scholarly journals Effects of breast stimulation for spontaneous onset of labor on salivary oxytocin levels in low-risk pregnant women: A feasibility study

PLoS ONE ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. e0192757 ◽  
Author(s):  
Kaori Takahata ◽  
Shigeko Horiuchi ◽  
Yuriko Tadokoro ◽  
Takuya Shuo ◽  
Erika Sawano ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Feasibility Study ◽  
Low Risk ◽  
Spontaneous Onset

scholarly journals Effect of Elective Induction of Labor on Pregnancy Outcome in Low-Risk Pregnant Women At or Beyond Later Than Term

2020 ◽  
Author(s):  
Qinjian Zhang ◽  
Siwen Chen ◽  
Xia Xu ◽  
Huale Zhang ◽  
Jianying Yan
Keyword(s):  
Pregnant Women ◽  
Pregnancy Outcome ◽  
Postpartum Hemorrhage ◽  
Induction Of Labor ◽  
Low Risk ◽  
Injury Incidence ◽  
Induced Labor ◽  
Elective Induction ◽  
The Impact ◽  
Spontaneous Onset

Abstract Background Singleton low-risk pregnant women without obstetric or medical complications,can expect to terminate pregnancy by selective induced labor until 41 weeks later.But recent researches showed it is reasonable to offer elective induction of labor to low-risk nulliparous women 39 weeks 0 days of gestation, and this recommend need further research be conducted to measure the impact of this practice.The fundamental question is whether this operation will increase the additional risk of mother and fetus. Objective To investigate the effect of induced labor on maternal and fetal pregnancy outcome.Methods The method of this study is a retrospective case-control study.In this study, a total of 4386 pregnant women with singleton low-risk who underwent regular prenatal examination and successful vaginal delivery at or more than 41 weeks 0 days of gestation in Fujian Maternal and Child Health Hospital from January 2014 to December 2018. Review the clinical data,according to the mode of labor initiation, they were divided into induced labor group (2007 cases) and spontaneous onset of labor group (2361 cases). Further stratified analysis was carried out according to age and parity. Two-sample independent t-test and χ 2 test were used to analyze the differences of clinical characteristics such as maternal age and parity between the two groups. Logistic regression model was used to analyze the effect of induced labor on pregnancy outcome.Results The total duration of labor in the induced labor group was significantly longer than that in the spontaneous onset of labor group[ (9.37±5.37)vs (8.82±5.13)h,P＜0.001],associated with more postpartum blood loss[ (219.18±188.32)vs (199.95±124.69)mL,P=0.01], and the incidence of severe postpartum hemorrhage(sPPH) was significantly higher[0.8%(16/2007) vs 0.33% (8/2361),P =0.041];increase but no significant difference in the incidence of postpartum hemorrhage(PPH) [3.8 %(77/2007) vs 2.8% (66/2361),P =0.054].However,operative vaginal birth was more common in the induced labor group[3.8 %(77/2007) vs 2.8% (66/2361),P =0.054].Compared with spontaneous onset of labor,NICU admissions were higher with induction[3.8 %(77/2007) vs 2.8% (66/2361),P =0.054];but not significantly increase the risk of the third degree amniotic fluid contamination,placental abruption,birth weight and its distribution, sex of newborn, incidence of neonatal brain injury, incidence of neonatal intraventricular hemorrhage, perinatal death, neonatal hyperbilirubinemia, neonatal septicemia, neonatal pneumonia and Apgar ≤ 7 at birth (P＞0.05). After adjusting for age, the operation of induced labor in nulliparous is more likely to occur PPH[2.74 %(55/2007) vs 1.65 %(39/2361);RR=1.557;95%CI:1.039~2.332,P＜0.05].Conclusion Selective induction of labor increases the complications of mother and child.Low-risk pregnant women should try to avoid induction without medical indications.

The relation between second-trimester placental elasticity and poor obstetric outcomes in low-risk pregnancies

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Murat Akbas ◽  
Faik Mumtaz Koyuncu ◽  
Burcu Artunç-Ülkümen ◽  
Gökce Akbas
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Value Added ◽  
Shear Wave Elastography ◽  
Multiple Regression Model ◽  
Low Risk ◽  
Obstetric Outcomes ◽  
Second Trimester ◽  
The Mean ◽  
Random Measurements

AbstractObjectivesIncreased placental stiffness is associated with various pathological conditions. Our objective was to evaluate the relation between the second-trimester placental elasticity value in low-risk pregnant women and poor obstetric outcomes.MethodsA total of 143 pregnant women were enrolled. Placental elasticity values were measured using the transabdominal point shear wave elastography method. 10 random measurements were obtained from different areas of the placenta. The mean was accepted as the mean placental elasticity value. Logistic regression analyses were performed to identify independent variables associated with obstetric outcomes.ResultsSecond-trimester placental elasticity value was significantly and positively associated with the poor obstetric outcomes (p=0.038). We could predict a poor outcome with 69.2% sensitivity and 60.7% specificity if we defined the placental elasticity cut-off as 3.19 kPa. Furthermore, in the multiple regression model, the placental elasticity value added significantly to the prediction of birth weight (p=0.043).ConclusionsOur results showed that the pregnancies with a stiffer placenta in the second trimester were associated with an increased likelihood of exhibiting poor obstetric outcomes. Also, placental elasticity was independently associated with birth weight.

