2,555 results match your criteria: "Labor and Delivery Normal Delivery of the Newborn"

Introduction Congenital hypothyroidism (CH) is one of the most common, easily treatable, causes of long-term neurodevelopmental complications in children. The prevalence of CH in India is much higher compared to other countries. Although developed countries have well-established neonatal screening programs, a uniform nationwide screening program at birth is still not established in India.

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Background: Reduced fetal movements (RFM) are a significant concern in obstetric care. They often indicate fetal distress and are associated with adverse perinatal outcomes such as stillbirth and intrauterine growth restriction (IUGR). While RFM is recognized as a critical marker of fetal well-being, there is a limit to the data available on its risk factors and outcomes in the Port Sudan region.

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Objectives: The aim of this study is to examine the effect of type of delivery and anesthesia method on the screening ABR test results of newborns within the scope of the Newborn Hearing Screening Program (NHCP) and to investigate the relationship between the test results and the relevant variables.

Methods: 441 newborns were included in the study. Of these newborns, 221 constituted the control group (normal (vaginal) delivery), and 220 constituted the study group (cesarean section, delivery).

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[Effect of the Spinning Babies Program on Birth Outcomes and Satisfaction during Labor: A Non-Randomized Controlled Trial].

J Korean Acad Nurs

November 2024

Department of Nursing · Research Institute of Dong-eui Nursing Science, Dong-eui University, Busan, Korea.

Purpose: This study evaluated the effects of the Spinning Babies program applied during labor on birth outcomes and satisfaction among pregnant women.

Methods: This non-equivalent control group, non-synchronized post-test only design study included 42 participants (22 in the experimental group and 20 in the control group). The Spinning Babies program was conducted four times in the experimental group during the first and second stages of delivery for 50 min per session.

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Background: The optimal duration of second stage of labor has been largely discussed in literature, but there are no uniformly accepted contemporary criteria for defining normal or abnormal length. Available evidence suggests that longer duration of second stage of labor is associated with a lower rate of spontaneous vaginal delivery and increased maternal morbidity. On the neonatal side, it seems that longer second stage doesn't affect new-born morbidity, in a context of very rare neonatal complications.

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Background and objectives Hypoxic-ischemic encephalopathy (HIE) remains a critical concern in newborns, with therapeutic hypothermia (TH) serving as a key treatment strategy. However, assessing long-term outcomes requires a comprehensive approach, as children may develop neuropsychological and learning challenges even in the absence of noticeable motor impairments. This study aims to explore the correlation between electroencephalography (EEG) and neuroimaging findings with the clinical severity of HIE.

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Objective: Skilled birth attendance and place of delivery have a significant effect on child growth. The present paper examined the mode of delivery and its impact on child health among children 0-59 months in India.

Methods: A total of 200,794 samples were used in the study.

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Article Synopsis
  • Elevated intracranial pressure during vaginal delivery may lead to neonatal retinal hemorrhage by causing stress and deformation in the eye's structures.
  • A computational model showed how maternal contractions can displace the eye backward, inducing strain in the retina and stress on retinal vessels.
  • The study suggests that the resulting eye deformation, rather than blockage of blood vessels, is a more likely cause for this type of retinal damage in newborns.
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Efficacy and tolerability of celastrol and edaravone in the multiple-hit rat model of infantile spasms.

Epilepsy Behav

January 2025

Albert Einstein College of Medicine, Saul R. Korey Department of Neurology, Laboratory of Developmental Epilepsy, Albert Bronx, NY, USA; Isabelle Rapin Division of Child Neurology, Albert Einstein College of Medicine, Bronx, NY, USA; Dominick P Purpura Department of Neuroscience, Albert Einstein College of Medicine, Bronx, NY, USA. Electronic address:

Objective: To test whether anti-inflammatory and antioxidant drugs that inhibit the nuclear factor kappa light chain enhancer of activated B cells (NF-kB), celastrol and edaravone, suppress spasms and improve developmental outcomes in the multiple-hit rat model of refractory infantile spasms (IS) due to structural lesions.

Methods: Postnatal day 3 (PN3) Sprague-Dawley rats were treated according to the multiple-hit IS model protocol. Using a randomized, blinded, vehicle-controlled, dose- and time-response study design, we tested the effects of single celastrol [1, 2, or 4 mg/kg intraperitoneally (i.

