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Postpartum Endometritis

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161. Prevalence and Clinical Significance of Streptococcus dysgalactiae subspecies equisimilis (Groups C or G Streptococci) Colonization in Pregnant Women: A Retrospective Cohort Study Full Text available with Trip Pro

taken at 35-37 weeks of pregnancy were analyzed at Tampere University Hospital, Finland, between 2012 and 2014. From this laboratory data, all Streptococcus G or C-positive cultures were included to study maternal and neonatal infectious morbidity after delivery. This study population was compared to women with a positive Streptococcus B culture and to women with a negative culture.The prevalence of Streptococcus G or C colonization was 2.9%. Significantly more postpartum endometritis was found (...) in this study group. No association was found between colonization and neonatal bacteremia.Streptococcus G or C colonization is associated with postpartum endometritis. More research is needed to clarify if antibiotic prophylaxis is reasonable for this group during delivery.

2018 Infectious diseases in obstetrics and gynecology

162. The impact of time of delivery on gestations complicated by preterm premature rupture of membranes: daytime versus nighttime. (Abstract)

no differences in demographic maternal variables. There were no differences in the number of patients receiving steroids and the doses of steroids. Antibiotic prophylaxis was also equal in both groups. Postpartum endometritis, chorioamnionitis, and the latency to delivery were also equivalent between both the groups. Cesarean delivery for distress was the only different outcome, more prevalent in daytime deliveries (157 (44.7%) versus 108 (35.9%) of the nighttime ones p = .02). Neonatal adverse outcomes

2018 The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Controlled trial quality: uncertain

163. Azithromycin-based Extended-Spectrum Antibiotic Prophylaxis for Cesarean: Role of Placental Colonization with Genital Ureaplasmas and Mycoplasmas. (Abstract)

prophylaxis at cesarean. Chorioamnion/placenta specimens were tested for genital mycoplasmataceae colonization by polymerase chain reaction. Primary outcome was a composite of endometritis, wound infection, or other infections up to 6 weeks postpartum. Analysis was intent-to-treat; logistic regression was used to evaluate interactions between treatment assignment (AZI/placebo) and the presence/absence of mycoplasmataceae and to quantify effects of AZI in analyses stratified by the presence/absence (...) (OR: 0.49; 95% CI: 0.24-1) of mycoplasmataceae. Results were similar with endometritis/wound infections and with ureaplasmas/mycoplasmas considered separately. The reduction in postcesarean infection with AZI does not vary based on the presence or absence of genital mycoplasmataceae placental colonization.Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

2018 American journal of perinatology Controlled trial quality: predicted high

164. The effect of mechanical cervical dilatation during scheduled cesarean section on the blood loss: a randomized controlled trial. (Abstract)

and haematocrit levels in group II (p = 0.014 and 0.033 respectively). The mean duration of CS was significantly shorter in the cervical dilatation group (p = 0.002). No difference between both groups regarding the rate of postpartum hemorrhage (PPH) (p = 0.21), the duration of hospital stay (p = 0.17), the rate of wound infection (p = 0.32), the rate of endometritis (p = 0.82).Mechanical cervical dilatation during scheduled CS could be associated with lower postoperative blood loss, higher postoperative (...) spinal anesthesia if they met our inclusion criteria. Eligible participants were randomized to one of two groups. Group (I): Women with intraoperative cervical dilatation and Group (II): women with no intraoperative cervical dilatation. The primary outcome of this study was the mean volume of total blood loss during CS. The secondary outcomes included the mean reduction in the hemoglobin and hematocrit, the rate of primary postpartum hemorrhage, the duration of surgery, the duration of hospital stay

2018 The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Controlled trial quality: predicted high

165. The effect of endometrial thickness on pregnancy outcome in patients with Asherman’s syndrome post-hysteroscopic adhesiolysis Full Text available with Trip Pro

that included 41 women who attended Women's Specialized Hospital, King Fahad Medical City from December 2008 to December 2015, presented with a history of infertility or recurrent pregnancy loss, and were diagnosed with intrauterine adhesions and treated by hysteroscopic adhesiolysis. To analyze the causative factors of AS, history of curettage, miscarriage, postpartum hemorrhage, hysteroscopy, endometritis, and any uterine surgery were recorded. Patients were followed up for 2 years to account

