Tag: obstetrics

1. Mothers with preterm deliveries have significantly different levels of metabolites among them compared to term mothers. 2. There are different levels of metabolites among mothers with spontaneous preterm deliveries and with medically-indicated spontaneous preterm deliveries with or without preeclampsia. Evidence Rating Level: 2 (Good) Mothers who have preterm deliveries (PTD) may...

1. Newborns exposed to methadone prenatally had worse neurobehavior scores than those who were not. 2. Infants belonging to one of four particular neurobehavioral profiles were associated with poorer cognitive and neuromotor outcomes at 24 months. Evidence Rating Level: 2 (Good) As the opioid crisis continues to take its toll in North...

Vitamin D and the risk of dystocia: A case-control study 1. Compared ­­to women who had spontaneous vaginal deliveries, women who underwent caesarian sections due to dystocia had decreased vitamin D level. Evidence Rating Level: 3 (Average) Dystocia, otherwise known as difficult or obstructed labor, is either directly or indirectly responsible for...

1. A midwifery continuity of care model, involving maternal care before, during, and after birth, yielded no improved clinical outcomes compared to a standard model of care. Evidence Rating Level: 1 (Excellent) Around the world, 10% of infants are born preterm and over 1 million die from preterm birth (PTB) complications...

1. Prior preterm cesarean delivery was not associated with an increased risk of uterine rupture compared with prior term cesarean delivery during a subsequent trial of labor. Evidence Level Rating: 2 (Good) Uterine rupture is a feared obstetric emergency associated with substantial morbidity and mortality for both mother and fetus. It...

Early surgical intervention for symptomatic renal and ureteral stones is associated with reduced narcotic requirement relative to trial of passage 1. Among those presenting with symptomatic nephrolithiasis, patients electing for trial of passage with medical expulsion therapy were more likely to receive a prescription for an opiate compared with those...

1. Administration of vaginal lactoferrin 4 hours before amniocentesis decreased markers of oxidative stress. Evidence Rating Level: 2 (Good) While reactive oxygen species (ROS) are a necessary part of metabolism, excessive ROS can result in a condition, Oxidative Stress, which is associated with many negative pregnancy outcomes such as spontaneous abortion,...

Anemia is associated with the risk of Crohn’s disease, not ulcerative colitis: A nationwide population-based cohort study 1. Anemia increased the risk of development of Crohn’s disease, inversely to hemoglobin concentration 2. Anemia was not associated with an increased risk of ulcerative colitis. Evidence Rating Level: 2 (Good) Though inflammatory bowel disease (IBD)...

1. Low iodine intake associated with decreased subfecundity, reduced fetal growth, increased preterm delivery, and increased preeclampsia. Evidence Rating Level: 2 (Good) The thyroid gland is important in fertility for females and improper functioning has been shown to have adverse effects on fertility and pregnancy. Although iodine is known to be...

1. No overall significant difference was found in infant malaria incidence between mothers taking intermittent preventive treatment (IPTp) with sulfadoxine-pyrimethamine versus dihydroartemisinin-piperaquine. 2. Dihydroartemisinin-piperaquine (DP) was associated with lower incidence of malaria infant males compared to traditional sulfadoxine-pyrimethamine (SP) use in the first year of life. Evidence Rating Level: 2 (Good) To...