Publications by authors named "A Martinez-Varea"

Article Synopsis
  • Maternal smoking, including traditional and electronic cigarettes, significantly increases the risk of adverse outcomes, particularly in twin pregnancies which are already high-risk.
  • A comprehensive literature review showed links between smoking and greater chances of preterm birth and fetal growth restriction (FGR), worsened by other factors like preeclampsia and high BMI.
  • Smoking's adverse effects stem from decreased oxygen to the fetus due to nicotine and carbon monoxide, emphasizing the importance of smoking cessation programs during pregnancy to enhance health outcomes for mothers and babies.
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Objective: The incidence of cesarean section (CS) for failure to progress (FP) has progressively increased; thus, knowing the factors that increase this incidence has become of crucial importance. This study aimed to find the true determinants of CS for FP within 2 weeks of delivery, proposing strategies to reduce its incidence.

Material And Methods: A group of 957 term and late preterm (≥34 weeks) singleton pregnancies with a complete gestational follow-up and an ultrasound examination within 2 weeks of delivery were included in a retrospective observational study.

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Background/objectives: Preeclampsia (PE) is a systemic disease that affects 4.6% of pregnancies. Despite the existence of a first-trimester screening for the prediction of preterm PE, no consensus exists regarding neither the right moment to end the pregnancy nor the appropriate variables to estimate the prognosis.

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Article Synopsis
  • The text addresses a correction to a previously published article identified by its DOI number.
  • The correction aims to amend inaccuracies or misleading information in the original publication.
  • This update is crucial for maintaining the integrity and accuracy of academic research.
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Article Synopsis
  • Third-trimester ultrasound has reduced effectiveness in identifying small for gestational age (SGA) babies and adverse perinatal outcomes (APOs), prompting a study on cost-effectiveness of two surveillance protocols.
  • The study compared a two-scan protocol at 32 and 38 weeks (P2) with a single scan at 36 weeks (P1) in low-risk pregnancies, involving 1011 cases.
  • Results showed similar sensitivity and specificity for SGA detection between protocols, but P2 increased costs by 35% without a significant diagnostic benefit, highlighting that the cerebroplacental ratio at 38 weeks was the only predictive factor for APO.
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