Tag: obstetrics

1. Epidural analgesia during vaginal labour was associated with an increased risk of infection among neonates  2. Further research and studies should focus on improving the safety of epidural analgesia during labour and delivery  Evidence Rating Level: 2 (Good) Study Rundown: Epidural analgesia is a tool that has revolutionized the birth experience...

1. Prolonging passive second stage beyond 2 hours did not increase the risk of hysterotomy extension during cesareans  2. Surgeon’s level of experience and forceps use during cesarean were associated with hysterotomy extensions Evidence Rating Level: 2 (Good) Approximately 3-8% of cesareans result in hysterotomy extension which can result in increased postpartum...

1. Historically redlined districts and racial discriminatory policies were associated with worse obstetrical outcomes including preterm birth  2. Structural inequities and racial disparities had detrimental health effects, increased obstetric related morbidity, and mortality  Evidence Rating Level: 2 (Good)  Racial and ethnic disparities are prevalent in the United States with pregnancy related morbidity...

Health care costs associated with hepatitis C virus infection in First Nations populations in Ontario: a retrospective matched cohort study 1. Health care costs associated with with hepatitis C virus in Status First Nations people increased with disease progression 2. Net costs were higher among females in the initial stages of...

The effect of adiposity on cardiovascular function and myocardial fibrosis in patients with Duchenne muscular dystrophy 1. In a cohort of patients with Duchenne muscular dystrophy, adiposity was associated with cardiac dysfunction. Evidence Rating Level: 2 (Good) Duchenne muscular dystrophy (DMD) is an X-linked recessive disease that leads to the absence of...

1. 17.5% of individuals giving birth for the first time were found to have inadequate health literacy. 2. Individuals with inadequate health literacy were at greater risk themselves for C-section delivery and major peritoneal laceration, with their neonates at greater risk for being small for gestational age, having low birth...

1. Obesity was associated with recurrent preeclampsia among pregnant women during their first and subsequent pregnancies. 2. Diabetes mellitus, chronic hypertension and being overweight were found to be risk factors for incident and recurrent preeclampsia. Evidence Rating Level: 1 (Excellent) Study Rundown: Preeclampsia is a disorder that affects approximately 8% of pregnancies...

1. Pregnancies with antepartum sepsis were associated with placental dysfunctions 2. Increased antenatal surveillance to avoid sepsis during pregnancy may reduce the risk of fetal complications Evidence Rating Level: 2 (Good) Maternal sepsis is a prevalent, life threatening condition that evolves rapidly with a fatality rate ranging from 10% to 30% in...

1. The Face-it, four-stage health promotion intervention reduced the risk of diabetes among women with prior gestational diabetes 2. Conducting qualitative research, reviewing prior evidence, intervention implementation, pilot testing, and outcome evaluation were essential steps in optimizing the prevention of Type 2 diabetes after gestational diabetes Evidence Rating Level: 2...

Perinatal Outcomes Among Patients With Sepsis During Pregnancy 1. Pregnancies with antepartum sepsis were associated with placental dysfunctions 2. Increased antenatal surveillance to avoid sepsis during pregnancy may reduce the risk of fetal complications Evidence Rating Level: 2 (Good) Maternal sepsis is a prevalent, life threatening condition that evolves rapidly with a fatality...