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1648 records – page 1 of 165.

A 12-year cohort study on adverse pregnancy outcomes in Eastern Townships of Canada: impact of endometriosis.

https://arctichealth.org/en/permalink/ahliterature256963
Source
Gynecol Endocrinol. 2014 Jan;30(1):34-7
Publication Type
Article
Date
Jan-2014
Author
Aziz Aris
Author Affiliation
Department of Obstetrics-Gynecology, Clinical Research Centre of Sherbrooke University Hospital Centre , Sherbrooke, Quebec , Canada.
Source
Gynecol Endocrinol. 2014 Jan;30(1):34-7
Date
Jan-2014
Language
English
Publication Type
Article
Keywords
Adult
Canada - epidemiology
Cohort Studies
Endometriosis - complications - epidemiology
Female
Humans
Incidence
Infant, Low Birth Weight
Infant, Newborn
Peritoneal Diseases - complications - epidemiology
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Outcome - epidemiology
Quebec - epidemiology
Young Adult
Abstract
The aim of this study was to provide a temporal-spatial reference of adverse pregnancy outcomes (APO) and examine whether endometriosis promotes APO in the same population. Among the 31?068 women who had a pregnancy between 1997 and 2008 in Eastern Townships of Canada, 6749 (21.7%) had APO. These APO increased significantly with maternal age and over time (r(2?)=?0.522, p?=?0.008); and were dominated by preterm birth (9.3%), pregnancy-induced hypertension (8.3%) including gestational hypertension (6.5%), low birth weight (6.3%), gestational diabetes (3.4%), pregnancy loss (2.2%) including spontaneous abortion (1.5%) and stillbirth (0.6%), intrauterine growth restriction (2.1%) and preeclampsia (1.8%). Among the 31?068 pregnancies, 784 (2.5%) had endometriosis and 183 (23.3%) had both endometriosis and APO. Endometriosis has been shown to increase the incidence of fetal loss (OR?=?2.03; 95% CI?=?1.42-2.90, p?
PubMed ID
24134807 View in PubMed
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The 24-hour urine collection: gold standard or historical practice?

https://arctichealth.org/en/permalink/ahliterature155561
Source
Am J Obstet Gynecol. 2008 Dec;199(6):625.e1-6
Publication Type
Article
Date
Dec-2008
Author
Anne-Marie Côté
Tabassum Firoz
André Mattman
Elaine M Lam
Peter von Dadelszen
Laura A Magee
Author Affiliation
Department of Nephrology, University of Sherbrooke, Sherbrooke, PQ, Canada.
Source
Am J Obstet Gynecol. 2008 Dec;199(6):625.e1-6
Date
Dec-2008
Language
English
Publication Type
Article
Keywords
Adult
Biological Markers - urine
British Columbia
Cohort Studies
Creatinine - urine
Female
Gynecology - standards
Hospitals, University
Humans
Hypertension - diagnosis - urine
Pre-Eclampsia - diagnosis - urine
Pregnancy
Pregnancy Complications, Cardiovascular - diagnosis - urine
Pregnancy outcome
Prenatal Care - standards
Reference Standards
Retrospective Studies
Sensitivity and specificity
Time Factors
Urinalysis - standards
Young Adult
Abstract
The objective of the study was to determine completeness of 24-hour urine collection in pregnancy.
This was a retrospective laboratory/chart review of 24-hour urine collections at British Columbia Women's Hospital. Completeness was assessed by 24-hour urinary creatinine excretion (UcreatV): expected according to maternal weight for single collections and between-measurement difference for serial collections.
For 198 randomly selected pregnant women with a hypertensive disorder (63% preeclampsia), 24-hour urine collections were frequently inaccurate (13-54%) on the basis of UcreatV of 97-220 micromol/kg per day (11.0-25.0 mg/kg per day) or 133-177 micromol/kg per day (15.1-20.1 mg/kg per day) of prepregnancy weight (respectively). Lean body weight resulted in more inaccurate collections (24-68%). The current weight was frequently unavailable (28%) and thus not used. For 161 women (81% proteinuric) with serial 24-hour urine levels, a median [interquartile range] of 11 [5-31] days apart, between-measurement difference in UcreatV was 14.4% [6.0-24.9]; 40 women (24.8%) had values 25% or greater, exceeding analytic and biologic variation.
Twenty-four hour urine collection is frequently inaccurate and not a precise measure of proteinuria or creatinine clearance.
PubMed ID
18718568 View in PubMed
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86 successful births and 9 ongoing pregnancies worldwide in women transplanted with frozen-thawed ovarian tissue: focus on birth and perinatal outcome in 40 of these children.

