scholarly journals Pregnancy after Bariatric Surgery: A Review

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
N. L. Hezelgrave ◽  
Eugene Oteng-Ntim
Keyword(s):  
Bariatric Surgery ◽  
Maternal Obesity ◽  
Case Reports ◽  
Current Evidence ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Positive Effects ◽  
Obstetric Morbidity ◽  
Group A

Maternal obesity is a major cause of obstetric morbidity and mortality. With surgical procedures to facilitate weight loss becoming more widely available and demanded and increasing number of women becoming pregnant after undergoing bariatric surgery, it is important and timely to consider the outcome of pregnancy following bariatric surgery. This paper aims to synthesize the current evidence regarding pregnancy outcomes after bariatric surgery. It concludes that bariatric surgery appears to have positive effects on fertility and reduces the risk of gestational diabetes and preeclampsia. Moreover, there appears to be a reduced incidence of fetal macrosomia post-bariatric procedure, although there remains uncertainty about the increased rates of small-for-gestational age and intrauterine growth restricted infants, as well as premature rupture of membranes in this group. A number of case reports highlight that pregnancy following bariatric surgery is not without complications and it must be managed as high risk by the multidisciplinary team.

scholarly journals A Review of Obstetrical Outcomes and Complications in Pregnant Women after Bariatric Surgery

2019 ◽  
Vol 19 (4) ◽  
pp. 284 ◽  
Author(s):  
Yasmeen A. Haseeb
Keyword(s):  
Bariatric Surgery ◽  
Intrauterine Growth Restriction ◽  
Nutritional Deficiencies ◽  
Premature Rupture Of Membranes ◽  
National Library ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Novel Treatment ◽  
Hypertensive Disorders In Pregnancy ◽  
Surgical Injuries

Bariatric surgery (BS) is a novel treatment for weight reduction with longer lasting health benefits. This review aimed to summarise the available evidence regarding the fetomaternal outcomes and the most common challenges and complications in pregnancies following BS. Google Scholar (Google LLC, Mountain View, California, USA) and PubMed<sup>®</sup> (National Library of Medicine, Bethesda, Maryland, USA) databases were searched for articles published until December 2018. A total of 64 articles were included in this review and results showed that BS mitigates the risk of gestational diabetes mellitus, hypertensive disorders in pregnancy and fetal macrosomia. However, it can also have detrimental effects on fetomaternal health. There is paucity of data regarding small for gestational age intrauterine growth restriction, premature rupture of membranes and longterm effects on the children born to women who underwent BS.Keywords: Bariatric Surgery; Nutritional Deficiencies; Obesity; Pregnancy; Surgical Injuries.

scholarly journals Differentiated tactics of pregnancy in women with premature rupture of membranes

2020 ◽  
pp. 42-51
Author(s):  
Z.M. Dubossarska ◽  
◽  
Yu.O. Dubossarska ◽  
Ye.O. Puzii ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Connective Tissue ◽  
Pregnant Women ◽  
Well Being ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Positive Effects ◽  
Advanced Algorithm ◽  
Connective Tissue Dysplasia

The problem of premature rupture of membranes (PROM) is unfortunately still relevant in modern obstetrics and perinatology, especially in preterm pregnancy, and leads to 20% of all cases of perinatal loss. Among the possible causes, a lot of attention has recently been paid to disorders of connective tissue structure of genetic origin. The article provides an overview of current medical literature on the causes and diagnosis of PROM. Preliminary own data on the positive effect of the advanced algorithm for detecting undifferentiated connective tissue dysplasia (UCTD) on obstetric and perinatal outcomes are also given. The objective: to clarify the causes of PROM, the role of the severity of connective tissue dysplasia to predict risk factors for preterm birth, especially when combined in pregnant women with anemia. Materials and methods. A total of 60 pregnant women with IDF were examined. During the survey, laboratory and instrumental methods were used. Results. Quality of life in women with NDTT had an inverse mean relationship between the patients’ well-being and the number of PST phenotypic manifestations (r = 0.653; p> 94%). In addition, a high constitutionally determined level of personal anxiety was established. Quality of life depends on the number and severity of phenotypic abnormalities, ie the more signs of connective tissue dysplasia (joint hypermobility, scoliosis, nephroptosis, increased bleeding, myopia, pronounced varicose veins, etc.), the lower this indicator. As pregnancy progressed, worsening of health and decrease in quality of life in patients with NDST was observed. Conclusion. The advanced algorithm has demonstrated the positive effects in pregnant women with undifferentiated connective tissue dysplasia on obstetric and perinatal delivery, and the findings suggest that it is practiced in health care. Key words: premature rupture of membranes, preterm pregnancy, undifferentiated connective tissue dysplasia.

scholarly journals Role of shortwave and microwave diathermy in peripheral neuropathy