2018 International journal of women's health

166. Quality Improvement Guidelines for Uterine Artery Embolization for Symptomatic Leiomyomata

agonistusebeforetheperformanceofUAEmaycomplicatetheprocedure by induction of vasospasm, such a sequential therapeutic protocol has been employed successfully and has been reported in the literature (8). Transcatheter embolization of the uterine arteries for treatment of uterine leiomyomata was ?rst reported by Ravina et al in 1995 (9). The procedurewasbasedonestablishedtechniquesfortreatingpelvicbleeding related to trauma or gynecologic emergencies, such as postpartum hemorrhage. Goodwin et al (10)reportedthe ?rst experience in the United States (...) or bulk- related pain, bloating, urinary frequency, or constipation, without additional therapy. Dysmenorrhea is de?ned as painful menstruation. Endometritis is de?ned as in?ammation of the inner lining of the uterus (endometrium) after UAE, which manifests as pelvic pain, watery vaginal discharge, fever, and/or leukocytosis, and can occur days to weeks after the procedure. Etiologies include infectious and noninfectious causes. Leiomyomainfectionisde?nedasbacterialinfectionofoneormore leiomyomata

2014 Society of Interventional Radiology

167. Menopause Chapter 3: Clinical Issues

no anatomic pathology. In addition to perimenopausal anovulation, irregular bleeding can be caused by anovulation associated with thyroid abnormalities, hyperprolactinemia, or polycystic ovarian syndrome. Anatomic causes of abnormal uterine bleeding (AUB) include polyps, fibroids, endometritis, endometrial hyperplasia, and cancer. Evaluation of AUB may include the following laboratory tests, based on the clinical situation: complete blood count, pregnancy test, coagulation profile, sexually transmitted (...) the menopause transition. A history of premenstrual syndrome or postpartum depression is a strong risk factor for mood symptoms at midlife. Life stressors are common at midlife and often coincide with the menopause transition. Recommendations for Clinical Care Healthcare providers should screen for psychological symptoms at midlife and treat psychological problems when indicated or provide appropriate referrals. (Level II) Mild depressive symptoms respond well to psychotherapy. Moderate or severe depressive

2014 The North American Menopause Society

168. Improving the Reporting of Clinical Trials of Infertility Treatments (IMPRINT): modifying the CONSORT statement

restriction (FGR) h Delivery Cesearean section/operative deliveries Small or large for gestational age (SGA/LGA), i preterm delivery (PTD), j anomalies detected by obstetrical screening Postpartum and neonatal/infancy Thromboembolism, postpartum depression, Lactation rates Anomalies detected after birth, neonatal intensive care unit admission, length of stay a A death of male or female parent or fetus/infant participating in trials should be reported. b OHSS (ovarian hyperstimulation syndrome

2014 Society for Assisted Reproductive Technology

169. Clinical practice guideline for care in pregnancy and puerperium

. What are the tools with better performance in the detection of mental disorders during the puerperium? 80. Does the contact of the mother with other mother networks and support groups reduce the risk of mental problems and postpartum depression? Breastfeeding 81. What practices favour the establishment of breastfeeding during the puerperium? 82. What practices help to maintain breastfeeding during the puerperium? 83. What is the most appropriate treatment for the cracks in the nipple, breast (...) that may involve risk of abdominal trauma; falls or excessive joint stress as well as diving can cause problems at birth and provoke the decompression illness (DCI) of the foetus. Psychological changes of pregnancy. Psychosocial stress and affective disorders Weak We suggest carring out a screening of the psychosocial status of the pregnant woman when there is suspicion of a material factor that may affect the course of pregnancy or postpartum. v Health professionals should be alert to the signs

2014 GuiaSalud

171. Randomized Control Trial of Intracervical Balloon Placement vs Oxytocin in Women With Term PROM and Unripe Cervices

with associated maternal or fetal tachycardia Endometritis [ Time Frame: from time of delivery until 2 days after delivery for vaginal deliveries and 3 days after delivery for cesarean sections ] temperature >100.4 F in the postpartum period with initiation of antibiotics in postpartum period Postpartum hemorrhage [ Time Frame: at time of delivery and up to 24 hours after delivery ] Estimated blood loss (EBL) >500 cc from a vaginal delivery and EBL >1000 cc from a cesarean delivery Epidural use [ Time Frame

