Ramadan fasting and newborn's birth weight in pregnant Muslim women in The Netherlands

Many Muslim women worldwide are pregnant during Ramadan and adhere to Ramadan fasting during pregnancy. In the present study, we determined whether maternal adherence to Ramadan fasting during pregnancy has an impact on the birth weight of the newborn, and whether the effects differed according to trimester in which Ramadan fasting took place. A prospective cohort study was conducted in 130 pregnant Muslim women who attended antenatal care in Amsterdam and Zaanstad, The Netherlands. Data on adherence to Ramadan fasting during pregnancy and demographics were self-reported by pregnant women, and the outcome of the newborn was retrieved from medical records after delivery. The results showed that half of all the women adhered to Ramadan fasting. With strict adherence to Ramadan fasting in pregnancy, the birth weight of newborns tended to be lower than that of newborns of non-fasting mothers, although this was not statistically significant ( − 198 g, 95 % CI − 447, 51, P= 0·12). Children of mothers who fasted in the first trimester of pregnancy were lighter at birth than those whose mothers had not fasted ( − 272 g, 95 % CI − 547, 3, P= 0·05). There were no differences in birth weight between children whose mothers had or had not fasted if Ramadan fasting had taken place later in pregnancy. Ramadan fasting during early pregnancy may lead to lower birth weight of newborns. These findings call for further confirmation in larger studies that should also investigate potential implications for perinatal and long-term morbidity and mortality.

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ANGKA KEJADIAN UNDESENSUS TESTIS DI RSUP PROF DR. R. D. KANDOU MANADO PERIODE JANUARI 2013 – DESEMBER 2015

e-CliniC ◽

10.35790/ecl.4.1.2016.10975 ◽

2016 ◽

Vol 4 (1) ◽

Author(s):

Henry William Burhan ◽

Ainun Aschorijanto ◽

Ishak Lahunduitan

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Physical Examination ◽

General Hospital ◽

Hormonal Therapy ◽

Medical Records ◽

Surgical Intervention ◽

First Trimester ◽

Undescended Testicle ◽

First Trimester Of Pregnancy

Abstract: Undecended testicle (UDT) is a failure of the testes to descend into the scrotum, and is the most common genital disorder on infants. The predispositions are prematurity, low birth weight and estrogen usage during the first trimester of pregnancy. UDT can be diagnosed through physical examination or laparascopy. The usage of hormonal therapy for UDT is still a controversial issue. Orchidopexy is the most common surgical intervention used for UDT. The objective of the study was to indentify the number of undescended testicle cases in Prof. Dr. R. D. Kandou Central General Hospital Manado in 2013 – 2015. This study was a retrospective descriptive design, the sample is obtained from all the medical records of patients with undescended testicle in medical record installation of Prof. Dr. R. D. Kandou Central General Hospital Manado. Study shows that there are 37 cases of undescended testicle on 2013 – 2015.Keywords: undescended testicle, orchidopexyAbstrak: Undesensus testis (UDT) adalah kelainan genitalia kongenital tersering yang ditemukan, ditandai dengan tidak turunnya testis ke dalam skrotum. Predisposisi terjadinya UDT yaitu prematuritas, berat badan lahir rendah, dan penggunaan estrogen pada trimester pertama kehamilan ibu. Diagnosis UDT dapat ditegakkan melalui pemeriksaan fisik atau laparaskopi. Penatalaksanaan UDT menggunakan terapi hormonal masih dalam kontroversi. Tindakan yang paling sering dilakukan adalah orchidopeksi. Penelitian ini bertujuan bertujuan untuk mengetahui angka kejadian undesensus testis di RSUP Prof. Dr. R. D. Kandou Manado periode 2013 – 2015. Penelitian ini merupakan penelitian retrospektif deskriptif dengan melihat data pasien di instalasi rekam medik RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian menunjukkan angka kejadian undesensus testis di RSUP Prof. Dr. R. D. Kandou Manado periode 2013 – 2015 sebanyak 37 kasus.Kata kunci: undesensus testis, orchidopeksi

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Gastrointestinal Stromal Tumor in Pregnancy: A Case Report

Case Reports in Medicine ◽

10.1155/2009/456402 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 6

Author(s):

S. Scherjon ◽

W. F. Lam ◽

H. Gelderblom ◽

F. W. Jansen

Keyword(s):

Clinical Course ◽

First Trimester ◽

Optimal Management ◽

Mesenchymal Tumors ◽

Term Outcome ◽

Long Term Outcome ◽

First Choice ◽

First Trimester Of Pregnancy ◽

In Pregnancy

Background. Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the digestive tract and are diagnosed relatively seldom in pregnancy.Case. We describe a remarkable clinical course and long-term outcome, now nine years after first diagnosis, of a massive and metastatic, with a high malignancy grade GIST case, found in and treated from the first trimester of pregnancy onwards.Conclusion. GIST occurring during pregnancy is extremely rare. However, early diagnosis is important for optimal management. The recent better understanding of oncogenesis, the use of immunohistochemistry for differential diagnosis of GISTs, and the use of imatinib mesylate as the treatment of first choice are—as shown in this case—important for care of pregnant women with this type of malignancy.