2019 ◽  
Vol 47 (8) ◽  
pp. 3569-3579 ◽  
Author(s):  
Tengfei Fu ◽  
William C. Lineaweaver ◽  
Feng Zhang ◽  
Jian Zhang
Keyword(s):  
Case Reports ◽  
Animal Experiments ◽  
Current Evidence ◽  
Extensive Literature ◽  
Myelinated Fiber ◽  
Axon Diameter ◽  
Myelinated Nerve ◽  
Positive Effects ◽  
Fiber Number ◽  
Microwave Diathermy

Objective This study was performed to review the current evidence for the efficacy of shortwave and microwave diathermy in promoting nerve regeneration after peripheral nerve injuries in both animal models and human patients. Methods An extensive literature search was conducted without publication data restrictions. Studies including the intervention and outcome in animal or human models were selected. Non-English studies, reviews, letters, and case reports were excluded. Results Eleven articles were included in this study. Shortwave diathermy at the frequency of 27.12 or 40.68 MHz was used in six of seven animal studies, while only one study utilized microwave diathermy at 915 MHz. Seven animal experiments demonstrated that shortwave or microwave diathermy produces an increased myelinated nerve fiber number, myelin sheath thickness, and axon diameter as well as improved electrophysiological parameters and locomotion. A total of 128 patients (207 wrists) were enrolled in four clinical studies. The clinical use of diathermy in human patients with carpal tunnel syndrome showed positive effects on pain, hand function, and electrophysiological findings. Conclusions Shortwave or microwave diathermy can improve the electrophysiological parameters, myelinated fiber number, and axon diameter of the injured nerve.

Is There a Role for Placental Cultures in Cases of Clinical Chorioamnionitis Complicating Preterm Premature Rupture of Membranes?

2017 ◽  
Vol 34 (09) ◽  
pp. 867-873 ◽  
Author(s):  
Ariel Many ◽  
Rotem Orbach ◽  
Udi Shapira ◽  
Sharon Amit ◽  
Galia Grisaru-Soen ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Negative Group ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Short Term ◽  
Preterm Premature Rupture ◽  
Group A ◽  
Group B ◽  
Culture Positive ◽  
Culture Negative

Objective To assess the role of placental cultures in cases of preterm premature rupture of membranes (PPROM) complicated by chorioamnionitis and to determine the effect of positive cultures on short-term neonatal outcomes. Design A retrospective single-center study. The medical records of all women with PPROM between January 1, 2011, and December 31, 2015, were reviewed. Cases were divided into placental culture positive (group A) and placental culture negative (group B) groups. Maternal and pregnancy characteristics as well as short-term neonatal outcomes were compared between groups. Results During the 5-year study period, 61 cases of clinical chorioamnionitis complicating PPROM were diagnosed: 25 cases were culture positive (group A) and 36 were culture negative (group B). Neonatal outcome measures, including Apgar score at 5 minutes (p = 0.028; odds ratio [OR]: 5.27; confidence interval [CI]: 1.19–23.34), respiratory distress syndrome (p = 0.026; OR: 4.11; CI: 1.18–14.25), and neonatal infection (p < 0.0001; OR: 11.59; CI: 3.37–39.87) were significantly more common in group A newborns, regardless of gestational age at delivery as was the composite neonatal outcome (p = 0.017; OR: 7.35: CI: 1.42–37.79). Placental isolates were primarily Streptococci and Escherichia coli. Conclusion Placental cultures may be an essential predictor of neonatal morbidity in PPROM and may contribute to the modification of neonatal treatment.

Transient Renal Dysfunction of the Neonate

PEDIATRICS ◽  
1988 ◽  
Vol 82 (6) ◽  
pp. 929-930
Author(s):  
ZIYAD HIJAZI ◽  
MARC S. KELLER ◽  
KAREN M. GAUDIO ◽  
NORMAN J. SIEGEL
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Renal Dysfunction ◽  
Case Reports ◽  
Newborn Infants ◽  
Vacuum Extraction ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Apgar Scores ◽  
Oliguric Acute Renal Failure

We recently observed three neonates with transient oliguric acute renal failure associated with characteristic ultrasonographic findings. Their clinical courses, laboratory values, and ultrasonographic findings are discussed. The purpose of this report is to alert those who care for newborn infants to this entity of transient renal dysfunction and its characteristic ultrasonographic findings in the kidney. CASE REPORTS Case 1 A full-term girl weighed 3,770 g at birth and was delivered by vacuum extraction because of shoulder dystocia. Her mother's pregnancy was complicated by premature rupture of membranes of greater than 24 hours' duration and maternal fever with amnionitis at delivery. At birth the baby had a weak cry, decreased tone, and Apgar scores of 6 and 8, at one and five minutes, respectively.

scholarly journals The association between SARS-CoV-2 infection and preterm delivery: a prospective study with a multivariable analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oscar Martinez-Perez ◽  
◽  
Pilar Prats Rodriguez ◽  
Marta Muner Hernandez ◽  
Maria Begoña Encinas Pardilla ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Prospective Study ◽  
Preterm Delivery ◽  
Neonatal Intensive Care ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Obstetric Morbidity ◽  
In Pregnancy