2017 Clinical Trials

172. Antibiotic Prophlaxis for High-risk Laboring Women in Low Income Countries

of azithromycin, 1 gram of azithromycin+2 grams of amoxicillin or placebo. Women will be followed to ascertain maternal infectious outcomes and perinatal outcomes. Condition or disease Intervention/treatment Phase Postpartum Sepsis Postpartum Endometritis Postpartum Fever Drug: Azithromycin Drug: Azithromycin and amoxicillin Drug: Placebo Phase 4 Detailed Description: This 3-arm study is a large randomized clinical trial designed to evaluate the comparative effectiveness and safety of single dose oral (...) : Azithromycin and amoxicillin azithromycin and amoxicillin Other Name: azithromycin, amoxicillin Placebo Comparator: Usual Care This arm will consist of routine care at the clinical sites (which is usually no antibiotic). They will receive placebo (for azithromycin) and placebo (for amoxicillin) Drug: Placebo Placebo tablet Outcome Measures Go to Primary Outcome Measures : Peripartum infection [ Time Frame: Up to 6 weeks after delivery ] Maternal peripartum infection including chorioamnionitis, endometritis

2017 Clinical Trials

173. Use of Negative Pressure Wound Therapy in Morbidly Obese Women After Cesarean Delivery

of active phase, arrest of descent, malpresentation, repeat cesarean delivery, desired cesarean Reason for admission [ Time Frame: At the time of admission ] Spontaneous labor, rupture of membranes, induction of labor, scheduled cesarean delivery, fetal condition (oligohydroamnios, growth restriction, non reassuring fetal heart tracing) Labor duration [ Time Frame: At the time of cesarean delivery ] Endometritis [ Time Frame: Four weeks postpartum ] Length of rupture of membranes [ Time Frame (...) is typically removed on postoperative day one or two. The primary outcome is a wound complication defined as the formation of a wound infection, seroma, hematoma, separation, or dehiscence from delivery to 4 weeks postpartum. Investigators will also administer a patient satisfaction survey regarding their wound healing experience. Condition or disease Intervention/treatment Phase Obesity, Morbid Wound Infection Wound Complication Device: Negative pressure wound therapy (PREVENA Incision Management Therapy

2017 Clinical Trials

174. Tranexamic Acid for the Prevention of Obstetrical Hemorrhage After Cesarean

review, whose onset is after randomization Postpartum infectious complications [ Time Frame: within 6 weeks postpartum ] Infectious complications such as: endometritis, surgical site infection, pelvic abscess Admission to the intensive care unit for more than 24 hours [ Time Frame: within 6 weeks postpartum ] Any admission to the intensive care unit that lasts more than 24 hours Maternal death [ Time Frame: within 6 weeks postpartum ] Use of uterotonics other than oxytocin [ Time Frame: within 48 (...) : February 20, 2019 See Sponsor: The George Washington University Biostatistics Center Collaborator: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Information provided by (Responsible Party): The George Washington University Biostatistics Center Study Details Study Description Go to Brief Summary: A randomized placebo-controlled trial of 11,000 women to assess whether tranexamic acid as prophylaxis lowers the risk of postpartum hemorrhage in women undergoing

2017 Clinical Trials

175. Oxytocin Dosing at Planned Cesarean Section and Anemia

of LR. Women who receive the standard 20 mU of oxytocin in 1L of LR in bolus fashion plus 20 mU in 1L over 8 hours will have decreased blood loss by weight in the postpartum period compared to patients who receive 20 mU in 1L of LR. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 0 participants Allocation: Randomized Intervention Model: Parallel Assignment Intervention Model Description: Randomized double-blinded controlled (...) Masking: Double (Participant, Investigator) Masking Description: Covering of labels on IV fluids Primary Purpose: Prevention Official Title: Oxytocin Dosing at Planned Cesarean Section and Postpartum Anemia: A Comparison of Two Protocols Estimated Study Start Date : March 1, 2019 Estimated Primary Completion Date : March 1, 2020 Estimated Study Completion Date : March 1, 2020 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm

2017 Clinical Trials

176. Intra-uterine Cleaning During Cesarean Section

will have their uterine cavities left alone after complete delivery of the placenta. The placenta will be inspected after delivery to make sure it is complete, including the membranes. Outcome Measures Go to Primary Outcome Measures : Postpartum endometritis [ Time Frame: Within weeks ] Endomyometritis after delivery [ Time Frame: Within 6 weeks after delivery ] Endomyometritis will be diagnosed by the presence of two or more of the following: abnormally tender uterus on examination, temperature more (...) in obstetric practice. The American College of Obstetricians and Gynecologists (ACOG) estimates that in 2011 alone, one in three women who gave birth in the United States did so by cesarean delivery. Compared to vaginal births, the increasing rate of caesarean births worldwide is a well known cause of maternal morbidity, including hemorrhage, anesthetic complications, shock, cardiac arrest, acute renal failure, assisted ventilation, venous thromboembolism and increased risk of major postpartum infection

2017 Clinical Trials

177. A proof-of Concept, Randomized 3-month Study to Evaluate the Effects of Three Contraceptive Intrauterine Systems Delivering Copper and a Daily Dose of 5, 20 or 40 μg of Ulipristal Acetate (UPA)

of enrollment in this study. Use of injectable contraceptives during the previous 3 months (e.g. Cyclofem) or 6 months (e.g. DMPA). Women who do not have at least two progesterone measurements ≥10nmol/L during the baseline cycle will be excluded from further participation in the study (See Section 13.4.1) Acute pelvic inflammatory disease or a history of pelvic inflammatory disease unless there has been a subsequent intrauterine pregnancy. Postpartum endometritis or infected abortion in the past 3 months

2017 Clinical Trials

178. Prophylactic Antibiotics After Cesarean

standard of care Outcome Measures Go to Primary Outcome Measures : Surgical site infection [ Time Frame: 6 weeks postpartum ] Including superficial or deep incisional surgical site infection, endometritis, and other related infections, such as septic pelvic thrombophlebitis and abdominal or pelvic abscess Secondary Outcome Measures : Maternal mortality [ Time Frame: 6 weeks (42 days) postpartum ] Maternal death Febrile morbidity [ Time Frame: 6 weeks (42 days) postpartum ] If the patient develops (...) will be the administration of cephalexin and metronidazole post-operatively for 48 hours. The primary outcome measure will be surgical site infection (including superficial or deep incisional surgical site infection, endometritis, and other related infections, such as septic pelvic thrombophlebitis and abdominal or pelvic abscess) in the post-operative period. In order to most effectively and accurately analyze our primary and secondary research outcomes, the investigators will standardize our surgical operation

2017 Clinical Trials

179. Phytotherapy in Streptococcus agalactiae: An Overview of the Medicinal Plants Effective against Streptococcus agalactiae Full Text available with Trip Pro

Phytotherapy in Streptococcus agalactiae: An Overview of the Medicinal Plants Effective against Streptococcus agalactiae Streptococcus agalactiae is a spherical and Gram-positive bacterium that causes postpartum sepsis, endometritis, chorioamnionitis and premature delivery in pregnant women. The use of herbs and natural ingredients for the treatment of various disorders has been common. The present review is a report on the medicinal plants with anti-Streptococcus agalactiae effects

2017 Journal of clinical and diagnostic research : JCDR

180. Bovine Endometrial Epithelial Cells Scale Their Pro-inflammatory Response In vitro to Pathogenic Trueperella pyogenes Isolated from the Bovine Uterus in a Strain-Specific Manner Full Text available with Trip Pro

Bovine Endometrial Epithelial Cells Scale Their Pro-inflammatory Response In vitro to Pathogenic Trueperella pyogenes Isolated from the Bovine Uterus in a Strain-Specific Manner Among different bacteria colonizing the bovine uterus, Trueperella pyogenes is found to be associated with clinical endometritis (CE). The ability of cows to defend against T. pyogenes infections depends on the virulence of invading bacteria and on the host's innate immunity. Therefore, to gain insights into bacterial (...) factors contributing to the interplay of this host pathogen, two strains of T. pyogenes were included in this study: one strain (TP2) was isolated from the uterus of a postpartum dairy cow developing CE and a second strain (TP5) was isolated from a uterus of a healthy cow. The two strains were compared in terms of their metabolic fingerprints, growth rate, virulence gene transcription, and effect on bovine endometrial epithelial cells in vitro. In addition, the effect of the presence of peripheral

2017 Frontiers in cellular and infection microbiology

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