scholarly journals Maternal and Perinatal Outcomes in Childbirths with Meconium Stained Amniotic Fluid in a Low-resource Setting: A Prospective Cohort Study

2019 ◽  
pp. 1-11
Author(s):  
Gregory E. Halle-Ekane ◽  
Phyllis N. Fon ◽  
Paul N. Koki ◽  
Alexis A. Tazinya ◽  
Rodrigue Ekollo ◽  
...  
Keyword(s):  
Cohort Study ◽  
Amniotic Fluid ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Neonatal Intensive Care ◽  
Perinatal Death ◽  
Perinatal Outcomes ◽  
Neonatal Morbidity ◽  
Resource Setting ◽  
Meconium Stained Amniotic Fluid

Meconium stained amniotic fluid (MSAF) can be associated with a high maternal and perinatal mortality. There is paucity of data on maternal and fetal outcomes of MSAF in Cameroon. Aim: The study was to determine the maternal and perinatal outcomes in patients with MSAF. Study Design: Prospective cohort study. Place and Duration of Study: The study carried out in the Limbe Regional Hospital maternity, Cameroon from 10th January 2017 to 20th April 2017. Methodology:  Fifty- two mothers who had MSAF and their neonates, were matched with controls (without MSAF) in a 1:1 ratio after matching for: age, gestational age, parity and body mass index. Risk ratio (RR) of MSAF on the various perinatal outcomes were calculated by multivariate logistic regression with MSAF (-) being the reference. Data was analyzed with Epi Info 7. Results: Two hundred and three deliveries were conducted during the study period with fifty-two with MSAF enrolled in the study. The proportion of participants with MSAF was 19.1%. Parturients who had thick MSAF were 3 times more likely to have caesarean sections (RR: 3.2, 95% CI= 1.1 - 10.2, p = 0.04). Two (3.9%) parturients with chorioamnionitis had MSAF. The neonatal complications were: non- reassuring fetal heart rate (RR=4.4, 95%CI: 1.1-16.8, p=0.02), neonatal sepsis (RR=3.7, 95%CI: 1.4-9.8, p=0.01) and neonatal intensive care unit admissions (RR=2.9, 95%CI: 1.2-6.9, p=0.02), were associated with MSAF. Two (3.9%) had meconium aspiration syndrome on clinical examination. No maternal death was recorded. However, a perinatal death occurred in a parturient with MSAF. Conclusion: The proportion of parturients with MSAF was high. MSAF was associated with increased maternal and neonatal morbidity.  We recommend larger and robust cohort studies to further refine our findings.

scholarly journals Taking the plunge: Water immersion for labour and birth amongst women with moderate obstetric risk factors: A prospective cohort study

2021 ◽  
Author(s):  
Emma Seed ◽  
Lauren Kearney ◽  
Edward Weaver ◽  
Rachael Nugent
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Outcome Measures ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Water Immersion ◽  
Perinatal Outcomes ◽  
Neonatal Morbidity ◽  
Significant Difference ◽  
Mode Of Birth

Objective: This study investigated maternal and fetal outcomes following warm water immersion (WWI) and/or waterbirth compared with land birth for women with moderate obstetric risk factors. Design: Prospective cohort study. Setting: Maternity hospital, Australia, 2019-2020 Population: 1665 participants, some with ‘risk factors’ for adverse perinatal outcomes requiring continuous electronic fetal monitoring (CEFM) during labour. Method: Multivariate logistical regressions were used to determine the odds of neonatal and maternal outcome measures between three groups: waterbirth, WWI and land birth Main outcome measures: Neonatal morbidity and mortality, including neonatal unit admission (NNU). Maternal clinical outcome measures, including mode of birth, perineal injury, postpartum haemorrhage, length of labour and morbidity. Results: NNU admissions for a suspected infectious condition were significantly higher in the land birth group (p=0.035). After accounting for labour duration, epidural use, previous birth mode, and labour onset, no significant difference was detected between land births and WWI/water births in the odds of NNU admission (p=0.200). No babies were admitted to NNU with signs of water inhalation or drowning. Women birthing on land had a higher mean blood loss (p=0.036) and were more likely to be febrile (2% v 0%; p=0.007); Obstetric anal sphincter injury was similar between groups. Pharmacological analgesia use was lower in the WB/WWI group (p<0.001). There was 1 cord avulsion in the waterbirth group (0.41%). Mode of birth was similar between groups (p=0.697). Conclusion: Despite moderate obstetric risk factors such as oxytocin administration and induction of labour; maternal and neonatal outcomes were similar between groups.

Prepregnancy Dietary Patterns and Their Association with Perinatal Outcomes: A Prospective Cohort Study

2019 ◽  
Vol 119 (9) ◽  
pp. 1439-1451 ◽  
Author(s):  
Nadya Helena Alves-Santos ◽  
Paula Guedes Cocate ◽  
Camila Benaim ◽  
Dayana Rodrigues Farias ◽  
Pauline M. Emmett ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Dietary Patterns ◽  
Prospective Cohort ◽  
Perinatal Outcomes

Effects of Acupuncture on Preeclampsia in Chinese Women: A Pilot Prospective Cohort Study

2016 ◽  
Vol 34 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Yingchun Zeng ◽  
Bing Liu ◽  
Taizhen Luo ◽  
Yun Chen ◽  
Guangen Chen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Usual Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Chinese Women ◽  
Group Versus ◽  
Perinatal Outcomes ◽  
Acupuncture Group ◽  
Control Group ◽  
The Individual

Objective To investigate the acceptability and feasibility of acupuncture treatment as an adjunct to usual care in Chinese women with preeclampsia. Methods This was a pilot prospective cohort study. Pregnant women with a diagnosis of preeclampsia were offered acupuncture and allocated into groups based on their choice: the acupuncture group (n=11) comprised women electing to receive treatment (up to 10 sessions over 2 weeks). The control group (n=11) was made up of women who declined and was matched for age, gestation at diagnosis, and parity. All women received usual care and underwent measurement of blood pressure (BP) at four time points: at baseline, at the end of the intervention, immediately before delivery, and postpartum (within 24 h). Results Patients in the acupuncture group had significantly lower BP at time of delivery, and postpartum, than patients in the control group (p<0.05). The individual change in BP between baseline and the end of treatment was significantly greater in the acupuncture group versus the control group for both systolic BP (median (IQR) −8 (−3 to −14) vs +1 (−7 to +9) mm Hg, p=0.007) and diastolic BP (−3 (−1 to −3) vs +2 (−2 to +7) mm Hg, p=0.013). There were no significant differences between the groups in perinatal outcomes and no adverse effects of treatment. Conclusions Acupuncture plus usual care was associated with a greater reduction in BP than usual care alone. Further studies are needed to clarify the role of acupuncture in the treatment of preeclampsia.

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