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Axial torsion of Meckel’s diverticulum causing acute peritonitis in the first trimester of pregnancy: a case report

Surgical Case Reports ◽

10.1186/s40792-019-0754-y ◽

2019 ◽

Vol 5 (1) ◽

Author(s):

Hiromitsu Nagata ◽

Hiroyasu Nishizawa ◽

Susumu Mashima ◽

Yasuyuki Shimahara

Keyword(s):

Clinical Diagnosis ◽

Meckel’S Diverticulum ◽

Ileocecal Valve ◽

First Trimester ◽

Meckel's Diverticulum ◽

Ileocecal Resection ◽

Bowel Loop ◽

Axial Torsion ◽

First Trimester Of Pregnancy ◽

In Pregnancy

Abstract Background Meckel’s diverticulum is considered the most prevalent congenital anomaly of the gastrointestinal tract. Approximately 4% of patients are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation, while axial torsion of Meckel’s diverticulum is rare, particularly in pregnancy. Case presentation A 31-year-old woman in week 15 of pregnancy complained of epigastric pain, nausea and vomiting. Clinical diagnosis was severe hyperemesis gravidarum. Because the symptoms persisted during hospitalization, CT was performed and revealed dilated small bowel loops with multiple air-fluid levels. In the right mid-abdomen, there was a large part of air containing a cavity connected to the small intestine, which was considered a dilated bowel loop. Emergency laparotomy was performed and axial torsion of a large Meckel’s diverticulum measuring 11 cm was found at a few centimeters proximal to the ileocecal valve. Ileocecal resection including Meckel’s diverticulum was performed. The postoperative course was uneventful. At 40 weeks gestation, she had vaginal delivery of normal baby. Conclusion The physiological and anatomical changes in pregnancy can make a straightforward clinical diagnosis difficult. Prompt diagnosis and management were needed in order to avoid significant maternal and fetal risks. The use of imaging examinations, especially CT examination, with proper timing may be helpful to prevent delay in diagnosis and surgical intervention. Here, we report the case of a patient with axial torsion of Meckel’s diverticulum in pregnancy. To our knowledge, axial torsion of Meckel’s diverticulum in the first trimester of pregnancy has not been reported in the English medical literature.

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Investigation of Metronidazole Use during Pregnancy and Adverse Birth Outcomes

Antimicrobial Agents and Chemotherapy ◽

10.1128/aac.06477-11 ◽

2012 ◽

Vol 56 (9) ◽

pp. 4800-4805 ◽

Cited By ~ 46

Author(s):

Catherine A. Koss ◽

Dana C. Baras ◽

Sandra D. Lane ◽

Richard Aubry ◽

Michele Marcus ◽

...

Keyword(s):

New York ◽

Birth Weight ◽

Preterm Birth ◽

Low Birth Weight ◽

Congenital Anomalies ◽

New York State ◽

Multivariable Analysis ◽

Preterm Births ◽

First Trimester ◽

First Trimester Of Pregnancy

ABSTRACTTo assess whether treatment with metronidazole during pregnancy is associated with preterm birth, low birth weight, or major congenital anomalies, we conducted chart reviews and an analysis of electronic data from a cohort of women delivering at an urban New York State hospital. Of 2,829 singleton/mother pairs, 922 (32.6%) mothers were treated with metronidazole for clinical indications, 348 (12.3%) during the first trimester of pregnancy and 553 (19.5%) in the second or third trimester. There were 333 (11.8%) preterm births, 262 (9.3%) infants of low birth weight, and 52 infants (1.8%) with congenital anomalies. In multivariable analysis, no association was found between metronidazole treatment and preterm birth (odds ratio [OR], 1.02 [95% confidence interval [CI], 0.80 to 1.32]), low birth weight (OR, 1.05 [95% CI, 0.77 to 1.43]), or treatment in the first trimester and congenital anomalies (OR, 0.86 [0.30 to 2.45]). We found no association between metronidazole treatment during the first or later trimesters of pregnancy and preterm birth, low birth weight, or congenital anomalies.

