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Quality of care at childbirth during the COVID-19 pandemic in Belgium: a cross-sectional study based on WHO standards.
BMJ Open
December 2024
WHO Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Objectives: To examine quality of maternal and newborn care (QMNC) around childbirth in facilities in Belgium during the COVID-19 pandemic and trends over time.
Design: A cross-sectional observational study.
Setting: Data of the Improving MAternal Newborn carE in the EURO region study in Belgium.
CustOmized versus standard fundal-height measuREments for the detection of small-for-gestational age fetuses in low-risk women (CORE study): A randomized controlled trial.
Int J Gynaecol Obstet
December 2024
BCNatal (Hospital Clinic and Hospital Sant Joan de Deu), Universitat de Barcelona, Barcelona, Spain.
Objective: To compare the proportion of small-for-gestational age (SGA) infants detected by routine care versus a growth assessment protocol using customized fundal-height charts in low-risk pregnancies of a developing country.
Methods: An open label randomized controlled trial was conducted at the Fatima Memorial Hospital (NUR International University, Pakistan). Low-risk pregnant women were randomly allocated to routine care (Mcdonald's rule for fundal height measurements followed by referral for scan with discrepancy of 3 cm from gestational age and a contingency third trimester scan) or the growth assessment protocol (GAP) developed by the Perinatal Institute (UK), which consists of the use of gestation-related optimal weight (GROW) customized charts, alongside management protocols for suspected SGA fetuses, audit tools and training.
Multimodal Analysis of the Retinal Manifestations of Tuberous Sclerosis Complex: A Case Series.
Ophthalmic Surg Lasers Imaging Retina
October 2024
Background And Objective: We used a multi-modal imaging approach including fundus fluorescein angiography (FFA) to assess the retinal lesions in tuberous sclerosis complex (TSC) and evaluate their correlation with intracranial tuber burden on magnetic resonance imaging (MRI).
Patients And Methods: Participants with TSC underwent bilateral fundus photography, optical coherence tomography (OCT), infrared (IR) imaging, and FFA. Participants' most recent MRI brain scans were analyzed to determine intracranial tuber load.
Comparison of Placental Location on Ultrasound in Preeclampsia and Normotensive Pregnancy in Third Trimester.
J Med Ultrasound
April 2024
Department of Obstetrics and Gynecology, NDMC Medical College and Hindu Rao Hospital, Delhi, India.
Background: Hypertensive disorders in pregnancy account for 15%-20% maternal and 20%-25% perinatal mortality. There is interest in predicting preeclampsia (PE) early in pregnancy to reduce PE and its subsequent complications. There is no cheap and easily available, reliable predictor for PE.
View Article and Find Full Text PDFIndicated vs universal third-trimester ultrasound examination in low-risk pregnancies: a pre-post-intervention study.
Am J Obstet Gynecol MFM
May 2024
Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center, Houston, TX (Dr Roberts, Mr Hotra, Drs Soto, Sibai, Blackwell, and Chauhan).
Article Synopsis
- In low-risk pregnancies, third-trimester ultrasounds are typically done when fundal height and gestational age discrepancies arise; previous studies show that universal ultrasounds don't significantly improve neonatal or maternal outcomes compared to indicated ones.
- The study aimed to see if universal third-trimester ultrasounds could reduce adverse neonatal outcomes and whether they could better detect issues with fetal growth or amniotic fluid.
- Conducted at nine locations, the study compared results from a pre-implementation period with indicated ultrasounds to a post-implementation period where all low-risk pregnancies received ultrasounds at 36-37.6 weeks, allowing clinicians to act on any abnormalities found.
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