Papillomaviral infection and cervical diseases in pregnant women. Risk factors of social status, reproductive and contraceptive behavior

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. 74-79
Author(s):  
Tamara N. Bebneva ◽  
Galina B. Dikke
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Social Status ◽  
Significant Risk ◽  
Hpv Infection ◽  
Low Risk ◽  
Contraceptive Behavior ◽  
Regular Screening ◽  
History Of ◽  
Cervical Diseases

Aim. To determine the risk factors for human papillomavirus of high carcinogenic risk (HPV HCR) and cervical diseases (CD) in pregnant women associated with the social status, reproductive and contraceptive behavior. Materials and methods. Design: open-label comparative non-interventional cohort study in parallel groups. The total number of patients 330 people, of whom 148 women were negative for HPV and 182 women were positive. They were divided into 4 groups depending on the presence or absence of CD. Methods: analysis of anamnesis data, general clinical, test Kvant-21 to determine HPV, cytological examination, extended colposcopy. Results. The most significant risk factors for HPV HRS infection were identified: history of mycoplasma infection (OR 5.9) and BV (OR 5.3), alcohol consumption (OR 4.0). A history of STIs (trichomoniasis and chlamydial infection), as well as more than 3 sexual partners (OR 2.7) were also significant. The most significant risk factors for CD in HPV-infected women were: age over 35 years (OR 3.8), a history of bacterial vaginosis (OR 3.0), and lack of regular screening (OR 2.4). The coitarche earlier than 16 years old (OR 2.2) also mattered. There were also found factors indicating a low risk of HPV infection the use of condoms (OR 0.3), and a low risk of CD was indicated by age under 25 years (OR 0.2) and regular screening (OR 0.3). Conclusion. HPV infection with HRS and the prevalence of CMC in pregnant women against the background of HPV infection is associated mainly with social risk factors, to a lesser extent with factors of reproductive and contraceptive behavior.

scholarly journals Percepção de gestantes sobre a organização do serviço/ assistência em um pré-natal de baixo risco de Recife Perceptions of pregnant women about the organization of the service/ assistance in prenatal low risk in Recife

2016 ◽  
Vol 8 (4) ◽  
pp. 5017
Author(s):  
Mirian Domingos Cardoso ◽  
Cleideane Meireles da Silva Ribeiro ◽  
Isadora Batista de Oliveira ◽  
Priscila Maria da Cruz Andrade ◽  
Taciana Mirella Batista Santos
Keyword(s):  
Pregnant Women ◽  
Low Risk

Objetivo: Descrever o perfil epidemiológico e a percepção da assistência de gestantes de baixo risco atendidas em uma maternidade do Recife-PE. Metodologia: Estudo descritivo com 94 gestantes atendidas no pré-natal de baixo risco, de abril a maio de 2014. Os dados foram coletados dos sujeitos e do Cartão da Gestante, utilizando questionário. Resultados: 71% eram pardas/negras, 17% baixa escolaridade, 26% solteira/divorciada, 49% desempregada e 48% tinha renda familiar menor que um salário mínimo. 28% multigesta e 17% referiu no mínimo um aborto. Entretanto, das 69 (73,4%) que haviam realizado exames, 46% estavam pouco satisfeitas/insatisfeitas com o tempo de entrega dos exames. Conclusão: Conhecer o perfil e a satisfação das gestantes traz contribuições para enfermagem, uma vez que compete ao enfermeiro realizar as consultas de pré-natal das gestantes consideradas de baixo risco, sendo de sua responsabilidade assegurar uma assistência pré-natal qualificada de maneira integral.

Association of spiritual/religious coping with depressive symptoms in high‐ and low‐risk pregnant women

2017 ◽  
Vol 27 (3-4) ◽  
Author(s):  
Luciano M Vitorino ◽  
Raíssa Chiaradia ◽  
Gail Low ◽  
Jonas Preposi Cruz ◽  
Kenneth I Pargament ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Religious Coping ◽  
Low Risk

scholarly journals Comparison of universal and targeted screening for thyroid dysfunction in pregnant Egyptian women

2014 ◽  
Vol 171 (2) ◽  
pp. 285-291 ◽  
Author(s):  
Iman Z Ahmed ◽  
Yara M Eid ◽  
Hussein El Orabi ◽  
Hani Refat Ibrahim
Keyword(s):  
Clinical Practice ◽  
Pregnant Women ◽  
Practice Guidelines ◽  
Subclinical Hypothyroidism ◽  
Thyroid Dysfunction ◽  
Risk Group ◽  
Low Risk ◽  
Endocrine Society ◽  
Targeted Screening ◽  
Egyptian Women

ObjectiveTo compare universal vs targeted screening for thyroid dysfunction and to estimate the prevalence of hypothyroidism in pregnant Egyptian women.Subjects and methodsA total of 168 of pregnant women who attended the outpatient obstetric clinic at Ain Shams University Hospital (Cairo, Egypt) for antenatal care between September 2011 and December 2011 were enrolled. Based on the detailed data collection and results of laboratory testing, they were subdivided into the high- and low-risk group for thyroid disease according to the most recent Endocrine Society clinical practice guidelines, as well as into groups by trimester for application of American Thyroid Association guidelines. The group values were subjected to statistical analysis for estimating the prevalence of clinical and subclinical hypothyroidism and for identifying significant differences.ResultsOf the 168 patients, 104 were classified into the low-risk group and 64 into the high-risk group. Using the trimesteric and normal population cutoff values for thyroid functions, the prevalence of hypothyroidism was found to be 56% (n=94) and 44.6% (n=75) respectively. No statistically significant differences were found between the high- and low-risk group regarding prevalence of either clinical or subclinical hypothyroidism, and no significant differences were found regarding the prevalence of hypothyroidism in the first, second, or third trimester.ConclusionUse of the most recent Endocrine Society clinical practice guidelines led to missed detection of clinical or subclinical hypothyroidism in 34.5% of pregnant women. Universal screening of pregnant women for thyroid dysfunction should thus be adopted throughout Egypt.

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