Premature infants receiving delayed cord clamping with and without cord milking: a randomized control trial.

Background: Preterm infants often have long hospital stays and frequent blood tests; they often develop anemia requiring multiple blood transfusions. Placental transfusion via delayed cord clamping (DCC) or umbilical cord milking (UCM) helps increase blood volume. We hypothesized umbilical cord milking (UCM), together with DCC, would be superior in reducing blood transfusions.

Possibility of using superoxide dismutase and glutathione peroxidase as endometriosis biomarkers.

Objective: To study the possibility of using superoxide dismutase (SOD) and glutathione peroxidase (GPx) as combined preoperative biomarkers for endometriosis.

Participants And Methods: Female patients aged between 18 and 45 years old who came to the Gynecology outpatient clinic, Thammasat University Hospital, during September 2013-2016 with the complaint of gynecologic symptoms suspected of endometriosis, and who were positively diagnosed with endometriosis, were included in this study. All patients underwent conservative laparoscopic ovarian cystectomy with histopathological report.

Efficacy of Delayed versus Immediate Cord Clamping in Late Preterm Newborns following Normal Labor: A Randomized Control Trial.

Background: Premature neonates are susceptible to anemic problems with low iron storage. Delayed cord clamping (DCC) has been studied and its beneficial value has been supported by existing research in newborns with very low birth weights. But there were only few data pertinent to late preterm infants.

A Comparative Study of the Spontaneous Labor Rate in Scheduled Elective Cesarean Section at 38 Weeks versus 39 Weeks of Gestation in Parturient with Previous Cesarean Section.

Objective: To assess the effect of the different scheduled gestational age for a repeat elective cesarean section (CS) on emergency cesarean section rate and adverse pregnancy outcomes in pregnant women with history of previous CS.

Material And Method: A prospective cohort study of singleton pregnant women who had a history of CS and were scheduled for a repeat elective CS to be performed. The cases were divided into two groups of which the elective CS was appointed at 38 or 39 weeks of gestation as study and control groups, respectively.

Nomogram of Intracranial Translucency in the First Trimester Ultrasound of Pregnant Women at Thammasat University Hospital.

Objective: The aim of the study was to determine normative values of intracranial translucency (IT) by ultrasonography in singleton pregnant women patient at Thammasat University Hospital during the first trimester.

Material And Method: The first trimester singleton pregnant women (11-13 weeks) underwent routine ultrasonography screening. The gestational age was calculated by measuring the length of the embryo or fetus from the top of its head to bottom of the buttocks (crown-rump length; CRL) and IT of the brain region in the mid-sagittal planefetal face position.

Comparative Study of Postoperative Pain between Maylard Incision and Pfannenstiel Incision in Gynecologic Surgery: A Randomized Controlled Trial.

Background: Postoperative pain has many adverse effects for the patients with laparotomy operation. There are few studies that compare between Maylard and Pfannenstiel incision in term of pain and wound complication after operation.

Objective: To compare the postoperative pain and wound complications between the muscle-cutting Maylard incision and the Pfannenstiel incision in women who needed benign gynecologic surgery.

Twin Reversed Arterial Perfusion (TRAP) Sequence: A Case Report and Review of Treatment.

A cardiac twin or twin reversed arterial perfusion (TRAP) sequence is a rare unique complication of monozygotic multiple pregnancy. In this disorder, there is a normally formed donor (the pump twin) who has features of congestive heart failure (CHF) as well as a recipient (the acardiac twin) who lacks a well-defined a heart structure. Also evident are other structures, namely the TRAP sequencefrom pump to acardiacfetus via single artery-to-artery and vein-to-vein anastomoses directly between the two cords or indirectly on the chorionic plate.

Recurrence of Endometrioma Following Conservative Ovarian Endometrioma Cystectomy: Laparoscopy versus Laparotomy.

Objective: To investigate the recurrence rate and disease-free interval between laparoscopy versus laparotomy for the conservative surgery of endometrioma.

Material And Method: A retrospective cohort study was conducted. The medical records of reproductive women who underwent conservative ovarian cystectomy surgery (laparoscopy or laparotomy) for endometrioma at Thammasat University Hospital were retrieved.

High pre-pregnancy body mass index and the risk of poor obstetrics outcomes among Asian women using BMI criteria for Asians by World Health Organization Western Pacific Region (WPRO): a large cohort study.

Objective: To evaluate the effects of high pre-pregnancy body mass index (BMI) on the risk ofpoor obstetric outcomes among Asian women using BMI criteria by Regional Office for the Western Pacific Region of WHO (WPRO).

Material And Method: The present study was a retrospective cohort. Subjects of live birth singletons who had full term delivered atfour tertiary care centers, teaching university hospitals between January and December 2012 were enrolled.

The effects of systematic management on maternal and neonatal complications in gestational diabetes subjects.

Objective: To compare maternal and neonatal complications ofgestational diabetes mellitus (GDM) between conservative and systematic management.

Material And Method: This retrospective cohort study was conducted at Thammasat University Hospital, Thailand. GDM subjects who were diagnosed and treated from October 2004 to March 2007 were classified as the conservative management group (CMG).

Antimullerian hormone changes after laparoscopic ovarian cystectomy for endometrioma compared with the nonovarian conditions.

Laparoscopic ovarian cystectomy is recommended for surgical procedure of endometrioma. The negative impact on ovarian reserve following removal had been documented. Little evidence had been reported for nonovarian originated effects.

