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Outcomes of emergency cervical cerclage after amnioreduction in twin pregnancies with a fully dilated cervix and amniotic membrane prolapse.
J Turk Ger Gynecol Assoc
March 2025
Clinic of Perinatology, Acıbadem Kozyatağı Hospital, İstanbul, Türkiye.
Objective: The aim of this study was to evaluate the effectiveness of emergency cervical cerclage (EmC) in twin pregnancies with a fully dilated cervix and amniotic membrane prolapse.
Material And Methods: This retrospective study examined records from December 2015 to December 2022 and included 20 twin pregnancies. The patients were divided into two groups, the EmC group (EmC group) and the no EmC (control) group, and pregnancy outcomes were compared.
The pentameric complex is not required for congenital CMV transmission in seronegative rhesus macaques.
Sci Transl Med
March 2025
Vaccine and Gene Therapy Institute, Oregon Health & Science University, Beaverton, OR 97006, USA.
Congenital cytomegalovirus (cCMV) is the leading infectious cause of neonatal neurological impairment worldwide, but the viral factors enabling vertical spread across the placenta remain undetermined. The pentameric complex (PC), composed of the subunits gH/gL/UL128/UL130/UL131A, has been demonstrated to be important for entry into nonfibroblast cells in vitro. These findings link the PC to broad cell tropism and virus dissemination in vivo, denoting all subunits as potential targets for intervention strategies and vaccine development.
View Article and Find Full Text PDFCharacterization of the procoagulant phenotype of amniotic fluid across gestation in rhesus macaques and humans.
Res Pract Thromb Haemost
January 2025
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon, USA.
Background: Amniotic fluid (AF) plays a key role in fetal development, yet the evolving composition of AF and its effects on hemostasis and thrombosis are poorly understood.
Objectives: To characterize the procoagulant properties of AF as a function of gestation in humans and nonhuman primates.
Methods: We analyzed the proteomes, lipidomes, and procoagulant properties of AF obtained by amniocentesis from rhesus macaque and human pregnancies at gestational age-matched time points.
Introduction: This study evaluated the efficacy and safety of early amniotomy, performed before the active phase of labor, versus late amniotomy, conducted during the active phase.
Methods: Six data sources were screened until April 2024 for relevant randomized controlled trials (RCTs). Outcomes were pooled using risk ratio (RR) or mean difference (MD) with 95% confidence intervals (CI) in fixed or random-effects models.
Proposals for improving maternal safety (2023 edition): Insights from the analysis of maternal deaths in Japan.
J Obstet Gynaecol Res
March 2025
Department of Obstetrics and Gynecology, Mie University School of Medicine, Tsu, Mie, Japan.
The maternal mortality rate remains approximately 4 per 100 000 deliveries. Between January 2010 and July 2024, 629 maternal deaths were reported, of which 590 were reviewed. The Maternal Safety Proposal summarizes these cases.
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