https://arctichealth.org/en/permalink/ahliterature282764
Source
J Assist Reprod Genet. 2017 Mar;34(3):325-336
Publication Type
Article
Date
Mar-2017
Author
Annette Klüver Jensen
Kirsten Tryde Macklon
Jens Fedder
Erik Ernst
Peter Humaidan
Claus Yding Andersen
Source
J Assist Reprod Genet. 2017 Mar;34(3):325-336
Date
Mar-2017
Language
English
Publication Type
Article
Keywords
Cryopreservation
Denmark
Female
Fertility Preservation
Fertilization in Vitro - methods
Humans
Infant, Newborn
Ovary - transplantation
Pregnancy
Pregnancy outcome
Premature Birth
Primary Ovarian Insufficiency - physiopathology
Transplantation, Autologous
Abstract
This study aims to make an account of the children born following transplantation of frozen-thawed ovarian tissue worldwide with specific focus on the perinatal outcome of the children. Furthermore, perinatal outcome of seven deliveries (nine children) from Denmark is reported.
PubMed was searched for papers of deliveries resulting from ovarian tissue cryopreservation (OTC). Seven women underwent OTC prior to chemotherapy. Four of these women still had low ovarian function and had tried to conceive. They therefore had tissue autotransplanted to augment their fertility. The other three women had developed premature ovarian insufficiency (POI) after the end of treatment.
Worldwide, approximately 95 children have been born or will be born in the near future from OTC, including these 9 new children. Information on the perinatal outcome was found on 40 children. The mean gestational age was 39 weeks and the mean birth weight was 3168 g of the singleton pregnancies, which is within internationally recognized normal standards. Furthermore, half the singletons resulted from natural conception and all twins resulted from in vitro fertilization treatment. All seven Danish women became pregnant within 1-3 years after transplantation. They gave birth to nine healthy children.
The data is reassuring and further suggests that cryopreservation of ovarian tissue is becoming an established fertility preservation method. The seven Danish women reported in this study were all in their early thirties when OTC was performed. Most other reported cases were in the women's twenties. This suggests that the follicular pool in the thirties is large enough and sufficient to sustain fertility.
Notes
Erratum In: J Assist Reprod Genet. 2017 Mar;34(3):33728120130
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PubMed ID
28028773 View in PubMed
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[Abdominal pregnancy with a living infant]

https://arctichealth.org/en/permalink/ahliterature59724
Source
Ugeskr Laeger. 1991 May 27;153(22):1593-4
Publication Type
Article
Date
May-27-1991
Author
K. Brasso
K V Strøm
Author Affiliation
Amtssygehuset i Roskilde, gynaekologisk-obstetrisk afdeling.
Source
Ugeskr Laeger. 1991 May 27;153(22):1593-4
Date
May-27-1991
Language
Danish
Publication Type
Article
Keywords
Abdomen
Adult
Cesarean Section
English Abstract
Female
Humans
Infant, Newborn
Male
Pregnancy
Pregnancy outcome
Pregnancy, Ectopic - diagnosis
Abstract
Abdominal pregnancy resulting in a liveborn infant is an obstetric rarity in Denmark. A case is reported and four cases reported during the past 20 years are reviewed. In the present case, the diagnosis of extrauterine pregnancy was not established in advance. The infant, a full-term boy weighing 3,650 g, was delivered transplacentally by Caesarean section during epidural analgesia. The placenta was adherent to the intestines and was left in the abdomen for spontaneous resorption but was expelled gradually through an amnio-percutaneous fistula over a period of three months. The infant did not present any evidence of congenital abnormalities.
PubMed ID
2058022 View in PubMed
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The accident at Chernobyl and outcome of pregnancy in Finland.