Abstract Background To determine whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the cause of COVID-19 disease) exposure in pregnancy, compared to non-exposure, is associated with infection-related obstetric morbidity. Methods We conducted a multicentre prospective study in pregnancy based on a universal antenatal screening program for SARS-CoV-2 infection. Throughout Spain 45 hospitals tested all women at admission on delivery ward using polymerase-chain-reaction (PCR) for COVID-19 since late March 2020. The cohort of positive mothers and the concurrent sample of negative mothers was followed up until 6-weeks post-partum. Multivariable logistic regression analysis, adjusting for known confounding variables, determined the adjusted odds ratio (aOR) with 95% confidence intervals (95% CI) of the association of SARS-CoV-2 infection and obstetric outcomes. Main outcome measures: Preterm delivery (primary), premature rupture of membranes and neonatal intensive care unit admissions. Results Among 1009 screened pregnancies, 246 were SARS-CoV-2 positive. Compared to negative mothers (763 cases), SARS-CoV-2 infection increased the odds of preterm birth (34 vs 51, 13.8% vs 6.7%, aOR 2.12, 95% CI 1.32–3.36, p = 0.002); iatrogenic preterm delivery was more frequent in infected women (4.9% vs 1.3%, p = 0.001), while the occurrence of spontaneous preterm deliveries was statistically similar (6.1% vs 4.7%). An increased risk of premature rupture of membranes at term (39 vs 75, 15.8% vs 9.8%, aOR 1.70, 95% CI 1.11–2.57, p = 0.013) and neonatal intensive care unit admissions (23 vs 18, 9.3% vs 2.4%, aOR 4.62, 95% CI 2.43–8.94, p <  0.001) was also observed in positive mothers. Conclusion This prospective multicentre study demonstrated that pregnant women infected with SARS-CoV-2 have more infection-related obstetric morbidity. This hypothesis merits evaluation of a causal association in further research.

scholarly journals Maternal Outcomes of Expectant Management In comparison with Induction of Labour within twenty four hours of Premature Rupture of Membranes (PROM).

2020 ◽  
Vol 27 (08) ◽  
pp. 1565-1569
Author(s):  
Saima Ashraf ◽  
Hajira Sultana ◽  
Saima Yasmin Qadir ◽  
Muhammad Khalid
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Controlled Trial ◽  
Expectant Management ◽  
Induction Of Labour ◽  
Maternal Outcomes ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Group A ◽  
Group B

Objective: this study is conducted to compare the maternal outcomes of expectant management versus induction of labour within 24 hours of premature rupture of membranes. Study Design: Randomized controlled trial. Setting: Obstetrics and Gynaecology Department, Nishtar Hospital, Multan. Period: From 15 March 2018 to 15 September 2018. Material & Methods: A total of 130 pregnant women with parity 0 – 4 having singleton pregnancy, ≥37 weeks pregnant and having premature rupture of membranes were taken in the study. Women having previous caesarean section, with history of hypertension or diabetes, features suggestive of chorioamnionitis, preterm pre-labour rupture of membranes and women with foetal distress were excluded from the study. Two groups were made. In Group (A) women were subjected to expectant management in which patients were observed for uterine contractions for a period of 24 hours. In Group (B) women were induced with tab dinoprostone 2 doses each 3 mg given 6 hours apart. Information regarding caesarean section, vaginal delivery and chorioamnionitis was recorded on a specially designed proforma. Results: In this study age range was from 18 to 35 years while in both groups most patients were 28 – 35 years old. In Group (A) mean gestational age was 38.246 ± 0.84 weeks while in Group (B) it was 37.953 ± 0.95 weeks. In Group (A) mean parity was 1.076 ± 1.16 and in Group (B) it was 1.815 ± 1.16. in Group (A) 2.092 ± 0.67 hours was mean duration of PROM while in Group (B) it was 2.092 ±0.67 hours. Mean BMI in Group (A) was 26.088 ±3.80 kg/m2 and in Group (B) it was 26.361 ±4.33 kg/m2. In Group (A), 24 patient (36.9%) delivered vaginally while 42 (64.6%) patient delivered vaginally in Group (B). 41 patients (63%) had cesarean section in Group (A) while in Group (B) 23 patients (35.4%) had cesarean section. Chorioamnionitis was seen in 14 patients (21.5%) in Group (A) while 3 patients (4.6%) had chorioamnionitis in Group (B). Conclusion: Our study concluded that induction of labour with twenty four hours of premature rupture of membranes does causes a reduction in occurrence of chorioamnionitis. By this approach patients are usually delivered within 24 hours and caesarean section rate is not increased. This approach also causes a reduction in augmentation of labour by oxytocin.

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