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Introduction: Perinatal asphyxia is caused by a lack of oxygen to organ systems due to hypoxic or ischemic insult that occurs during labour and delivery. This may lead to multi-organ failure with brain involvement as the major organ of concern.

Case Report: We present a 19-day-old neonate referred to our centre with the complaint of inability to suck since birth and multiple seizures that started on the second day of life.

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Background: High-dose steroid administration is a common initial therapeutic approach for Vogt-Koyanagi-Harada disease (VKH). Nonetheless, administering substantial doses of steroids to pregnant women necessitates meticulous consideration due to the potential impacts on the mother and fetus. We present a case wherein steroid pulse therapy was administered to a patient who developed VKH during the late stages of pregnancy.

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Article Synopsis
  • The MPDSR policy aims to reduce maternal and perinatal mortality, but its implementation varies in different contexts, highlighting the need for effective evaluation methods.
  • This study employed Normalisation Process Theory (NPT) to assess how the MPDSR policy was implemented in Uganda, utilizing a qualitative approach across eight districts and ten health facilities.
  • NPT helped identify key factors influencing policy implementation variations, pointing towards the importance of understanding how practices become routine in healthcare settings.
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Remnants of right venous valve in utero and early postnatal life. Case report and literature review.

Eur J Obstet Gynecol Reprod Biol

December 2024

Department of Obstetrics and Gynecology, Del Ponte Hospital, Varese, Italy; Department of Medicine and Surgery, University of Insubria, Varese, Italy.

During fetal life the right valve of the sinus venosus directs oxygenated blood from the inferior vena cava to the left atrium through the foramen ovale, until the regression of the right valve which usually occurs within the 15th week of pregnancy. Incomplete regression of the right venous valve in varying degrees can lead to different types of remnants such as the Eustachian valve, the Chiari Network and Cor Triatriatum Dexter. Prenatal diagnosis of remnants of right venous valve has only rarely been reported in the literature.

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Article Synopsis
  • Atopic dermatitis can greatly affect pregnant women’s health and quality of life, necessitating effective treatments that ensure safety for both mothers and their babies.
  • The systematic review analyzed 13 studies involving 68 patients, leading to findings of 58 live births and 11 spontaneous abortions, indicating that dupilumab therapy can improve dermatitis and has low risks during pregnancy.
  • Most pregnancies went smoothly, with 82.4% of deliveries being vaginal and 92.3% of newborns having a normal birth weight, but further research is needed for long-term safety confirmation of dupilumab use in pregnant patients.
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Multidisciplinary care to optimise pregnancy outcomes among Jehovah's Witness: Case series over fifteen years in a tertiary teaching hospital.

Eur J Obstet Gynecol Reprod Biol

December 2024

Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong. Electronic address:

Objective: To assess the obstetric and neonatal outcomes of Jehovah's Witness (JW) mothers and the willingness to accept blood products after multidisciplinary management.

Study Design: A retrospective case-control study was conducted at Queen Mary Hospital from 2005 to 2020. Delivery records of pregnant women who identified themselves as JW were reviewed.

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Article Synopsis
  • Complete transposition of the great arteries (TGA) is the main cause of cyanosis in newborns during the first week and is typically diagnosed prenatally in well-resourced health settings.
  • In Cambodia, a study over five years explored 24 cases of TGA diagnosed after birth due to the absence of prenatal testing.
  • The findings revealed that complex forms of TGA were common, but most patients had normal coronary anatomy and successfully underwent arterial switch operations (ASO) with positive outcomes.
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Correlation between fetal subcutaneous fat thickness and insulin resistance through cord blood analysis immediately after delivery.