https://arctichealth.org/en/permalink/ahliterature65309
Source
BMJ. 1989 May 20;298(6684):1384
Publication Type
Article
Date
May-20-1989
Author
M. Joffe
Source
BMJ. 1989 May 20;298(6684):1384
Date
May-20-1989
Language
English
Publication Type
Article
Keywords
Accidents
Female
Finland
Humans
Nuclear Reactors
Pregnancy
Pregnancy outcome
Ukraine
Notes
Comment On: BMJ. 1989 Apr 15;298(6679):995-72499391
PubMed ID
2502266 View in PubMed
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The accident at Chernobyl and outcome of pregnancy in Finland.

https://arctichealth.org/en/permalink/ahliterature38150
Source
BMJ. 1989 Apr 15;298(6679):995-7
Publication Type
Article
Date
Apr-15-1989
Author
T. Harjulehto
T. Aro
H. Rita
T. Rytömaa
L. Saxén
Author Affiliation
Department of Pathology, University of Helsinki, Finland.
Source
BMJ. 1989 Apr 15;298(6679):995-7
Date
Apr-15-1989
Language
English
Publication Type
Article
Keywords
Abnormalities, Radiation-Induced - epidemiology - etiology
Accidents
Cohort Studies
Female
Finland
Geography
Humans
Infant mortality
Infant, Newborn
Infant, Premature
Nuclear Reactors
Pregnancy
Pregnancy outcome
Radioactive Fallout - adverse effects
Time Factors
Ukraine
Abstract
OBJECTIVE--To evaluate the outcome of pregnancy in Finnish women after the accident at the Chernobyl nuclear power plant on 26 April 1986. DESIGN--Geographic and temporal cohort study. SETTING--Finland divided into three zones according to amount of radioactive fallout. SUBJECTS--All children who were exposed to radiation during their fetal development. Children born before any effects of the accident could be postulated--that is, between 1 January 1984 and 30 June 1986--served as controls. INTERVENTIONS--Children were divided into three temporal groups: controls, children who were expected to be born in August to December 1986, and children who were expected to be born in February to December 1987. They were also divided, separately, into three groups according to the three geographic zones. END POINT--Incidence of congenital malformations, preterm births, and perinatal deaths. MEASUREMENTS AND MAIN RESULTS--There were no significant differences in the incidence of malformations or perinatal deaths among the three temporal and three geographic groups. A significant increase in preterm births occurred among children who were exposed to radiation during the first trimester whose mothers lived in zones 2 and 3, where the external dose rate and estimated surface activity of caesium-137 were highest. CONCLUSIONS--The results suggest that the amount of radioactive fallout that Finnish people were exposed to after the accident at Chernobyl was not high enough to cause fetal damage in children born at term. The higher incidence of premature births among malformed children in the most heavily polluted areas, however, remains unexplained.
Notes
Comment In: BMJ. 1989 May 20;298(6684):13842502266
PubMed ID
2499391 View in PubMed
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Acupuncture on the day of embryo transfer significantly improves the reproductive outcome in infertile women: a prospective, randomized trial.

