriani ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Present Article ◽  
Vertical Transmission ◽  
Scientific Information ◽  
Obstetric Outcomes ◽  
Reproductive Events ◽  
The Impact ◽  
Initial Impressions ◽  
Quality Evidence

AbstractScientific information on the impact of the new coronavirus (SARS-CoV-2) on the health of pregnant women, fetuses and newborns is considered of limited confidence, lacking good-quality evidence, and drawing biased conclusions. As a matter of fact, the initial impressions that the evolution of COVID-19 was no different between pregnant and non-pregnant women, and that SARS-CoV-2 was not vertically transmitted, are confronted by the documentation of worsening of the disease during pregnancy, poor obstetric outcomes, and the possibility of vertical transmission. The present article aims to compile the data available on the association of COVID-19 and reproductive events, from conception to birth.

Trisomy 18 Pregnancies: Is there an Increased Maternal Risk?

2017 ◽  
Vol 34 (11) ◽  
pp. 1054-1057
Author(s):  
Kayli Senz ◽  
Whitney Humphrey ◽  
Vanessa Lee ◽  
Aaron Caughey ◽  
Sarah Dotters-Katz
Keyword(s):  
International Classification Of Diseases ◽  
Vital Statistics ◽  
Trisomy 18 ◽  
Trisomy 13 ◽  
Obstetric Outcomes ◽  
Maternal Risk ◽  
Increased Risk ◽  
Multiparous Women ◽  
Classification Of Diseases ◽  
The Impact

Objective Characterize the impact of a trisomy 18 (T18) fetus on maternal and obstetric outcomes in a cohort including T18-affected deliveries. Study Design Retrospective cohort study of singleton deliveries in California from 2005 to 2008 using linked vital statistics and the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9) data to compare deliveries affected by T18 to those without known aneuploidy. Outcomes of interest included gestational diabetes mellitus (GDM), preterm delivery (PTD), preeclampsia, cesarean delivery (CD), and intrauterine fetal demise (IUFD). The χ2 and paired t-tests were used to compare the outcomes. Multiple logistic regression was used to further characterize these risks and control potential confounders. Results Of 2,029,000 deliveries, 298 involved T18. Compared with unaffected deliveries, T18 was associated with GDM (10.7 vs. 6.5%, p = 0.003), PTD < 37 (40.6 vs. 9.9%, p < 0.001) and < 32 weeks (14.8 vs. 1.4%, p < 0.001), and cesarean section (56 vs. 30.2%, p < 0.001), but not preeclampsia. In adjusted analyses, T18 pregnancies were associated with an increased risk of PTD < 37 and < 32 weeks (adjusted odds ratio [AOR]: 5.48, 95% confidence interval [CI]: 4.29, 6.99; AOR: 10.4, 95% CI: 7.26, 14.8), and an increased odd of CD for primiparous and multiparous women (AOR: 2.41, 95% CI: 1.48, 3.91; AOR: 5.42, 95% CI: 3.90, 7.53). Risk of GDM did not persist. Conclusion Unlike trisomy 13 (T13), pregnancies complicated by fetal T18 did not appear to result in an increased risk of preeclampsia. However, there is an increased risk of a range of other obstetric complications.

THE DIFFERENT SCREENING METHODS FOR THE CERVICAL LESION DIAGNOSTIC AND THE ECONOMIC AND SOCIAL IMPLICATIONS OF SCREENING AMONG FEMALE POPULATION

2021 ◽  
Author(s):  
Codrin Gheorge ◽  
Verginica Schröder ◽  
Ramona Stoicescu ◽  
Irina Dumitru
Keyword(s):  
Hpv Vaccination ◽  
Social Implications ◽  
Cervix Uteri ◽  
Screening Methods ◽  
Female Population ◽  
Vaccination Programs ◽  
Screening Programs ◽  
Cellular Diagnostics ◽  
Budgetary Level ◽  
The Impact

"The study aims to compare different screening methods that are currently being used to confirm a cervical intraepithelial lesion (CIN) underlying the inherent advantages of the varied examination procedures. In this study we are looking at the quality contrast of the different paraclinical examinations relative to the cost, invasiveness and cultural acceptance of such procedures. Every year, more than 100,000 women in EU countries are diagnosed with cervix uteri cancers (CCU). This type of cancer can be prevented if precancerous cells are detected and treated. HPV is found in over 90% of cervix uteri cancers. In Europe, more than half of the countries have implemented screening programs for cervical cancer, and most European countries now have national HPV vaccination programs, however target populations vary depending on the epidemiological evidence and the budgetary level of each countries health system. In this study we evaluated and compared the current and modern techniques used for cervix cellular diagnostics. Also, this study helps improve the understanding on the economic and social implications of screening among female population and the impact it has on healthcare system relieving. Romania recorded an incidence of 22.6 cases of cervix uteri cancers / 100.000 women (age standardized rate), and a mortality of 9.6 / 100.000, ranking second highest in the EU zone."

scholarly journals Excess weight and dyslipidemia and their complications during pregnancy: a systematic review

2016 ◽  
Vol 16 (2) ◽  
pp. 93-101 ◽  
Author(s):  
Iramar Baptistella do Nascimento ◽  
Willian Barbosa Sales ◽  
Raquel Fleig ◽  
Grazielle Dutra da Silva ◽  
Jean Carl Silva
Keyword(s):  
Systematic Review ◽  
Key Words ◽  
Excess Weight ◽  
Cochrane Library ◽  
Obstetric Outcomes ◽  
Lipid Disorders ◽  
Key Words Lipids ◽  
The Cochrane Library ◽  
The Impact ◽  
In Pregnancy

