Obstetric outcomes for twins from different conception methods – A multicenter cross‐sectional study from China

Author(s):  
Fang Jiang ◽  
Jinsong Gao ◽  
Jing He ◽  
Yabing Tang ◽  
Yinli Cao ◽  
...  
Author(s):  
Shaymaa Kadhim Jasim ◽  
Hayder Al-Momen ◽  
Ali Abdul Razzak Obaid

Background: Repeated teenage pregnancy is a major burden on the healthcare system worldwide. Objective: We aimed to compare teenagers with their first and third pregnancies and to evaluate the likelihood of neonatal complications. Materials and Methods: This cross-sectional study was performed on female teenagers (aged ≤ 19 yr) with singleton pregnancies. The subjects (n = 298) were screened over 12 months. Ninety-six women were excluded, based on the exclusion criteria. The remaining subjects (n = 202) were divided into two groups: teenagers with first pregnancy (n = 96) and teenagers with third pregnancy (n = 47). The subjects were observed throughout pregnancy and delivery. The final sample size of the first and third pregnancy groups was 96 and 47, respectively. Results: There was a significant risk of preeclampsia in the first pregnancy group (p = 0.01). Low birth weight, five-min Apgar score < 7, and neonatal intensive care unit admission were the most significant neonatal outcomes in the first pregnancy group. In the third pregnancy group, significant predictors of neonatal complications included very young age in the first pregnancy (≤ 15 yr), an inter-pregnancy interval < 2 yr, current anemia, and history of obstetric and/or neonatal complications in previous pregnancies. Conclusion: Based on the results, teenagers with their first pregnancy had comparable obstetric outcomes (except for preeclampsia) as teenagers with their third pregnancy, whereas neonatal complications occurred more frequently in the first pregnancy group. Overall, we can predict high-risk neonates in the third pregnancy, based on the abovementioned parameters. Key words: Teenage pregnancy, Complications, Neonate.


2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Jeffrey P. Wilkinson ◽  
Angela M. Bengtson ◽  
Ennet Chipungu ◽  
Rachel J. Pope ◽  
Bonus Makanani ◽  
...  

Objective. Obstetric fistula (OF) is a morbid condition caused by prolonged obstructed labor. Women with OF experience profound injury and have high rates of infertility and poor obstetric outcomes. We examined endovaginal ultrasound parameters in women with and without OF. Design/Setting/Sample/Methods. This cross-sectional study enrolled women evaluated at the Fistula Care Centre in Lilongwe, Malawi. Eligibility criteria included age 18–45, prior pregnancy, and a uterus on ultrasound. Participants underwent endovaginal ultrasound with measurement of cervical dimensions. Comparisons were done using t-tests and Fisher's exact test. Among women with OF, linear regression was used to assess whether fistula stage was associated with cervical length. Results. We enrolled 98 cases and 12 controls. Women with OF had shorter cervical lengths (18.8 mm versus 27.3 mm, p < 0.01), as well as shorter anterior (7.0 mm versus 9.3 mm, p < 0.01) and posterior (9.5 mm versus 11.0 mm, p < 0.04) cervical stroma, compared to controls. Conclusion. Women with OF have shorter cervical lengths and anterior and posterior cervical stroma, when compared to women without OF. This may offer a partial explanation for subfertility and poor obstetric outcomes in OF patients. Additional studies to clarify the role of ultrasound in OF patients and prediction of future fertility are warranted.


2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Tânia Regina Scheidt ◽  
Odaléa Maria Brüggemann

ABSTRACT The aim of this cross-sectional study was to identify the prevalence of water births in a maternity hospital of Santa Catarina, Brazil, and to investigate the association between sociodemographic and obstetric variables and water birth. The sample consisted of 973 women who had normal births between June 2007 and May 2013. Data was analyzed through descriptive and bivariate statistics, and estimated prevalence and tested associations through the use of the chi-square test; the unadjusted and adjusted odds ratio were calculated. The prevalence of water births was 13.7%. Of the 153 women who had water birth, most were aged between 20 to 34 years old (122), had a companion (112), a college degree (136), were primiparous (101), had a pregnancy without complications (129) and were admitted in active labor (94). There was no association between sociodemographic characteristics and obstetric outcomes in the bivariate and multivariate analyses and in the adjusted model. Only women with private sources for payment had the opportunity to give birth in water.


Author(s):  
Kunal Kanti Majumdar ◽  

Background: Breastfeeding is beneficial for both the mother and child. Exclusive breastfeeding protects the child from various infections. It reduces the risks of ovarian and breast cancer in the mother. Poor hygienic and sanitary practices during pregnancy may lead to various infective conditions and adverse obstetric outcomes leading to increased maternal and neonatal morbidity and mortality. Objectives: To determine the breastfeeding knowledge and knowledge and practice of personal hygiene and sanitation among the antenatal mothers. Methodology: A cross-sectional study was performed in a tertiary hospital in Kolkata. 170 antenatal mothers were selected for the study. Data was collected on breastfeeding knowledge and knowledge and practice of personal hygiene and sanitation. Result: 41.8% of antenatal mothers were between 25-30 years of age. According to 98.2% opined that breastmilk should be fed to the child first after birth. 75.9% of them cleaned their teeth twice daily, 72.4% bathed once in a day. 83.5% of them regularly washed their nipples with soap and water. 99.4% washed their hands before eating and after using the toilet, 75.9% had no idea about the 6 steps of hand washing. 37.7% used domestic filter as their source of drinking water. 7.1% used community toilets and 44.7% knows the usefulness of sanitary toilet. Conclusion: In this study, it was found that most of the mothers had adequate knowledge about the importance of colostrum and exclusive breastfeeding and the correct time of initiating complementary feeding. Knowledge as well as practices of hygiene and sanitation were also found to be satisfactory.


2010 ◽  
Vol 20 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Evelyn R. Klein ◽  
Barbara J. Amster

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

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