https://arctichealth.org/en/permalink/ahliterature76364
Source
Fertil Steril. 2006 May;85(5):1341-6
Publication Type
Article
Date
May-2006
Author
Lars G Westergaard
Qunhui Mao
Marianne Krogslund
Steen Sandrini
Suzan Lenz
Jørgen Grinsted
Author Affiliation
Fertility Clinic Trianglen, Hellerup, Denmark. l.g.westergaard@dadlnet.dk
Source
Fertil Steril. 2006 May;85(5):1341-6
Date
May-2006
Language
English
Publication Type
Article
Keywords
Acupuncture Therapy - psychology
Adult
Denmark - epidemiology
Embryo Transfer - statistics & numerical data
Female
Humans
Infertility, Female - epidemiology - therapy
Middle Aged
Pregnancy
Pregnancy Outcome - epidemiology
Prospective Studies
Research Support, Non-U.S. Gov't
Treatment Outcome
Abstract
OBJECTIVE: To evaluate the effect of acupuncture on reproductive outcome in patients treated with IVF/intracytoplasmic sperm injection (ICSI). One group of patients received acupuncture on the day of ET, another group on ET day and again 2 days later (i.e., closer to implantation day), and both groups were compared with a control group that did not receive acupuncture. DESIGN: Prospective, randomized trial. SETTING: Private fertility center. PATIENT(S): During the study period all patients receiving IVF or ICSI treatment were offered participation in the study. On the day of oocyte retrieval, patients were randomly allocated (with sealed envelopes) to receive acupuncture on the day of ET (ACU 1 group, n = 95), on that day and again 2 days later (ACU 2 group, n = 91), or no acupuncture (control group, n = 87). INTERVENTION(S): Acupuncture was performed immediately before and after ET (ACU 1 and 2 groups), with each session lasting 25 minutes; and one 25-minute session was performed 2 days later in the ACU 2 group. MAIN OUTCOME MEASURE(S): Clinical pregnancy and ongoing pregnancy rates in the three groups. RESULT(S): Clinical and ongoing pregnancy rates were significantly higher in the ACU 1 group as compared with controls (37 of 95 [39%] vs. 21 of 87 [26%] and 34 of 95 [36%] vs. 19 of 87 [22%]). The clinical and ongoing pregnancy rates in the ACU 2 group (36% and 26%) were higher than in controls, but the difference did not reach statistical difference. CONCLUSION(S): Acupuncture on the day of ET significantly improves the reproductive outcome of IVF/ICSI, compared with no acupuncture. Repeating acupuncture on ET day +2 provided no additional beneficial effect.
Notes
Comment In: Fertil Steril. 2006 May;85(5):1362-3; discussion 1368-7016600223
Comment In: Fertil Steril. 2006 May;85(5):1364-7; discussion 1368-7016600221
PubMed ID
16600232 View in PubMed
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Acupuncture treatment during labour--a randomised controlled trial.

https://arctichealth.org/en/permalink/ahliterature63646
Source
BJOG. 2002 Jun;109(6):637-44
Publication Type
Article
Date
Jun-2002
Author
Agneta Ramnerö
Ulf Hanson
Mona Kihlgren
Author Affiliation
Department of Obstetrics and Gynaecology, Orebro University Hospital, Sweden.
Source
BJOG. 2002 Jun;109(6):637-44
Date
Jun-2002
Language
English
Publication Type
Article
Keywords
Acupuncture Analgesia - methods
Adult
Analgesia, Epidural - statistics & numerical data
Female
Humans
Obstetric Labor Complications - therapy
Pain - prevention & control
Pain Measurement
Patient satisfaction
Pregnancy
Pregnancy outcome
Relaxation
Research Support, Non-U.S. Gov't
Risk factors
Abstract
OBJECTIVE: To investigate acupuncture treatment during labour with regard to pain intensity, degree of relaxation and outcome of the delivery. DESIGN: Randomised controlled trial. SETTING: Delivery ward at a tertiary care centre hospital in Sweden. POPULATION: Ninety parturients who delivered during the period April 12, 1999 and June 4, 2000. METHODS: Forty-six parturients were randomised to receive acupuncture treatment during labour as a compliment, or an alternative, to conventional analgesia. MAIN OUTCOME MEASURES: Assessments of pain intensity and degree of relaxation during labour, together with evaluation of delivery outcome. RESULTS: Acupuncture treatment during labour significantly reduced the need of epidural analgesia (12% vs 22%, relative risk [RR] 0.52, 95% confidence interval [CI] 0.30 to 0.92). Parturients who received acupuncture assessed a significantly better degree of relaxation compared with the control group (mean difference -0.93, 95% CI -1.66 to -0.20). No negative effects of acupuncture given during labour were found in relation to delivery outcome. CONCLUSIONS: The results suggest that acupuncture could be a good alternative or complement to those parturients who seek an alternative to pharmacological analgesia in childbirth. Further trials with a larger number of patients are required to clarify if the main effect of acupuncture during labour is analgesic or relaxing.
PubMed ID
12118641 View in PubMed
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Acute appendicitis in pregnancy: complications and subsequent management.

