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Changes in short-term variation of antenatal cardiotocography to identify intraamniotic infection: a historical cohort study.
J Matern Fetal Neonatal Med
December 2025
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Introduction: Intraamniotic infection (IAI) is one of the main possible complications of preterm prelabor rupture of membranes (PPROM) and can lead to severe consequences for the neonate, such as early onset neonatal sepsis (EONS). Available diagnostic tools for IAI have poor diagnostic performance, which may result in both over- and underdiagnoses of IAI. In a search for better diagnostic tools, we have examined short-term variation (STV) in fetal heart rate.
View Article and Find Full Text PDFCharacteristics and Rates of Preterm Births During the COVID-19 Pandemic in Germany.
JAMA Netw Open
September 2024
Division of Neonatology and Pediatric Intensive Care Medicine, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.
Article Synopsis
- Population-based studies show conflicting data on preterm birth rates during the COVID-19 pandemic, highlighting a need for better understanding of birth characteristics.
- This study compared perinatal care and very preterm birth rates before and during different phases of the COVID-19 pandemic in Hesse, Germany, using data from a quality assurance registry.
- Findings indicated that very preterm birth rates decreased during the pandemic, especially during the second lockdown, with fewer births among mothers with serious health issues contributing to this decline.
[Fetal death: Expert consensus from the College of French Gynecologists and Obstetricians].
Gynecol Obstet Fertil Senol
October 2024
Service de gynécologie-obstétrique, CHU Charles-Nicolle, Rouen, France.
Fetal death is defined as the spontaneous cessation of cardiac activity after fourteen weeks of amenorrhea. In France, the prevalence of fetal death after 22 weeks is between 3.2 and 4.
View Article and Find Full Text PDFDiabetic acidosis with severe fetal hypoxia in pregnancy: Narrative review and case study.
Int J Gynaecol Obstet
October 2024
Department of Gynecology & Obstetrics, Trousseau Hospital, Sorbonne Université, APHP, Paris, 75012, France.
Diabetic ketoacidosis (DKA) in pregnancy could be a disastrous event with increased maternal and perinatal morbidity and mortality. DKA can occur with a normal blood glucose level, known as euglycemic DKA. It particularly affects pregnant women with type I diabetes.
View Article and Find Full Text PDFShort-term variation of the fetal heart rate as a marker of intraamniotic infection in pregnancies with preterm prelabor rupture of membranes: a historical cohort study.
J Matern Fetal Neonatal Med
December 2024
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Introduction: Intraamniotic infection (IAI) and subsequent early-onset neonatal sepsis (EONS) are among the main complications associated with preterm prelabor rupture of membranes (PPROM). Currently used diagnostic tools have been shown to have poor diagnostic performance for IAI. This study aimed to investigate whether the exposure to IAI before delivery is associated with short-term variation of the fetal heart rate in pregnancies with PPROM.
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