Publications by authors named "Naomi Furuta-Isomura"

Article Synopsis
  • This study examined the expression of proteins crucial for uterine contractions, comparing tissue samples from 38 PAM patients and 10 controls during cesarean sections.
  • Results showed reduced expression of several contraction-associated proteins in PAM tissues, suggesting that inflammation could hinder uterine contractions and contribute to uterine atony, prompting the need for further research on the underlying mechanisms.
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The placenta is the largest fetal organ, which connects the mother to the fetus and supports most aspects of organogenesis through the transport of nutrients and gases. However, further studies are needed to assess placental pathology as a reliable predictor of long-term physical growth or neural development in newborns. The Consensus Statement of the Amsterdam Placental Workshop Group (APWGCS) on the sampling and definition of placental lesions has resulted in diagnostic uniformity in describing the most common pathological lesions of the placenta and contributed to the international standardization of descriptions of placental pathology.

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Article Synopsis
  • Amniotic fluid embolism (AFE) and placental abruption (PA) are pregnancy-related conditions linked to severe blood clotting issues known as disseminated intravascular coagulation (DIC).
  • AFE tends to have more pronounced fibrinolysis compared to PA and may activate a different mechanism for the fibrinolytic process.
  • In a study comparing various coagulation factors in patients with AFE, severe PA, and healthy controls, results showed increased levels of certain markers in both AFE and severe PA, but AFE also exhibited significant changes in specific agents associated with enhanced fibrin breakdown.
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Rapid infantile growth (RG) markedly increases the risk of obesity and metabolic disorders in adulthood, particularly among neonates born small. To elucidate the molecular mechanisms by which RG following undernourishment (UN) contributes to the deterioration of adult fat deposition, we developed a UN mouse model using maternal energy restriction, followed by RG achieved by adjustments to 4 pups per litter soon after birth. A high-fat diet (HFD) was fed to weaned pups treated or not (Veh) with tauroursodeoxycholic acid (TU).

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The aim of present study was to investigate the association of placental pathological findings with infantile neurodevelopment during the early 40 months of life. 258 singleton infants were enrolled in the Hamamatsu Birth Cohort for Mothers and Children (HBC Study) whose placentas were saved in our pathological division. To assess the infantile neurodevelopment, we used Mullen Scales of Early Learning (gross motor, visual reception, fine motor, receptive language, expressive language) at 10, 14, 18, 24, 32, and 40 months.

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Article Synopsis
  • Pulmonary thromboembolism (PTE) is a major cause of maternal deaths, particularly after childbirth, and may be linked to amniotic fluid (AF) contamination in maternal circulation.
  • A study found that the mixing of AF with maternal plasma reduced the sensitivity to activated protein C (APC), which plays a key role in the body's anticoagulation system.
  • The results suggest that AF exposure could enhance thrombin production and contribute to the increased risk of PTE in the early postpartum period, especially when combined with other risk factors.
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  • The research involved 78 pregnant women undergoing cesarean sections, measuring fetal and neonatal StO levels immediately before and after birth, mainly focusing on the first 5 minutes post-delivery.
  • Results indicated a possible trend where neonates diagnosed with respiratory disorders had lower StO levels compared to those without, although the findings did not reach statistical significance.
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An opaque fetal membrane based on gross appearance is traditionally indicative of histological chorioamnionitis; however, to the best of our knowledge, there is currently no supportive evidence, and its diagnostic efficiency has not yet been scientifically demonstrated. The present study aimed to provide scientific insights into the traditional concept of an opaque fetal membrane based on gross appearance being an indicator of histological chorioamnionitis. We examined the placental pathology after screening of the placental gross appearance and perinatal complications and did not examine uncomplicated deliveries.

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Article Synopsis
  • Amniotic fluid embolism (AFE) is a rare but serious condition characterized by severe coagulopathy and cardiovascular issues, with differing diagnostic criteria between the Clark and Japanese guidelines.
  • The study compared coagulation profiles between patients diagnosed under these criteria to identify early clinical markers for AFE-related coagulopathy.
  • Findings revealed that fibrinogen levels declined earlier than hemoglobin levels in AFE patients, suggesting that the hemoglobin/fibrinogen ratio could be a useful indicator for assessing AFE more quickly.
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In Japan, pregnant women are diagnosed as obese if the prepregnancy body mass index (BMI) is ≥25 kg/m. However, this is different from other countries. The Institute of Medicine (IOM) classifies prepregnancy BMI as underweight (BMI <18.

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Background: Among atopic diseases, atopic dermatitis is the most common allergic disease in children and influences both infantile and parental quality of life.

Objective: The present study investigated the sex-specific relationship between the fetal/placental weight ratio and The incidence of atopic dermatitis in infants during the first 14 months of life.

Methods: Study participants were 922 infants (462 female and 460 male) from singleton pregnancies enrolled in the Hamamatsu Birth Cohort for Mothers and Children (HBC Study) after the exclusion of 298 with missing data on atopic dermatitis.

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Article Synopsis
  • * The study focused on the uterine isthmus, an area that elongates during pregnancy and plays a role in labor, where they discovered significant increases in inflammatory markers and immune cells in PAM cases compared to controls.
  • * Findings suggest that inflammation occurs not just in the uterine body but also in the isthmus during cases of refractory postpartum hemorrhage following cesarean sections, highlighting potential new areas for research and treatment.
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  • Uterine atony, a leading cause of postpartum hemorrhage, is linked to a newly identified condition called postpartum acute myometritis (PAM), characterized by inflammation and tissue swelling.
  • The study examined the role of bradykinin receptor type 1 (B1R) in the development of edema in PAM, using uterine samples collected from specific case studies and control groups.
  • Results showed that B1R expression was significantly upregulated in PAM cases, correlating with increased interstitial edema, suggesting that the kinin-kallikrein-B1R system contributes to the swelling seen in this condition.
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Introduction: Pulmonary thromboembolism (PTE) is a leading cause of maternal death and frequently occurs during early puerperium. Amniotic fluid components are frequently observed in the maternal circulation in parturition; however, it currently remains unclear whether amniotic fluid contamination in maternal blood is related to the high incidence of PTE in early postpartum.

Objectives: To examine the influence of amniotic fluid on blood coagulation and fibrinolysis systems with thromboelastometry.

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The present study aimed to investigate the relationship between placental pathological findings and physiological development during the neonate and infantile periods. Study participants were 258 infants from singleton pregnancies enrolled in the Hamamatsu Birth Cohort for Mothers and Children (HBC Study) whose placentas were stored in our pathological division. They were followed up from birth to 18 months of age.

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