Balloon mitral valvotomy in pregnant women - Maternal and fetal outcomes

Background:Juvenile idiopathic arthritis (JIA), one of the most common chronic diseases in children, can be classified in seven different categories according to its onset presentation. Concerns about pregnancy outcomes play a secondary role in disease approach. However, recent data showed an increased risk of pre-term birth in women with JIA instead the small patient samples analysed.Objectives:In this review, our aim is to describe the current available knowledge on JIA adverse, maternal and fetal, outcomes.Methods:A systematic literature review was conducted since January of 2000 until December 2020, by searching the PubMed and Embase bibliographic databases. The search was limited to articles in English language, presenting a comparator group (healthy individuals or patients without known auto-immune rheumatic diseases) and at least one clinical outcome of interest. Two independent reviewers screened the titles and abstracts followed by a full-text review to assess papers regarding their eligibility.Results:Ten observational studies out of 1560 references, fulfilled the inclusion criteria, of which, 9 were retrospective and 1 prospective. A total of 6.214 women with JIA (with 6.811 pregnancies) and 18.659.513 healthy controls (with 21.339.194 pregnancies) were included in this review.Concerning maternal outcomes, delivery by caesarian section (CS) was more frequent among JIA women (in 4 out of 6 studies). Pre-eclampsia was referred in 3 out of 6 studies and a higher risk of vaginal bleeding and placenta previa in one additional study. No study found an increased risk for gestational diabetes or hypertension in pregnant women with JIA.Regarding fetal outcomes, 8 studies revealed significantly increased of pre-term birth (only in first births in one study) but one study didn’t show any increased risk. Two studies showed a higher risk of small gestational age (SGA) and in another 2, increased risk for low birth weight (LBW). No evidence of increased risk of major congenital malformations.Conclusion:This systematic review suggests an increased risk for pre-eclampsia, preterm birth, delivery by CS, SGA and LBW, among pregnant women with JIA. Conclusions should be carefully interpreted, giving the heterogeneity of studied populations regarding demography, disease type, disease activity, and prescribed medication.Disclosure of Interests:None declared

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Maternal and Fetal Outcomes in Pregnant Women with COVID-19 Infection; A Case Series of 16 Patients at a Tertiary Care Hospital

2021 International Bhurban Conference on Applied Sciences and Technologies (IBCAST) ◽

10.1109/ibcast51254.2021.9393253 ◽

2021 ◽

Author(s):

Hasina Sadiq ◽

Irum Sohail ◽

Fahmia Nasir

Keyword(s):

Pregnant Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Case Series ◽

Care Hospital ◽

Fetal Outcomes

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An Increased Adverse Fetal Outcome Has Been Observed among Teen Pregnant Women in Rural Eastern Ethiopia: A Comparative Cross-Sectional Study

Global Pediatric Health ◽

10.1177/2333794x21999154 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2199915

Author(s):

Haymanot Mezmur ◽

Nega Assefa ◽

Tadesse Alemayehu

Keyword(s):

Pregnant Women ◽

Fetal Outcome ◽

Cross Sectional Study ◽

World Health ◽

Adult Women ◽

Sectional Study ◽

Fetal Outcomes ◽

Cross Sectional ◽

Eastern Ethiopia ◽

Adverse Fetal Outcome

Background: According to the World Health Organization, teenage pregnancies are high-risk due to increased risks of fetal and infant morbidity and mortality. This study compares adverse fetal outcomes between teen and adult pregnant women from rural Eastern Ethiopia. Methods: Institutional-based cross-sectional study was conducted among women visiting maternity units from surrounding rural areas. A total of 481 teenagers (13-19 years old) and 481 adults (20-34 years old) women with a singleton pregnancy were included in the study. Two hospitals and 3 health centers were selected in Eastern Hararghe Zone, Eastern Ethiopia. Comparative analysis was carried out using the log-binomial regression model to identify factors associated with adverse fetal outcomes in both categories. The results are reported in adjusted prevalence ratios with 95% confidence intervals. Results: High proportion of adverse fetal outcome was observed among teenage women than adult (34.9% vs 21%). Statistically significant difference ( P < .05) in the proportion of low birth weight (21.1% vs 9.3%), preterm birth (18.7% vs 10.6%), APGAR score at 5th minute (9.3% vs 4%) were found in teenagers compared to adult women. Antenatal care attendance (APR = 0.44; 95% CI: 0.23, 0.86); eclampsia (APR = 1.96; 95% CI: 1.26, 3.06); pre-eclampsia (APR = 1.73; 95% CI: 1.12, 2.67); and wealth index (rich) (APR = 0.55; 95% CI: 0.32, 0.94) were significantly associated with adverse fetal outcomes among the teenage women. Whereas intimate partner violence (APR = 2.22; 95% CI: 1.26, 3.90); preeclampsia (APR = 3.05; 95% CI: 1.61, 5.69); antepartum hemorrhage (APR = 2.77; 95% CI: 1.73, 4.46); and hyperemesis gravderm (APR = 1.75; 95% CI: 1.09, 2.79) were significantly associated with adverse fatal outcomes among the adult women. Conclusion: teenage pregnancy is associated with a high rate of adverse fetal outcomes. Early identification and treatment of problems during antenatal follow-up should be the mainstay to avert the massive adverse fetal effects.