Abstract Objectives: to identify bibliographically disorders related to excess weight, dyslipidemia and their complication during pregnancy and in the fetus and newborn. Methods: a systematic review including observational and interventional studies and reviews, based on MEDLINE, LILACS, Embase and the Cochrane Library between 2000 and 2015. The key-words "lipids, pregnancy, obesity and newborn" were used to establish a selective stage for inclusion/exclusion of titles, repeated studies, key-words, abstracts, methodological incompatibility and correlation with objectives. Results: 58 studies were selected, of which 36 (62%) addressed prevention and the risk in pregnancy of excess weight and lipid disorders and 19 (32.7%) suggestions and/or consequences for the fetus and newborn. Conclusions: excess weight and lipidemic disorders in pregnancy are causes for concern in scientific studies, posing risks both for the mother and the newborn. Higher prevalence of caesarian and pre-eclampsia were the two most noteworthy complications for gestational outcomes. In short, the impact on care of maternal habits and excess weight during pregnancy is highly significant, owing to the different degrees of complication in obstetric outcomes and their influence on the clinical characteristics of the newborn.

scholarly journals The impact of increased lupus activity on obstetric outcomes

2005 ◽  
Vol 52 (2) ◽  
pp. 514-521 ◽  
Author(s):  
Megan E. B. Clowse ◽  
Laurence S. Magder ◽  
Frank Witter ◽  
Michelle Petri
Keyword(s):  
Obstetric Outcomes ◽  
The Impact

scholarly journals The impact of physical activity during pregnancy on maternal weight and obstetric outcomes

2018 ◽  
Vol 89 (2) ◽  
pp. 80-88 ◽  
Author(s):  
Małgorzata Mizgier ◽  
Kinga Mruczyk ◽  
Grazyna Jarząbek-Bielecka ◽  
Jan Jeszka
Keyword(s):  
Physical Activity ◽  
Obstetric Outcomes ◽  
Maternal Weight ◽  
The Impact

The impact of anemia on infectious and obstetric outcomes of women with pyelonephritis

2020 ◽  
Vol 223 (6) ◽  
pp. 976
Author(s):  
H.M. Cunningham ◽  
J.J. Federspiel ◽  
L. Wein ◽  
A.E. DeNoble ◽  
R.P. Heine ◽  
...  
Keyword(s):  
Obstetric Outcomes ◽  
The Impact

Current and Future Surgical and Interventional Management Options for Adenomyosis

2020 ◽  
Vol 38 (02/03) ◽  
pp. 157-167
Author(s):  
Joseph Chen ◽  
Anne E. Porter ◽  
Kimberly A. Kho
Keyword(s):  
Focused Ultrasound ◽  
Wedge Resection ◽  
Abnormal Uterine Bleeding ◽  
High Intensity Focused Ultrasound ◽  
Future Research ◽  
Obstetric Outcomes ◽  
Management Options ◽  
Recommended Treatment ◽  
The Impact

AbstractHistorically, hysterectomy has been the recommended treatment for patients with adenomyosis. However, in the past two decades, various uterine-sparing treatment methods have emerged. These range from excisional techniques such as adenomyomectomy or wedge resection to uterine artery embolization, radiofrequency thermal ablation, hysteroscopic excision, endometrial ablation, and high-intensity focused ultrasound. While largely investigative for the treatment of adenomyosis, these procedures have demonstrated improvement in symptoms including abnormal uterine bleeding, dysmenorrhea, pelvic pain, and overall quality of life. However, long-term data including fertility and obstetric outcomes are needed. Future research is needed to better understand the impact of these uterine-preserving techniques to expand our armamentarium for the treatment of adenomyosis.

Obstetric Outcomes in Military Servicewomen: Emerging Knowledge, Considerations, and Gaps

2019 ◽  
Vol 37 (05/06) ◽  
pp. 215-221
Author(s):  
Kathryn Mezwa ◽  
Lee Adelsheim ◽  
Glenn Markenson
Keyword(s):  
Obstetric Outcomes ◽  
Health Care Needs ◽  
Care Needs ◽  
Occupational Risks ◽  
Increased Risk ◽  
Research Designs ◽  
Comparison Groups ◽  
Obstetric Population ◽  
The Military ◽  
The Impact

AbstractThe number of women in the U.S. military is dramatically increasing. Similarly, the roles of active-duty women are greatly expanding, thus exposing them to new occupational risks. Determining the impact of pregnancy outcomes for women while in the military is difficult due to changing exposures over time, difficulty in utilizing appropriate comparison groups, and the lack of prospective investigations. Despite these limitations, it was concerning that the available data suggest that servicewomen delivering within 6 months of their first deployment have an increased preterm birth risk (adjusted odds ratio [aOR]: 2.1), and those with three prior deployments have an even greater risk (aOR: 3.8). Servicewomen also have an increased risk of hypertensive disorders with a rate of 13% compared with 5% in the general obstetric population. Furthermore, depression is higher for women who deploy after childbirth and are exposed to combat when compared with those who have not deployed since the birth of their child (aOR: 2.01). Due to the importance of this issue, prospective research designs are necessary to better understand and address the unique health care needs of this population.

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