Fetal brain hemodynamics in pregnancies at term: correlation with gestational age, birthweight and clinical outcome.

Introduction: The primary aim of this study was to ascertain the strength of association between cerebral blood flow assessed in anterior (ACA), middle (MCA), and posterior (PCA) cerebral arteries and the following clinical outcomes: small for gestational age (SGA), induction of labor (IOL) for oligohydramnios and caesarean section (CS) for nonreassuring fetal status (NRFS) during labor.

Material And Methods: Retrospective analysis of prospectively collected data on consecutive singleton pregnancies from 40 0/7 to 41 6/7 week of gestation. UA, ACA, MCA, PCA pulsatility index (PI) were measured from 40 weeks of gestations.

Perspectives on diagnostic strategies for HIP-dealing with the barriers and challenges: USA.

Background: Gestational diabetes (GDM) affects up to 7-18% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage hyperglycemia in pregnancy (HIP).

Objective: We aimed to analyze the most important and employed guidelines about screening and management of HIP and we investigated existing related literature.

One-step versus two-step diagnostic testing for gestational diabetes: a randomized controlled trial.

To evaluate the incidence of gestational diabetes mellitus (GDM) using the one-step as compared with the two-step approach. This was a parallel group nonblinded randomized trial conducted at Thomas Jefferson University Hospital (TJUH) in Philadelphia, Pennsylvania from June 2016 to December 2016. The primary outcome was GDM incidence in the one-step compared to the two-approach.

Which criteria should be used for starting pharmacologic therapy for management of gestational diabetes in pregnancy? Evidence from randomized controlled trials.

There is inconclusive evidence to support any specific criteria for starting pharmacologic therapy after diet in women with gestational diabetes mellitus (GDM). We aimed to analyze the most used criteria for starting pharmacologic treatment for patients with GDM. Electronic databases were searched from their inception to September 2017.

Uterine massage for preventing postpartum hemorrhage at cesarean delivery: Which evidence?

Background: Cesarean delivery could be complicated by postpartum hemorrhage (PPH), the first cause of maternal death.

Objectives: To evaluate the efficacy of uterine massage in preventing postpartum hemorrhage at cesarean delivery.

Data Sources: Electronic databases from their inception until October 2017.

One step versus two step approach for gestational diabetes screening: systematic review and meta-analysis of the randomized trials.

Introduction: To compare both the prevalence of gestational diabetes mellitus (GDM) as well as maternal and neonatal outcomes by either the one-step or the two-step approaches.

Material And Methods: Electronic databases were searched from their inception until June 2017. We included all randomized controlled trials (RCTs) comparing the one-step with the two-step approaches for the screening and diagnosis of GDM.

Very tight vs. tight control: what should be the criteria for pharmacologic therapy dose adjustment in diabetes in pregnancy? Evidence from randomized controlled trials.

Introduction: There is inconclusive evidence from randomized controlled trials (RCTs) to support any specific criteria for pharmacologic therapy dose adjustment in diabetes in pregnancy. Our objective was to analyze the criteria for dose adjustment of pharmacologic treatment for diabetes mellitus (DM) in pregnancy.

Material And Methods: Data sources: MEDLINE, OVID and Cochrane Library were searched from their inception to September 2017.

Are women positive for the One Step but negative for the Two Step screening tests for gestational diabetes at higher risk for adverse outcomes?

Introduction: The aim of this study was to evaluate if women meeting criteria for gestational diabetes mellitus (GDM) by the One Step test as per International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria but not by other less strict criteria have adverse pregnancy outcomes compared with GDM-negative controls. The primary outcome was the incidence of macrosomia, defined as birthweight > 4000 g.

Material And Methods: Electronic databases were searched from their inception until May 2017.

Small fetal thymus and adverse obstetrical outcome: a systematic review and a meta-analysis.

Introduction: The aim of this study was to explore the association between small fetal thymus on ultrasound and adverse obstetrical outcome.

Material And Methods: Medline, Embase, Cochrane and Web of Science databases were searched. Primary outcome was the risk of preterm birth before 37 and 34 weeks of gestation in fetuses with, compared to those without, a small thymus on ultrasound.

Vaginal Cleansing Before Cesarean Delivery: A Systematic Review and Meta-analysis.

Objective: To assess the efficacy of vaginal cleansing before cesarean delivery in reducing postoperative endometritis.

Data Sources: MEDLINE, Ovid, EMBASE, Scopus, Clinicaltrials.gov, and Cochrane Library were searched from their inception to January 2017.

Chewing gum improves postoperative recovery of gastrointestinal function after cesarean delivery: a systematic review and meta-analysis of randomized trials.

Objective: To examine whether chewing gum hastens the return of gastrointestinal function after a cesarean delivery.

Methods: All randomized controlled trials comparing the use of chewing gum in the immediate postoperative recovery period (i.e.

Scientific Evidence for Different Options for GDM Screening and Management: Controversies and Review of the Literature.

Gestational diabetes (GDM) affects up to 7% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage GDM. We aimed to analyze the most important and employed guidelines about screening and management of GDM and we investigated existing related literature.