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Latest & greatest articles for pregnancy
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on pregnancy or other clinical topics then use Trip today.
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Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic: a report of a joint workshop of the Society for Maternal-Fetal Medicine, American College of Obstetricians and Gynecologists, and American Society of Addiction Medicine - American Journal of Obstetrics & Gynecology Email/Username: Password: Remember me Search Terms Search within Search (...) Share this page: Access provided by Volume 221, Issue 1, Pages B5–B28 Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic: a report of a joint workshop of the Society for Maternal-Fetal Medicine, American College of Obstetricians and Gynecologists, and American Society of Addiction Medicine The workshop was convened at the 38th Annual Pregnancy Meeting of the Society for Maternal-Fetal Medicine in Dallas, TX, January 29–February 2, 2018. x Jeffrey
Syphilis Screening in Pregnancy September 2019 INTERIM GUIDELINE ON SYPHILIS SCREENING IN PREGNANCY In April 2019, the first case of congenital syphilis in British Columbia since 2013 was reported. A second case of congenital syphilis was reported in May 2019 in a stillborn delivered in January 2019. Current and past practice in BC has included screening for syphilis as part of routine care in the first trimester; historically subsequent syphilis screening has not been routinely recommended (...) unless there was concern for syphilis risk during pregnancy. There have been ongoing discussions between the BC Centre for Disease Control’s Sexually Transmitted Infections (BCCDC STI) team and expert partners and stakeholders about the best way to approach syphilis screening in pregnancy. Recent epidemiologic syphilis trends seen in BC – including increased overall rates, increased rates in females of reproductive age, along with an increasing number of infectious syphilis cases among males who
Pregnancy duration and endometrial cancer risk: nationwide cohort study. To explore the association between pregnancy duration and risk of endometrial cancer.Nationwide register based cohort study.Denmark.All Danish women born from 1935 to 2002.Relative risk (incidence rate ratio) of endometrial cancer by pregnancy number, type, and duration, estimated using log-linear Poisson regression.Among 2 311 332 Danish women with 3 947 650 pregnancies, 6743 women developed endometrial cancer during 57 (...) 347 622 person years of follow-up. After adjustment for age, period, and socioeconomic factors, a first pregnancy was associated with a noticeably reduced risk of endometrial cancer, whether it ended in induced abortion (adjusted relative risk 0.53 (95% confidence interval 0.45 to 0.64) or childbirth (0.66, 0.61 to 0.72). Each subsequent pregnancy was associated with an additional reduction in risk, whether it ended in induced abortion (0.81, 0.77 to 0.86) or childbirth (0.86, 0.84 to 0.89
Bacterial vaginosis in pregnancy and risk of spontaneous preterm delivery Bacterial vaginosis, proposal for the Danish guideline meeting 2015 (version 190214) Page 1 Bacterial vaginosis in pregnancy and risk of spontaneous preterm delivery Approved at the obstetrical guideline-meeting January 2015 Danish Society of Obstetrics and Gynecology (DSOG) Update February 2019 The Lancet has now published reference 31b, by Subtil et al. (2018). The 2015 version of the DSOG guideline included (...) The objective of this guideline is to evaluate bacterial vaginosis in pregnancy concerning • Different treatments for prevention of preterm delivery. • Screening of pregnant women with low as well as high risk of sPTD. • Stratification into gestational ages below and above 16 weeks. • Diagnostic methods. Key words Bacterial vaginosis, vaginal pH, pH-glove, vaginal discharge, Nugent score, Amsel score, Gardnerella vaginalis, Mobiluncus species, preterm delivery, preterm birth, GRADE, clindamycin
SMFM Special Statement, research to knowledge: promoting the training of physician-scientists in the biology of pregnancy Research to knowledge: promoting the training of physician-scientists in the biology of pregnancy - American Journal of Obstetrics & Gynecology Email/Username: Password: Remember me Search Terms Search within Search Share this page: Volume 218, Issue 1, Pages B9–B13 To read this article in full, please review your options for gaining access at the bottom of the page (...) . Research to knowledge: promoting the training of physician-scientists in the biology of pregnancy Society for Maternal-Fetal Medicine (SMFM) , x Yoel Sadovsky Affiliations Magee-Womens Research Institute, University of Pittsburgh Department of Obstetrics, Gynecology and Reproductive Sciences, Pittsburgh, Pennsylvania, USA , MD a , x Aaron B. Caughey Affiliations Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon, USA , MD, PhD b , x Michelle DiVito