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Gestational metabolic syndrome and neonatal anthropometric indices: a prospective cohort study

British Journal of Midwifery ◽

10.12968/bjom.2021.29.7.386 ◽

2021 ◽

Vol 29 (7) ◽

pp. 386-391

Author(s):

Zeinab Hatamian ◽

Lida Moghaddam-Banaem ◽

Samira Mokhlesi ◽

Marzieh Saei Ghare Naz

Keyword(s):

Metabolic Syndrome ◽

Cohort Study ◽

Birth Weight ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Linear Regression Analysis ◽

First Trimester ◽

P Value ◽

Anthropometric Parameters ◽

First Trimester Of Pregnancy

Background and aim There is limited knowledge about the effect of maternal metabolic syndrome (MetS) on the anthropometric parameters of newborns. Therefore, the authors aimed to evaluate the association between MetS in the first trimester of pregnancy with weight and height of the newborn. Methods This prospective cohort study was conducted on 455 pregnant women in Tehran during their first trimester of pregnancy. MetS was defined as the coexistence of three or more of the following criteria: fasting blood sugar (FBS) level ≥92 mg/dl, blood pressure ≥130.85 mm/hg, triglyceride ≥150 mg/dl, high density lipoprotein ≤50 mg/dl, and body mass index (BMI) ≥30 kg/m2. All participants were followed up to childbirth. After birth, the baby's weight and height data were collected from the birth certificate. Results Linear regression analysis showed FBS (ß: 0.100, p-value: 0.038), BMI (ß: 0.139, p-value: 0.004), and MetS (ß: -0.122, p-value: 0.015) were significantly associated with birth weight but no statistically significant results were found for birth height. Conclusion MetS and some of its components in pregnancy can affect birth weight of neonates.

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Studying social media language changes associated with pregnancy status, trimester, and parity from medical records

Women s Health ◽

10.1177/1745506520949392 ◽

2020 ◽

Vol 16 ◽

pp. 174550652094939

Author(s):

Sharath Chandra Guntuku ◽

Jessica S Gaulton ◽

Emily K Seltzer ◽

David A Asch ◽

Sindhu K Srinivas ◽

...

Keyword(s):

Social Media ◽

Medical Records ◽

Social Life ◽

First Trimester ◽

Time Period ◽

Lifestyle Choices ◽

Random Forest Models ◽

Pregnancy Status ◽

Lack Of Sleep ◽

First Trimester Of Pregnancy

We sought to evaluate whether there was variability in language used on social media across different time points of pregnancy (before, during, and after pregnancy, as well as by trimester and parity). Consenting patients shared access to their individual Facebook posts and electronic medical records. Random forest models trained on Facebook posts could differentiate first trimester of pregnancy from 3 months before pregnancy (F1 score = .63) and from a random 3-month time period (F1 score = .64). Posts during pregnancy were more likely to include themes about family (β = .22), food craving (β = .14), and date/times (β = .13), while posts 3 months prior to pregnancy included themes about social life (β = .30), sleep (β = .31), and curse words (β = .27), and 3 months post-pregnancy included themes of gratitude (β = .17), health appointments (β = .21), and religiosity (β = .18). Users who were pregnant for the first time were more likely to post about lack of sleep (β = .15), activities of daily living (β = .09), and communication (β = .08) compared with those who were pregnant after having a child who posted about others’ birthdays (β = .16) and life events (.12). A better understanding about social media timelines can provide insight into lifestyle choices that are specific to pregnancy.

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Effectiveness of Ginger in Treating Nausea and Vomiting of Pregnancy

Eureka Herba Indonesia ◽

10.37275/ehi.v3i1.46 ◽

2021 ◽

Vol 3 (1) ◽

pp. 120-124

Author(s):

Ahmad Ramadhanu

Keyword(s):

Lifestyle Modification ◽

First Trimester ◽

Nausea And Vomiting ◽

Main Complaint ◽

Significant Burden ◽

First Trimester Of Pregnancy ◽

Cns Side Effects ◽

Possible Cause ◽

In Pregnancy

Nausea and vomiting in pregnancy (NVP) is one of the common main complaint in pregnancy. NVP can be a significant burden to the patient, make a decrease in quality of life, pregnancy threatening or even worse can lead to nutritional loss and death. NVP diagnosed when in first trimester of pregnancy and the other possible cause of NVP is excluded. Management of NVP is included maintaining hydration, nutrition, and lifestyle modification. Also avoiding the smells, food, or activity that can cause nause are necessary. There are some methods to treat NVP including pharmalogical or non-pharmalogical. The non-pharmalogical approach is change nutritional habits, lifestyle and medications. Several pharmalogical agents that can be used to relief the symptoms of NVP are pyridoxine, anti- histamines, metoclopramide, pyridoxine/doxylamine, promethazine and metoclopramide. Some patients also want to try more “natural” medications for NVP like ginger. The pharmacological activity is thought to stand in the pungent principles (gingerols and shogaols) and volatile oils (sesquiterpenes and monoterpenes). The true mechanism of action of ginger is probable to be a gastric effect, to increase tone and peristaltic due to anticholinergic and antiserotonin act. Ginger acts straight to the digestive tract and avoids the CNS side effects common to centrally acting antiemetics. Ginger is available in capsule or syrup form or in candy, cookies, beer, tinctures, teas, sodas, and jam. Nowadays, true dosing is available only if one uses standardized extracts; however, women may choose to use another form of ginger.

