Publications by authors named "H Stepan"

Introduction: Optimal counseling of women for vaginal breech birth requires consideration of both established and emerging risk factors for adverse perinatal outcomes. Currently, rising prevalences of maternal obesity and impaired glucose tolerance challenge obstetric care. We aimed to investigate the effects of these parameters on the outcome of vaginal breech birth to improve counseling practices.

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Left ventricular diverticulum (LVD) is a rare malformation presenting in 0.05% of all congenital cardiac anomalies. It is associated with additional cardiac and extracardiac malformations.

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Article Synopsis
  • The study aims to create prediction models for intrapartum cesarean sections during vaginal breech births, focusing on nulliparous (first-time mothers) and multiparous (previously giving birth) women.
  • Two prediction models were developed for each group, with the nulliparous model having an AUC (Area Under Curve) of 0.67 and the multiparous model showing better performance at 0.77, indicating higher accuracy.
  • Key risk factors identified include epidural analgesia, maternal height, birth weight, and abdominal circumference, with a significant finding that certain factors only influence cesarean outcomes when birth weights exceed 3.8 kg or abdominal circumference is above 34 cm.
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Acute aortic dissection is a rare but frequently fatal aortic catastrophe with high morbidity and mortality. Especially in pregnant patients, acute dissection is often misdiagnosed putting two lives on the line. Due to its scarcity, only case reports have been reported.

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Background: During pregnancy, women's bodies undergo rapid body weight and size changes within a relatively short period. Pregnancy may therefore, be associated with an increased vulnerability for developing body image dissatisfaction linked to adverse health outcomes for the mother (e.g.

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