Tobacco and pregnancy 0 Tobacco and pregnancy A national guideline from the Danish Society of Obstetrics and Gynaecology Aims • To describe the risks of adverse fetal outcomes if a pregnant woman uses tobacco products. • To describe the risks of adverse outcomes among newborn children whose mothers use tobacco products during lactation. • To suggest a strategy for screening pregnant women for use of tobacco products. • To suggest a strategy for handling women who use tobacco products during (...) pregnancy and lactation. This guideline does not deal with social aspects related to the use of tobacco products by pregnant women or their partners, and it does not deal with tobacco products as markers of use of other drugs. Recommendations Evidence level Active and passive smoking, e-cigarettes and smokeless tobacco is discouraged during pregnancy. A/B All pregnant women should be asked about smoking status, exposure to passive smoking, use of e-cigarettes and smokeless tobacco at their first contact
Urological diseases and pregnancy DSOG 2019 Urology and pregnancy Page 1 of 3 Urological diseases and pregnancy The guideline was approved by DSOG (Danish Society of Obstetric and Gynecology) in January 2019. Members of the working group: Al-Saudi Noor, Eskildsen Morten, Fuglsang Jens, Ravn Christine, Ryhammer Allan (Urologist), Smed Vibe, Storgaard Lone Correspondence: Lone Storgaard Lone.Storgaard.firstname.lastname@example.org Summary of clinical recommendations: Hydronephrosis Recommendation Level (...) in case of failure of other treatments. Atosiban is optional during the procedure. 3-4 D Decompression of the kidney is indicated in case of septic patient, persistent severe pain or persistent obstruction. 2b B Hematuria Recommendation Level of evidence Recommendation There is no higher risk of hypertensive disorders, preterm delivery or small for gestational age in case of idiopathic hematuria 2A-3 B DSOG 2019 Urology and pregnancy Page 2 of 3 Persistent microscopic hematuria after delivery could
Effect of antenatal dietary interventions in maternal obesity on pregnancy weight-gain and birthweight: Healthy Mums and Babies (HUMBA) randomized trial Pregnancy interventions that improve maternal and infant outcomes are urgently needed in populations with high rates of obesity. We undertook the Healthy Mums and Babies (HUMBA) randomized controlled trial to assess the effect of dietary interventions and or probiotics in a multiethnic population of pregnant women with obesity, living (...) in an area of high deprivation.To determine whether a culturally tailored dietary intervention and or daily probiotic capsules in pregnant women with obesity reduces the co-primary outcomes of (1) excessive gestational weight gain (mean >0.27 kg/week) and (2) birthweight.We conducted a 2 × 2 factorial, randomized controlled trial in women without diabetes at pregnancy booking, body mass index ≥30 kg/m2, and a singleton pregnancy. At 12+0 to 17+6 weeks' gestation, eligible women were randomized
Could the YEARS algorithm be used to exclude pulmonary embolism during pregnancy? Data from the CT-PE-pregnancy study The recently proposed YEARS algorithm was shown to safely exclude pulmonary embolism (PE) and reduce the use of computed tomography pulmonary angiography (CTPA) among pregnant women with suspected PE. Our aim was to externally validate this finding.We performed a post hoc analysis of a prospective management outcome study for PE diagnosis in pregnant women. PE was diagnosed
Chronic renal diseases and pregnancy 1 Chronic renal diseases and pregnancy These guidelines were approved by DSOG (Danish Society of Obstetrics and Gynecology) in January 2019. Members of the working group: Andersen Torvin Lise Lotte, Damholt Brimnes Mette (Nephrologist), Eskildsen Morten, Kammerlander Heidi, Ovesen Per, Pedersen Woetmann Berit, Ravn Christine, Scheller Madrid Nikolai, Smed Vibe, Storgaard Lone Correspondence: Lone Storgaard Lone.Storgaard.email@example.com 1. Recommendations (...) in English (4 pages) 2. Entire guideline in Danish (35 pages) Summary of clinical recommendations: Chronic Kidney Disease and pregnancy: CKD Recommendations Level of evidence Recommendation Preconception Counselling in cooperation with a nephrologist and an obstetrician with special interest in nephrology A Level of renal impairment, presence of hypertension and proteinuria are the strongest prognostics for the outcome of the pregnancy as well as the risk of progression of renal disease /progression