https://arctichealth.org/en/permalink/ahliterature64903
Source
Eur J Surg. 1992 Nov-Dec;158(11-12):603-6
Publication Type
Article
Author
A C Halvorsen
B. Brandt
J J Andreasen
Author Affiliation
Department of Obstetrics and Gynaecology, Rigshospitalet, University of Copenhagen, Denmark.
Source
Eur J Surg. 1992 Nov-Dec;158(11-12):603-6
Language
English
Publication Type
Article
Keywords
Acute Disease
Adult
Appendectomy
Appendicitis - diagnosis - surgery
Female
Humans
Postoperative Complications
Pregnancy
Pregnancy Complications - diagnosis - surgery
Pregnancy outcome
Retrospective Studies
Abstract
OBJECTIVE--To establish guidelines for the management of a pregnancy that is complicated by acute appendicitis. DESIGN--Retrospective study. SETTING--University Hospital, Copenhagen, Denmark. SUBJECTS--16 patients operated on for symptoms of acute appendicitis during the 15 year period 1974-1988. RESULTS--In 12 patients (75%) the diagnosis was confirmed histologically. The signs and symptoms were classic, and three patients had contractions. One fetus died, in a patient with appendicitis complicated by intraperitoneal abscess. In all uncomplicated cases the pregnancy proceeded to term and the deliveries were normal. CONCLUSIONS--Pregnancy should not deter a surgeon from removing an appendix, once the diagnosis is suspected; no pregnancy was affected by removal of a normal appendix. We recommend that prophylactic antibiotics and tocolytic drugs be given in all cases. Simultaneous caesarean section should be done only if there are obstetric indications.
PubMed ID
1363065 View in PubMed
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Acute disseminated intravascular coagulation in obstetrics: a tertiary centre population review (1980 to 2009).

https://arctichealth.org/en/permalink/ahliterature125524
Source
J Obstet Gynaecol Can. 2012 Apr;34(4):341-7
Publication Type
Article
Date
Apr-2012
Author
Darrien D Rattray
Colleen M O'Connell
Thomas F Baskett
Author Affiliation
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS.
Source
J Obstet Gynaecol Can. 2012 Apr;34(4):341-7
Date
Apr-2012
Language
English
Publication Type
Article
Keywords
Abruptio Placentae
Adult
Blood Transfusion
Disseminated Intravascular Coagulation - diagnosis - etiology - therapy
Female
Hospitals, Maternity
Humans
Infant mortality
Infant, Newborn
Maternal mortality
Nova Scotia - epidemiology
Postpartum hemorrhage
Pre-Eclampsia
Pregnancy
Pregnancy Complications - diagnosis - epidemiology - therapy
Pregnancy outcome
Abstract
To determine the antecedent factors, morbidity, and mortality associated with disseminated intravascular coagulation (DIC) in a Nova Scotia tertiary maternity hospital over a 30-year period.
Cases of DIC were identified from the Nova Scotia Atlee Perinatal Database for the years 1980 to 2009 and the hospital charts reviewed. The clinical diagnosis of DIC was confirmed or refuted using a combination of the International Society of Thrombosis and Haemostasis scoring system and an obstetrical DIC-severity staging system. The cause of DIC was determined from chart review. Maternal outcomes included massive transfusion (= 5 units), hysterectomy, admission to ICU, acute tubular necrosis (ATN) requiring dialysis, and death. Neonatal outcomes included Apgar scores, birth weight, NICU admission, and death. Treatment of DIC was assessed by blood products administered, postpartum hemorrhage management, and laboratory measurements.
There were 49 cases of DIC in 151 678 deliveries (3 per 10,000) over the 30 years. Antecedent causes included placental abruption (37%), postpartum hemorrhage or hypovolemia (29%), preeclampsia/HELLP (14%), acute fatty liver (8%), sepsis (6%), and amniotic fluid embolism (6%). The associated maternal morbidity included transfusion = 5 units (59%), hysterectomy (18%), ICU admission (41%), and ATN requiring dialysis (6%). There were three maternal deaths, giving a case fatality rate of 1 in 16. The perinatal outcomes included stillbirth (25%), neonatal death (5%), and NICU admission (72.5%).
Obstetrical DIC is an uncommon condition associated with high maternal and perinatal morbidity and mortality. Prompt recognition and treatment with timely administration of blood products is crucial in the management of this life-threatening disorder.
PubMed ID
22472333 View in PubMed
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1648 records – page 1 of 165.