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Too Much of a Good Thing: Updated Current Management and Perinatal Outcomes of Polyhydramnios.
J Med Ultrasound
November 2024
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
Amniotic fluid assessment is crucial in prenatal ultrasound to monitor fetal conditions, with polyhydramnios, characterized by excessive amniotic fluid, affecting 1%-2% of pregnancies. Polyhydramnios is linked to complications such as placental abruption, preterm labor, congenital anomalies, and postpartum hemorrhage, emphasizing the need for early detection and management. While idiopathic causes account for 60%-70% of cases, other causes include impaired fetal swallowing and increased urine production due to maternal, fetal, and placental conditions.
View Article and Find Full Text PDFChallenges Faced by Newborns with Inherited Metabolic Disorders and Their Mothers During Antepartum, Intrapartum, and Postpartum Periods.
Fetal Pediatr Pathol
January 2025
Department of Pediatric Metabolism, Ankara University Faculty of Medicine, Ankara, Türkiye.
Article Synopsis
- The study explores the prenatal and perinatal outcomes of pregnancies affected by inherited metabolic disorders (IMDs), identifying common issues like intrauterine growth restriction (IUGR), microcephaly, and oligohydramnios.
- Mitochondrial disorders were linked to higher rates of oligohydramnios, IUGR, microcephaly, and heart problems, significantly impacting obstetric outcomes.
- Early identification of risk factors and complications in these pregnancies can lead to better interventions and improved health for both mothers and infants.
Prospective study of peripartum group B streptococcus colonization in Japanese mothers and neonates.
Epidemiol Infect
January 2025
Department of Obstetrics and Gynecology, Juntendo University Urayasu Hospital, Chiba, Japan.
Article Synopsis
- Group B streptococcus (GBS) is a significant cause of infections in neonates and pregnant women, with Japan implementing guidelines for screening and antibiotic use, yet infections have not decreased significantly.
- Approximately 15% of pregnant women lack GBS screening, and issues like intermittent colonization lead to early-onset disease; current preventative measures don't address increasing cases of late-onset disease.
- This study found that using polymerase chain reaction for GBS detection was more effective than culture methods, highlighted the risk of horizontal transmission, and emphasized the need for better diagnostic tools and potential maternal vaccination for prevention.
Neonates With In-Utero SSRI Exposure (NeoWISE): a retrospective cohort study examining the effect of newborn feeding method on newborn withdrawal.
Int J Popul Data Sci
December 2024
School of Medicine, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
Introduction: Up to 30% of newborns with in-utero selective serotonin reuptake inhibitor (SSRI) exposure experience withdrawal symptoms. The impact of newborn feeding method on alleviating withdrawal has not been investigated. We examined the effect of newborn feeding method (breastfeeding versus formula) among a cohort of nates ith n-utero SRI xposure (NeoWISE).
View Article and Find Full Text PDFProcesses of obstetrical care and outcomes among Ontario physicians versus non-physicians: a population-based study.
BMJ Open
December 2024
ICES, Toronto, Ontario, Canada.
Objective: We compared processes of antepartum, intrapartum and postpartum care and obstetrical outcomes between physicians and non-physicians.
Design: This is a population-based retrospective matched cohort study.
Setting: The study was conducted in Ontario, Canada.
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