A Cross-sectional Study of Resting Cardio-respiratory and Metabolic Changes in Pregnant Women.

[Purpose] We examined cardiorespiratory and metabolic changes across the 1st (G1), 2nd (G2) and 3rd (G3) trimesters in pregnant women. [Subjects and Methods] Forty-two healthy, active, non-smoking, pregnant women participated in this study. They were divided into G1, G2 and G3 groups depending on their mean gestational ages at the time of testing which were 10.

The association between perchlorate and thiocyanate exposure and thyroid function in first-trimester pregnant Thai women.

Context: Thyroid hormone is critical for fetal neurodevelopment. Perchlorate and thiocyanate decrease thyroidal iodine uptake by competitively inhibiting the sodium/iodide symporter. It is clear that perchlorate and thiocyanate anions can influence thyroid function.

Maternal vitamin D status, its associated factors and the course of pregnancy in Thai women.

Context: There are limited data on the prevalence of vitamin D inadequacy in pregnant women living in Southeast Asia and changes in their vitamin D status during pregnancy.

Objectives: To determine the prevalence of vitamin D inadequacy, its predictive factors and the changes in vitamin D status during the course of pregnancy.

Design And Patients: A prospective study of 120 pregnant Thai women with gestational age <14 weeks.

The change of umbilical cord components in intrauterine growth restriction comparative with normal growth fetuses by using sonographic measurement.

Objective: To determine the diameter changes of umbilical cord components in intrauterine growth restriction (IUGR) fetuses comparative with normal growth fetuses by using the ultrasonogram.

Material And Method: A cross sectional study was performed with 140 singleton pregnant women who was attended at Maternal-Fetal Medicine unit, Thammasat University Hospital between June, 2007 to May, 2009. The fetuses were between the gestational ages of 24 to 37 weeks at the time of data collection.

Transvaginal color Doppler study of uterine artery: is there a role in chronic pelvic pain?

Aim: To determine the value of transvaginal color Doppler study of uterine artery and investigate the differences in blood flow of uterine artery among women with chronic pelvic pain (CPP).

Material & Methods: A total of 50 female patients were recruited. The study group consisted of 25 women with CPP of possible gynecological origin.

Effect of fetal gender on ductus venosus pulsatility index and diameter at gestational age 17-37 weeks.

Objective: Recent findings have suggested that ductus venosus blood flow in the first trimester may be influenced by fetal gender. The aim of the present study was to investigate further the influence of fetal gender on ductus venosus (DV) pulsatility index (PI) and diameter at gestational age 17-37 weeks.

Material And Method: This was a cross-sectional study.

Prediction of perinatal outcomes in patient with pre-eclampsia: maternal hyperoxygenation test on fetal Doppler flow.

Objective: Investigate if the maternal hyperoxygenation test in pregnancy with pre-eclampsia could be used for prediction of perinatal outcomes.

Material And Method: Fifty-four singleton pre-eclampsia pregnant women were enrolled in the present study. Positive hyperoxygenation test was defined as an increase of the middle cerebral artery (MCA) or the ductus venosus (DV) pulsatility index (PI), or a decrease of the uterine artery or the umbilical artery (UA) PI by at least 20%.

Nomograms of the fetal heart between 16 and 39 weeks of gestation.

Objective: To establish the normal fetal cardiac measurement from 16 to 39 weeks' gestation in Thai fetuses.

Material And Method: Four hundred and eighty normal singleton pregnant women were recruited into the present study. The sonographic measurements were obtained from axial scans at the level of the four-chamber view.

Fetal ductus venosus pulsatility index and diameter during 20-30 weeks gestation.

Objective: To present normal range of the pulsatility index and the smallest diameter in the ductus venosus in normal fetuses throughout gestation.

Material And Method: This was a prospectively cross-sectional study. Three measurements were made for the ductus venosus diameter and the pulsatility index in each fetus during fetal quiescence.

The efficacy of lidocaine-prilocaine cream to reduce pain in genetic amniocentesis.

Objective: Evaluate whether local anesthesia by lidocaine-prilocaine cream decreases maternal pain during mid-trimester genetic amniocentesis.

Material And Method: This randomized controlled study of mid-trimester genetic amniocentesis was conducted between 1 October 2006 and 30 April 2007. Pregnant women were randomized to receive lidocaine-prilocaine cream or placebo cream 30 minutes prior to amniocentesis.

Indications for cesarean section at Thammasat University Hospital.

Objective: To present the indications associated with the increase in cesarean section rate at Thammasat University Hospital during the past three years.

Material And Method: This was a cross-sectional study. Pregnant women who underwent cesarean section between January 2003 and December 2005 at Thammasat University Hospital were recruited for the present study.

Reducing cesarean delivery rates: an active management labor program in a setting with limited resources.

Objective: To determine the effect of an active management of a labor program on the rate of cesarean section and labor outcomes in low-risk nulliparous pregnancies in a setting with limited resources.

Material And Method: Nine hundred and seventy-five low risk nulliparous pregnant women were randomized to receive either active management of a labor program (n = 325) or conventional management (n = 650). The rate of cesarean section and labor outcomes were compared between the two groups using Chi-square and t-tests.

Effect of high gestational weight gain on birth weight and cesarean section rate in pregnant women with a normal prepregnant body mass index.

Objective: To compare birth weight and cesarean section rates with high gestational weight gain and normal weight gain in nulliparous pregnant women with a normal prepregnant body mass index.

Design: A retrospective study.

Setting: Thammasat University Hospital.