Tag: obstetrics

1. Increased breastfeeding satisfaction was 47% higher among mothers who were negative for postpartum depression compared to those who were positive for postpartum depression. Evidence Rating Level: 3 (Average) Breastfeeding and maternal health provide innumerable health benefits to newborn children. There are also many factors that can negatively impact maternal health...

Diaphragm Pathology in Critically Ill Patients With COVID-19 and Postmortem Findings From 3 Medical Centers 1. Patients with severe COVID-19 demonstrated a unique diaphragm myopathic phenotype compared to non-COVID-19 ICU patients. 2. It is unclear whether or not myopathy is a direct result of COVID-19. Evidence Rating Level: 2 (Good) Severe acute respiratory...

1. A decision aid tool significantly helped resolve decision conflict in patients contemplating the use of epidural anesthesia during labour. Evidence Rating Level: 1 (Excellent) In Japan, analgesic use in delivery of babies is low compared to other countries, with only 6.2% of women receiving epidural anesthesia in 2016. This could...

1. Injectable contraceptives were associated with the longest delays (2-8 menstrual cycles) in return of normal fertility, compared to other contraceptive methods. 2. No long-term and lasting effects on fecundability were associated with use of any of the studied contraceptive methods. Evidence Rating Level: 2 (Good) Fecundability is defined as the probability...

1. With 70% vaccination coverage, a 3rd trimester maternal vaccine for respiratory syncytial virus (RSV) was modelled to reduce RSV infection rates by 16.6% in infants younger than 3 months.  2. Incidence rate of RSV infections in the first 6 months of life for infants born to unvaccinated mothers was...

Advance care planning in patients with advanced cancer: A 6-country, cluster-randomised clinical trial 1. An advanced care planning (ACP) intervention was not found to increase quality of life compared to usual care, in patients with advanced lung or colorectal cancer. 2. ACP was found to increase the number of patients receiving...

1. COVID-19 infection in late pregnancy was associated with adverse birth outcomes, such as cesarean section delivery and iatrogenic preterm birth. 2. Limited evidence was found for maternal-fetal vertical transmission of SARS-CoV-2. Evidence Rating Level: 3 (Average) Coronavirus disease 2019 (COVID-19) is an ongoing concern in the healthcare sector. However, little is...

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 30-60% of cesarean deliveries (C-sections). Vitamin D insufficiency during...

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...