Publications by authors named "Paul Bryde Axelsson"

Introduction: We aimed to investigate the prevalence of SARS-CoV-2 infection and SARS-CoV-2 antibodies in parturient women and their newborns during the first Danish COVID-19 wave and to identify associations with maternal background characteristics, self-reported symptoms, and pregnancy outcomes.

Methods: In a single-centre, prospective cohort study from Denmark, we invited 1,883 women with singleton pregnancies giving live birth from 25 May 2020 to 2 November 2020. Hereof, 953 (50.

View Article and Find Full Text PDF

Background: Mothers giving birth by non-elective cesarean section have considerably higher risk of developing postoperative infection, than mothers giving birth by elective cesarean section. Meta-analyses have shown that the risk of infection is reduced when administering antibiotics at least 30 min prior to skin incision rather than after cord clamping. If given prior to incision, antibiotics are present in the neonatal bloodstream for up to 24 h after delivery, with early exposure to antibiotics potentially disturbing development of the gut microbiome.

View Article and Find Full Text PDF

Introduction: Evidence about the consequences of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in pregnancy is rapidly increasing; however, data on antibody response and risk of transmission during pregnancy and delivery are still limited. The aim of this study was to evaluate if SARS-CoV-2 is detectable in vaginal swabs and whether antibodies against SARS-CoV-2 are present in maternal and umbilical cord blood of pregnant women with confirmed SARS-CoV-2.

Material And Methods: A single-unit prospective cohort study in Denmark including pregnant women with SARS-CoV-2 infection confirmed by a pharyngeal swab between August 20, 2020, and March 1, 2021, who gave birth during the same period.

View Article and Find Full Text PDF

Objective: To gain insight into pregnant women's preferences if given a choice between getting antibiotic prophylaxis before or after cord clamping during caesarean delivery.

Study Design: A qualitative semi-structured interview-study. The interviews were conducted at a Danish Hospital, with about 4000 deliveries a year.

View Article and Find Full Text PDF

A new regimen for early termination of pregnancy does not require ultrasound confirmation of intrauterine pregnancy before mifepristone administration. This is a case report of a woman in her 30s, who was treated medically for unwanted pregnancy at five weeks and four days with a serum concentration of human chorionic gonadotropin of 859 U/l. As she was told to expect pain, she awaited follow-up appointment a week later, but before then she collapsed at home, and she was unconscious, when the emergency service arrived.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines how the mode of delivery (cesarean vs. vaginal) affects the risk of affective disorders in children, considering the gut microbiota's role.
  • It analyzed data from over a million Danish children, finding a small increased risk of affective disorders for those born via cesarean sections, especially during intrapartum delivery.
  • However, when comparing siblings, the association for pre-labor cesarean disappeared, suggesting that while there may be a correlation, delivery mode likely isn't a direct cause of these disorders.
View Article and Find Full Text PDF

Background: Hypotheses concerning adverse effects of changes in microbiota have received much recent attention, but unobserved confounding makes them difficult to test. We investigated whether surrogate markers for potential adverse microbiota change in infancy affected autism risk, addressing unobserved confounding using a sibling study design.

Methods: This is a population-based, prospective cohort study including all singleton live births in Denmark from 1997 to 2010.

View Article and Find Full Text PDF

Background: Increasing attention deficit hyperactivity disorder (ADHD) incidence has been proposed to be caused by factors influencing microbiota in early life. We investigated the potential causality between ADHD and two surrogate markers for changes in children's microbiota: birth delivery mode and early childhood antibiotic use.

Method: This population-based, prospective cohort study linked nationwide registers of data for native Danish singleton live births in Denmark from 1997 to 2010.

View Article and Find Full Text PDF

In this review we have looked at the evidence for the pharmacological treatment of lactation deficiency. Five RCTs (n = 166) of metoclopramide found no effect on lactation and two RCTs (n = 26) of older date and lesser quality found significant effect. One RCT (n = 51) of syntocinon found no effect on lactation and two older RCTs (n = 60) of lesser quality found significant effect.

View Article and Find Full Text PDF

Introduction: Breast milk has many advantages over formula for infants in developed and developing countries alike. Despite intentions of breastfeeding, some women develop insufficient lactation. Treatment options traditionally include breastfeeding education and pharmacotherapy.

View Article and Find Full Text PDF