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Frequency of Attempted Suicide Methods and the Fetal Outcomes in Pregnant Women in Kermanshah

Journal of Women s Health Care ◽

10.4172/2167-0420.1000164 ◽

2014 ◽

Vol 03 (04) ◽

Cited By ~ 1

Author(s):

Maryam Zangeneh

Keyword(s):

Pregnant Women ◽

Attempted Suicide ◽

Fetal Outcomes ◽

Suicide Methods

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Does Prenatal Stress Management Enhance Maternal And Fetal Outcomes?

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n27p129 ◽

2016 ◽

Vol 12 (27) ◽

pp. 129

Author(s):

Ghada Mohammad Abu Shosha

Keyword(s):

Pregnant Women ◽

Stress Management ◽

Stress Reduction ◽

Maternal Stress ◽

Rapid Change ◽

Fetal Outcomes ◽

Reduction Techniques ◽

Antenatal Stress ◽

Fetal Organs ◽

The Impact

Background: Antenatal period is a time of rapid change during which fetal organs are vulnerable to various stressors. Studies have suggested that psychosocial stressors during pregnancy could adversely influence physical and behavioral outcomes of the infant. Aim: This paper aimed to discusses the importance of antenatal stress assessment and management on both mothers' and infants' health status. Method: This review aggregated evidence from various studies that examined the impact of maternal stress management and its outcomes on pregnant women and their infants. Results: Maternal stress is generally associated with unpleasant fetal outcomes. The use of stress reduction techniques was approved to reduce psychological stress in pregnant women. Conclusion: Ongoing assessment of antenatal stress using a standardized process promotes proper stress handling strategy.

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Maternal Coronavirus Infections and Neonates Born to Mothers with SARS-CoV-2: A Systematic Review

Healthcare ◽

10.3390/healthcare8040511 ◽

2020 ◽

Vol 8 (4) ◽

pp. 511

Author(s):

Waldemar Naves do Amaral ◽

Carolina Leão de Moraes ◽

Ana Paula dos Santos Rodrigues ◽

Matias Noll ◽

Jalsi Tacon Arruda ◽

...

Keyword(s):

Systematic Review ◽

Pregnant Women ◽

Case Reports ◽

Signs And Symptoms ◽

Fetal Distress ◽

Intrauterine Fetal Death ◽

Fetal Outcomes ◽

Fetal Movements ◽

Pregnancy And Delivery ◽

The Impact

The coronavirus disease 2019 (COVID-19) pandemic is continuously affecting the lives of all people. Understanding the impact of COVID-19 on pregnancy in terms of morbidity, mortality, and perinatal maternal and fetal outcomes is essential to propose strategies for prevention and infection control. Here, we conducted a systematic review to investigate pregnant women infected with COVID-19 in terms of signs and symptoms, type of delivery, comorbidities, maternal and neonatal outcomes, and the possibility of vertical transmission. A search on Embase and PubMed databases was performed on 31 October 2020. Observational studies and case reports on pregnant women infected with COVID-19 were included without language restrictions. The 70 selected studies included a total of 1457 pregnant women diagnosed with COVID-19 in the first, second, and third trimesters of pregnancy. The most common signs and symptoms were fever, cough, and nausea. The most frequent comorbidities were obesity, hypertensive disorders, and gestational diabetes. Among maternal and fetal outcomes, premature birth (n = 64), maternal death (n = 15), intrauterine fetal death or neonatal death (n = 16), cases of intrauterine fetal distress (n = 28), miscarriage (n = 7), decreased fetal movements (n = 19), and severe neonatal asphyxia (n = 5) were the most frequent. Thirty-nine newborns tested positive for SARS-CoV-2. Additionally, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was detected in the placenta (n = 13) and breast milk (n = 6). This review indicates that COVID-19 during pregnancy can result in maternal, fetal, and neonatal complications. In addition, SARS-CoV-2 viral exposure of neonates during pregnancy and delivery cannot be ruled out. Thus, we highlight the need for long-term follow-up of newborns from mothers diagnosed with COVID-19 to establish the full implications of SARS-CoV-2 infection in these children.

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