Group B streptococci during pregnancy Group B streptococci during pregnancy Danish Society of Obstetrics and Gynecology Approved March 17 – 2019 • Recommendations in English (3 pages) • Entire Danish guideline (35 pages) Summary of clinical recommendations: GBS-bacteriuria or GBS in vaginal swabs during pregnancy Asymptomatic bacteriuria with Group B Streptococci (GBS) is defined as the occurrence of = 10 4 CFU/ml in 2 cultures taken 24 hours apart B Asymptomatic bacteriuria with GBS (...) is recommended to be treated at the time of diagnosis C UTI with GBS is defined as the occurrence of = 10 4 CFU/ml together with symptoms of UTI B The indication for Intrapartum Antibiotic Prophylaxis (IAP) will depend on the examination and treatment regime chosen (see below), when symptomatic or asymptomatic GBS bacteriuria has been found during the current pregnancy. D The recommended antibiotic regime in asymptomatic GBS bacteriuria as well as symptomatic GBS UTI 1. Tbl Phenoxymetylpenicillin 1 MIE x 3
Vitamin D supplementation for women during pregnancy. Vitamin D supplementation during pregnancy may be needed to protect against adverse pregnancy outcomes. This is an update of a review that was first published in 2012 and then in 2016.To examine whether vitamin D supplementation alone or in combination with calcium or other vitamins and minerals given to women during pregnancy can safely improve maternal and neonatal outcomes.For this update, we searched Cochrane Pregnancy and Childbirth's (...) Trials Register (12 July 2018), contacted relevant organisations (15 May 2018), reference lists of retrieved trials and registries at clinicaltrials.gov and WHO International Clinical Trials Registry Platform (12 July 2018). Abstracts were included if they had enough information to extract the data.Randomised and quasi-randomised trials evaluating the effect of supplementation with vitamin D alone or in combination with other micronutrients for women during pregnancy in comparison to placebo
2019CochraneControlled trial quality: predicted high
Health outcomes of young children born to mothers who received 2009 pandemic H1N1 influenza vaccination during pregnancy: retrospective cohort study. To determine whether any association exists between exposure to 2009 pandemic H1N1 (pH1N1) influenza vaccination during pregnancy and negative health outcomes in early childhood.Retrospective cohort study.Population based birth registry linked with health administrative databases in the province of Ontario, Canada.All live births from November (...) hazard ratio 1.05, 95% confidence interval 1.02 to 1.09) and decreased rates of gastrointestinal infections (adjusted incidence rate ratio 0.94, 0.91 to 0.98). These results were unchanged in sensitivity analyses accounting for any potential differential healthcare seeking behavior or access between exposure groups.No associations were observed between exposure to pH1N1 influenza vaccine during pregnancy and most five year pediatric health outcomes. Residual confounding may explain the small
Total serum bile acids or serum bile acid profile, or both, for the diagnosis of intrahepatic cholestasis of pregnancy. Intrahepatic cholestasis of pregnancy is a pregnancy-specific liver disorder, possibly associated with an increased risk of severe fetal adverse events. Total serum bile acids (TSBA) concentration, alone or in combination with serum aminotransferases, have been the most often used biomarkers for the diagnosis of intrahepatic cholestasis of pregnancy in clinical practice. Serum (...) bile acid profile, composed of primary or secondary, conjugated or non-conjugated bile acids, may provide more specific disease information.To assess and compare, independently or in combination, the diagnostic accuracy of total serum bile acids or serum bile acids profile, or both, for the diagnosis of intrahepatic cholestasis of pregnancy in pregnant women, presenting with pruritus. To define the optimal cut-off values for components of serum bile acid profile; to investigate possible sources
Caffeine Intake During Pregnancy and Weight of Offspring in Childhood: A Systematic Review "Caffeine Intake During Pregnancy and Weight of Offspring in Childhood:" by Gina M. McCoy and Evelyn L. Evans < > > > > > Title Author Date of Graduation Summer 8-10-2019 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract Background : Childhood obesity currently affects one third of the United States’ youth. Meeting criteria for overweight (...) is present in-utero . The current review explores the relationship between caffeine consumption during pregnancy and the weight of offspring in childhood. The purpose of this review is to organize and critically appraise the current data in order to realign our standard of care with the most recent information. Preventing childhood obesity is our best line of defense for our children and the health of our nation. Method : A comprehensive search of MEDLINE-PubMed, Web of Science, CINAHL-EBSCO, and MEDLINE