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Suicide due to fear of COVID-19, in pregnancy, lead to Neonatal malformations: A case report

10.22541/au.162373187.73918053/v1 ◽

2021 ◽

Author(s):

Javad Boskabadi ◽

Saeed Kargar-Soleiman abad ◽

shahrokh mehrpishe ◽

Elham Pishavar ◽

Roya Farhadi

Keyword(s):

Mental Health ◽

Case Report ◽

Antipsychotic Drugs ◽

First Trimester ◽

Limited Data ◽

First Trimester Of Pregnancy ◽

In Pregnancy

There is limited data about various effect of COVID-19 in pregnancy. The Covid-19 pandemic can increase anxiety or schizophrenia exacerbation. Neonatal malformations from antipsychotic drugs exposures during first trimester of pregnancy have been reported. However, their effect near delivery have been less studied. Keywords: Covid-19, pregnancy, mental health, neonatal malformations

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Myasthenia Gravis in Pregnancy Treated With Daily Massive Vitamin D Dose

Asploro Journal of Biomedical and Clinical Case Reports ◽

10.36502/2020/asjbccr.6208 ◽

2020 ◽

Vol 3 (2) ◽

pp. 171-177

Author(s):

Silva LFF ◽

Martins MC ◽

Caplum MC ◽

Luz MS ◽

Amaral VM ◽

...

Keyword(s):

Vitamin D ◽

T Cells ◽

Myasthenia Gravis ◽

Striated Muscle ◽

First Trimester ◽

Effector T Cells ◽

Myasthenic Crisis ◽

First Trimester Of Pregnancy ◽

Muscle Groups ◽

In Pregnancy

Myasthenia gravis (MG) is an autoimmune disease affecting the motor endplate of striated muscle. It is caused by antibodies that act in the cholinergic receptors at the post-synaptic portion of the neuromuscular junction, which results in asthenia and fatigue in some muscle groups. In pregnancy, it’s unpredictable, because pregnant women can present MG exacerbation, remission, stability, or even a myasthenic crisis during pregnancy. Complications are more frequent in the first trimester of pregnancy and the first 30 days of puerperium. Vitamin D and its metabolites are potent immunomodulators since their immuno-regulatory effect directly inhibits effector T cells and induces regulatory T cells (Treg) to decrease the production of inflammatory cytokines. The authors present a case report of a patient with MG who was treated throughout pregnancy with massive doses of vitamin D, obtaining good results.

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Drug-induced cytolytic syndrome in pregnancy: clinical and biochemical diagnostic criteria

Journal of obstetrics and women s diseases ◽

10.17816/jowd65628-35 ◽

2016 ◽

Vol 65 (6) ◽

pp. 28-35

Author(s):

Irina V Borisova

Keyword(s):

Pregnant Women ◽

Hormone Therapy ◽

Clinical Manifestations ◽

First Trimester ◽

Gamma Glutamyl Transpeptidase ◽

Drug Induced ◽

Planning Stage ◽

Protein Levels ◽

First Trimester Of Pregnancy ◽

In Pregnancy

The aim of the study was evaluation of clinical and laboratory manifestations of drug-induced cytolytic syndrome in pregnancy. In the research group included 62 pregnant women with drug-induced liver injury (DILI) in the first trimester of pregnancy. These pregnant women received hormone therapy at the planning stage and/or during pregnancy for the prevention and treatment of miscarriage and had clinical and biochemical manifestations of cytolytic syndrome. Pregnancy after IVF and ovulation induction was in 60.8% of cases. Hormone therapy for pregnant patients received long-term, 85% of pregnant women used estrogen and progestin drugs. DILI during pregnancy characterized by low-symptom or asymptomatic clinical manifestations. DILI manifested cytolytic biochemical syndrome, in which there is isolated increase of transaminase levels, in some cases accompanied by increased level of gamma glutamyl transpeptidase, liver glutamate dehydrogenase and decreased total protein levels, in the first place due to the albumin fraction.

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