Eur J Obstet Gynecol Reprod Biol

November 2024

Department of Obstetrics and Gynecology, Pusan National University Hospital, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan, Republic of Korea; Biomedical Research Institute, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan, Republic of Korea. Electronic address:

Article Synopsis
  • The study investigated the relationship between fetal subcutaneous tissue (SCT) thickness and glucose metabolism in newborns, particularly focusing on the differences between women with gestational diabetes mellitus (GDM) and those with normal glucose levels.
  • It involved 117 pregnant women scheduled for cesarean delivery, where SCT thickness was measured using ultrasound pre-delivery and calipers post-delivery, alongside glucose and insulin levels from cord blood.
  • Results showed that fetuses of mothers with GDM had greater SCT thickness and higher glucose/insulin levels, indicating a link between increased SCT and insulin resistance in newborns of these mothers.
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  • A study investigated the use of the middle cerebral artery pulsatility index (MCA-PI) to predict adverse outcomes in pregnancies affected by idiopathic polyhydramnios, which is an abnormal excess of amniotic fluid.
  • The research included 128 pregnancies with idiopathic polyhydramnios, revealing that those with MCA-PI below the 10th percentile had significantly higher rates of emergency cesarean deliveries (25.9% vs. 7.9%) and adverse perinatal outcomes (37.0% vs. 15.8%).
  • The findings suggest that a lower MCA-PI may indicate fetal distress and increased risk for neonatal complications, though cerebroplacental ratio values did not correlate with adverse outcomes
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Midwife-led continuity of care models have been linked to better clinical outcomes in certain developed countries. However, there is a paucity of research on these models in developing nations. This quasi-experimental study was conducted on primiparous women who referred to one private midwifery center and two public hospitals in Ahvaz, Iran to evaluate the effect of team midwifery care on maternal and neonatal outcomes of pregnant women in Iran.

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Mitochondrial dynamics and sex-specific responses in the developing rat hippocampus: Effect of perinatal asphyxia and mesenchymal stem cell Secretome treatment.

Biochim Biophys Acta Mol Cell Res

December 2024

Molecular & Clinical Pharmacology Program, ICBM, Medical Faculty, Universidad de Chile, Chile; Department of Neuroscience, Medical Faculty, Universidad de Chile, Chile. Electronic address:

Aims: Perinatal asphyxia is one of the major causes of neonatal death at birth. Survivors can progress but often suffer from long-term sequelae. We aim to determine the effects of perinatal asphyxia on mitochondrial dynamics and whether mesenchymal stem cell secretome (MSC-S) treatment can alleviate the deleterious effects.

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Article Synopsis
  • HIV-exposed uninfected (HEU) infants show higher levels of pro-inflammatory biomarkers that continue after birth, potentially influenced by maternal immunity in pregnant women with HIV (PWH).
  • The study analyzed plasma samples from 46 HEU infants and their mothers, comparing results with pregnant women without HIV (PWOH) and their HIV unexposed uninfected (HUU) newborns.
  • Results indicated that both PWH and HEU infants have elevated immune biomarkers, but many of these levels normalized in HEU infants by 6 months, suggesting the short-term effects of maternal inflammation on their immune development.
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Background: Prematurity remains one of the main causes of neonatal morbidity and mortality. Approximately two thirds of preterm births are spontaneous, i.e.

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How cold is too cold during maternal sepsis? Navigating between maternal hypothermia and fetal bradycardia.

Eur J Obstet Gynecol Reprod Biol

November 2024

Department of Obstetrics and Gynecology, Amsterdam University Medical Center, Location AMC, Amsterdam the Netherlands.

Hypothermia is a relatively rare condition in pregnancy and has been associated with fetal bradycardia. The management of maternal hypothermia resulting in fetal bradycardia presents a challenging dilemma for healthcare professionals. Currently, no evidence exists to advise on the duration of this condition before obstetric interventions are necessary for a safe outcome for both mother and infant.

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Background: To elucidate the factors influencing auditory brainstem response (ABR) threshold improvement in infants.

Methods: This retrospective study included 626 infants who underwent ABR at the our Health and Medical Center between 2016 and 2020. Preliminary assessment indicated that 352 infants had an ABR threshold ≥40 dBnHL in both ears.

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Large placental chorioangioma with maternal and perinatal morbidity.

Eur J Obstet Gynecol Reprod Biol

September 2024

Department of Pathology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

Article Synopsis
  • Placental chorioangioma is a benign tumor typically without complications, but this case involves a large tumor leading to serious maternal and fetal issues during labor.
  • A 38-year-old woman with a history of miscarriage experienced preterm labor at 33 weeks due to a 12x10 cm placental tumor and underwent an emergency caesarean delivery after signs of fetal distress.
  • Following delivery, the mother and baby faced complications, including postpartum hemorrhage and neonatal anemia, highlighting the need for a multidisciplinary approach to manage such cases effectively.
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