Review Article: Anxiety, depression and stress in pregnancy: A multivariate model of intra-partum risks and pregnancy outcomes

AbstractObjectivesTo compare the rate of fetal loss in pregnancy after second trimester amniocentesis between procedures performed by experts and non-experts and to assess other pregnancy complications as secondary outcomes.MethodsA retrospective cohort study was performed on singleton pregnancies that underwent mid-trimester amniocenteses in a single institution. The fetal loss rates of procedures performed by experts and non-experts were collected and analyzed. Other adverse pregnancy outcomes were also examined.ResultsIn total, 14,450 amniocenteses were performed during the study period. These included 11,357 (78.6%) procedures in the group expert operators and 3,093 (21.4%) procedures in the group non-expert operators. In the non-expert group, the fetal loss rate was slightly increased but not significantly (p=0.24).In addition, the higher number of spontaneous abortions was associated with blood-stained amniotic fluid sample (p<0.001; RR=9.28). Multiple needle insertions also increased in the non-expert group significantly. However, no difference in pregnancy outcomes was found between in single and multiple needle insertions.ConclusionsThe amniocentesis procedures performed by the non-experts was not increase the fetal loss rate. However, the other adverse pregnancy outcomes, including preterm birth, low birth weight and fetal growth restriction were significantly increased in the non-expert group.

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Acute Appendicitis in Pregnancy: Predictive Clinical Factors and Pregnancy Outcomes

American Journal of Perinatology ◽

10.1055/s-0036-1593764 ◽

2016 ◽

Vol 34 (06) ◽

pp. 523-528 ◽

Cited By ~ 5

Author(s):

Vincent Mellnick ◽

Anthony Shanks ◽

Methodius Tuuli ◽

Anthony Odibo ◽

George Macones ◽

...

Keyword(s):

Acute Appendicitis ◽

Pregnancy Outcomes ◽

Clinical Factors ◽

In Pregnancy

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Sexually transmitted infections in pregnancy: prevalence, impact on pregnancy outcomes, and approach to treatment in developing countries

Sexually Transmitted Infections ◽

10.1136/sti.2002.004077 ◽

2005 ◽

Vol 81 (4) ◽

pp. 294-302 ◽

Cited By ~ 118

Author(s):

S Mullick

Keyword(s):

Developing Countries ◽

Sexually Transmitted Infections ◽

Pregnancy Outcomes ◽

Sexually Transmitted ◽

In Pregnancy

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The role of continuous glucose monitoring in pregnancy

Obstetric Medicine ◽

10.1177/1753495x211014716 ◽

2021 ◽

pp. 1753495X2110147

Author(s):

Adrian Li ◽

Anna Brackenridge

Keyword(s):

Continuous Glucose Monitoring ◽

Congenital Anomalies ◽

Glucose Monitoring ◽

Review Article ◽

Diabetes In Pregnancy ◽

Current Guidance ◽

In Pregnancy

The risks associated with diabetes in pregnancy include congenital anomalies, stillbirth and miscarriage, and correlate with glycaemia. The optimisation of diabetes during pregnancy is therefore both challenging and essential. Technology has revolutionised how clinicians and patients manage diabetes. This review article focuses on the role of continuous glucose monitoring (CGM) in pregnancy, assessing the evidence available and providing an update on current guidance.

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Trends in pregnancy outcomes in Malawian adolescents receiving antimalarial and hematinic supplements

Acta Obstetricia Et Gynecologica Scandinavica ◽

10.3109/00016349.2010.487892 ◽

2010 ◽

Vol 89 (8) ◽

pp. 1011-1016 ◽

Cited By ~ 3

Author(s):

Kelias Msyamboza ◽

Emma Savage ◽

Gertrude Kalanda ◽

Peter Kazembe ◽

Sabine Gies ◽

...

Keyword(s):

Pregnancy Outcomes ◽

In Pregnancy

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Impact of the Medicaid Family Planning Waiver on Black-White disparities in pregnancy outcomes amongst teens in the state of Florida

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2004.10.253 ◽

2004 ◽

Vol 191 (6) ◽

pp. S104

Author(s):

Allison Bryant ◽

Magda Peck ◽

Jennifer Skala ◽

Paul Wise

Keyword(s):

Family Planning ◽

Pregnancy Outcomes ◽

The State ◽

In Pregnancy

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Metformin Combined LMWH Intervention in 25 Pregnant Women with History of Hyperlipidemia Pancreatitis in Pregnancy

Global Clinical and Translational Research ◽

10.36316/gcatr.03.0043 ◽

2021 ◽

Author(s):

Mei Peng ◽

Ya-Li Deng ◽

Ling Yu ◽

Yan-Ting Nie ◽

Ting Luo ◽

...

Keyword(s):

Pregnant Women ◽

Pregnancy Outcomes ◽

Cohort Analysis ◽

Intervention Group ◽

Fetal Loss ◽

Preventive Treatment ◽

Full Term ◽

Lipid Lowering ◽

Neonatal Asphyxia ◽

In Pregnancy

Objective: To explore the early preventive treatment of hypertriglyceridemia-induced acute pancreatitis (HTGP) in pregnancy. Methods: A retrospective cohort analysis was performed to examine the drug intervention on recurrent HTGP and related pregnancy outcomes among women who had HTGP in their past pregnancy and developed hyperlipidemia during the second pregnancy. Participants were identified through inpatient case records under a single physician at the clinic and divided into two groups. The intervention group was given metformin lipid-lowering combined with low-molecular-weight heparin to prevent thrombosis when hypertriglyceridemia was developed during the pregnancy. In contrast, the non-intervention group includes those who did not receive active drug treatment until they developed recurrent HTGP. Metabolic markers were also examined by comparing them with their respective past pregnancies. Results: All participants experienced elevated triglycerides during their two consecutive pregnancies. No pregnant women developed HTGP in the intervention group (n=12), while 10 of 13 (76.9%) women developed HTGP in the non-intervention group. Thus, the outcome seemed to be markedly different. In the intervention group, 11 women were gestated to term, and one was premature; one of 12 (8.3%) births was neonatal asphyxia; there was no low-weight birth, and the prognosis of mother and baby was favorable. Of 10 women who developed recurrent HTGP in the non-intervention group, four suffered from fetal loss, four had premature, and two had full-term delivery; among the three pregnant women without HTGP, one had a premature and two had full-term births; five of thirteen (38.5%) births were neonatal asphyxia. Conclusion: Pregnant women with HTGP history, if not treated, are likely to develop the condition recurrently during pregnancy, but timely intervention on hypertriglyceridemia with lipid-lowering and thrombosis-preventing seemed complete to reduce the recurrent HTGP and improve the pregnancy outcomes.

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