scholarly journals FIGO good practice recommendations on cervical cerclage for prevention of preterm birth

2021 ◽  
Vol 155 (1) ◽  
pp. 19-22
Author(s):  
Andrew Shennan ◽  
Lisa Story ◽  
Bo Jacobsson ◽  
William A. Grobman ◽  
Joe Leigh Simpson ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Good Practice ◽  
Cervical Cerclage ◽  
Practice Recommendations

scholarly journals FIGO good practice recommendations on modifiable causes of iatrogenic preterm birth

2021 ◽  
Vol 155 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Catalina M. Valencia ◽  
Ben W. Mol ◽  
Bo Jacobsson ◽  
Joe Leigh Simpson ◽  
Jane Norman ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Good Practice ◽  
Practice Recommendations

scholarly journals FIGO good practice recommendations on the use of pessary for reducing the frequency and improving outcomes of preterm birth

2021 ◽  
Vol 155 (1) ◽  
pp. 23-25 ◽  
Author(s):  
William A. Grobman ◽  
Jane Norman ◽  
Bo Jacobsson ◽  
Joe Leigh Simpson ◽  
Ana Bianchi ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Good Practice ◽  
Practice Recommendations

scholarly journals FIGO good practice recommendations for reducing preterm birth and improving child outcomes

2021 ◽  
Vol 155 (1) ◽  
pp. 1-4
Author(s):  
Bo Jacobsson ◽  
Joe Leigh Simpson ◽  
Bo Jacobsson ◽  
Joe Leigh Simpson ◽  
Jane Norman ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Child Outcomes ◽  
Good Practice ◽  
Practice Recommendations

Antibiotic use towards the end of life: development of good practice recommendations

2021 ◽  
pp. bmjspcare-2020-002732
Author(s):  
R Andrew Seaton ◽  
Lesley Cooper ◽  
Jack Fairweather ◽  
Stephen Fenning ◽  
Libby Ferguson ◽  
...  
Keyword(s):  
End Of Life ◽  
Good Practice ◽  
Symptom Burden ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Optimal Care ◽  
Time To Death ◽  
Practice Recommendations ◽  
Published Evidence ◽  
Future Care

ObjectivesDevelopment of evidence-based good practice recommendations for clinicians considering the use of antibiotics in patients towards the end of life.DesignA multiprofessional group of experts in end-of-life care and antimicrobial stewardship was convened. Findings from a scoping review of the literature and a consultation of clinicians were triangulated. Expert discussion was used to generate consensus on how to approach decision-making.SettingRepresentatives from hospital and a range of community health and care settings.ParticipantsMedical, pharmacy and nursing professionals.Main outcome measuresGood practice recommendations based on published evidence and the experience of prescribers in Scotland.ResultsThe findings of 88 uncontrolled, observational studies of variable quality were considered alongside a survey of over 200 prescribers. No national or international guidelines were identified. Antibiotic use towards the end of life was common but practice was highly variable. The potential harms associated with giving antibiotics tended to be less well considered than the potential benefits. Antibiotics often extended the length of time to death but this was sometimes at the cost of higher symptom burden. There was strong consensus around the importance of effective communication with patients and their families and making treatment decisions aligned to a patient’s goals and priorities.ConclusionsGood practice recommendations were agreed with focus on three areas: making shared decisions about future care; agreeing clear goals and limits of therapy; reviewing all antibiotic prescribing decisions regularly. These will be disseminated widely to support optimal care for patients towards the end of life. A patient version of the recommendations has also been produced to support implementation.

scholarly journals Pregnancy Outcome after Cerclage for Cervical Incompetence at a Private Hospital of Dhaka

2017 ◽  
Vol 12 (2) ◽  
pp. 78-81
Author(s):  
Shafeya Khanam ◽  
Maliha Rashid ◽  
Ayesha Siddika Purobi ◽  
Zebunnessa Parvin ◽  
Sanjoy Kumar Das ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Fetal Loss ◽  
Cervical Dilatation ◽  
Cervical Insufficiency ◽  
Miscarriage Rate ◽  
Cervical Cerclage ◽  
Cervical Incompetence ◽  
Obstetric Population

Miscarriage, particularly recurrent mid-trimester miscarriage is a distressful condition. This form of miscarriage and preterm birth appear to have some etiologies. An important etiology is cervical incompetence that describes a disorder in which painless cervical dilatation leads to recurrent second trimester pregnancy losses. Every year more than 10 million preterm birth occurs and more than 1 million baby die from this common complication of pregnancy. The incidence of true cervical insufficiency is estimated at less than 1% of the obstetric population. In the index pregnancy, findings indicative of possible cervical insufficiency include cervical funneling, cervical shortening, and overt cervical dilatation. The main objective of the study was to explore the benefit from cervical cerclage in pregnant women with cervical incompetence. This is a retrospective observational study conducted over a period of twelve months. All cases delivered in Central Hospital were assisted by consultant obstetricians, in which 16(61.5%) out of 26 cases were delivered by caesarean section. Miscarriage rate was 11.53%. Out of the caesarean deliveries 2(12.5%) were at term and 14(87.5%) were at preterm. In this study 3(21.42%) babies born at 32nd and 33rd weeks, 6(42.85%) at 34th week and 2(14.28%) were at 35th week. There was no fetal loss. Extreme low birth weight was only one, 7(43.75%) of the babies had normal body weight for the area of study, 8 babies (50%) had low birth weight. The cervical cerclage procedure therefore should be available more widely to benefit those patients with proven or strongly suspected cervical incompetence.Faridpur Med. Coll. J. Jul 2017;12(2): 78-81

scholarly journals Role of Cervical Cerclage and Vaginal Progesterone in the Treatment of Cervical Incompetence with/without Preterm Birth History

2016 ◽  
Vol 129 (22) ◽  
pp. 2670-2675 ◽  
Author(s):  
Shao-Wei Wang ◽  
Lin-Lin Ma ◽  
Shuai Huang ◽  
Lin Liang ◽  
Jun-Rong Zhang
Keyword(s):  
Preterm Birth ◽  
Cervical Cerclage ◽  
Birth History ◽  
Cervical Incompetence ◽  
Vaginal Progesterone
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